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Prosthetic Trauma
In the United States, over 500,000 people live with lower extremity loss [1] and 130,000 lower extremity amputations are carried out annually [2]. The lifetime health care cost after amputation is estimated to be $649,953 [3]. In order to restore stable and independent ambulation, and improve the quality of life for persons with lower extremity amputation, advanced prosthetic joint devices have been proposed (e.g. [4] [7]). Normalization of function for individuals with LEA is within reach, and direct communication between neural implants and biomimetic, external prosthetic devices represents a crucial step forward. Current clinical amputation procedures date back to the Civil War era, and are designed to prepare the residuum for fitting of a prosthetic socket [8]. In the current surgical ... Show more content on Helpwriting.net ...
State of the art approaches to peripheral nerve interfacing have been developed within the bounds of this dated amputation paradigm, working to extract efferent signals from and reproduce afferent signals in transected peripheral nerves that are buried deep within the residual tissues [10], [11]. The fundamental motor unit to control a biological joint is an agonist antagonist muscle tendon pair. Such a muscle tendon relationship allows for simultaneous control of joint state (position and speed) and impedance (stiffness and damping) for upper and lower extremity motor tasks. At least one pair of antagonistic muscles is needed for each degree of freedom of a limb in order to control joint state, torque, and impedance [12]. Proprioceptive feedback from this agonist antagonist architecture is crucial to reliable joint control. Biological feedback of joint state, which is an essential component of proprioception , depends on a differential stretch signal from the spindle fibers in agonist and antagonist muscle groups acting
Chinua Achebe s Things Fall Apart
White. White everywhere. White men everywhere. White men with new idea everywhere. These are the thoughts running wild in a person s mind who has never seen a person with white skin and when they begin to bring new things and ideas their thoughts begin to build. In Things Fall Apart by Chinua Achebe what seemed to be a normal day in Umuofia turned into a day of new faces and later to come, a new clan. As white men arrived they brought many things from their culture and at the beginning they seemed to be making a difference for a more positive society but readers quickly find out that these things were only brought to manipulate the Ibo people into doing the desired actions of the white men. The first men to arrive in Umuofia were missionaries... Show more content on Helpwriting.net ... One thing especially was their hope for change. Achebe leads us into a gathering of the entire clan of Umuofia where they had been speaking of ways to fight back against the white men when some court messengers arrived and Okonkwo had followed through with their plan. In a flash Okonkwo drew his machete.. Descended twice and the man s head lay beside his uniformed body...Okonkwo stood looking at the dead man. He knew Umuofia would not go to war. He knew because they had let the other court messengers escape... He heard voices asking: Why did he do it, (204 205). Once Okonkwo had killed the court messenger and realized that the others had gotten away he instantly lost all hope. In his state of distress he had no clue where to go or what to do so finally he decided to run back to his compound. To our surprise we find that he had hung himself, he did it because he thought there was nothing left he could do and most readers could agree with him. The new men had taken over everything and Umuofia was not the town he once
Throughout Goblin Market by Christina Rossetti, feminism plays a factor because Lizzie acts as a Christ figure and the goblin men try to control the women using their fruits. In the poem Goblin Market, Lizzie essentially acts like Christ. She helps her sister after Laura takes the fruit from the goblins even after Lizzie told her to not even look at them. Lizzie goes to the goblins to try to figure out a way to help her sister. She wants to do whatever she can which Christ did while he was on earth. When he died on the cross, he forgave everyone of their sins. Lizzie goes to forgive Laura of her sins by going to ask the goblinmen how to cure Laura. Held her hands and squeezed their fruits/ Against her mouth to make her eat (406 407). Similar... Show more content on Helpwriting.net ... The goblin men are trying to control the two girls by using their fruits and singing. The customary cry, / Come buy, come buy (231 232). Rossetti shows how the goblin men are drawing in the women and essentially controlling them. This exhibits what feminism is against because they believe women should be independent. Feminism is present in many ways throughout the poem. It is shown again when Rossetti says, Maids heard the goblin cry (2). Rossetti suggests that women have challenges and obstacles that men aren t familiar with. Men usually disregard feminism in today s world because they don t think feminism is a real movement, but Rossetti says that men have no idea what women go through and how hard it can be sometimes. The goblin men have fruits that they try to lure women in with how luscious and elegant they look. The fruits represent societal issues on drugs. The goblin men are people who have already succumbed to the pressures of drugs. Laura and Lizzie represent people who are fighting to stay on the clean side. Once Laura goes and buys their fruit she has converted over to the drug side. Lizzie goes to and goblin men to figure out how to cure her sister. Rossetti says, hug me, kiss me, suck my juices (468). Lizzie does everything she can to help her sister and Rossetti empathizes how women need to stick together through thick and
How Effective Recruiting Can Contribute An
Praharsh Vasavada
Goldey Beacom College
Recruiting Talent
There are a number of factors that take place in order for the success of an organization. It is not only the quality of the resources or the technology in the organization that counts, but the employees and their valuable skills are also a huge contributing factor for its success. This essay will discuss, how effective recruiting can contribute to an organizations success.
