Friday, November 29, 2019

25 Idioms with Clean

25 Idioms with Clean 25 Idioms with Clean 25 Idioms with Clean By Mark Nichol The adjective clean has many senses: â€Å"free from dirt, contamination or disease, or pollution,† â€Å"fair† or â€Å"pure,† â€Å"clear† or â€Å"legible,† â€Å"smooth,† â€Å"empty,† â€Å"complete† or â€Å"thorough,† â€Å"skillful,† â€Å"free of a claim or impediment,† and â€Å"free from corruption or from lasciviousness or obscenity†; it also refers to freedom from drug addiction or lack of possession of contraband such as drugs or weapons. A variety of idioms that include the word have evolved: 1. clean (one’s) plate: eat all the food served 2. clean (someone’s) clock: beat or defeat soundly 3. clean as a whistle: pure or free of involvement in illegal activities 4. a clean bill of health: notification that a person or other entity is in good health or operating condition (from a report from a health official that all crew and passengers on a ship arriving in a port are free of illness) 5. clean break: abrupt and complete disassociation 6. clean code: well-written computer-programming code 7. clean conscience: absence of guilt or remorse (also â€Å"clear conscience†) 8. clean cut: tidy and well groomed 9. clean getaway: uninterrupted escape 10. clean house: rid an organization of corruption or inefficiency 11. clean (someone or something) out of: remove people or things 12. clean sheet: variant of â€Å"clean slate† (mostly used in British English); alternatively, said of an athlete or team that allows no goals (British English) 13. clean slate: a fresh chance or start (from the now-outmoded use of chalk on slate to record one’s debt at a tavern) 14. clean sweep: the winning of all competitions or prizes 15. clean the floor up (with someone): beat someone up 16. clean up: make something clean or proper, earn or win a lot of money, reform, or defeat 17. clean up (one’s) act: improve or reform 18. clean out: leave bare or empty, or take or deplete 19. come clean: be honest 20–21. have clean hands/keep (one’s) hands clean: be without guilt 22. keep (one’s) nose clean: stay out of trouble 23. make a clean breast of it: admit the truth 24. squeaky clean: completely clean or incorruptible 25. wipe the slate clean: give someone a fresh chance or start (see â€Å"clean slate†) Also, the proverb â€Å"A new broom sweeps clean† means that someone new to a situation (such as a job) will make a concerted effort to impress others. 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 Expressions category, check our popular posts, or choose a related post below:20 Computer Terms You Should Know50 Idioms About Meat and Dairy ProductsWhat is an Anagram?

Monday, November 25, 2019

How to Become a Phlebotomist

How to Become a Phlebotomist Phlebotomists are allied health professionals who bravely do something that makes even the toughest among us squirm sometimes: taking blood. Not for the faint of heart (or, more specifically, those who faint at the sight of blood), phlebotomists play an essential role in testing, diagnosing, and treating patients. The Day-to-DayPhlebotomists work in a variety of different clinical settings: hospitals, private clinics, laboratories, community health centers, blood donation centers, nursing homes, and private care facilities. They are responsible for sterilizing and preparing all of the equipment used for drawing blood, and for the actual blood-drawing itself. And taking blood is their primary task, many phlebotomists also process other bodily samples for testing.Attention to detail is key- everything needs to be labeled correctly, and kept free of any kind of contamination. Phlebotomists are also responsible for their own safety, and protecting themselves and other patients from infec tions spread via blood, such as HIV or hepatitis. Phlebotomists also have the added challenge of working with some patients who are afraid of needles, so a good bedside manner (not to mention strategies for distracting uneasy patients from the needle stick) comes in handy, as well.Phlebotomists’ shifts vary depending on where they work, and may include unorthodox weekend or holiday hours.For more on what it’s like to be a phlebotomist, check out these videos:What’s It Like to Work as a Phlebotomist?My Job: PhlebotomistTo become a phlebotomist, you’ll need to complete at least a high school degree and a phlebotomy-specific training program from a community college or vocational school. Most employers also require that their phlebotomists pass the national certification exam. Some states also require that phlebotomists be licensed, so be sure to check your own state’s requirements. For more on the phlebotomist exam and certification process, visit th e National Phlebotomy Association.The PayPer the U.S. Bureau of Labor Statistics (BLS), phlebotomists earn a median salary of $30,670 per year, or $14.74 per hour.The OutlookLike many allied health career paths, phlebotomy is growing: the BLS expects it to grow by a healthy 25% by 2024. If you have the nerves of steel to wield a needle with confidence, it could be a great career path for you.

