Anaemia

Abstract Background: Anaemia is common worldwide specially in developing countries where nutrient deficiencies are prevalent. It is a common problem in the outpatient set but it’s always neglected and taken lightly which can cause hyperdynamic circulation disturbances and raise the rate of morbidity and mortality. Aim: To determine the prevalence of microcytic Hypochromic anaemia in medicine emergency room casualty in academy teaching hospital. Method: This is a descriptive cross-sectional study which was done in the Academy Teaching Hospital in which 75 of the emergency room patients participated in the study.The state of nutrition of the patients was evaluated by a questionnaire answered by the patients. Chapter One Introduction and Literature Review 1. 1 Introduction Anaemia Anaemia is defined as the reduction in the oxygen-transporting capacity of blood, which usually stems from a reduction of the total circulating red cell mass to below normal amounts. Blood haemoglobi n level is below 13. 5 g/dl in an adult male and below 11. 5 g/dl in an adult female. (1) Classification: Classified according to: 1. Causes: a. Inadequate production of RBC. b. Blood loss anaemia: * Acute: due to acute hemorrhage. * Chronic: due to GIT bleeding, menorrhagia. . Excessive destruction of RBC (haemolysis). 2. Morphology: a. Microcytic: * Iron deficiency. * Thalassemia. * Sideroblastic. b. Microcytic: * Folate deficiency. * B12 deficiency. c. Normocytic: * Aplastic anaemia. * Myelodysplastic anaemia. There are many undiagnosed cases of anaemia that if left undetected can lead to several complications, those include: (2) 1. Infections: people with the anaemia are more susceptible to getting infections from viruses and bacteria. 2. Severe bleeding: if bleeding is severe, internal and excessive then death can ensue if a blood transfusion is not given and the cause of the bleeding is not treated. . Stroke: if haemoglobin is defective, it can damage the walls of the red bloo d vessels and this can result in narrowing or even blockages in the brain, which can lead to serious, life threatening strokes. (2) Microcytic Hypochromic Anaemia Microcytic anemia is a blood disorder characterized by small red blood cells (erythrocytes) which have insufficient haemoglobin and hence have a reduced ability to carry oxygen through the body. The red blood cells are small due to a failure of haemoglobin synthesis or insufficient quantities of haemoglobin available. (3) Classification: 1. Iron deficiency anaemia . Sideroblastic anaemia. 3. Thalassemia. Iron deficiency anaemia It’s estimated to be the main cause of anaemia affecting about 10% of the population in developed countries and 25-50% in developing countries. The prevalence of iron deficiency anemia in the United States was 2 percent in adult men, but was found to be more common in child-bearing women age. (4) Total body iron content is about 2gm for females, and 6gm for males. Most of the iron within the body is found in hemoglobin within erythrocytes (80%), with the remainder being found in myoglobin and iron containing enzymes.Iron is stored in liver, spleen, bone marrow and skeletal muscle. This iron storage pool contains on average 15-20% of total body iron. (4) Iron is transported in the plasma by an iron binding protein called transferrin. In normal individuals, transferrin is about 33% saturated with iron. Dietary iron is obtained either from inorganic sources or animal sources. Dietary iron enters intestinal cells via specific transporters. The iron is then used by the cell, stored as ferritin or transferred to the plasma. (4) Erythropoiesis is the development process in which new erythrocytes are produced, through which each cell matures in about 7 days.Through this process erythrocytes are continuously produced in the red bone marrow of large bones, at a rate of about 2 million per second in a healthy adult. The blood's red color is due to the spectral properties of the he mic iron ions in hemoglobin. The red blood cells of an average adult human male store collectively about 2. 5 grams of iron, representing about 65% of the total iron contained in the body. (5)(6) Causes: * Poor intake. * Decreased absorption (celiac disease, gastrectomy). * Increased demand in growing adolescents and pregnancy. * Blood loss from GIT due to: * Hookworm infestation. Erosions associated with NSAID, peptic ulcer or neoplastic disease. * Hemorrhoids. * Blood loss from irregular or excessive menstruation. Symptoms and signs (7) Symptoms may include: * Fatigue. * Shortness of breath * Lightheadedness. * Palpitations. * Dizziness. * Chest pain. * Blurred vision. * Sleep disturbance. Signs may include: * Rapid heart rate. * Low blood pressure. * Rapid breathing. * Pale conjunctiva. * Cold skin. * Enlargement of the spleen. Diagnosis of iron deficiency anaemia: * Complete blood count and color: with iron deficiency anaemia red blood cells are smaller and paler in color than n ormal. Hematocrit: This is the percentage of blood volume made up by red blood cells. Normal levels are generally 41% for adult women and 47% for adult men. These values may change depending on your age. * Haemoglobin: Lower than normal hemoglobin levels indicate anemia (12-16 g/dl in an adult male and 13. 7-17. 5 g/dl in an adult female). * Ferritin: This protein helps store iron in your body, and a low level of ferritin usually indicates a low level of stored iron. Some tests might be done to detect the underlying cause, like: * Endoscopy: Often to check for bleeding from a hiatal hernia, an ulcer or the stomach. Colonoscopy: To rule out lower intestinal sources of bleeding. * Ultrasound: Women may also have a pelvic ultrasound to look for the cause of excess menstrual bleeding, such as uterine fibroids. (8)(9) Sideroblastic anaemia It is a disease in which the bone marrow produces ringed sideroblasts rather than healthy red blood cells (erythrocytes). [10] In Sideroblastic anemia , the body has iron available but cannot incorporate it into hemoglobin, which red blood cells need to transport oxygen efficiently.Sideroblasts are atypical, abnormal nucleated erythroblasts (precursors to mature red blood cells) with granules of iron accumulated in perinuclear mitochondria. [11] Sideroblasts are seen in aspirates of bone marrow. Causes: * Failure to completely form heme molecules, This leads to deposits of iron in the mitochondria that form a ring around the nucleus of the developing red blood cell. * Toxins: lead, copper or zinc poisoning * Drug-induced: ethanol, isoniazid, chloramphenicol, cycloserine, Oral Contraceptives * Nutritional: pyridoxine (Vitamin B6) or copper deficiency * Diseases: Rheumatoid arthritis, or multiple myeloma Genetic: ALA synthase deficiency (X-linked, associated with ALAS2)[12] Symptoms and signs: * Pale skin, eyelids and lips. * Fatigue and weakness. * Dizziness. * Enlarged liver and/or spleen. Diagnosis: Ringed sideroblasts are seen i n the bone marrow. Laboratory findings: * Increased ferritin levels * Normal total iron-binding capacity * Hematocrit of about 20-30% * Serum Iron: High * High transferrin saturation * The mean corpuscular volume or MCV is usually normal or low. * With lead poisoning, see coarse basophilic stippling of red blood cells on peripheral blood smear * Specific test: Prussian Blue stain of RBC in marrow.Shows ringed sideroblasts. * can also cause microcytic hypochromic anemia. (12) Thalassemia It is a group of inherited autosomal recessive blood disorders that originated in the Mediterranean region. In Thalassemia the genetic defect, which could be either mutation or deletion, results in reduced rate of synthesis, or no synthesis of one of the globins chains that make up hemoglobin. This can cause the formation of abnormal hemoglobin molecules, thus causing anemia, the characteristic presenting symptom of the Thalassemia. (13) Symptoms and signs: * Fatigue and weakness. * Shortness of brea th. * Pale appearance. Irritability. * Yellow discoloration of the skin. * Facial bone deformities. * Slow growth. * Abdominal swelling. * Dark urine. (14) Diagnosis: * Blood tests. * Prenatal screening. (14) Laboratory findings: * A low level of red blood cells * Smaller than expected red blood cells * Pale red blood cells * Red blood cells that are varied in size and shape * Red blood cells with uneven hemoglobin distribution, which gives the cells a bull's-eye appearance under the microscope. (14) 1. 2 Literature Review A study was done in Italy about prevalence and incidence and types of mild anaemia in the elderly.The objectives of this study were to estimate the prevalence and incidence of mild grade anemia and to assess the frequency of anemia types in the elderly. Design and Methods: This was a prospective, population-based study in all residents 65 years or older in Biella, Italy. Results: Blood test results were available for analysis from 8,744 elderly. Hemoglobin concent ration decreased and mild anemia increased steadily with increasing age. Mild anemia (defined as a hemoglobin concentration of 10. 0-11. 9 g/dL in women and 10. 0-12. 9 g/dL in men) affected 11. % of the elderly included in the analysis, while the estimated prevalence in the entire population was 11. 1%. Before hemoglobin determination, most mildly anemic individuals perceived themselves as non-anemic. Chronic disease anemia, Thalassemia trait, and renal insufficiency were the most frequent types of mild anemia. (15) A study was done in emergency ward, Mulago Hospital, Uganda. Anaemia is a common problem in Africa, with prevalence ranging from 21. 1% to 64. 4% 16-21 and a significant impact on morbidity and mortality. 22,23 in patients with AIDS low haemoglobin levels are associated with poor outcomes. 4-27 However, anaemia in Africa has multiple causes, with infectious diseases such as HIV, tuberculosis and malaria contributing significantly to the anaemia burden. 28 Hookworm is a major contributor to anaemia and even light hookworm loads are associated with low haemoglobin levels, 29-33 although Lewis et al. reported that hookworm was not a common cause of anaemia among medical patients in Malawi. In a cross-sectional descriptive study 395 patients were recruited by systematic random sampling and their socio-demographic characteristics and clinical details collected.A complete blood count and peripheral film examination were done and stool examined for hookworm ova.. Of the patients 255 (64. 6%) had anaemia. The prevalence was higher among males (65. 8%) than females (63. 7%). Fatigue (odds ratio (OR) 2. 1, confidence interval (CI) 1. 37 – 3. 24), dizziness (OR 1. 64, CI 1. 07 – 2. 44), previous blood transfusion (OR 2. 83, CI 1. 32 – 6. 06), lymphadenopathy (OR 2. 99, CI 1. 34 – 6. 66) and splenomegaly (OR 5. 22, CI 1. 78 – 15. 28) were significantly associated with anaemia. Splenomegaly, low body mass index (BMI) (

The Pain of Possible Thematic Essay Topics

The Pain of Possible Thematic Essay Topics Even in the event you don't understand what things to begin with, write anyway. Thematic essays are extremely hard to write for most students. Geography essays are known to cause a great deal of headaches to students. Once you are finished with your reading, another question may appear. For this reason, you should pick an appropriate topic, counting on a possible reader. The function of the test is to assess personality along with other test. Personality tests have developed through the years but the Thematic Apperception Test is still being used. The Benefits of Possible Thematic Essay Topics Taking notes as you go over it's always advisable as it will allow you to paint a clearer picture of a message. For example, you will need an outline. Thematic essays are usually somewhat long, so it's not unusual to get many unique paragraphs to go over lots of unique points. Generally speaking, a thematic essay is merely an outline of the primary points. Our world-class faculty permits you to create the skills you must play a crucial part in any knowledge-intensive industry. Students must list the tasks that will need to be dealt with. Also, each student should try to remember the requirements so he can independently navigate the writing of the job. Some students make two or even 3 drafts before they are sometimes happy with their work, as a consequence they get good marks. Whenever you have the info, you've got to organize it. The given above information is truly valuable. The libraries holdings can be found the UCLA Online Catalog. On our website, you will locate the expert services of skilled essay writers with examples of excellent works. Vital Pieces of Possible Thematic Essay Topics Naturally, you shouldn't utilize texts which you will discover. With us, you're going to be a pro in writing, and you'll never get stuck on the best way to compose a geography paper. The subject of the thesis has to be in the huge region and need to reveal independent investigation and comprehension of the methods of scholarship. As a way to compose a masterpiece, it's