Recruiting is the first step in accomplishing a certain task. Due to the increase in global competitiveness and increased flexibility in labor market, the importance of labor force planning in every business is increasing. One of the most important parts on an organization s of Human resource ... Show more content on Helpwriting.net ...
Recruitment establishes a linking between the job pursuers and employers. By which, it ensures the employment of correct applicants at the correct place at the accurate time. Following the right recruitment procedures and practices simplifies the selection of the appropriate applicants for the organization. One can suggest that recruitment plays a significant role in strategic human resource management as it is during this process that the ability and qualities of potential employees are evaluated. Recruitment refers to any practice or activity carried out by the organization with the prime purpose of recognizing and drawing would be employees. They can be sourced from internal or external sources, direct applicants and recommendations, advertisements, public or private organizations, electronic recruiting, or universities. Recruitment is the process that identifies as well as hires the best qualified applicants from inside or outside of an organization for job openings, in a most appropriate and cost effective method.
According to Edwin B. Flippo, Recruitment is the process of searching for the potential candidates for employment and stimulating them to apply for job vacancies in the organization . Recruitment comprises the activity that connects the job pursuers with hiring providers.
Recruitment is also a procedure of finding and drawing talented candidates for employment. The procedure starts with looking for of new employees and ends
The Roman Empire and the Han Empire
After the collapse of the Qin Dynasty in the third century BCE, the Han Empire emerged as a massive imperial power in the East. Its culture was compiled upon the teachings of Confucius and ancestor worship. Meanwhile in the west, the Romans solidified their authority as being a dominant force in the Mediterranean. Both the Roman Empireand the Han Empire were similar in their governments as they both supported a centralized government. On the other hand, they were different in the manner of how they dealt with foreigners and outside visitors. Although the Han Empire and the Roman Empire were alike, there are more differences between them than similarities. One difference between the two empires were their treatment with foreigners. The Hans believed that they had no need for them to be included within the Empire. However, this was not the case for the Romans. The Roman Empire would accept outsiders and tolerate them. The Empire treated the foreigners well even to the extent of making them citizens. During this time however, the Romans did not have enough people to go to war. This led them into giving the barbarians jobs in the military. Soon, there were so many foreign soldiers to the degree that almost 70% of the entire army were barbarians. The reason why the Hans looked down upon the barbarians was because the Hans thought that the barbarians were inferior. One reason why the Hans thought that they were so superior was their belief of the Mandate of Heaven. The
India Case Study
INTRODUCTION
India bears the largest share of global burden of tuberculosis owing to its socioeconomic status and social stigma for the disease. The current incidence of 2.79 million cases. (1)
The incidence of extra pulmonary tuberculosis is increasing at a very fast rate due to lack of awareness, negligence and growing number of immunocompromised patients (HIV, diabetic, chronic liver disease, chronic renal failure, chemotherapeutic drugs) and MDR TB.
Tubercular arthritis contributes to a small fraction of cases of extra pulmonary tuberculosis however is associated with increased morbidity. Its insidious onset, indolent and nonspecific clinical presentation leads to delay in diagnosis with resultant exaggerated ... Show more content on Helpwriting.net ...
Conventional MR pulse sequence like T1 weighted image is excellent for anatomical extent of the disease with effective detailing of periarticular erosion, cartilage loss and synovial hypertrophy all displaying variable degrees of sharply marginated low signal.
Conventional pulse sequences like T2 and STIR further evaluates with explicit soft tissue detail and defines extent of disease especially in surrounding soft tissue due to better contrast. Thus particularly helpful in determining resultant bone marrow edema and synovial hypertrophy. STIR and PDW in particular provides favorable contrast between fluid and surrounding edema.
Thus conventional MR sequences are of paramount importance in detection and delineation of extent of intra articular and soft tissue involvement.
Newer pulse sequences like DWI and MRS further raises the accuracy by characterization of lesion thereby narrowing down the differentials.