Thursday, November 21, 2019

Positivism-the key to success Essay Example | Topics and Well Written Essays - 2250 words

Positivism-the key to success - Essay Example ot on an individual’s ability to ascribe positive outcomes to one’s aspirations, for it is eventually up to a person as to how one chooses to shape one’s life. The paper brings together the arguments for and against how positive thinking brings success, and then comes to a conclusion that positive thinking it actually a key to success. To confirm this, the paper highlights the way I shaped my life and how I achieved success in personal endeavors by using positivism as the key to success. Since my childhood, I always positively looked forward to any task, problem or challenge that came my way. I was somehow always confident about being successful, irrespective of the fact that at that time I did not know what it meant to be positive. I simply believed that being happy while facing life would bring me success and fulfillment. For instance, I represented my state in national swimming competitions. I knew that in case of an athlete, one has to be very strict with one’s training hours and diet. However, my personal passion for success went beyond training and proper diet. Before participating in a competition, I strongly believed that I was going to win, and I simply imagined myself on the podium with coveted medals and trophies. I think it was primarily owing to this positive attitude on my part that I managed to win many competitions. In high school I was always hopeful and positive about achieving what I aspired to achieve. The remarkable fact is that when you seek good, you are very likely to find it (Peale 1). I just immersed my consciousness in the goals I wanted to attain, and never stopped until I realized them as Peale explain also. For instance, I am a triplet and I have a brother and a sister. Many a time people happen to believe that all the three of us will think and act the same. However, realistically speaking, this is not true. The three of us spent our childhood together. In fact, in high school, we three were in the same class, taught by the

Wednesday, November 20, 2019

Working with Children Case Study Essay Example | Topics and Well Written Essays - 1500 words

Working with Children Case Study - Essay Example Each member of the family focuses on personal difficulties and has little interaction with others. Kerry, age 2 Under Theory of Mind, a securely attached child sees an image of self in a caregiver and this offers security. It is obvious Kerry is lacking the connection to her mother that she needs to form emotional attachments. Although the fact that she seldom speaks is not a real concern--children younger than 3 often hold back on conversation until they feel secure about communicating--it still might be an indication of a more serious problem. Since she would at her age be expected to use two or three word sentences, her development would appear to be slower than normal. Shouting or crying for what she wants is a definite bid for attention. There is a universal human need to form close emotional bonds, and Kerry seems to be lacking any positive connection to her family. This is a problem that needs to be addressed. Attendance at a Sure Start Children’s Centre might offer Kerry the opportunity to make friends and learn how to communicate with others. Sure Start local programmes, in use since 1999, bring together childcare, early education, health and family support services for families with children from before birth to 4 years old. It has been targeted at the most disadvantaged areas of the country such as the industrial areas of the Midlands. Kerry might be a candidate for the Talking and Learning Together Project which addresses speech and language issues. The holistic approach with multi-disciplinary teams of professionals goes beyond childcare and supports families in parenting and employment aspirations (Sure Start: local programmes, 2006). Alcohol, drugs and physical abuse are possible concerns in this family. Declan appears to be at loose ends as far as being employed, and, although he claims to be looking for work, it is not clear if he is actually utilising the Job Centre as a source. He doesn’t have any specific work

