Engineering Essay Topics
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Engineering Essay TopicsEngineering Essay TopicsEngineering Essay TopicsEngineering Essay Topics
Engineering Essay TopicsEngineering Essay TopicsEngineering Essay TopicsEngineering Essay Topics
Engineering Essay Topics
Adderall Synthesis Essay
Adderall is most commonly administered orally for absorption in the gut, aided by taking the
drug combined with lipids; food does not affect absorption as it does with most drugs, including
Ritalin, the other drug often prescribed for ADHD. Onset occurs after three hours. After
absorption, it is metabolized in the kidneys, with acidic diet speeding up the rate of metabolism.
In general, the half life is approximately 10 hours. Depot binding lowers bioavailability. I would
have liked to see a little more information on why Adderall works as described. For instance, I was
left wondering why Adderall is not affected by food in the gut, why it seems to take so long for
onset, and how acidic diet can speed up metabolism. Adderall acts on the neurotransmitters
norepinephrine and dopamine via metabotropic receptors, on which it is a full agonist, blocking
binding of the neurotransmitters to the receptors. A little more detail on this area would be ideal,
because it was unclear to me whether there is a norepinephrine system that has the effects, or if
Adderall is simply affected norepinephrine in various different areas.... Show more content on
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Like other amphetamine drugs, Adderall decreases appetite. Irritability, anxiety, and trouble sleeping
also can result from Adderall stimulant properties. Tolerance and physical dependency are produced
in this drug by downregulation of the receptors for norepinephrine and dopamine that occurs over
time. Therefore, ceasing use may produce withdrawal symptoms of fatigue, depression, and
increased irritability. As with the rest of the infographic, more details would be great. However, I
found the aesthetic refreshingly unique. In my opinion, it looks as if this person put thought into
making their project stand out and present the information more
Slip And Trip Injury
06/08 Slip and trip 1. File a No Win No Fee Personal Injury Claim For Slip and Trip Injury! By bad
luck if you ever fall or slip on the floor in front of the public or other fellows, it must be
embarrassing moment for you. Many of us want to delete this time period from our memory but
wait you have to look properly whether slipping event happened, it might be your fault or not?
Whenever you become the victim of slipping or tripping event because of the slimy floor, wet floor
or missing step then it must conclude with the claim. There are wide range of injuries associated
with the slipping or tripping event and many reasons. It is better to engage injury solicitor Bolton to
learn deeply about compensation with your case. Why the slipping... Show more content on
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This is the best condition offered by the solicitor as its words tell the meaning. Whenever you
bring the claim to the lawyer then they will fight for you and support you and if either they
remain fail to win the case then you don t need to pay any single penny to the lawyer. The
personal injury lawyer must have deep knowledge with the legal terms of the state and provide
you detail information related to your case. They will learn the information from you and tells
you estimated compensation amount for the damages experienced. The professional will handle
the case in the court and there is always a chance of winning the case in your rights. The lawyers
will also support their clients in every single expense they suffered during the injury. For instance
the payment of the medical expenses and either physical damage you suffered during the injury.
The lawyers will make the documentation of your case and represent your file in a good manner in
the court. They will prepare you also for the questions and help you in every single situation to meet
the expenses. The lawyers know that this money will never brought the health for the person or
never brought the time back but it helps you to survive in the future. It helps you to pay your
medical expenses and meet the money for other
Accounting Ethics Question Essay
Good Works, Bad Accounting?
Ethics Project Part II
Section 55 Article IV: Objectivity and Independence:A member should maintain objectivity and be
free of conflicts of interest in discharging professional responsibilities. A member in public practice
should be indpeending in fact and appearance when providing auditing and other attestation services.
.01 Objectivity is a state of mind, a quality that lends value to a member s services. It is a
distinguishing feature of the profession. The principle of objectivity imposes the obligation to be
impartial, intellectually honest, and free of conflicts of interest
2011
Dilshan Jayakody, Matthew Marzicola, Suzanne Duffy
Accounting BH201.01
4/19/2011
In this situation the stakeholders ... Show more content on Helpwriting.net ...
Specifically, Charly is playing with the idea of manipulating the financials in order to hoax Lyn into
giving her quarterly donation. Charly has proposed taking money from the restricted funds by
allocating the precipitously large administrative expenses to the childcare programs, which are
provided for by Lyn s donation. She reasons that overhead allocations are just estimates, so they don
t need to be accurate in the short term. Also, she points out that this would be legal under Lyn s
contract of how she wishes the money to be spent. After the donation is made, Charly proposes that
the numbers be changed back to normal as to avoid any further accounting dillemas.
