Wednesday, May 6, 2020
Nurse`s Work Free Essays
string(175) " injury or internal bleeding can quickly deplete an individualââ¬â¢s body of blood and cause low blood pressureâ⬠\(Saljoughian, 2014\) which can support my statement\." I am a staff nurse work at government sector at hematology department. My service as a staff nurse almost 4 years. This is my semester 2 assignment which is to write a case study for my patient. We will write a custom essay sample on Nurse`s Work or any similar topic only for you Order Now I choose a patient with diagnosis of aplastic anemia as my case study for this semester. Aplastic anemia is a one type of blood disorder. The bodyââ¬â¢s bone marrow in which the soft tissue in the center of bones doesnââ¬â¢t make enough blood cells. (Bennington-Castro, 2015) . Our blood is composed of three types of blood cells in a liquid called blood plasma which is red blood cells, white blood cells and platelet. Red blood cells help to carry fresh oxygen to the bodyââ¬â¢s cells and take carbon dioxide away from cells (and to the lungs to be exhaled).While the function of white blood cells is help to fight infections and foreign invaders. Platelets are disk-shaped cell fragments which help to form blood clots to stop bleeding. These blood cells have their own lifespan and die naturally, to be replaced by new blood cells formed in bone marrow. Without this replacement process, health issues involving the heart and lungs, bleeding, and infection can develop. As a nurse, we should be very careful when taking care of patient with aplastic anemia. The purpose of this paper is to examine an aplastic anemia patient with respect to review of subjective and objective data, determination of nursing diagnosis, formation of outcomes with interventions, evaluation of the outcomes that can be identified based on the patientââ¬â¢s scenario. This paper will further discuss about the main risk problem that patient will be develop and the nursing intervention for the problem developed. (Knott, 2014) In his article: Epidemiology? The annual incidence of aplastic anemia is about two cases per million population.? Aplastic anemia is 2-3 times more common in Asia than in the West.? Acquired aplastic anemia most commonly presents between the ages of 15 years and 25 years but there is a second smaller peak in incidence after age 60 years.? Certain histocompatibility locus specificities, especially HLA DR2, are associated with an underlying predisposition to acquired aplastic anemia.Nursing assessmentSubjective dataMr. X is 57 years old gentleman, came from one of the island at Malaysia, was admitted from casualty into ward on 17/11/17 with complained of mild dizziness, gum bleeding the day before admitted but he stated that it resolve after brushing teeth. He denies any chest pain, palpitations, orthopnea, cough, fever, or chills. According to the Mr. X he has been diagnose as aplastic anemia since February 2016 from the BMAT result on Feb 2016. Patient also stated that he have known case of hypertension since 2012. According to the patient again he have previous admission on 17/5/17 till 10/6/17 for UGIB secondary to thrombocytopenia. On 20/7/17, he was admitted due to low platelet count and bleeding at gum. He was again hospitalized on 9/9/17 due to lot platelet count. Patient denies consume of alcohol and smoking. He claims that he has no family history of malignancy and bleeding disorder. According to the patient, he is allergy to the antibiotic penicillin which will make his body develop rashes and itchiness with mild short of breath but no known of food allergy. Currently patient claims that he staying with his wife and son.Objective dataPatient is alert, awake and oriented to self, place, and time. Full Glasgow coma scale noted (15/15). Upon physical examination, noticed scattered petechiae (pinpoint hemorrhages from arterioles or venules) at the buccal mucosa and over bilateral upper limb and lower limb. Vital sign taken during the admission (17/11/17) Blood pressure: 110/60mmHg Pulse rate: 100/min Respiratory rate: 20/min Underarm temperature: 37 degree Celsius Blood oxygen saturation (Spo2): 99% on room air Pain score: 1 Weight: 70kg Height: 162cm Body mass index (BMI): 26 Diagnostic lab taken during the admission (17/11/17). TEST RESULT Unit NORMAL RANGEHemoglobin (HGB) 7.8 g/dl 13.0-17.0Hematocrit (HCT) 22.4 % 40.0-50.0Platelet 4 10^3/uL 150-410White Cell Count (WCC) 1.3 10^3/uL 4.00-10.00Clinical progressReviewed by doctor in the ward, plan for 4 unit platelet transfusion and 1 pint packed cell transfusion, watch out for bleeding tendency and was started medication iv tranexamic acid 1g TDS and mouthwash tranexamic acid 10mls TDS. On the 19/11/17, 4 unit platelet transfusion done and no reaction noted during the transfusion. No sign and symptom of bleeding noted. Nursing Diagnosis The main nursing problem concern for this patient is risk of bleeding related