The role of diffusion weighted imaging has been extensively studied and exploited in neuroimaging but its role in musculoskeletal imaging is yet to be discovered. DWI is a measuring of stochastic Brownian motion of water within intra/extracellular spaces. Since it is a T2 weighted sequence it can be misinterpreted in background of excess fluid collection, therefore should be quantified through ADC map which corresponds inversely with DWI images. Diffusion restriction is basically a measure of cellularity but is also seen in case of abscess owing to its viscous
Type 2 Diabetes Teaching Plan Summary
Type 2 Diabetes Teaching Plan
In order to create change healthcare providers must work together to educate their communities. According to a study found that Type 2 Diabetes is the highest among all Hispanic/Latino groups in which 16.9 percent for both men and ladies, contrasted with 10.2 percent for non Hispanic whites. It is evident communities are not being educated on preventing Type 2 Diabetes and their risks (American Diabetes Association, 2014). The purpose of this paper is to discuss the summary of the teaching plan, epidemiological rationale for topic, evaluation of teaching experience, community response to teaching, areas of strengths and areas of improvement.
Summary of Teaching Plan Within the teaching plan it is important to incorporate all the aspects of Type 2 Diabetes prevention. To know the history of Type 2 Diabetes it is vital that everyone in the community knows the past struggles of this condition and the efforts that have been made to treat and prevent Type 2 Diabetes. In like matter, the inclusion of Type 2 Diabetes overview is presented, which includes the process of the pancreas that release s insulin to the bloodstream to help decrease blood sugar levels. Overtime the increased blood sugar levels lead to other health complications, such as eye, kidneys, nerves, and heart problems. Moreover, the presentation presents with the risk factors to Type 2 Diabetes, which includes family history of diabetes, being overweight, unhealthy diet, physical
Albert Durer s Whore Of Babylon
Albert Durer s Whore of Babylon, from the Apocalypse
The Whore of Babylon woodcut by Albert Durer was one of fifteen woodcuts in his famous series, The Apocalypse which was published in 1498. This woodcut series portrays scenes from the book of Revelation in the bible, concerning the end of the world. It was created at a time when Europe anticipated the Last Judgement , as Germany was experiencing plagues, religious debates, and peasant movements towards the end of the 15th century. Durer became wealthy and rapidly well known across Europe because of this series. He began working on these woodcuts on his trip to Italy in 1494 1495, and the first two editions were published in 1498 in Nuremberg, Germany, in both German and Latin. He later ... Show more content on Helpwriting.net ...
This is due to the use of a tool, a burin, to create extremely thin and subtle lines in an engraving. The medium used for an engraving is metal and is created using an intaglio method. Unlike the relief process of printmaking, this process is a positive one. The artist scratches the image onto the metal plate, inks the surface of it, and wipes it clean. As a result, ink is placed into the carved out drawing. Next, the plate is run through a roller press which causes the ink to absorb to the paper. The difference in appearance between a relief print and an intaglio print is because of essentially drawing the image to be created onto the metal plate for an intaglio print. Also cross hatching, the use of fine parallel lines to create the illusion of shade, allowed for more subtle shading in the engraving. This engraving portrays the melancholy personality of artists and Durer, himself. It is suggested that the winged figure represents Durer because of the location of his monogram or logo underneath the bench that figure is sitting on. Her pondering stance represents an artistic genius who is looking for inspiration, but cannot find it, therefore experiences despair in her/himself. The winged child sitting to the left of the winged female, represents anxiety that the uninspired artist could be experiencing. In addition, in the upper left corner, a bat is found with the words melencholia beside it. The bat represents melancholy because it only appears or comes out at night and is linked with the darkness. Durer contrasts melancholy and the light of inspiration by associating this bat in the dark sky with rays of light. Essentially, because of the wood medium used in the Whore Of Babylon, lines appear broader, whereas using metal as a medium allowed the Melencollia engraving to display more subtle lines and
Pregnancy Update, Family Adventure And Upcoming Tv Appearance
Jessa Seewald: Pregnancy update, family adventure and upcoming TV appearance Jessa and Ben are due to become proud parents around the time of their first wedding anniversary which happens to be November 1. The happy couple enjoyed an outing with Michelle Duggar, Jill Dillard and baby Israel in New York City. In a recent update of photos Jessa and Ben were spotted outside the Staten Island Ferry terminal. It was great that this little reunion in occurred in New York instead of meeting up in Arkansas, it sure looks like they all had a great timebeing together.
The family met up in New York because that is where TLC is filming the special about child abuse, Breaking the Silence . TLC says that this special documentary was inspired by the ... Show more content on Helpwriting.net ...
We try to make it a habit to always cover the top of our shirt with our hand when we bend over. We don t want to play the peek a boo game with our neckline.
