Dialogue Essays

Dialogue Essays Dialogue Essay Dialogue Essay Doctor: HI, what seems to be the problem? Patient: IVe been having a chest pain for about four hours. Doctor: 0k and did you have any other problems? Patient: Yes, during my sleep I was woken up by a pressure in the middle of my chest, and it spread to the left shoulder and back four hours ago. I also had shortness of breath, sweating, nausea, and vomiting. Doctor: The pressure in the middle of your chest is a retrosternal pain. Did you take any medication during that time? Patient: Yes, I took three tablets of nitro glycerol and tried to rest but it did not help. Doctor: It ays on your file that you were admitted by ambulance. Your ECG results show a ST elevation in II, Ill, aVF, and CK-MB higher than normal. Did you have any fever, disturbance of consciousness, cough, or abdominal pain? Patient: No, I didnt have any such problems. However my appetite and sleep were bad. Doctor: Did you have any diarrhea or trouble urinating? Patient: No diarrhea and my urine was normal. Doctor: Do you have any past medical conditions? Patient: IVe never had any serious troubles in the past or allergies either. Doctor: 0k thats good, tell me a little about your personal history. Patient: I was born in Dalian, China and got married when I was 26. My wife and children are healthy. I smoked 20 cigarettes per day for 25 years and IVe also been drinking alcohol for 1 5 years. Doctor: Alright, what about your family history? Patient: Both my maternal and paternal grandparents are deceased although Im not sure of the age or cause of death. My mother died of acute myocardial infarction at 53 and my father died of stroke at 45. He had a family history of diabetes, coronary heart disease and hypertension. Doctor: 0k this was very helpful. Now we will run some tests Just to confirm the condition.

Words and Expressions Related to Palm

Words and Expressions Related to Palm Words and Expressions Related to â€Å"Palm† Words and Expressions Related to â€Å"Palm† By Maeve Maddox I subscribe to a daily trivia email that gives the percentage of the quiz-takers who answer the questions correctly. The questions are rarely difficult, but I have noticed that the percentage of right answers for the more traditional â€Å"general knowledge† questions on history or literature tend to drop into the seventies, while those on rock groups and sports score in the high eighties. Different generations, different interests. Nevertheless, I’m always puzzled by the low scores for questions that seem to contain the answer in the question. For example: The leaves from which tree inspire a palmette design? Palm†¨ Pine †¨Plum†¨ Fern When I saw that question, I said to myself â€Å"Doh!† To me it was like Groucho’s question â€Å"Who is buried in Grant’s Tomb?† The percentage of quiz takers that got this one right was 71%. Honest. Palm Lore Two common types of palm tree are palmate and pinnate. palmate: adj. from Latin palma, â€Å"hand.† Having a shape similar to that of a hand with the fingers extended. pinnate: adj. from Latin pinna, â€Å"feather, wing.† Resembling a feather; having parts or branches arranged on each side of a common axis. The Latin word palma also referred to the palm fronds that symbolized victory and were bestowed upon a contest winner or victorious general. The ancient practice is reflected in the English expression to win the palm: to succeed in some endeavor. Military decorations often feature leaves in the design. Leaves on medals awarded to U.S. service personnel tend to favor the laurel and the oak, but the RVN Gallantry Cross features a pinnate palm leaf. Palm has numerous meanings in English. Meanings of palm as a noun: the inner surface of the hand that extends from the wrist to the base of the fingers. the similar part of the forefoot of an animal a unit of length equal to either the width or the length of the hand the part of a glove that covers the palm the blade of an oar or paddle the flattened part of the antlers of certain animals Meanings of palm as a verb: to pick up furtively to conceal in the palm of the hand to commit a basketball violation by letting the ball rest momentarily in the palm of the hand while dribbling Like all body part words, palm has given the language many expressions. to palm off: to dispose of or pass off by deception to have an itching palm: to have a strong desire for money (the idea is that the palm must be scratched with coins, i.e. bribe money) In Shakespeare’s Julius Caesar, the grief-stricken Brutus insults his friend Cassius with this expression: Let me tell you, Cassius, you yourself Are much condemn’d to have an itching palm, To sell and mart your offices for gold To undeservers. Words that derive from palm: palmate: adj. 1. Of an antler: in which the angles between the tines are partly filled in to form a broad flat surface  2. Of a leaf: having (esp. five) lobes, veins, or leaflets radiating from a common point like the fingers of an outspread hand; 3. Having finger-like branches, esp. diverging from a short or flattened base. 4. Of the foot of a bird or animal: webbed. palmer: n. A pilgrim, esp. one returned from the Holy Land, traditionally carrying a palm branch or palm leaf as a mark of pilgrimage. Chaucer mentions palmers in his prologue to The Canterbury Tales as he lists April activities: Then folk long to go on pilgrimages And palmers [wish] to seek foreign shores To distant shrines famous in various lands palmette: n. An ornamental design used on ancient pottery, and later on furniture, carpets, etc., having narrow radiating divisions and resembling a stylized palm leaf. palmetto:  n. Any of various fan palms, palmistry: n. The art or practice of supposedly reading a persons character or future by examining the lines and other features of the hand, especially the palm and fingers; chiromancy. palmier: n.   In French cookery: a biscuit made of sugared puff pastry, shaped like a palm leaf. palmitic acid: n. a solid saturated fatty acid, CH3(CH2)14COOH, found in palm oil and in many vegetable and animal fats. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Vocabulary category, check our popular posts, or choose a related post below:Masters Degree or Master's Degree?Yay, Hooray, Woo-hoo and Other AcclamationsHow Verbs Become Adjectives