important to follow along with a particular workflow with several stages. The Tried and True Method for Possible Thematic Essay Topics in Step by Step Detail Theme essays are thought to be the simplest to write. Last, you should put a together a thesis statement that's in agreement with the central topic of your paper. Proofreading and editing are a crucial portion of thematic essay writing. After the stated theme, students receive a task that they must complete in essay format concerning the theme. Possible Thematic Essay Topics - the Conspiracy Writing an effective essay demands careful attention to detail and capability to organize your thoughts about the most important subject of your research. As the chief goal of a thematic essay prompt is to create the student respond to the particular questions, so give your so lution at the end! Make certain that all questions were answered. Your stand, ideas and opinions on the topic also needs to be reflected in your conclusion. Writing a high school essay if you've got the tips about how to do essay effectively. All essays will have a certain topic that's either one you choose or one which is provided for you. Your essay should begin with the introduction. High school essays are structured very similarly irrespective of the topic and great essay structure will allow you to write an obvious essay that flows from 1 paragraph to the next. Congratulations it appears like you've received your initial thematic essay assignment! 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End the intro by means of your thesis statement the point you're likely to be making throughout the essay, and the remainder of the essay will be supporting. It is essential to pick the main idea depending on the prompt. When in doubt look for the most regularly brought up talking point, and you'll get the heart of the essay. The War Against Possible Thematic Essay Topics Commonly, the thematic essay is related to social problems in distinct periods of human civilization. It is essential to learn them all and fulfill it as required.

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Dental Office Business Plan - 6104 Words

Dental Office Business Plan The Tooth Fairy Executive Summary The Tooth Fairy is the dentistry practice of Steve Extractor. The Tooth Fairy will offer general and cosmetic dentistry to the citizens of Eugene, Oregon. Through a combination of industry benchmark customer service and flexibility, The Tooth Fairy will quickly gain market share. Steve will leverage the years he spent in private practice to model his new business. His past experience in conjunction with his forward-looking customer-centric business model will allow him to rapidly grow a large and loyal patient base. Profitability will be reached by month 10, and sales will reach comfortable levels by the end of year two. 1.1 Objectives The objectives for the first years†¦show more content†¦The cost for cleanings are around $100, not including x-rays. The cost for fillings ranges significantly depending on the material used. Dr. Extractor will be deriving the majority of revenue from cosmetics by the end of the year. 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Dawdaw Free Essays

5- 10 songs When I’m inlove.. STEPHEN SPEAKS â€Å"Out Of My League† it’s her hair and her eyes today that just simply take me away and the feeling that i’m falling further in love makes me shiver but in a good way all the times i have sat and stared as she thoughtfully thumbs through her hair and she purses her lips, bats her eyes as she plays, with me sitting there slack-jawed and nothing to say coz i love her with all that i am and my voice shakes along with my hands coz she’s all that I see and she’s all that I need and i’m out of my league once again it’s a masterful melody when she calls out my name to me s the world spins around her she laughs, rolls her eyes and i feel like i’m falling but it’s no surprise coz i love her with all that i am and my voice shakes along with my hands cause it’s frightening to be swimming in this strange sea but i’d rather be here than on land yes she’s all t hat i see and she’s all that i need and i’m out of my league once again it’s her hair and her eyes today that just simply take me away and the feeling that i’m falling further in love makes me shiver but in a good way all the times i have sat and stared as she thoughtfully thumbs through her hair nd she purses her lips, bats her eyes as she plays, with me sitting there slack-jawed and nothing to say coz i love her with all that i am and my voice shakes along with my hands cause it’s frightening to be swimming in this strange sea but i’d rather be here than on land yes she’s all that i see and she’s all that i need and i’m out of my league once again Bryan adams – HEAVEN Oh, thinkin’ about all our younger years There was only you and me We were young and wild and free Now nothin’ can take you away from me We’ve been down that road before But that’s over now You keep me comin’ back for more Chorus] Baby you’re all that I want When you’re lyin’ here in my arms I’m findin’ it hard to believe We’re in heaven And love is all that I need And I found it there in your heart It isn’t too hard to see We’re in heaven Oh, once in your life you find someone Who will turn your world around Bring you up when you’re feelin’ down Yeah, nothin’ could change what you mean to me Oh, there’s lots that I could say But just hold me now ‘Cause our love will light the way [Chorus] I’ve been waitin’ for so long For somethin’ to arrive For love to come along Now our dreams are comin’ true Through the good times and the bad Yeah, I’ll be standin’ there by you [Chorus] When I’m sad. We will write a custom essay sample on Dawdaw or any similar topic only for you Order Now . Coldplay â€Å"Fix You† When you try your best, but you don’t succeed When you get what you want, but not what you need When you feel so tired, but you can’t sleep Stuck in reverse And the tears come streaming down your face When you lose something you can’t replace When you love someone, but it goes to waste Could it be worse? Lights will guide you home And ignite your bones And I will try to fix you And high up above or down below When you’re too in love to let it go But if you never try you’ll never know Just what you’re worth Lights will guide you home And ignite your bones And I will try to fix you Tears stream down on your face When you lose something you cannot replace Tears stream down on your face And I†¦ Tears