Monday, November 18, 2019

Swimming as a Hobby Essay Example | Topics and Well Written Essays - 2750 words

Swimming as a Hobby - Essay Example I have a dozen swim wear, five kinds of goggles, five colors of swim caps, swim towels that I only use when I go to the pool. I pack my gear in waterproof bags designed for swimming athletes. I have pool slippers, nose clips, paddle trainers, trainer boards and different kinds of skin lotion to keep my skin protected from too much sun or chlorine. I don't train and I'm not a member of any swimming team but I gear myself as I am a part of the varsity. I enjoy watching the swimming events at the Olympics. I also know a bit of diving and have enjoyed the diving competitions as well as the synchronized swimming events. My hobby has taken me to go to the beaches when I have the time. This hobby has also made me visit swimming pools in many places. I would get excited to swim in a new pool whether it is big or small, in a gymnasium, hotel or resort. As an exercise, swimming has given me good circulation and has kept me from storing up unnecessary calories. It has made me become conscious of my health that led me to activities such as looking for the right kind of vitamins, the right kind of food to eat and the right drink to take. I am not fond of alcohol and would rather drink fruit juices rather than softdrinks. I am abreast with the latest herbal and organic food that helps the body's physical and chemical functions. Many factors have influenced me to sustain this hobby. These factors constitute both internal and external forces. The self-satisfaction I get from swimming is truly rewarding. I love the water and have been enjoying anything about the water since I was young. There is that sense of freedom in the water where one could move one's whole body effortlessly and weightlessly. Besides giving me good exercise, I know that swimming releases stress from the body and the mind without having to add more stress and strain to the physique like other exercise does. External factors that help me sustain my interest in swimming is the people I get to meet in the pool or the places I could go to when I would explore vacation destinations with swimming areas or offering water sport activities. Swimming for me is not too expensive. I have not ventured into diving because of financial constraints but if I set my mind to it, I would not be shocked if I find myself in diving gears hundreds of feet underwater. I am fond of magazines that show beach destinations. Products and services that cater to swimming advertise in these magazines. Lastly, swimming as a hobby has given me fun. I believe that activities that become hobbies give the hobbyist a sense of pride, accomplishment, challenge and happiness. In this sense, the hobbyist would not hesitate to spend on goods and service for something that gives him happiness and satisfaction. Consumer Behavior Consumerism has been the life engine of many capitalist societies. Manufacturers and producers need consumers to consume their products again and again so that business is sustained. The knowledge of consumer behavior therefore is pivotal in product development, product promotions and business activities geared towards making the product reach consumers so that consumers can decide to buy these products or services. Personal, psychological and social factors influence decisions of consumers. Their decisions are based on the hierarchy of their values. "Many buying decisions require predictions of another person's product attitudes. Yet, consumers are often inaccurate predictors, even for familiar others." (Lerouge, 2006) Depending on the