Why is Ethics and Leadership in Criminal Justice class so inportant Essay

Why is Ethics and Leadership in Criminal Justice class so inportant - Essay Example systems need to know that they will receive a fair decision from a judge that is not biased against their case and that they will receive the best possible defense. Leadership is important in criminal justice because leadership sets standards of conduct. Leadership in any organization is how a culture of integrity is established. True leadership requires individuals to model correct behavior if they are operating in a leadership capacity. It also requires leaders to establish the sort of culture that allows individuals working in non-leadership roles to feel comfortable reporting breaches in integrity by their peers. Leadership is much more than being the person that tells others what to do in the criminal justice system. Individuals in the system are vulnerable in many ways. It is important that leaders protect these individuals, some of which have committed terrible crimes. The only real way fair treatment can be guaranteed to all individuals in the criminal justice system is if leaders establish, model and maintain a culture of integrity throughout the

Mixing the Ideas of Marketing Strategies Essay Example | Topics and Well Written Essays - 500 words

Mixing the Ideas of Marketing Strategies - Essay Example She starts off with a very earthy and grassroots campaign, asking her friends and family what they think about the idea and gathering information. Jessica's strategy is somewhat unique, as it mixes the ideas of several of the main marketing strategies together. That being said, it includes almost no traits of market dominance, as she never mentions hoping to control the entire bridal registry market in its entirety. She never really compares herself to her competition, except that she thinks she can provide a better service than the service that is already available. In that tiny aspect, she could fit into the market challenger, as she is trying to challenge the norm for the market at the time, and providing what she feels is a new and necessary service. The market strategy that I think best fit's Jessica's model is the Innovation Strategy. This is one of the more complex strategies as it relies heavily on the creativity of the person partaking in it. She is trying to innovate the previous business model that was in place and is hoping to bring in revenue by doing so. I think she took a good first step in partaking in a successful innovation strategy, however, there are several things I would have her do differently along the way.