stream down on your face I promise you I will learn from my mistakes Tears stream down on your face And I†¦ Lights will guide you home And ignite your bones And I will try to fix you The fray How To Save A Life† Step one you say we need to talk He walks you say sit down it’s just a talk He smiles politely back at you You stare politely right on through Some sort of window to your right As he goes left and you stay right Between the lines of fear and blame And you begin to wonder why you came Where did I go wrong, I lost a friend Somewhere along in the bitterness And I would have stayed up with you all night Had I known how to save a life Let him know that you know best Cause after all you do know best Try to slip past his defense Without granting innocence Lay down a list of what is wrong The things you’ve told him all along And pray to God, he hears you And pray to God, he hears you Where did I go wrong, I lost a friend Somewhere along in the bitterness And I would have stayed up with you all night Had I known how to save a life As he begins to raise his voice You lower yours and grant him one last choice Drive until you lose the road Or break with the ones you’ve followed He will do one of two things He will admit to everything Or he’ll say he’s just not the same And you begin to wonder why you came Where did I go wrong, I lost a friend Somewhere along in the bitterness And I would have stayed up with you all night Had I known how to save a life Where did I go wrong, I lost a friend Somewhere along in the bitterness And I would have stayed up with you all night Had I known how to save a life When I’m hyper or energetic.. â€Å"Where Them Girls At† (feat. Flo Rida and Nicki Minaj) [Chorus:] So many girls in here, where do I begin? I seen this one, I’m about to go in Then she said, I’m here with my friends She got me thinking and that’s when I said Where them girls at, girls at? Where them girls at, girls at? Where them girls at, girls at? So go get them, we can all be friends [Verse 1: Flo Rida] Hey, bring it on baby, all your friends You’re the shit and I love that body You wanna ball, let’s mix it, I swear you’re good, I won’t tell nobody You got a BFF, I wanna see that girl, it’s all women invited Hair do’s and nails, that Louis, Chanel all up in the body President’s in my wallet, no rules I’m about it Blow the whistle for the hotties I got it, shawty, it’s never too much, can’t be doing too much 10 to one of me, I can handle that love Outta of my reach, we can all get buzz Holla cause I’m free, to whatever it’s no rush [Chorus:] So many boys in here where do I begin? I see this one, I’m about to go in Than he said I’m here with my friends He got to thinking, then that’s when he said Where them girls at, girls at? Where them girls at, girls at? Where them girls at, girls at? So go get them, we can all be friends [Verse 2: Nicki Minaj] Peebe, peebe, who’s Peabo Bryson? Two years ago I renewed my license Anyway, why’d I start my verse like that? You can suck on a dick, or you can suck on a ballsack No no, I don’t endorse that Pause that, abort that Just the other day mi go London, saw that Kissing down the street, paparazzi, all that Hey hey what can I say? Day day day da-day day Coming through the club, all the girls in the back of me This ain’t football, why the fuck they tryna tackle me? Really? I pick dude at the bar like really? Looking like he wanna good time like really? Said he had a friend for my home girl Lilly Lilly, Lilly, Lilly [Chorus:] LMFAO Sexy And I Know It† Yeah, yeah When I walk on by, girls be looking like damn he fly I pimp to the beat, walking on the street in my new lafreak, yeah This is how I roll, animal print, pants outta control, It’s Redfoo with the big afro And like Bruce Leroy I got the glow [a reference to the 80’s martial arts classic â€Å"The Last Dragon†, where martial artists, having attained master status, start to glow when practicing their moves, and also get some special powers. Ah†¦ Girl look at that body  [x3] Ah†¦ I work out Ah†¦ Girl look at that body  [x3] Ah†¦ I work out When I walk in the spot (yeah), this is what I see (ok) Everybody stops and they staring at me I got passion in my pants and I ain’t afraid to show it, show it, show it, show it I’m sexy and I know it   [x2] Yeah When I’m at the mall, security just can’t fight them off And when I’m at the beach, I’m in a Speedo trying to tan my cheeks (what) This is how I roll, come on ladies it’s time to go We headed to the bar, baby don’t be nervous No shoes, no shirt, and I still get serviced (watch) Ah†¦ Girl look at that body  [x3] Ah†¦ I work out Ah†¦ Girl look at that body  [x3] I work out When I walk in the spot (yeah), this is what I see (ok) Everybody stops and they staring at me I got passion in my pants and I ain’t afraid to show it, show it, show it, show it I’m sexy and I know it  [x2] I’m sexy and I know it†¦ Check it out  [x2] Wiggle, wiggle, wiggle, wiggle, wiggle yeah  [x3] Wiggle, wiggle, wiggle, wiggle, wiggle yeah, yeah Do the wiggle man I do the wiggle man Yeah I’m sexy and I know it How to cite Dawdaw, Essay examples

Enterprise Architecture for Lifecycle and Policy -myassignmenthelp

Question: Discuss about theEnterprise Architecture for Lifecycle and Policy. Answer: Project Background The project is developed for implementing the improved functions for Medico for the activities of claiming the medic-claims and getting the claims approved. The scheme of Medico is formed for developing the effective flow of operations for interacting with the stakeholders in the organization. The development of the operations would tend to integrate the effective flow of implementing the system development of the operations. The organization is non-profit organization that focuses on the development of the support for the patients and their operations. The implication of the medical scheme would provide the professionals and schemes would imply the deployment of the effective processing to employ the system development methods and tools. The study would focus the effective deployment of the system integration for the cognitive development of the operations. The satisfaction would deploy the development of the improvement functions. The development would form the sufficient implicati on in implying the supplementary development of the operations. The development of the operations could be improved by the development of the supplementary operations. The acquisition of the members and service providers would help in providing the