to low platelet count follow by risk of fall related to dizziness. This paper will focus on risk of bleeding related to low platelet count based on the data collected. The nursing care plan will include intervention that is mostly to provide health education for the patient, bleeding precaution and bleeding reduction as well.Nursing Plan and InterventionFirstly, nurse should assess sign and symptom of bleeding. Assessment of skin and mucous membrane for sign and symptom of petechial, brushing, hematoma formation, oozing of blood is important because patient with low platelet count might experience bleeding into tissue. For my patient, I assess that he has scattered petechial (pinpoint hemorrhages from arterioles or venules) at the buccal mucosa and over bilateral upper limb and lower limb on the day of his admission. After been transfused 4 unit of platelet on 19/11/17 no more petechial noted at patient buccal mucosa while the petechial on the bilateral upper limb and lower limb is reducing. Beside this, monitor patientââ¬â¢s vital sign is important especially blood pressure and heart rate to look for orthostatic hypotension. Tachycardia and hypotension are initial compensatory mechanisms always can noted with bleeding (Wayne, 2016). Marc Hemeryck, a Medical advisor General Practitioner ; Geriatrics also state that hemorrhaging from internal and external can cause low blood pressure, so the heart needs to boost its output by pumping faster, thus this form of tachycardia is a necessary means for the body to compensate for the lower blood flow. (ââ¬Å"What are possible causes of tachycardia and hypotension?â⬠n.d.) This is supported byà ââ¬Å"a major injury or internal bleeding can quickly deplete an individualââ¬â¢s body of blood and cause low blood pressureâ⬠(Saljoughian, 201 4) which can support my statement. You read "Nurse`s Work" in category "Papers" During the whole admission, 4 hourly vital sign was monitored and no abnormal reading noticed. Stool and urine should be inspect as well to look for any melena stool or hematuria. Melena stool may be a sign of bleeding from upper gastrointestinal (Ansari, 2016). Whereas hematuria may indicate bleeding somewhere along the urinary tract (Mandal, 2014). Mr. x have a normal bowel open, no melena stool noted and normal urine output with amber color urine noted. Lab result such as hematocrit and hemoglobin can be monitor because when bleeding is not visible, decrease of hematocrit and hemoglobin can be an early sign of bleeding (Gil Wayne, 2016). During admission, Mr. X hemoglobin level noted is 7.8, after being transfused of 1 pint packed cell hemoglobin increase to 9.0.Health care personnel should avoid intravenous or subcutaneous injection or rectal procedure such as enema and rectal temperature as possible as this can stimulate bleeding to patient and to reduce unnecessary bleeding (ââ¬Å"Risk for Bleeding | Bleeding | Plateletâ⬠, 2012).à [Should have been cited as www.scribd.com/doc/97160447 (2012)] H If subcutaneous or intravenous procedure are needed for the patient, apply pressure to the puncture site. No subcutaneous procedure one to Mr. X but only intravenous procedure (set intravenous line) applied since medication IV Tranexamic acid was ordered by doctor. Whereas, body temperature was taken on underarm for Mr. X and no rectal temperature taken. Maintaining safe environment for patient such as raise side rail for confuse or restless patient, make sure floor is dry and have enough light can prevent patient from fall or injury. Mr. X is located at bed 12 which have adequate lighting and the floor at the ward always dry including the toilet. Medication adherence can help to reduce the risk of bleeding. Nurses should monitor patient to take his/her medication in the ward. I always make sure my patient to take his medication on time. Sometimes patient will request to take meal or to take bath before taking his medication and I will monitor again if the patient already take the prescribed medication. Heath education play an important role in our nursing. ââ¬Å"It is a much better idea to avoid bleeding rather than having it and then trying to deal with itâ⬠(Naik, n.d.). For this case, nurses can educate patient about precautionary measures to prevent tissue trauma or disruption of the normal clotting mechanisms. In the Nurses lab risk for bleeding, by giving information to patient regarding precaution measures can decrease the risk for bleeding (Wayne, 2016). To maintain an oral hygiene, patient can use a soft-bristled toothbrush and nonabrasive toothpaste and avoid the use of toothpicks and dental floss. Mouthwash tranexamic acid are prescribed to Mr. X and he was advice to buy a soft-bristled toothbrush to use. Patient follow the advice given. Educate to the patient and family members about signs of bleeding such as petechial that need to be reported to a health care provider are vital as the health care provider