Now the attention is being drawn away from her face and drawing all the attention to her growing belly. The way Jessa has been dressing is still stylish for a girl her age. It would be hard to show off her pregnancy to adoring fans if she kept everything covered up that no one would be able to tell how far along she is at the present time. Some feel the change in style is a good thing. She is young, active, and beautiful and should be able to dress to make herself look attractive instead of frumpy and old fashioned.
Now that she is married and pregnant she ll be creating a set of rules for her own family. Some rules may still be the same as those she grew up following, others may be totally different and a few may be eliminated altogether. Their family rules will be made by Jessa and Ben and even though Jessa s parents can still speak their mind on the subject, give advice and share how they feel about certain garments they no longer can be in total charge of their married daughter on all aspects of her life now that she
Review Of Google s Writing And Seo Blog
Review and SEO blog post Over the past several years, Google has made multiple changes to the way we see search results. However, these changes are not always made so clear and could have a major effect on companies or individuals looking to optimize your SEO efforts. When Google decides to update its algorithms, these changes can vary in how major the updates are but each one of them has the chance to crush your SEO optimization. In 2009, during their Searchology conference, Google introduced one of their newest ideas which was rich snippets. Rich snippets are additional details about regarding specific pages in the search results. Ever wonder why people started seeing reviews for their products directly in the SERP? Well this is the exact reason why. A review is simply a person s evaluation of something. For Google, this can apply to several things including a business s specific domain or a certain product of theirs. Google displays two separate forms of reviews when it comes to rich snippets. The two different types of reviews in Google s search results pages are critics reviews and review snippets. Review snippets are generally an average of all of the combined rating scores from reviewers. This allows you to gauge how your product or business is viewed within a larger audience range. Not only will Google show you text to go along with the review, but it will also be represented on a numerical scale such as 1 5 or 1 10. Review snippets are available for local
Child Find Case Study
Child Find and Zero Reject. Under IDEA s child find mandate, states are required to identify, locate, and evaluate all resident children with disabilities (including those who are homeless, limited English proficient, or wards of the state), regardless of the severity of their disability or whether they attend public or private schools. The mandate to serve all students with disabilities is commonly referred to as zero reject. Although federal law requires that children with disabilities be identified, it does not dictate how this is to occur. Nevertheless, courts give deference to districts when their identification efforts are substantial, in good faith, and ultimately effective. Consequently, state procedures vary widely and... Show more content on Helpwriting.net ...
The purpose of the evaluation is two fold: (1) to determine if a student is eligible and (2) to determine a student s educational needs. The Ninth Circuit held that a student with autism was denied a FAPE after his school district failed to formally evaluate him. In that case, despite speculation that the child may have autism, a staff member concluded the child had an expressive language delay based on an informal, unscientific observation that had been conducted. The court reasoned the lack of a formal assessment made it impossible for the district to meet its obligation under IDEA. After a student is suspected of having a disability, a multi disciplinary team typically meets to determine whether an evaluation is warranted. If the team members decide the student should be evaluated, the school must obtain informed consent from the student s parents before any personalized testing occurs. However, if parents refuse consent for the initial evaluation or fail to respond to the request to provide consent, the district may file a formal complaint with the state education agency to resolve the issue and possibly to authorize an evaluation. Evaluations must be completed in a timely manner, usually within sixty days of receiving parental consent.
IDEA requires the administration of a multifactored evaluation using a variety of valid assessment tools and strategies to gather information related to the
Coral Reef Importance
Sustainable Biomes
What Are Coral Reefs?
Livescience.com states that:
Coral reefs are expansive underwater structures which are built from stony corals that secrete calcium carbonate to create their hard exoskeleton to protect their soft bodies. These corals consist of polyps which are abnormal growths within the coral that cluster together to form groups. Coral reefs make up one of the most significant marine ecosystems in the world today. (https://www.livescience.com/40276 coral reefs.html )
Why Are Coral Reefs Important?
Alongside being one of the largest marine ecosystems in the world, coral reefs are significant for many reasons, most of which fall under protection. But what do they protect and how do they protect it?
Coral reefs provide coastal protection as they stop and lower wave action and erosion in shallow shores which prevents damage to any nearby properties
Coral reefs protect the productive wetlands that lie along the coast as well as the highly productive wetlands that are around ports and harbours
Human recreation such as fishing, snorkelling and scuba diving are all provided by the coral reefs. The human recreation that is provided by the coral reefs benefit the people who work in the tourism industry as they earn more money
Our earth s coral reefs are the spiritual and cultural centre for many people. For example, the indigenous aborigines of Australia are spiritually connected to the coral reefs due to their traditional ways of life. The