Saturday, November 16, 2019

The Zika Virus (ZV): Causes and Features

The Zika Virus (ZV): Causes and Features The Zika Virus (ZV) is a mosquito-borne flavivirus that is transmitted by Aedes species, specifically A. aegypti, africanus, and the albopictus mosquitoes.1,2,3 ZV has recently gained global concern as recent outbreaks have occurred in the Americas. However, the virus was first isolated in 1947 from a macaque monkey in the Zika forest located in Uganda. The virus migrated to the Southeast Asian countries in 1945; the first human case was reported in Nigeria in 1952. Multiple epidemics have been reported since its first reported case in 1952. The first large scale outbreak occurred on Yap Island, Micronesia in 2007. Between April and July 2007, there were 49 confirmed and 59 probable cases of the ZV infection.4 During this time, no deaths were reported. Of the 6,982 Yap Island residents that were at least three years of age, 5,005 (roughly 73%) were estimated to be infected with ZV during this outbreak.4 The second major outbreak occurred in the French Polynesia between October 2013 and February 2014. As of February 14, 2014, 8,510 suspected cases were reported.5 The largest and current outbreak in the Americas began in Brazil. Brazils first reported locally transmitted case in Brazil occurred May 2015. The ZV entry into Brazil is not clear; however, it is proposed that travelers from ZV-infected areas of Chile, Asia, and Africa brought it during 2014 sporting events. This outbreak brought ZV back into the news as many athletes became weary of contracting ZV while participating in the 2016 Rio de Janeiro Olympic Games. Based on rates of asymptomatic infection, an estimated 500,000 to 1.5 million people in Brazil were affected with ZV.6 As of January 18, 2017, there are 738,783 confirmed cases, with the highest number of cases reported in Brazil, Columbia, and Venezuela.6 Mexico, Central America, the United States, and the Caribbean including the U.S. Virgin Islands and Puerto Rico reported confirmed cases of the virus. Regions outside of the Americas, specifically Singapore, Thailand, and Cape Verde reported confirmed cases of ZV. In January 2016, a traveler returning from Latin America to Texas reported the first U.S. case of ZV infection. As of March 22, 2017, more than 5,100 cases of ZV were reported.7 Of those reported, 4,861 cases were travel-related, 1,617 cases occurred in pregnant women, and 45 cases were sexually transmitted.8,9,10 The first case of transmission within the U.S. was in Florida. Those who were traveling to the U.S. from other affected areas reported many of the subsequent ZV cases. Every state has reported laboratory-confirmed symptomatic ZV disease. Only Florida and Texas have reported local-transmission of ZV.9 ZV is a member of the virus family Flaviviridae. The Flaviviruses include arboviruses that are transmitted through mosquitoes to humans. Ranging from 40-50 nm in diameter, the Flaviviruses are positive-sense and single-stranded RNA. The ZV is an icosahedral capsid enveloped virus. Several small proteins surround the RNA genome; the capsid proteins cover the core, creating its icosahedral shape. The lipid bilayer envelope membrane contains both the membrane and the envelope proteins, which are glycosylated in many flaviviruses.11 Vectors, generally mosquitoes, are infected when they feed on viremic hosts. Humans are generally the accidental hosts. The mosquitoes will take a blood meal from an infected host and transmit it to another individual. In the U.S., these mosquito vectors are isolated to the southeastern states. Aerosols or contaminated food products can also transmit Flaviviruses; however, this only occurs under certain circumstances. Other diseases associated with Flaviviruses include Japanese encephalitis, yellow fever, dengue fever, chikungunya fever, and hemorrhagic fever. ZV is an arthropod-borne virus (arbovirus) that infects their vectors after ingestion of a blood meal from aviremic non-human vertebrate. Some arthropods can be infected by saliva-infected transmission. The arthropod vectors develop chronic systemic infections as the virus will penetrate the gut and spread to the salivary glands. This dissemination to the salivary glands is known as extrinsic incubation, which lasts about 1-3 weeks in mosquitoes.12 The mosquito is not harmed by the infection. The ZV pathogen has two lineages that are based on phylogenetic analysis of viral envelope proteins:13 the African and Asian lineages. The African lineage is primarily restricted to the African countries of Central African Republic, Kenya, Nigeria, Senegal, and Uganda. The Asian lineage seems to be the strand that has been seen in recent outbreaks. This lineage has been circulating in the Southeast Asian countries since the 1950s, in French Polynesia in 2013, and the Americas in 2015. ZV is primarily transmitted by a bite of an infected Aedes mosquito. Humans are the likely main reservoirs; however, during outbreaks, human-to-vector-to-human transmission is common. Other modes of transmission of ZV are sexual transmission and maternal-fetal transmission during pregnancy. The estimated reproduction number of ZV infection during the Columbia epidemic in 2015-2016 ranged 2.2-14.8.14 During the Yap Island and French Polynesia epidemics, the estimated reproduction number ranged 4.3-5.815, that is comparable to dengue and chikungunya fevers, which are from the same family as ZV. Various sexual transmission has been reported: multiple cases of male to female transmission in the U.S. between January-April 201615, one case of male-to-male anal intercourse17, one case of female-to-male transmission18, and an asymptomatic case of male-to- female transmission.19 The duration of ZV RNA persistence in semen has been monitored to determine the degree of ZV infectivity. Detection of the viral RNA in semen was found up to 188 days after symptom onset in an Italian man who contracted ZV infection while traveling in Haiti.20 Additionally, it was found that ZV was found in semen up to 92 days after the illness onset.21 Various reports regarding vaginal secretions and bodily fluids have been monitored for ZV infectivity as well. Viral RNA in vaginal secretions were found up to 14 days after symptom onset.22 Viral RNA has been detected in urine and saliva in 54 days and serum up to 67 days.23 These findings were monitored in an infant whose mother displayed ZV infection symptoms during week 26 of her pregnancy and tested positive for ZV after birth. No reports of ZV in other bodily fluids of the reproductive tracts, specifically the follicular fluid, have been identified. There are potential modes of transmission that have been explored and discussed. Blood transfusion or blood products and breast-feeding have been linked to possible transmission.2 Viral RNA has been detected in the breast milk of those women who have been infected. There was a detection of ZV and viral RNA in breast milk collected 4 days postpartum from a woman who developed ZV symptoms during prenatal period.24 Breast-feeding is not a confirmed route of transmission, as it has not yet been thoroughly evaluated. Kissing is not a confirmed route of transmission. However, one case of transmission was reported from an elderly patient with a high viral load to a family member who reported kissing and hugging an infected patient, but had no known direct contact with infected bodily fluids.25 Saliva, urine, and conjunctival fluid have been detected sources, but transmission has not been confirmed. The incubation period of the ZV is usually 3-12 days. About 75-80% of ZV infections are asymptomatic.1 If ZV becomes symptomatic, disease is generally mild. Common symptoms include rash, fever, joint pain (known as arthralgia), and conjunctivitis. Symptoms generally resolve within a week. Pathogenesis of the ZV is not well studied; early data indicates that ZV will infect and replicate in dermal fibroblasts, epidermal keratinocytes, and immature dendritic cells.26 Infected epidermal keratinocytes will undergo apoptotic cell death. The viral replication prompts an innate immune response. As a result, type I interferons in infected cells are produced. The risk factors that put an individual at a greater risk for contracting ZV are those who live or travel to endemic or epidemic areas, mosquito exposure, and unprotected sexual contact with someone who has recently traveled to areas with active transmission. To determine if an individual is at risk, asking patients about travel history to ZV-infected areas, noting specific dates and location of travel, and discussing risk factors for transmission are important. The Centers for Disease Control and Prevention (CDC) concluded that ZV is a cause of microcephaly and