Czechoslovakia Crisis Essay Example | Topics and Well Written Essays - 2000 words

Czechoslovakia Crisis - Essay Example Wilson pushed for inclusion of his fourteen Points especially the League of Nations. Many of his proposals however, clashed with the secret treaties and territorial rearrangements already made by the other three European powers. They found it difficult to hide their contempt for what they saw as Wilson's naivet and superior attitude. The political wrangling became intense. Finally, agreement was reached and a treaty presented to the German representatives on May 7, 1919. The terms were harsh. Germany was stripped to approximately 13% of its pre-war territory and all of its over-seas possession. The Ruhr-Germany's industrial heartland - was to be occupied by allied troops. The size of Germany's military forces was drastically reduced. The treaty further stipulated that Germany would pay for the devastation for the devastation of the war through annual reparation payments to its European neighbors. The victors ignored the bitter complaints of the German delegation. On June 28, two rather German representatives signed the treaty. Ever since the treaty was signed it brought bitterness to Germans but they had no other choice other than facing it. The latter years were spent to pay the debts. Ever since Hitler came to power in 1933 he had made successive assaults on the restrictions that had been placed on Germany by the Treaty of Versailles. He had begun secretly the process of rearmament and felt confident enough to announce the program in 1935, the same year in which he introduced conscription to the new German army. CHRONOLOGY OF EVENTS THAT LEAD TO THE CRISIS Since the public announcement of German rearmament in 1935, in defiance of the treaty of Versailles, there had been apprehension among the European states, large and small, as to Germany's intentions. That they would not be pacific was made clear in the following year with the remilitarization of the Rhineland zone that had been permanently demilitarized by the same treaty (2). Thus, it was felt that it would only be a question of time as to when Hitler would proceed to realize the pan-German dream of German-Austrian unity (i.e., Anschluss): after all, Hitler himself had been born in Austria. Inasmuch as the earlier aggressive moves had produced no serious retaliation from either Britain or France, it was not to be expected that the absorption of Austria under threat of invasion on March 12 (soon to be endorsed by referendum of the Austrian people) would be met by other than words of protest from the Western powers. The gravest implications of Hitler's action, however, now pointed to Czechoslovakia (3), France's vulnerable ally now that hope of French assistance had been dealt a death blow by the earlier remilitarization of the Rhineland zone along the Franco-German border. RHINELAND CRISIS On March 7, 1936, in defiance of the Treaty of Versailles, troops of the German army entered the demilitarized buffer zone along the River Rhine. Earlier, in 1925, the then German government, in order to facilitate its entry to the League of Nations and regain its status of a great power, had signed an Agreement (the Locarno Pact) with France that provided, under an Italo-British guarantee, for mutual acceptance of their existing border, including