effective deployment of the operations. The management of the funds would imply the cognitive development of the effective processing unit. The member lifecycle, policy, and service provide relationship management would help in forming the core functions for Medico. The risk management would imply cohesive development of the operations and implication of the effective risk management of the organization. The undertaking is produced for executing the enhanced capacities for Medico for the exercises of asserting the doctor guarantees and getting the cases endorsed. The plan of Medico is framed for building up the viable stream of operations for associating with the partners in the association. The advancement of the operations would have a tendency to incorporate the viable stream of executing the framework improvement of the operations. The association is non-benefit association that spotlights on the advancement of the help for the patients and their operations. The consequences of the medicinal plan would give the experts and plans would suggest the sending of the viable preparing to utilize the framework advancement strategies and devices. The investigation would centre the compelling sending of the framework mix for the psychological advancement of the operations. The fulfilment would send the advancement of the change capacities. The improvement would shape the adequate ramifications in inferring the supplementary advancement of the operations. The advancement of the operations could be enhanced by the improvement of the supplementary operations. The obtaining of the individuals and specialist co-ops would help in giving the successful arrangement of the operations. The administration of the assets would suggest the subjective advancement of the powerful preparing unit. The part lifecycle, arrangement, and administration give relationship administration would help in shaping the centre capacities for Medico. The hazard administration would infer durable improvement of the operations and ramifications of the compelling danger administration of the association. The organization would develop effective flow of operations within the various levels of stakeholders for the development of the operations. Overview of Stakeholders and their Concerns The Medico scheme is helpful for forming the support to the implication of the effective processing of the operations. The one year Medico schemes had provided the subsequent development of the operations for the integration of the system development. The core business competencies of the Medico are the member lifecycle management, third-party lifecycle management, and service provider lifecycle management. The Medico scheme had provided the development of the individual business functions. The member lifecycle management had provided the functions of accounts and policies, acquisition, audits and controls, medical claims and medical payments, exception management, relationship management, risk and risk assessment, top up-benefit (backup) insurance, and travel insurance. The third-party lifecycle management had provided the functions of accounts and payments, acquisition, audits and controls, contracting, exception management, relationship management, and service level management. Th e service provider lifecycle management had provided the functions of account and payments, acquisition, audits and controls, claims and payments, contracting and outsourcing, exception management, relationship management, service level management, and insurance management. The stakeholders have to ensure the processing of the effective processing of the operations for indulging their own functional improvement. The integration of the operations can benefit the implementation of the effective operational flow in the organization. The system development would include the influence of the effective processing within the organization. The development of the operations would tend to form the effective deployment of the processing in the organization. The operations of the Medico would involve the processing of the user request for claims and accessing the feasibility of the claim to form the effective business operations. The development of client information processing would tend to form the development of the effective control strategies of operations. The communication within the organization had been sufficiently deployed for integrating the development of operations. The process starts with the professional of specific professions requesting for the medical claims and it would be processed through the system of Medico. The client server would receive the request for the medical claim by the professional specific persons. The server integration would involve the deployment of the specific deployment of the op eration integration. The inbound claim would tend to form the initialization of the claim assessment and development. The claim reconciliation would tend to form the analysis of the member fund and it would comprise of sufficient deployment of the improved services. The claim settlement is developed for integrating the payment option along with the claim approval operations. The notification services would divulge the effective flow of claim notifications and services for the improvement of the effective operations. The partners need to guarantee the handling of the powerful preparing of the operations for revealing their own useful change. The coordination of the operations can profit the usage of the viable operational stream in the association. The framework improvement would incorporate the impact of the powerful handling inside the association. The improvement of the operations would tend to frame the compelling sending of the handling in the association. The operations of the Medico would include the preparing of the client ask for claims and getting to the plausibility of the claim to shape the powerful business operations. The advancement of customer data handling would tend to frame the improvement of the successful control procedures of operations. The communication inside the association had been adequately sent for coordinating the advancemen t of operations. The procedure begins with the expert of particular callings asking for the beneficial cases and it would be handled through the arrangement of Medico. The customer server would get the demand for the restorative claim by the expert particular people. The server combination would include the arrangement of the particular organization of