other severe fatal neural defects, such as Guillain-Barrà © Syndrome. This is a complication associated with pregnancy. The CDC has determined this based on epidemiologic evidence showing an increase number of infants born with microcephaly during the French Polynesian and Brazilian outbreaks.3 Through cohort and case series studies, the CDC has found a cause and effect between the ZV and various brain defects, such as microcephaly, cerebral malformation, intracranial calcifications, neurologic dysfunction, and ophthalmologic abnormalities.3 Various studies have detected ZV in brain tissue of affected fetuses. Brain tissue was collected from infants with microcephaly who later died and in the placenta of mothers who suffered a miscarriage. As of result of these findings, the CDC has established two surveillance systems to monitor pregnancies and congenital outcomes in women with ZV infection: The U.S. Zika Pregnancy Registry and Zika Active Pregnancy Surveillance System (ZAPSS) for women in Puerto Rico. Due to the CDC findings regarding malformations of embryos, ZV is considered teratogenic. Microcephaly is a common defect of infants that have contracted ZV from their mothers. Microcephaly is a condition where a baby is born with a smaller than normal head or the head stops growing after birth.27 Because there is a delay in the growth of a head, there are neural developmental abnormalities. Babies born with microcephaly typically have physical and learning disabilities as they continue to grow and age. During ZV outbreaks, there was an increased incidence of microcephaly reported. During the 2013 French Polynesia outbreak, 8,750 suspected ZV cases were reported.28 Estimated risk of microcephaly reported 95 cases per 10,000 women who contracted ZV in the first trimester, while the baseline microcephaly prevalence for that area was two per 10,000 neonates.28 In 2015, an annual rate of microcephaly in Brazil increased from 5.7 cases per 100,000 live birth in 2014 to 99.7 cases per 100,000 in 2015.29 For diagnosing ZV, polymerase chain reaction, specifically quantitative or qualitative real-time reverse transcription polymerase chain reaction (RT-PCR) is considered the gold standard. RT-PCR distinguishes ZV from other flaviviruses such as dengue and chikungunya fevers. This test can be performed on serum, urine, or blood; however, serum and urine are commonly used. Sensitivity of RT-PCR can vary within 14 days of symptom onset. If symptoms are less than 14 days from onset, it is recommended that RT-PCR of urine or serum samples be performed. Cohort studies have found that RT-PCR of plasma samples appear more sensitive than RT-PCR of urine samples within the first 5 days of symptomatic ZV infection.30 In addition to performing RT-PCR, a physical examination must be done to diagnosis ZV. During physical examination, a clinician should examine a patient for fever, maculopapular rash, arthralgia, and conjunctivitis. Most symptomatic patients will present with rash and conjunctivitis.1,2 Clinicians should access the patients risk of exposure, such as travel history to an area of active transmission and unprotected sexual contact with someone who recently traveled to an affected area. Bloodwork should be completed. Generally bloodwork results are normal, but mild leukopenia (low white blood cell count), thrombocytopenia (low platelet count) and hepatic transaminitis (elevated liver enzymes) have been reported with ZV infection.31 Patients with suspected ZV should be evaluated for dengue and chikungunya virus infections as they all cause symptoms that overlap. The same mosquito vector transmits ZV, dengue fever, and chikungunya fever. Other illnesses to differentiate are malaria, influenza, infectious mononucleosis, and acute HIV infection. Other ZV testing options include serum virus-specific immunoglobulin M (IgM) and culture. IgM testing has a greater sensitivity at the end of the first week of illness. IgM has the potential to cross-react with other flaviviruses.2 The FDA approved the CDC IgM Antibody Capture Enzyme-Linked Immunosorbent Assay (Zika MAC-ELISA) as the first antibody test for emergency evaluation in selected laboratories.32 In addition to the Zika MAC-ELISA, Trioplex Real-Time RT-PCR assay can be used for ZV diagnosis. Culture is generally not used as a tool, but rather an aid to determine if any additional infections are present. If a patient is symptomatic or thought to have contracted the infection due to recent ZV exposure, these diagnostic tools are used to diagnose ZV. Coinfection with other viral illnesses transmitted by the same infected Aedes mosquito can occur. Dengue and chikungunya fever are the common illnesses that are associated with ZV. These coinfections were found in Nicaragua. Between September 2015 and April 2016, 356 patients in Nicaragua with suspected arboviral illnesses provided serum samples for ZV, dengue, and chikungunya fevers.33 A real-time RT-PCR confirmed the presence of a virus. Of those that provided serum samples, 263 had at least one of these viruses, 71 of these cases had a coinfection with 2-3 viruses. Suspected cases should be reported to local health departments in the U.S. for coordination of testing, care, and spread prevention. The CDC and selected state health departments perform more testing to confirm the diagnosis of ZV. The CDC provides instruction for sending ZV samples for testing. There are specific considerations for pregnant women. In 2016, the CDC provided guidelines for evaluation and management for pregnant women and infants with suspected ZV infections (Appendices 1 and 2). Possible Zika virus exposure should be discussed with all pregnant women during each prenatal visit. Testing symptomatic pregnant women should be based on the time of potential exposure. Additional testing is needed to rule out other illnesses, such as dengue, chikungunya, and yellow fever. Other illnesses to consider include malaria, rubella, measles, parvovirus B19 infection, influenza, rickettsial illnesses, enterovirus illnesses, acute HIV infection, and group A streptococcal infection.34 If asymptomatic pregnant women have an ongoing risk for exposure, routine ZV IgM testing should be performed at visits during the first and second trimesters. Offering RT-PCR testing for asymptomatic women with possible infection is recommended for those who have had exposure within the past two weeks of their prenatal visits. Positive results from RT-PCR testing confirm infection. However, a negative result does not exclude infection; IgM testing should be performed for further analysis. In addition to testing, if ZV is suspected or confirmed, serial ultrasounds are necessary every 3-4 weeks to monitor fetal growth and anatomy. Decisions on amniocentesis should be discussed as it is considered a high-risk procedure. Amniocentesis is a medical procedure where a small sample from the amniotic sac surrounding a fetus is sampled and examined for genetic abnormalities. The optimal time to perform this procedure to accurately diagnose ZV is unknown. Amniocentesis is generally performed after 15 weeks of gestation. Because of the uncertainty surrounding the accuracy of this test, amniocentesis should be discussed on an individualized basis. Currently there is no specific antiviral treatment available for ZV. The recommended treatment is supportive with a focus primarily on rest, hydration, and fever and pain control. Acetaminophen is preferred to address fever and pain. Until dengue fever can be excluded, aspirin and other nonsteroidal anti-inflammatory (NSAIDS), such ibuprofen and naproxen, should be avoided to reduce the risk of hemorrhage. Most infected individuals recover within a week. Hospitalization or severe disease is not common. Those individuals infected with ZV are encouraged to avoid mosquito exposure during the first week of symptom onset to reduce the risk of continued transmission.2,3 While infected, individuals should isolate themselves, refrain from sexual contact, and avoid mosquito exposure. Mosquito avoidance is the main option for prevention and further spread of ZV. This is the key to preventing illness while traveling to endemic or epidemic affected regions. Eliminating mosquito habitat is also recommended. Mosquitoes can breed in small amounts of water. Individuals traveling in affected locations should wear light-colored clothing that completely cover the body, use mosquito repellents with DEET, and utilize mosquito nets. There are additional precautions for pregnant women and women trying to become pregnant. Women should avoid traveling to areas of active transmission. Consulting healthcare providers before traveling is recommended. The CDC instructs pregnant women to avoid traveling to elevations less than