Economic Analysis of Linda’s Bakery Limited

Economic Analysis of Linda’s Bakery Limited Introduction Lindas was established in 1959 by Mr. Lionel Chin Fatt who saw the need for quality baked goods at an affordable price. They currently have 12 locations in Trinidad with plans to add 10 more by 2017. Their product line today includes bakery items such as bread, savoury pastries, sweet treats, cakes and their Lindas Fresh line consisting of salads, sandwiches, wraps, subs, bagels and coconut bakes. Macroeconomic Analysis GDP The Trinidad Tobago (TT) economy is predicted to continue sustainable growth (1.8-2.1%) over the short to medium term (see Figure 1.1), but less than in 2014 (2.3%). This will be driven by robust growth in the non-energy sector (2.0-2.5%) (IMF 2014). The main risk to Gross Domestic Product (GDP) growth in the energy sector – which contributes 40% of national GDP – will be a sustained decline in energy prices. At the current price of $45 for West Texas Intermediate crude oil (WTI), we anticipate a further downward revision of 2015 projected growth in the sector. We are of the opinion that both Liquefied Natural Gas (LNG) and WTI will remain at or around current prices, at least for 2015. This is in line with the International Monetary Fund (IMF) forecast for LNG but not for WTI (see Figure 1.2); however we agree that crude oil prices will not go into further decline given current circumstances. Interest Rates The Repo Rate was increased to 3.25% for three main reasons, to keep in line with expected increases in U.S. interest rates, the headline inflation rate – driven mainly by double digit food inflation, and continued steady performance in non-energy output (Kissoon 2014). We expect as the U.S. rates increase, so will the Repo Rate. The Federal Reserve is basing changes in its rate on economic performance however current indicators show mixed results. We expect that the rate of increase for both rates will be slower than originally anticipated. Unemployment Rate With an unemployment rate of 3.5%, there is extremely limited excess capacity in the labour market. Lindas has a staff turnover of 8% monthly in stores. This may be attributed to government make work programmes. Reforms that will help diversify the economic base and reduce the fiscal deficit will be difficult to implement, especially in an election year. As such we do not anticipate significant changes to the makeup of the labour force in the short to medium term. Wheat The major ingredient in Lindas products is flour. Although the flour is produced locally, wheat is imported mainly from the USA; the worlds largest wheat exporter. Wheat exports from the USA are at its lowest over the past three years and are expected to decrease because of reduced demand and a surging dollar. In the short term prices are predicted to move lower then recover in 2016, depending on demand for wheat as feed and a recovery in corn prices (Wilson and Mulvany 2015). When coupled with increased production worldwide, we anticipate continuing fluctuations in the price of wheat in the short term but not to the extent of 2010-2011 which triggered the last local price increase. Consumer Confidence In Quarter 3 of 2014 Central Bank conducted its first Consumer Confidence survey measuring at -4. This can be an indicator that consumers will spend less and save more as they are mildly pessimistic about the economy. If consumers spend less, suppliers may decrease their production output which can affect national productivity and wages. (News.gov.tt, 2015) Porters Five Forces Supplier Power Flour Lindas purchases its flour exclusively from the National Flour Mills (NFM); a state controlled Public Limited Company, and is their second largest customer. NFM recently adopted a more proactive relationship with its major stakeholders, including Lindas and the Seamen Waterfront Workers Trade Union (SWWTU), such as including them in its strategic planning. This bore positive results like a collective bargaining agreement for wages in place for 2013 to 2016 (Trinidad Express 2015). We would expect this proactive mindset to continue with the importation of wheat, if US wheat becomes too expensive. NFM can easily import wheat from Canada and Uruguay, two politically stable countries that NFM previously or currently imports other grains from. We don’t expect the fluctuations in the world wheat price to affect the price of NFM flour locally, as it is set by the government – NFM’s majority shareholder. Historically government is averse to increasing the price of flour, regardless of who is in power. This can be seen in flour – and bread – maintaining Value Added Tax (VAT) exempt status, the discounts offered on flour by the current administration, and other price fluctuations being absorbed except in 2011. Buyer Power Linda’s recently increased the prices on some products and, according to their CEO, this has had no effect on their sales. Lindas believes that once they have a quality product, their customers will pay the price for it. As such we are of the opinion that buyer power is not a major factor at this point in time. Competitive Rivalry Lindas is second in the bread market to Kiss Company Limited and they state that they are number one in the pastry business in the country. Whilst Kiss sells the same product bread we are of the opinion that they have different target markets. Kiss is available from groceries to sidewalk shops throughout the country, whereas Lindas products are only available in their stores. Lindas products have little or no preservatives and they believe that this is to their advantage since some customers will choose their products over for this reason. Threat of Substitution Gluten Free â€Å"The number of consumers who think gluten-free is generally healthier fell from 46% in 2010 to 35% in 2012, and the number who thinks it is effective in managing weight fell from 30% to 27%.