the operation joining and processing. Viewpoint and Discussion per Stakeholder The process of the specific development had formed for the integration of the operations and As-Is implementation for Medico. The project involves the development of the various functions namely inbound claims, claim assessment, claim reconciliation, claim payment, and notification services. The activities have been involved with the development of the sufficient implementation of the processes. The following diagram would help in understanding the process of Medico in terms of involved stakeholders, Figure 1: As-Is Diagram for Medico showing the Stakeholders (Source: Created by the author in Archi) The process starts with the professional of specific professions requesting for the medical claims and it would be processed through the system of Medico. The client server would receive the request for the medical claim by the professional specific persons. The server integration would involve the deployment of the specific deployment of the operation integration. The inbound claim would tend to form the initialization of the claim assessment and development. The claim reconciliation would tend to form the analysis of the member fund and it would comprise of sufficient deployment of the improved services. The claim settlement is developed for integrating the payment option along with the claim approval operations. The notification services would divulge the effective flow of claim notifications and services for the improvement of the effective operations. The As-Is diagram as explained for the four major stakeholders associated with the development model of operations in Medico is g iven below, Board of Members: The board of members would be involved the effective deployment of the operations such as managerial and decision making. The approval of the operations would tend to evaluate the effective development of the operations. The board members have been implied for accepting the inbound claims, involving the cool down of the claims, auditing the members log, and process log. They form the most influential part as they have the high power authority and it would involve the development of the effective operations. The board members would comprise of all decision taking and supreme authority operations. The board members had formed the system integration by the limitation of the improvement operations. The board members are prone for developing the effective control strategies in the organization. CIO: The CIO stands for Chief Information Officer and the person is involved in forming the development of the operations for evaluating the development of the operations. The CIO would be involved in major information technology development activities and information processing. The executive would involve the function of the most senior executive in the enterprise in terms of the computer systems and information technology for supporting the goals of the enterprise. The CIO would be involved in most of the activities of the Medico including inbound claims, claim assessment, claim payment, and notification service. The CIO would be responsible for evaluating the inbound claims by the customers in Medico, accepting the claim assessment, fund claiming approval and member notification for the Medico. Application Architects: The application architects develop the integration of the operations and implying the safety and compliance of the development model. The application architects are responsible for developing and managing the architect of the applications in the Medico for involvement of the effective development tools. The deployment of the system integration would involve the specific processing of the operations and it would comprise the development of the effective processing in the organization. The application architects form the analysis of the member history in claim assessment for the development of the system in forming the operational processing. The application architects would divulge the deployment of the improvement facilities. The architects would develop the reconciling activities of the members of the Medico. System Architects: The deployment of the effective processing involves the system integration for developing the operations of the organization. The system architects would involve for forming the development of the operations and architectural operations in the organization. The system architects would involve the flagging of the members, reconciling of the claims, and auditing the claim log in the organization. The system architects would tend to develop the affective processing of the operations and it would result in forming the claiming of the audit log for the formation of the effective flow of system integration. The deployment of the system integration would involve the processing of the operational processing and development. The payment operations would involve the influencing of the system integration and it would involve the operations of the notification server. Conclusion It can be concluded from the assignment that the development of the Enterprise architect would involve the development of the effective operations for the development of the effective processing. Hence, the development of the operations of Medico is supported by the development of the effective processing in the organization. The board of members would be involved the effective deployment of the operations such as managerial and decision making. The approval of the operations would tend to evaluate the effective development of the operations. The CIO would be involved in major information technology development activities and information processing. The executive would involve the function of the most senior executive in the enterprise in terms of the computer systems and information technology for supporting the goals of the enterprise. The application architects are responsible for developing and managing the architect of the applications in the Medico for involvement of the effect ive development tools. The deployment of the system integration would involve the specific processing of the operations and it would comprise the development of the effective processing in the organization. The system architects would involve for forming the development of the operations and architectural operations in the organization. The system architects would involve the flagging of the members, reconciling of the claims, and auditing the claim log in the organization.