Wednesday, November 13, 2019

Egypt Essay -- Egyptian Politics, Economy, Culture

Egypt 2 Egypt is a very important trade country to its surroundings. Egypt has one of the most interesting rivers in the world called the Nile River. Its is three hundred and eighty-six thousand square miles four times the size of the British Isles. (Wilkins Frances 1999.). Approximately the size of Texas and New Mexico put together There year of independence is 1922. (Worth & El-Naggar 2010) There highest point of elevation is Mount Catherine of two thousand six hundred and twenty-nine meters. The lowest elevation point is Qattara Depression, which is one hundred and thirty-three meters. The natural hazards do Egypt are earthquakes, flash floods, landslides, volcanic activity, windstorms called Khams in, dust storms, and sandstorms. (Birgeneau Dean. 2002). Egypt’s is a small country located in Africa. It is in the northeastern part of Africa next to the Mediterranean Sea and Red sea. Its surrounding countries are Libya and Sudan. Its absolute location is twenty-seven degrees north and thirty degrees east. The total area surrounding is one million four hundred and fifty square kilometers. The land could fit three New Mexico’s inside. (Britannica Encyclopedia 1995.) Egypt can divide into elevated plateaus and low plains. There are many places with ground water discharge also. (Cultural Gram). The most fertile land in the world is along the Nile River. The Egyptians all relay on the river to there everyday needs. In the city Alexandria there is the largest seaport called Port Said. This is located along the Mediterranean Sea. The land in Egypt is very arid. (Wilkins Frances 1999.). Egypt is divided into four regions. Number one is the Nile valley and Delta. Number two is the Western desert including Mediterranean Sea. Number t... ... from using their Egypt 7 river as much as possible. Egypt has a very strong trade connection with coastal countries along the Mediterranean and Red sea. Also has a strong trade with its neighboring countries. Yes Egypt may not like to share the river but it brings in good profit for their whole Country. (Foreign Affairs 2010) Most Egyptians prefer a relaxed and quite life. They are very patient people Characterized by the word Ma alesh which means â€Å"don’t worry†. This term helps the people dismiss concerns or conflicts that are not that serious. They are emotionally expressive which helps in their poor conditions. Society is a serious debate battling for the hearts of the Egyptians. Rural men wear gallabeyya to long clock like dresses. All women must not show any skin but the eyes. There country is very protective and understanding. (Cultural gram).