The ethical conditions that exist are numerous. Merriam Webster s definition of Ethics are as follows:
1) The discipline dealing with what is good and bad and with moral duty and obligation 2) a: a set of
moral pirnciples: a theory of system of moral values 3) b: the principles of conduct governing an
individual or a group
Furthermore, most companies define in their Code of Conduct their corporate responsibility. UBS
defines theirs as such, UBS we will uncompromisingly treat our reputation as our most valuable asset
and we will protect it fiercely. Our culture and reputation are ultimately defined bythe actions and
decisions that each of us makes every day.
Firstly, Jill s decision direct affects the long lerm viability and
Who Were The Aztecs
The Aztecs
Have you ever had questions about the Aztecs like Who were the Aztecs and Why are they so
special? Well, those questions will be answered in my report.
Who were the Aztecs?
The Aztecs were a group of Native Indians tribes that were from Mesoamerica. The different tribes
that formed the Aztec civilization all spoke the language of tlachtli. The Aztecs were a group that
worshiped many gods and in honor of those gods had human sacrifices. Eventually, half of the
Aztec civilization was wiped out by a disease called smallpox. Then, the rest of the Aztec people
were defeated by the Spanish during war.
Why were the Aztecs so special?
The Aztecs were highly advanced with farming, crafting, trading, and art. Their buildings
The Effect Of Fast Track Care On Length Of Stay Patients...
Running Head: FAST TRACK CARE
Review of Literature
The Effect of Fast Track Care on Length of Stay in Patients Undergoing Cardiac Surgery
Alisa Ruffner, BSN
Fall 2014
University of Tennessee Health Science Center: College of Nursing
NSG 819: Evaluation of Practice
Introduction Cardiac surgery is among the most frequently performed surgical procedures in the
United States. According to the American Heart Association, over 575,000 open heart surgeries were
performed in 2005. Until relatively recently, sedation and prolonged ventilatory support through the
first twelve to eighteen hours post operatively have been standard. This allowed adequate time for
the patient s hemodynamic, respiratory and coagulation physiological ... Show more content on
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How does fast track care compare to conventional care after cardiac surgery?
Methods
An electronic review of literature was conducted through PubMed, Clinicalkey, and MEDLINE
OVID databases. Key words and phrases searched included fast track , cardiac surgery , length of
stay , intensive care unit , and protocols . The evidence in the articles were evaluated and examined
in the attached table. The evidence was also categorized for quality using the Grade model rating
from A to D.
Findings
The most significant publication found involving fast track care was a Cochrane review entitled
Fast track cardiac care for adult cardiac surgical patients . This review examined 25 trials and
included over 4,000 patients. The trails included in this review were randomized control trials that
compared the use of low dose opioid based general anesthesia versus high dose opioid based general
anesthesia, and early extubation using time directed protocols versus usual care for extubation (Zhu,
Lee, Chee, 2012). This review examined several outcomes including mortality, post operative
complications, time to extubation, ICU length of stay, hospital length of stay, and inpatient costs. The
authors concluded, based on these studies, that fast track care was safe for patients undergoing low
to moderate risk cardiac surgery. The
combination of low dose opioid anesthesia combined with a rapid extubation protocol post
operatively is shown to decrease the time on
United Parcel Service ( Ups )
United Parcel Service (UPS) is a U.S. based company that specializes in international package
delivery. The company was developed from a small messenger service which was created in
Seattle in 1907 (Brewster Dalzell, 2007). A 19 year old man called James E. Casey, together with
his friend Claude Ryan, established the messenger service with only two bicycles, a phone within
a small office in a basement, and $100 which were borrowed from Ryan s uncle. From this
messenger service, the two young men laid the foundation for the growth of an international multi
billion dollar organization which is involved in the worldwide movement of goods, finances, and
general information (Brewster Dalzell, 2007). From its inception, UPS has grown to be the world
s biggest parcel delivery company. It is estimated that the Atlanta based company delivers
approximately three billion items in more than two hundred countries and territories per annum.
The company owns an enormous fleet of vehicles, approximately around 88,000 in total. Also,
UPS owns and operates the 9th largest airline business in North America. In regards to this, it has
about 600 aircraft which are company owned and chartered (Brewster Dalzell, 2007). The global
penetration of UPS has been observed to be gradually increasing raising its market share in many
countries. However, the company s U.S. operations have made the most significant impact on the
overall business transactions. It has employed a door to door delivery
Comparing Ariel And The Bell Jar
Although the novel, The Bell Jar reflects Sylvia Plath s psychological distress, the
poem book Ariel, expresses more of the author s dark, depressive thoughts and
feelings. In The Bell Jar, the main character s experiences reflect the mental
breakdown Sylvia had at the time. In poem book Ariel, Sylvia s poems have darker
and depressing themes. Both books express Sylvia s declining mental state in the
ominous way they are written, the tragic ends, and sad themes.