The first is called woman work Essay Example For Students

The first is called woman work Essay We will write a custom essay on The first is called woman work specifically for you for only $16.38 $13.9/page Order now This idea also links to her time with her grandmother in Arkansas when the customers were all nearly all cotton pickers, even the women like the one in her poem who had all the other things to do on a daily basis. In R. S Thomass poem Lore he has a few very short sentences one is even only one word. The impact a one worded sentence has on the reader is the extra impact this has the reader has more time to ponder on the word which may provoke a thought in this example it was a rhetorical question: Miserable I think that R. S Thomas wanted it to be rhetorical and it would have been to a small percentage of readers but not to most beforehand he is saying how he is eighty-five and still farming and staying outdoors most of his life, for most and me especially that doesnt sound fun, im sure most would rather be inside watching Eastenders with a cup of tea in one hand and the local newspaper in the other well at his age at least, but he certainly doesnt seem to be one to conform to anyone elses beliefs. There is one word that does shock me: treachery of the seasons it seems like someone has betrayed you, well thats the context most people would use it in, but it works and makes the readers mind jump up and wonder what will this poem be like, what sort of character is the writer, because form this line he seems bitter and resentful but you find out. This could be because of his religious experience and upbringing that there is no grey everything in the world is either black or white. He doesnt appear to look at things form other peoples points of view. He asks a lot of rhetorical questions in his poem: Miserable? Whats living but courage? and What to do? I think he is trying to change peoples views and show them what the correct answer to the question is. Unlike Maya Angelou, who simply presents her ideas unbiasdly as they are for you, she lets you make up your own mind and because of this she seems more helpless and honest, this is why more people would probably prefer her poem because she is not forcing her beliefs on anyone else like R. S Thomas. R. S Thomas uses metaphors in many of his poems he chose to only use one in this one, probably didnt want to seem soft or gentle because this is the image I get of a person when there is a lot of metaphors in their poems. Bearded with golden dew Thomas is describing the grass he also uses personification in the same phrase to describe the grass looking like there is a beard on it. The vocabulary between the two poems is very contrasting. In the poem Lore R. S Thomas physicalises a lot of things eighty-five winters old. Instead of saying he is 85 he says how many winters he has witnessed in his lifetime, he seems to have a different approach to many things even work. Instead of using machines to do work more easily he wants to spend more time doing work by hand which would appear odd to many never mind the machine. He uses harsh language; treachery, kick my arse! He chooses to use strong, powerful language; this could be because of his scheduled upbringing and life in a very organised strict church environment. He doesnt walk around a topic he bluntly states his views and opinions, as not to dawdle. In the church you mainly encounter a yes or no opinion about topics, clergy are straight to the point and quick to state it like in R. S Thomass poem. In one word treachery you understand his opinion about the seasons. Maya Angelou keeps language simple and straightforward the floor to mop and let me rest tonight. There arent any hidden meanings in her poem it is simple and easy to read unlike Lore. .ud2f5b32aa1f6a4f16a3d059493b753e4 , .ud2f5b32aa1f6a4f16a3d059493b753e4 .postImageUrl , .ud2f5b32aa1f6a4f16a3d059493b753e4 .centered-text-area { min-height: 80px; position: relative; } .ud2f5b32aa1f6a4f16a3d059493b753e4 , .ud2f5b32aa1f6a4f16a3d059493b753e4:hover , .ud2f5b32aa1f6a4f16a3d059493b753e4:visited , .ud2f5b32aa1f6a4f16a3d059493b753e4:active { border:0!important; } .ud2f5b32aa1f6a4f16a3d059493b753e4 .clearfix:after { content: ""; display: table; clear: both; } .ud2f5b32aa1f6a4f16a3d059493b753e4 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ud2f5b32aa1f6a4f16a3d059493b753e4:active , .ud2f5b32aa1f6a4f16a3d059493b753e4:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ud2f5b32aa1f6a4f16a3d059493b753e4 .centered-text-area { width: 100%; position: relative ; } .ud2f5b32aa1f6a4f16a3d059493b753e4 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ud2f5b32aa1f6a4f16a3d059493b753e4 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ud2f5b32aa1f6a4f16a3d059493b753e4 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ud2f5b32aa1f6a4f16a3d059493b753e4:hover .ctaButton { background-color: #34495E!important; } .ud2f5b32aa1f6a4f16a3d059493b753e4 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ud2f5b32aa1f6a4f16a3d059493b753e4 .ud2f5b32aa1f6a4f16a3d059493b753e4-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ud2f5b32aa1f6a4f16a3d059493b753e4:after { content: ""; display: block; clear: both; } READ: Walt Whitman the poet of American inclusion EssayThis could be because she is showing how this woman didnt have much of an education and doesnt know how to use fancy types of language. She does however use alliteration: star shine I think is to slow the pace of the poem down and to keep the poem together and make the tone more gentle near the end. When reading Woman Work the first stanza has no punctuation until the last line, so it is breathtaking literally. This may have been done to show how like a slave she is always busy and never stops. This could have also been done also to emphasise the fact that there was a severe lack of education in Maya Angelous life. The message that the poet is trying to get through to the reader in Woman Work is how horrible life can be and the things you have to do to live. Also when I was reading this poem I was trying to think what the woman in this poem would have done when she was