Monday, November 11, 2019

Drama Journal Entry

Wk6 Assign: Project 1 – Journal – Drama Part II 1. What is your reaction to this week's play: â€Å"Fences†? My reaction is that Troy Maxson has made a lot of mistakes in his life, but finally has settled on the right track. He has a wonderful wife, a son, and a steady job. But when Troy's son brings home a request that causes him to look back and dwell on the bitter racism in his unfulfilled past, Troy's stable life takes a downward spiral.As the Maxson family loses contact with each other and relationships change in the blink of an eye, each character must fight through their inner demons to overcome the conflict that has overtaken their family. 2. What do you feel is significant about this play? (Discuss possible themes and the author's intentions. ) Troy, being an uneducated black man living in the south had many challenges and obstacles to overcome.In the end, the apple doesn't fall too far from the tree. Rose's character reminds us why our children need an education and woman rights need to be acknowledged and fought for. When she finds out her husband is cheating and at 54 he is going to be a father again. Rose has nowhere to go thick or thin, good or bad, Rose is stuck. 3. What do you think is the value of this dramatic piece and the form of literature it is written in? Why has this play become a classic, and why is it so highly regarded? ) Fences is one of those rare works of literature that is able to take a real-life situation and turn it into something deeply meaningful and important. It is one of the most accurate and intriguing depictions of relationships between people that I have ever read. August Wilson strikes a perfect balance of plot and dialogue and ends up with a definite home run. It was literature written in Drama.

Saturday, November 9, 2019

Godzilla and Post-War Japan Essay Example

Godzilla and Post Godzilla and Post-War Japan Essay Godzilla and Post-War Japan Essay Godzilla and Postwar Japan by William Tsutsui is informative and insightful but, admittedly, Tsutsui never really delivers on his thesis. The author argues, â€Å"that the Godzilla films provide us valuable insights into Japanese culture since World War Two† (2). He also says,â€Å"Which gives us a better understanding of postwar Japan, relations and modernization† (2). Although Tsutsui intends to talk about all the films, his hidden thesis only deals with the original. As much as he tries to give depth about all the films, he always comes back to the original. The author does a great job explaining how the original movie brings upon memories and insights but contradicts himself when saying all films do the same. To begin, Tsutsui contradicts himself with a few statements he makes within the article, which do not support his thesis well. For example, the author says that after the original Godzilla film was created, the movie was never the same in meaning. The intended message of the nuclear bomb changed along with the target audience. Within the article, Tsutsui states that, After the original film was made, the quality of the series rapidly declined. The serious anti-nuclear message of the first offering was speedily junked for more crowd pleasing fare and the age of the target audience declined steadily (4). Tsutsui goes against his thesis in this statement because he says that the message within the movie is intended to provide the viewers with a distinct description of the nuclear bomb. However, Tsutsui contradicts himself saying that the message seems to drop in meaning from the original. Tsutsui explains himself well, though, when explaining that, throughout time, the moral message beh ind the movie changed along with visual content. This statement does not support his thesis well since the message is not consistent and decreased over re-edits of the film. But, this statement does do a great job supporting his undefined thesis :