can take early action and treatment for the patient which can reduce the complication from blood loss. Mr. X always been remind by staff nurses to inform if he notice any brushing in the body of gum bleeding while brush teeth. Educate to patient the important need to use water-soluble lubricants during sexual intercourse as lubricants are used to reduce friction and tissue trauma that increase the risk for bleeding. Mr. also being teach to use lubricants. Teach the patient about measures to reduceà constipationà such as increased fluid intake and dietary fiber. Hard and dry feces may cause trauma to the mucous membranes of theà colonà and rectum. Increasing fluid intake and dietary fiber soften the fecal mass for easier defecation. I advised my patient to take more vegetables and fluid intake to get easier defecation and Mr. x total fluid intake was around 1.5 litter per day. Educate patient not do heavy lifting, contact sports, or strenuous exercise as it may increase the bleeding tendency. Mr. X was always being advised not to do heavy lifting or strenuous exercise and he understand about that. Patientââ¬â¢s daily activity at home include washing clothes and cooking. Patient should be informed to wear proper fitting shoes all the time both in and out doors to avoid cuts on their feet (ââ¬Å"Learn about Managing Your Chemotherapyâ⬠, 2016). Mr. X are told to wear proper shoes and I noticed that patient always wear sli ppers instead of wearing shoes. Educate the patient and family members about limiting the use of herbal remedies that can increased risk for bleeding like dongquai, feverfew, ginger, ginkgo biloba, and chamomile). Most herbal preparations interfere with platelet aggregation through inhibition of serotonin release from the platelet. Other herbs increase the effect of antiplatelet and anticoagulant medications, thus increasing the risk for bleeding. The following herbs can increase the bleeding tendency to a low platelet patients (Peters, n.d.): GINGER- Ginger is for gastric, distress, migraines and headaches but it can interfere with platelet function. GINSENG- Use to treat colic, infections, aging, and stress. It can increase bleeding, and have side effects of nausea, headaches, and blood pressure changes. GINKO- Used to treat Alzheimerââ¬â¢s and other memory disorders but it also been associated with excess perioperative bleeding. GARLIC- Garlic has been used as a medicine for centuries. It has been advocated for high blood pressure, fungal infections, heart attack and cancer. Consumption of garlic in high doses resulting in bleeding, nausea and vomiting as well as low blood sugar.Besides from herbal remedies, patient with high risk of bleeding should be very careful about their daily diet. Some food can lead to increase bleeding tendency. The Platelet Disorder Support Association (PDSA) states that the most common offenders for low platelet patients are foods that contain quinine (tonic water, bitter lemon, bitter melon), aspartame (diet soda, sugar-free and low-fat candy and cakes) or alcohol such as beer, wine, hard liquor (ââ¬Å"Eating for Healthâ⬠, n.d.). (Stein, 2017) Says ââ¬Å"Leafy green vegetables and dairy product can help to reduce the risk of bleedingâ⬠in which this can support my statement. Leafy green vegetables are the best sources of vitamin K. The Platelet Disorder Support Association also recommendsà foods like leafy green vegetables rich in vitamin K which is important for blood clotting and platelet creation. Chairman Tan, registered dietitian at Seventeen Nutrition Consultants advises: ââ¬Å"Green leafy vegetables such as broccoli, spinach, kale, Chinese vegetables like choi sum and kai lan are rich with antioxidants and rich in vitamins and minerals which are believed to reduce inflammation and help increase platelet count. (South China Morning Post, 2018) Dairy products such as milk can help your blood clot because of their calcium. Calcium is an essential mineral at seven different points in the coagulation cascade that results in blood clotting when youââ¬â¢ve cut yourself, The Platelet Disorder Support Association recommends following an anti-inflammatory or macrobiotic diet to increase platelet counts. This diet focuses on whole grains, beans and vegetables and reduces animal foods. Sesame oil has properties that can increase the platelet levels. Two tablespoons of a natural sesame oil when taken orally twice a day, and even rubbing some externally on lymph node areas can help to increase platelet counts over a period of several weeks (SINGLETON, 2017).