† (IFT 2014) Based on the premium in product costs, we do not foresee gluten-free entering the mainstream in TT. Threat of New Entry There are some significant barriers to entry for this type of business. Capital Requirements: The CEO of Lindas stated that the minimum investment required to enter this business is approximately $50 to $70 million. Two of their major investors are Prestige Holdings and Trent Restaurant Group. Economies of Scale: In order to produce bread and pastries for multiple geographic locations, capacity must be significant and utilization maximized. Lindas expanded its factory in El Socorro, where they prepare all the products to be distributed to all locations. Product Differentiation: Lindas has recently rolled out their Fresh line which is an attempt at differentiating their product line from other bakeries. Sector of the Economy Lindas is catergorised under the food and beverage manufacturing sector of the local economy. According to the Food and Beverage Industry Development Company, with the continued expansion of the local economy, the domestic food and beverage sector is expected to continue along its progressive track. In addition, expansion of the regional economy, renewed efforts for research and further product development, and strategic niche marketing will also support sustained growth over the longer term. (FoodAndBeverageTT.com 2015) Competition Trinidad and Tobago has a free market economy with Lindas Bakery operating in as an oligopoly. The bread market is dominated by the leader Kiss Baking Company followed by Lindas Bakery. There are other competitors but they are small in comparison. In order to compete at the same level as Lindas you would need to have at least $50-$70 million TTD in startup costs. Their products however are differentiated. They are price makers utilizing product differentiation by offering a wider range of high quality products some of which may not found in other bakeries. They have also added a new line called Lindas Fresh to accommodate changing customer demands and to stay one step away from the competitor. Customer Analysis Analysis of Demand and Supply There is limited statistical data on demand and supply within the industry. Therefore we made assumptions using the theoretical concepts and behavioural changes in wheat imports and consumer purchasing. Wheat imports steadily declined from 2011 to 2014 from 140 to 135. It is projected at 135,000 MT in 2014/2015MY in the Trade report and current USDA World Markets (USDA 2015). The wheat import forecast fell by -2 (1.45%) thd. mt in the 2014/2015 in comparison to 2013/2014 season. The opening stock for 2014/2015 was 5 thd. mt (indexmundi.com 2015). Using this trend we can assume that the consumption of flour based products (such as bread) has decreased over the years. We can assume that this may be due to lifestyle changes considering â€Å"There is an explosion of diabetes in Trinidad and Tobago and the Caribbean and it is now the second leading cause of death in TT.† (Baboolal 2015) With a prevalence rate of 14.2% and an undiagnosed rate of 37.6%, it is possible that 1 out of 2 adults (20-79) in TT are diabetic (IDF 2015). We anticipate a surge of diabetic related issues over the medium to long term. According to the World Health Organization the life expectancy for Trinbagonians has increased from an average of 70.85 to 72.5 years. This can lead to suppliers producing less. Price Elasticity Lindas Bakery product is price inelastic. Their bread prices are lower when compared to Kiss Bakery; however Kiss is the market leader. Bread is considered to be a necessary commodity used in everyday life and is highly consumed in Trinidad. If there is an increase in price, then ceteris parabus, the quantity demanded will not decrease. The percentage of income spent is relatively low; there is a wide availability of substitutes, a high degree of necessity and no switching costs. Complementary and Substitute Products On a very basic level Lindas complemented their goods with drinks for sale, a common practice for most food outlets. For example the sale of a sandwich or Lindas fresh might increase the demand for drinks. However with a substitute the buyer might buy something other than the intended good in store but if the substitute is outside the business then the company will not maximise profit. Externalities (Positive and Negative) Positive externality in consumption is Lindas Bakery training their staff resulting in an increase of human capital. They are therefore able to educate other people who benefit from them. Positive externality in production is the tax break in manufacturing that will encourage entrepreneurship to lead to diversification, employment and economic growth. Free markets allow the negative externality in consumption is the increase rate of diabetes and obesity in Trinidad and Tobago. Conclusion There are major opportunities and challenges for Lindas within the current economic environment. Lindas Bakery has plans for expansion nationally and potentially regionally. Based on the expense to expand production capacity, Linda’s must continue on its current expansion path to effectively utilize this increase in production capacity. They can accomplish this expansion by utilizing their current resources and revenue to accomplish the task. As such they currently do not need to go for financing and are not affected by the increase in interest rate. This is another reason why we recommend Linda’s continue on its current expansion path. They can gain a competitive advantage through the application of technology. For example the introduction of an app can boost the companys visibility and brand awareness, generate sales and capture customer data to make projections. However, a major challenge for the company is the limited supply of labour in the country. Even though persons can seek employment at Lindas with limited experience, there exist easier options through government programmes. The application of technology above may also mitigate some of the burdens of in store staff by shifting the effort needed to the customer. Appendix Figure 1.1 Figure 1.2 Works cited Baboolal, Yvonne. 2015. Diabetes In TT Ranked No 2 Killer. Trinidad Tobago Guardian. http://www.guardian.co.tt/news/2012-03-12/diabetes-tt-ranked-no-2-killer. FoodAndBeverageTT.com,. 2015. Industry Profile | Food And Beverage Industry Development Committee |. http://www.foodandbeveragett.com/industry-profile/. Government of Trinidad Tobago. 2014. Budget Presentation 2015. Port of Spain. IDF, International Diabetes Federation. 2015. Trinidad And Tobago. http://www.idf.org/membership/nac/trinidad-and-tobago. IMF, International Monetary Fund,. 2015. Trinidad And Tobago And The IMF. http://www.imf.org/external/country/tto/. Indexmundi.com,. 2015. Trinidad And Tobago Wheat Imports By Year (1000 MT). http://www.indexmundi.com/agriculture/?country=ttcommodity=wheatgraph=imports. Kissoon, Carolyn. 2014. Repo Rate Increases To 3.25 Per Cent. Trinidad Express. http://www.trinidadexpress.com/news/Repo-rate-increases-to-325-per-cent-284545331.html. News.gov.tt,. 2015. Central Bank: Local Consumers â€Å"Pessimistic†. http://www.news.gov.tt/content/central-bank-local-consumers-pessimistic#.VRYEofnF_xV. Sloan, Elizabeth. 2014. The Top Ten Functional Food Trends.Food Technology.http://www.ift.org/food-technology/past-issues/2014/april/features/toptentrends.aspx. USDA, United States Department of Agriculture. 2015. ‘Data Analysis’. http://www.fas.usda.gov/data Wilson, Jeff, and Lydia Mulvany. 2015. Russians, Argentines, Cows Are Squeezing U.S. Wheat Price. Bloomberg.Com. http://www.bloomberg.com/news/articles/2015-01-29/russians-europeans-cows-are-squeezing-u-s-wheat-price.