Sylvia Plath is a great modernist author who wrote her about feelings through books
and poems. Sylvia was born on October 27, 1932 and died on February 11, 1963.
Sylvia suffered with severe depression which led to her early death at the age of 30.
Sylvia supposedly died by sealing herself in ... Show more content on Helpwriting.net ...
The simple way out of all the little brick dead ends we scratch our
nails against. I want to kill myself, to escape from responsibility, to crawl back abjectly
into the womb. Later in college, Sylvia wasn t accepted in her desired course at
Harvard Summer School which led her to believe she was a disappointment to
everyone. She continued to believe this which led to her declining mental state.
Sylvia had trouble focusing and sleeping, she would go days without sleeping at all.
Sylvia s mother noticed scars on her legs, Sylvia said, I just wanted to know if I had
the guts. Sylvia s mother took her to see a psychiatrist and after many sessions, she
was diagnosed with severe depression. Her first attempt at suicide was when she
swallowed almost an entire bottle of sleeping pills. She was later put in a mental
institution and later released to continue college. This event later led to Sylvia writing
The Bell Jar where the main character suffers from depression like Sylvia. In the book
Esther, the main character, suffers from mental breakdowns, depression, and suicide
Phantom Limb Syndrome
Phantom limb syndrome is an extraordinary condition that is caused by amputating a limb or being
born without a limb (Flor, 2002); This condition affects approximately 80% to 90% of patients who
have had a limb amputated (Flor, 2002). The first documented case of phantom limb syndrome was
in the mid 16th century (Nikolajsen Jensen, 2001). The description was given by a French military
surgeon by the name of Ambroise Paré (1510 1590) when he noticed that some of his injured
patients would express that they were experiencing extreme painin their missing limb (Nikolajsen
Jensen, 2001). He studied and wrote down the characterizations of this post amputationstate and
attempted to create different models to explain how the phantom pain was... Show more content on
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Phantom limb syndrome and post amputation pain is far more common in adults than in children,
this would be related to the brains rate or ability to regenerate. A child brain is going to repair much
quicker than an adult, as their brains are still in rapid development (Scheinberg, 2016). Other factors
can play a part and may increase the chances of a patient experiencing this condition, and some of
them include: preamputation pain in the limb that was amputated, a blood clot that formed in the
amputated limb, a preamputation infection, previous damage to spinal cord or peripheral nerves that
supplied the affected limb, traumatic amputation, and the type of anaesthesia that was used during
the operation (Scheinberg, 2016). Nikolajsen and Jensen (2001) state that in paediatric amputees, it
was found that most of the children who were experiencing phantom pain, also expressed feeling
pain before the operation. The symptoms that occur in amputees/people born without a limb can
differ slightly, but all the symptoms are experiences in a limb that no longer exist (Scheinberg,
2016). The symptoms of phantom limb syndrome include; shooting, stabbing, and piercing
sensations, pleasure, one may feel the sensation of clothing or jewelry touching the missing limb,
other experience their limb feeling as though it is still attached and functioning normally, and lastly
patients can experience sensations of numbness, tickling, or even a cramping sensation (Scheinberg,
The Nixon County Park Project
Nixon County Park Project
For this course we received a hands on opportunity to view science in an outdoors setting at Nixon
County Park. I attended a training session to learn more about the practices and procedures of
nature education and assisted two grade levels of children that visited the park. I helped first
graders on a nature walk and fourth graders on an indoor lesson about animals. Both were unique
experiences that helped me learn to become a better teacher of science.
On the day of the training session, I tried to use that opportunity to glean as much information as
possible from the park naturalists. I learned that some teachers do not take into consideration how
much planning and preparation it takes to go on a field trip and what to do when they get there.
Teachers have the responsibility to reach out to the location they want to bring their students and
figure out necessities such as lunches and where to put them, locations of bathrooms, and how to use
their time. Teachers should attempt to be as organized as possible because then students will have
more time to maximize learning opportunities. The naturalists explained practices they have seen
good teachers use such as brightly colored name tags or t shirts to identify children, placing students
into groups before getting to the park, and simply setting clear expectations for student behavior.
Teachers should make students aware ahead of time that classroom rules still apply outdoors.
On my first visit, I