à I have told MR. X to consume more leafy green vegetables and drink more milk at home and I strongly remind him not to take herbs as it might increase the bleeding tendency and he claimed that he didnââ¬â¢t take any herbs from others.EvaluationPatient being discharge on 20/11/17 with prescribed medication. Patient manage to get well and reduce bleeding tendency by adhere to the medication prescribed. Thus from here, nurses play an importance role in ensure patient is adherence to their medication to prevent bleeding for deteriorate. Beside for adherence to the medication, patient supposed to be advice to strictly follow the date given by doctor for their To Come Again (TCA) appointment to have regular blood checkup as this can detect early sign of bleeding. During the admission, patient not receive any injury like fall because the environment provided is safe for the patient. Patient aware that he cannot do any hard activities that might cause bleeding. This case study can managed to meet the desired goal.ConclusionAlthough aplastic anemia is consider incurable but the prevention of bleeding form aplastic anemia can reduce a lot of complication that can threat oneââ¬â¢s life. Hence patient must be instruct clearly about the adherence to the medication prescribed. Diet also play a vital role in reducing the bleeding tendency hence must be strictly implemented. Continuous of blood checkup must be strictly follow. Thus it is important to the nurses to provide a good heath education to the patient to increase patient awareness regarding the prevention of the bleeding that will take patientââ¬â¢s life. Prevention is better can cure. We may never understand illnesses such as cancer. In fact, we may never cure it. But an ounce of prevention is worth more than a million pounds of cure. (Agus, n.d.). In writing of this case study, I feel happy that this writing meet the desired outcome. No further bleeding noted for my patient and no further deterioration condition developed. I have learnt many things after writing this case study and I hope that I can use it to others patient as well to increase their health and living. I have learn what intervention I should do while patient in the ward and what education I can give to patient when he discharge. I manage to know what diet are recommended to the patient and what diet are not recommended to the patient. I feel glad to write this case study because I able to use this knowledge from what I have learnt not only to teach my patient but also to share the knowledge among my colleagues to improve our nursing care. In future, to improve the nursing care and practice, nurses might can put a sign over the patientââ¬â¢s bed as a reminder of bleeding precaution. This will make all the health care provider be more alert when handling to the patient. Besides that, those patient with high risk of bleeding can wear a bracelet as a sign of bleeding precaution to others as well. Environment also take a vital role in patientââ¬â¢s safety. Nurses can advise patient and patientââ¬â¢s family to create a safety environment such as put a holder in the bathroom as the floor wet and might easily fall down and not only focuses on the dry floor and adequate lighting. Creating a group of patient will high risk of bleeding can be consider as well. Nurses can gather them all and provide a health education to the patient. This can increase their awareness of the bleeding precaution. At the same time they can communicate and share their experience to reduce the risk of bleeding. I hope this will improve our nursing care and practice with a patient with high risk of bleeding tendency. Together we work to improve our patientââ¬â¢s well-being and our nursing care practice as a professional nurse. How to cite Nurse`s Work, Papers
Sunday, April 26, 2020
Themes Relating To Good Versus Evil In Billy Budd Essays
Themes Relating to Good Versus Evil in Billy Budd Many themes relating to the conflict between Good and Evil can be found in Herman Melville's novella Billy Budd, Foretopman. First originating as a poem about a middle-aged man on the eve of his execution, Billy Budd is the only true work of fiction written by Melville (Bloom, Critical Views 198). The idea for the novella was probably suggested in part by an incident in 1842 in which a midshipman and two seamen of the American brig Somers were hanged at sea for mutiny (Voss 44). Although it remained unpublished for until almost half a century after Melville's death, Billy Budd quickly became one of his most popular works (Bloom, Critical Views 198). Perhaps one of the most widely recognized themes in Billy Budd is the corruption of innocence by society (Gilmore 18). Society in Billy Budd is represented by an eighteenth century English man-of-war, the H.M.S. Bellipotent. Billy, who represents innocence, is a young seaman of twenty-one who is endowed with physical strength, beauty, and good nature (Voss 44). A crew member aboard the merchant ship Rights of Man, Billy is impressed by the English navy and is taken aboard the H.M.S. Bellipotent. As he boards the H.M.S. Bellipotent, he calmly utters, "Goodbye, Rights of Man," a farewell to his ship and crewmates. However, this farewell is not only meant for his ship, but for his actual rights as well, the rights that would