Imperialism :: essays research papers

Imperialism Causes and strategies; Reactions to expansion:-Increasing tensions among industrial powers. -Increasing agitation for national independence.-Scrambles for empire: Africa China, Latin America. --China--the Boxer Rebellion.--Latin America and Free Trade Imperialism ---The scramble brings new players.---The United States.----Internal imperialism. ---Rivalries and alliances-Independence movement leads to revolution (mass movement)--Latin America-middle class join elites or masses. ---The Constitution of 1917. -Independence deferred: India --Development of Indian Nationalist-divided nationalism b/w Hindu & Muslim Industrialization -Recruitment of science in industrialization -Premier industries-Transportation, materials, electricity and communication -Standardizing work and workers.--The automobile and mass production; assembly line production; --scientific management; Time and motion studies.-communications; telegraph -Electric light and power systems The two faces of science in the industrial age. Science and social uplift; Industrial science and monopoly capitalism. Modernization: Bourgeois liberalism: rule of law, contracts, rights; Industrial capitalism: free markets, free labor, mechanization, growth of professional classes.-Ottoman Turks indebted to France and Britain brings reforms. Financial infrastructure, class formation, urbanization.-Lack of industrialization, and trade deficits. Young Ottomans and demands for constitution & parliament.-Western liberalism, Turkish nationalism, Islamic modernism. Globalization: Supplying the industrial west; creating an indigenous middle class, encouraging European bourgeois values.-Igniting indigenous nationalism and reform movements.-Usually without mass support. N. Africa: Egyptian modernization under Muhammad Ali. The limits of modernization.-The Revolution of 1857-8 and annexation; The emergence of middle-class. Indian nationalists; Formation of the Indian National Congress. -During the Opium War Chinese military weakness: modern weaponry -Industrial Revolution "quiet revolution"; Making use of surplus rural labor -Britain first: Population growth, market and social structure, religious dissent: the "Protestant work ethic." Agricultural revolution, enclosure movement, rural poverty. Selective breeding, fertilization, land reclamation Fuel sources: coal, tapping greater energy supplies. Capital resources: empire, trade, banks. Domestic peace (no wars on British soil). -The transportation & communications revolutions. turnpikes (roads); Canals; railroads; telegraph. -Urbanization and growth of municipal government.