Wednesday, November 6, 2019

warren g harding essays

warren g harding essays Warren Gamaliel Harding was an affluent speaker, he gave the business a free hand, and his return to "normalcy" led to a fairly decent presidency, plagued with a only few political scandals. He was born in the town of Corsica, Ohio in on November 2, 1865. His first real 30b was an editor of the local newspaper, and that is what got him interested in public affairs. He was married to Florence Kling DeWolfe, against her father's wishes who was a prestigious banker of Marion. She became a major influence in his life, and as his fortune improved under her watchful eye he became more of a prominent figure in the local community then finally attracting the attention of political authorities. He won the seat on the Ohio Senate, then served on William H. Taft's committee at the Republican national convention. He ran for lieutenant governor and was shot down, then was defeated for governor; he then ran for the senatorial nomination and finally won. He liked serving in Senate and really made no important speeches or introduced any important legislation. Having respectable qualities as a senator he was nominated to run for the presidential office by the Republicans. His campaign promises is one of the better known ones, he promised to return the country to "normalcy" a word he used to describe the good old days. He never really challenged the any major topics in his campaign promises mainly sticking to old Republican virtues so as not to cause any conflict. He also was on the fence for other legislation at the time such as the league issues. He mainly was a indifferent machine mouthing what the party told him to and not be creative or real with his own ideas. One main reason I believe this is because he did not really want the office, but felt more at home at the Senate but could not give up the opportunity. Some topics he used in his administration were as follows. He passed ship subsidies, a high tariff, immigration ...

Monday, November 4, 2019

CONSTRUCTION CONTRACTS AND LAW ( A STRATEGY FOR A WATER COMPANY ) Essay

CONSTRUCTION CONTRACTS AND LAW ( A STRATEGY FOR A WATER COMPANY ) Bonus to the writer - Essay Example In the traditional strategy, the design is conducted by a client that is different from the contractor in charge of constructing the project according to OGC (nd). Other variants of the management contracting strategy include design, manage and construct and construction management. The design and build strategy on the hand is where the consultant that designs a construction is also charged with the responsibility of actualizing it in reality. The other main strategy is the management strategy. This strategy involves contracting an organization to be in charge of ensuring that other contractors in a project deliver predefined goal effectively (OGC nd). The management contractor in most cases is separate from the consultant that completes the design of the construction. There are a number of factors that must be considered when selecting a contract strategy. The main factor involved in this respect include timing, variation, price certainty, competition, quality, complexity profession al responsibility, risk avoidance, and professional responsibility. ... 1. Bestwater Main Rehabilitation Contract Strategy Bestwater’s main rehabilitation project is aimed to replace small diameter water mains with MDPE pipes. The project however involves a lot of liaising with several authorities. The contract will involve a little of risk related to timely completion of the work as there is about five years to complete the tasks involved. The work involves general and specialized activities that may necessitate the contracting of different contractual partners to spread the risks involved as well as to achieve the best possible quality of service. Alternatives In order to accomplish this task, the company may opt to use the traditional and design and build contract strategies. The advantages associated with traditional contract strategy include the competitive tendering, cost certainty at the beginning of the construction process and the existence of clear lines of responsibility as noted by Engineering Construction EDC (1985). The strategy also makes it easy to change designs while making use of the best possible design and construction skills. This strategy can however make it difficult to complete the project in the shortest possible time since decision making is bound to be slow and convoluted. Furthermore, this strategic option requires good organizational interfaces which may not be very easy to achieve. On the other hand, design and build has high buildability levels making the project have short completion times. The company’s responsibility in the process is also reduced which makes the company bear less risks compared to the traditional strategy (Walker and Hampson 2002). The quality provided by this option may however not be as good as that offered by

Saturday, November 2, 2019

Waste Essay Example | Topics and Well Written Essays - 250 words - 1

Waste - Essay Example 1). A complete elimination of waste from the waste stream however starts with responsibility of individual people who use the materials for packaging, the consumers of the packed goods and users of other commodities that turn into wastes. The users, instead of passing the waste disposal burden to the authorities, can more effectively eliminate these wastes from the waste stream. One of the most effective ways to eliminating wastes from the waste stream is by using materials that can easily be recycled. Manufacturers can for instance eliminate wastes by producing plastics, wrappers and other commodities that can easily be recycled. Similarly, individuals can facilitate elimination of wastes by recycling materials whenever possible. Another approach towards eliminating wastes from waste stream is the reuse of materials. This approach retains the materials usefulness, meaning that the materials will not become wastes and will not be taken to the waste cycle (Zbore, p. 1). Zbore, Tammy. (2011). ‘Making it go â€Å"away†- waste reduction strategies for cities.’ National League of Cities. Available from: http://citiesspeak.org/2011/04/19/making-it-go-%E2%80%9Caway%E2%80%9D-%E2%80%93-waste-reduction-strategies-for-cities/. [Accessed on 30 March