have kept him innocent until proven guilty under a normal society (Gilmore 18). The society represented by the H.M.S. Bellipotent is much different from that of the outside world, as the various laws and regulations in effect during war turn a civilized society into more of a primitive state. The rights that are fought for during war were no longer possessed by the men on board the Bellipotent in an attempt to keep order as best as possible (Gilmore 18). Billy was impressed by the English navy because of a need for good sailors. The Rights of Man cannot survive in the war-torn waters of the ocean without the protection of the Bellipotent, and the Bellipotent cannot protect the Rights of Man if it does not impress sailors (Tucker 248). On the H.M.S. Bellipotent, Billy faces destruction from a force which he does not and cannot comprehend (Gilmore 18). Billy was snatched from a safe berth aboard the Rights of Man so that he could be made into an example, which would hopefully suppress the primitive instinct to rebel in the other crew members (Tucker 248). He lacks the sophistication and experience to "roll with the punches", forcing him to succumb to this hostile society. Unlike the shifting keel of the ship, he cannot lean both ways, one way toward his natural innocence and trustfulness and the other toward the evil and conspiracy in society, causing him to break apart and sink (Gilmore 18). It can also be interpreted that Billy is the true civilizer, for while the war in which the H.M.S. Bellipotent fights is a product of what passes for civilization, Billy is the maker of peace (Gilmore 65). Another theme that critics feel is present in Billy Budd is that of the impersonality and brutality of the modern state. Billy was taken from a safe and protected environment on the Rights of Man and placed in a new, hostile setting, one which he was not prepared for and could not conform to. Once one of the strongest and most respected crew members on the Rights of Man, he was no longer regarded as such on the H.M.S. Bellipotent (Bloom, Critical Views 211). However, his innocence and trustfulness remained with him, causing the crew to regard him as being more of a noble man, rather than the powerful man that he was on the Rights of Man. While most of the crew admired Billy for these qualities, John Claggart, Master-at-Arms for the H.M.S. Bellipotent, regards Billy with jealousy and malice (Gilmore 24). Critics have described Claggart as "the epitome of evil," residing on the periphery of order, and serving as both tempter and destroyer (Bloom, Critical Views 207). He has been compared by Melville to Tecumseh and Titus Oates, and with his background being unknown, Melville makes his character appear even more evil to the reader (Bloom, Critical Views 207). Ironically, Claggart's strength resides in his job as the shipboard peacekeeper. However, when his evil side takes control, it causes him to rear up like a coiled snake, ready to strike out at
Thursday, March 19, 2020
Men of honor essay essays
Men of honor essay essays The basic issue in this film that relates to justice was racism. This is because when Carl first joined training to be a U.S Navy Master Diver, no white man thought he could do it. They didnt think he was capable of being a diver because he was black. Two characters that were each from a different side of the justice issue was Pappy (commander general for the training center for the U.S divers), and Carl Carl was a black man, who believed he was born to be a U.S Navy Master Diver. His point of view was that if he was good enough for the job, why couldnt he dive. Carl was determined to be a diver. He knew just because he was black didnt make him unworthy or stupid. Pappy was the commander of the training center Carl first went to. Pappys side of the issue was that blacks werent dependable or loyal. Pappys opinion was that by putting a black man in the U,S Navy would put peoples lives in danger. If blacks werent dependable, then how could they trust one in a life or death situation? Pappy also thought that if one black man stood up to the navy, then many other blacks would too. This would be a disaster because blacks couldnt do anything right. This was the way he was raised most likely. Spitting on every black that walked past him. I think Carl is right in this issue. Any man should be able to join whatever they want, as long as theyre good at it. People should be treated fairly. If Carl could deal with all the ridicules and stress then he must be a strong person. And this would not make him stupid, or unworthy. There were points in the movie where I thought if I had been Carl, I would have given up. I also agree with Pappys point of view. He was raised to hate blacks. But he could have always changed his ways. Even though Pappy was racist against blacks, many blacks are racist against all whites. This happens sometimes. Blacks dont even know some white ...