educated. Two things came into my mind. When there is no punctuation in the first stanza, this makes me the reader breathless when reading through. It obviously changes the way I read the poem and after I read the list stanza at the beginning I fell relieved its over, but then it makes the reader realise that the woman in the poem still hasnt had a rest and I want her to feel relieved like I did. I think that Maya did this to reflect the fact that she didnt have an education. R. S Thomas however has a lot of punctuation in his poem. He asks many questions, has a few very short sentences and uses an assortment of commas and full stops: What to do? , large, man, and and miserable. It affects the way I read very much, because all the punctuation make me have to pause a lot when reading the poem through, but this could be useful because it gave me longer to consider the points made in the poem. I think the poet has done this to show how organised his life is and how he doesnt miss anything out, I also think it might be used to change the readers views about the issues discussed and the characters personality throughout. The rhetorical questions and exclamations show the irony and sarcasm of R. S Thomass character. I believe the excessive amount of punctuation in this poem is emphasising the poets very organised and scheduled life, living in a church and having strict rules to follow. The overall image I received form the poem Lore was that of an old bitter and proud man by himself working his field to its fullest. I think of him doing the same routine year after year, quite a repetitive lifestyle a bit unfulfilling for most. He seems very strong minded and willed, all he wants is a simple breakfast nothing luxurious just some plain tea and porridge, no extras, he doesnt even want milk or honey for his porridge just the basics for him. I can imagine he has a small wooden shack with no other family, he lives in solitary. In R. S Thomass poem he uses personification: Bearded with golden dew From this use of personification I visualise a golden shadow over a field of never ending grass. The grass is shimmering and seems very inviting to touch almost magical. Within this same line he uses a metaphor. The words golden dew could also describe how much he likes his lifestyle and how everything suits him perfectly. Again this reinforces my earlier thoughts about the beard on the grass. I believe that the poet put these to figurative language devices in the same line in order to maybe shock the reader because I usually associate these devices as the poet writing quiet gently and being a bit of a softy. But job Davies seems to be a completely opposite character to that so it throws the reader off a bit and keeps you wondering. R. S Thomas could have done this because it shows that there is only a very minimal room for such nonsense in the world of work and thats why he hasnt used these literary devices throughout his poem. .u531229f6034f3d44974b8fcbcb338c03 , .u531229f6034f3d44974b8fcbcb338c03 .postImageUrl , .u531229f6034f3d44974b8fcbcb338c03 .centered-text-area { min-height: 80px; position: relative; } .u531229f6034f3d44974b8fcbcb338c03 , .u531229f6034f3d44974b8fcbcb338c03:hover , .u531229f6034f3d44974b8fcbcb338c03:visited , .u531229f6034f3d44974b8fcbcb338c03:active { border:0!important; } .u531229f6034f3d44974b8fcbcb338c03 .clearfix:after { content: ""; display: table; clear: both; } .u531229f6034f3d44974b8fcbcb338c03 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u531229f6034f3d44974b8fcbcb338c03:active , .u531229f6034f3d44974b8fcbcb338c03:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u531229f6034f3d44974b8fcbcb338c03 .centered-text-area { width: 100%; position: relative ; } .u531229f6034f3d44974b8fcbcb338c03 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u531229f6034f3d44974b8fcbcb338c03 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u531229f6034f3d44974b8fcbcb338c03 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u531229f6034f3d44974b8fcbcb338c03:hover .ctaButton { background-color: #34495E!important; } .u531229f6034f3d44974b8fcbcb338c03 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u531229f6034f3d44974b8fcbcb338c03 .u531229f6034f3d44974b8fcbcb338c03-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u531229f6034f3d44974b8fcbcb338c03:after { content: ""; display: block; clear: both; } READ: The Role Century Poetry In Resisting 'Nationalism' EssayThis might be due to his very organized upbringing in a church environment where organisation and scheduled life is everything. In the poem Lore the rhyming scheme is a s follows; a,a,b,c this rhyming scheme doesnt change whatsoever throughout, I think the poet did this to show his background and the character in poem (Job Davies) views about how an scheduled hard working life is the only way to advance in life. In the poem woman work the rhyming scheme varies a lot throughout. In the first stanza the rhyming scheme is rhyming couplets throughout. Then in all the following four line stanzas the rhyming scheme is that the last words from the second line and fourth line rhyme. In the poem woman work the rhyming couplets in the first stanza help the flow and pace of the poem at the beginning it adds to the list effect of the first stanza, it also makes the woman seem quite bitter about what she has to do in a sarcastic sort of tone I can imagine her reading this out. The other four stanzas hold the poem together and slow the pace down more. The way in which I read the first stanza in a list form is reminiscent of her never ending seeming list of daily responsibilities. In the poem Lore the last three stanzas are all just pairs of rhyming couplets. This makes the poem quite a country sounding one sort of just bopping along, line, rhyme, line, and rhyme, like a tractor almost. This tractor sound I read to is extremely reminiscent and tied into the theme of job Davies working his field. The strict rhyme scheme that R. S Thomas uses echoes his strict schedules-hum-drum working life suggests no room for dreams. Both poets have used rhythm and rhyme to constantly add to the theme of work and specifically either