Monday, March 2, 2020
Varying Assignments to Enhance Student Learning Styles
Varying Assignments to Enhance Student Learning Styles Methods for Varying Assignments Each student comes to your class with their own learning style strengths and weaknesses. Some will be stronger at auditory learning or learning through listening and sound. Others might find they learn better visually, gaining understanding through reading and writing.à à Finally, manyà students will be stronger kinesthetic learners, learning better through hands-on activities. Therefore, it is important that we present lessons to students through a variety of techniques that play to each of their strengths. While most teachers know this and try to vary presentation techniques as much as possible, it can be quite easy to forget about changing up assignments. In other words, if your student is an auditory learner, their understanding of the material will be reflected better through an auditory method. Traditionally, we have students present us with whatà they have learned through written means: essays, multiple choice tests, and short answers. However, some students might do a better job reflecting their comprehension of what they have learned through either verbal or kinesthetic means.à Therefore, requiring studentsà to vary their responses can not only help more of them shine by working in their dominant learning style but it can also allow all students the chance to find new ways to learn.à Following are ideas for activities that you can have students complete in each of their dominant learning styles. Realize, however, that many of these actually play to the strengths of more than one category.à Visual Learners Typical Written Activities - These include assignments like essays and short answer questions.à Outlining - Students can outline a chapter in a book or other reading assignment.à Flash Cards - Students can create flashcards that they can not only submit as an assignment but also use for review.à SQ3R - This stands forà Survey, Question, Read, Recite and Review and is quite an effective reading comprehension method.à Auditory Learners Cooperative Learning Activities - Activities that include auditory interaction between students can be quite powerful.Class Discussions - Students can discuss the lesson with teacher support.à Debates - Students can work in groups to debate an issue.à Recitations - Having students memorize and recite poetry or other readings also has the added benefit of helping improve their memory.à Musical Activitiesà - Students can use music in a number of ways. For example, in an American History class, students might find songs that represent the turmoil of the 1960s protests. You might also have students write their own lyrics to songs as a way to present the information that they have learned.à Kinesthetic Learners Dramatic Presentations - Having students present their information through a play or other dramatic presentation not only helps kinesthetic learners, but also auditory learners as well.à Speeches With Props à - Students can stand before the class and speak about a topic while using props.à Teacherà for the Day Activities - Give students parts of a lesson that they are to teach to the rest of the class. You can choose to have the students work individually or in small groups.à Simulations - Getting students moving around the classroom as they simulate an event like a presidential election can buildà interest and excitement in learning.à Manipulatives - Students enjoy being able to use manipulatives in classes like mathematics and science.Incorporating Dance or Exercise - While this might not work in someà classes, allowing students the ability to choose to incorporate dance or exerciseà as a method of lesson presentation can open up a whole new avenue of learning.à Outdoor Activities - Studentsà can be given assignments that require them to go outside and move around. à Obviously, your subject matter and classroom environment will impact which of these would be the best fit for your students. However, I challenge you to move outside your comfort zone and try to find a way to not only represent lessons while incorporating all three learning styles, but also giving students assignments and activities that allow them to use different learning modalities as well.
Saturday, February 15, 2020
Forensic Medicine Essay Example | Topics and Well Written Essays - 1250 words
Forensic Medicine - Essay Example It entails relation with the observations and the doctors are the primary witnesses and they are required to give their opinions based on truth and without any bias towards the side they are representing. Medical confidentiality can raise conflicts between law and medicine (Forensic-Medecine.info, n.d.). Forensic medicine is an important area of forensic science and it involves the application of medical knowledge to civil and criminal law. The areas of medicine that are used in forensic medicine are pathology, psychiatry, and anatomy. Forensic medicine is involved in cases such as those concerning mental illness, blood relationship, death resulting from violence, and injury. Autopsy is basically used in the determination of the cause of death (such as poison or gunshot wound) specifically in situations where it is suspected there was foul play. Post-mortem examination can also provide important information such as the length of time a person has been dead (the information can assist in tracing the killing) (Forensic-Medecine.info, n.d.). Every minute a number of people are either injured in a crime or are killed under unknown circumstances. The determination of the cause of the injury or death is sometimes very difficult especially when a foul play is suspected to have happened. Forensic medicine has come in handy to assist in the investigation of the type of crime and manner used in inflicting injury and the cause of death. Forensic medicine is an exhilarating subject since it offers the investigator in this case a forensic pathologist to explore the mechanisms and manner of death of the victim in question. It has also assisted in solving rape cases and a number of court cases that involved the death of the victim in question. In simple times, forensic medicine can be equated to the application of medicine in the legal field. The relationship between law and medicine started in the early periods and the bonds which united
Sunday, February 2, 2020
Proposals.. riding a bicycle in aruria campus Essay
Proposals.. riding a bicycle in aruria campus - Essay Example The proposal also covers the cost of the project. Moreover, it gives details of the team that will be performing this project. Furthermore, there is a detailed schedule of tasks and time required to carry out these tasks, followed by a Gantt chart which gives a visual display of the tasks and time required for their completion. This proposal focuses on the target audience which mainly comprises of the students, faculty and staff at the Auraria campus. The proposal also gives an overview as to why bicycles should be allowed at campus and what benefits can be. For the purpose of achieving results, the proposal also suggests that surveys should be carried out on different campuses to get the opinions of other student bodies. Also, surveys should be carried out at the Auraria campus in order to learn what the students want and how they think this problem can be solved. It is highly possible that with these surveys, the management and the team working on this project, might be able to wor k out something better and more student friendly. The proposal has details that will explain the pros, cons, cost, and qualifications that will help get this plan started. The plan is easy and
Saturday, January 25, 2020
Digital Block For A Fucntion Generator :: essays research papers
Digital Block Design Design introduction The Digital Block is the heart of this digitally controlled function generator. Symmetry and frequency variation is direct result of the design of this block. In this design the emphasis was on simplicity and some target specifications at the top of the frequency variation were compromised in order to achieve greater simplicity. This design achieves 28 frequencies in the range of 100Hz to 100kHz. Whilst the 17 frequencies from the range 100Hz to 10kHz are symmetry variable in five steps from 0.1 to 0.5. The last eight frequencies only managed to achieve symmetry variations 0.5 and 0.25. This is due to some limiting factors that will be discussed later. The table of achievable frequencies can be found at the end of this report. User inputs are also digitally processed in this function generator and sent out as digital signals to other parts of this function generator namely the amplifier module. Also a filter selector circuit is built in after the digital block. The user inputs controlling frequency and symmetry are also built into this control block. Therefore it is clear that the digital block can be divided into 4 distinct blocks, each with its own functionality. These blocks are the control module, counter module, filter control module and 8-bit D/A. The D/A chosen is the DAC0801LCN. It’s specifications can be found in the appendix. The layout of this design is shown below. The interconnections will be discussed later but the thickness of the lines indicates the number of bits in the bus lines. As the name suggests the control module takes user inputs, processes them and sends them out to the respective modules. The functionality module generates the count, varying between 0 to 255 in 256 steps or in 64 steps. The 8-bit D/A changes this count into a wave and the filter selector module selects which filter in the filter block to pass the signal through. While extensive testing has been done on the functionality module, the control module and filter selector module are relatively simple and have not been tested due to the inability to do so. The control module consists primarily of switches and ROM’s while the filter selection module is made up of two analogue multiplexers. These modules are discussed in further detail in later sections. Control Module Introduction à à à à à This block essentially converts user input into digital signals. We have four user inputs coming in, and five control signals outputted, with the extra output being generated internally.
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