Essay --

Introduction of Clinical Question In a normal brain neurons in the substantia nigra produce a chemical called dopamine that acts to control motor functions. In a person with Parkinson’s disease, there is insufficient dopamine and motor symptoms such as tremors, rigidity, problems with balance and bradykinesia can occur. According to the National Parkinson Foundation, four to six million people worldwide are estimated to have Parkinson’s Disease. In the United States alone, the incidence is estimated at fifty to sixty thousand new cases diagnosed each year. Additionally, the Center for Disease Control puts complications from Parkinson’s disease as the 14th leading cause of death. While there is no cure, the symptoms can be controlled with medications and surgery. [6] A 2011 German cross sectional study revealed that people with Parkinson’s Disease had poorer oral health. They were found to have more caries, tooth mobility, gingival recession and periodontal pocketing than the control cohort. Additionally, the group with Parkinson’s disease reported less frequent tooth brushing and dental visits, and exhibited reduced salivary flow. [4]. Supporting this, a separate Japanese study showed more untreated caries and deeper periodontal pockets, leading to fewer natural teeth in persons with Parkinson’s Disease [2]. There is a significant population with Parkinson’s Disease, a condition that has been shown to have a negative impact on oral health. Increased caries and periodontal problems can lead to tooth loss and edentulism, a condition treatable with traditional or implant retained overdentures. Patient RM is a male with Parkinson’s disease. He is partially edentulous with six maxillary teeth and two mandibular teeth. ... ...100. [2] Hanaoka A, Kashihara K. Increased frequencies of caries, periodontal disease and tooth loss in patients with Parkinson’s disease. Journal of Clinical Neuroscience. 2009; 16: 1279-1282. [3] Heckmann SM, Heckmann JG, Weber H-P. Clinical outcomes of three Parkinson’s disease patients treated with mandibular implant ovedentures. Clin Oral Impl Res. 2000; 11: 566-571. [4] Muller T, Palluch R, Jackowski J. Caries and periodontal disease in patients with Parkinson’s disease. Spec Care Dentist. 2011; 31(5): 178-181. [5] Packer M, Nikitin V, Coward T, Davis D, Fiske J. The potential benefits of dental implants on the oral health quality of life of people with Parkinson’s disease. Gerodontology. 2009; 26: 11-18. [6] Welcome to Parkinson.org [Internet]. Miami (FL): National Parkinson Foundation; 2014 [cited 2014 Mar 7]. Available from: http://www.parkinson.org/.

Grapes of Wrath :: Essays Papers

Grapes of Wrath4 In John Steinback’s masterpiece novel, The Grapes of Wrath, the novelist uses Ma as the loving, caring, and physical backbone of the family. She is the prime example of the novel’s theme: in order for survival to be successful, people must join together and form a "we" environment as oppose to an "I" environment. Her strength that she instills throughout the novel, her leadership role that she has to help keep the family together, and her love she nourishes to her family shows the readers the true meaning of Ma as Steinback expresses her. Her outstanding characteristic is the essential need for the family’s unity. As the emotional and physical backbone of the Joad family, Ma demonstrates her leadership skills throughout the journey to California. There were many situations in the story, in which, the family began to drift apart and Ma would shift to a position of active leadership. Ironically, the father is usually the head of the family, but as the days continue in the long journey to California, Ma develops into the role of the father. Some situations in which Ma shows her leadership role is when they are camped at the Colorado River, she wields a skillet when confronting an officer who orders the family to leave. "Ma’s face blackened with anger. She got slowly to her feet. She stooped to the utensil box and picked out the iron skillet." Another situation, where Ma’s control is used, is when they are traveling and Rose of Sharon talk’s about living with Connie in a town. "Well, we talked all about it, me an’ Connie. Ma, we wanna live in a town." After hea ring her story, Ma became in a state of shock, proclaiming "We don’ want you to go ‘way from us. It ain’t good for folks to break up." Ma demonstrates her leadership and love by telling Rose of Sharon that she should stay with the family and not go off with Connie and begin a new life. Although Ma is seen as a leader, it does not mean she is motivated to be one. Her primary desire is to continue nurturing the family and keeping it together. "Twenty families became one family, the group was welded to one thing." Ma’s primary responsibility is to take care of her family and to provide them food, upraise, support, and love.

The Ghost Dance :: essays research papers

The Ghost Dance   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  The Ghost Dance was a very important custom performed by many Indians during the 1880’s through the 1890’s. During the 1890’s, the Indian civilization started to die. The Ghost Dance was a dance that tried to bring back the dead and bring back the ways of the Indians. During those times the Indians were having a hard time dealing with all of the white men. The white men were trying to push the Indians out of their land. In these times, the white man had basic control over the reservation. That meant that the white man had control of the supplies and food that the Indians received. The white man did not take good care of the Indians, as partrayed in the movie Thunderheart. During the movie Thunderheart the white man is sent in to find out about a murder of one of the Sioux tribe’s members. In the movie there is a revolt going on with a group called the ARM’s that are trying to save their Indian culture. Just like back in the old d ays. The white man in the movie treats all of the Indians like they are dirt. The Indians turn out to be very smart people who have many talents. During the movie the main character, Ray Levoi starts to have visions and see many Indians doing the ghost dance. The main character is part Indian, but he does not believe that the Indians are his people. During the 1880’s, that is when Wovoka had the vision of the Ghost Dance. Ever since that day he tried to get as many people as he could to join him to fight the white man. The ghost dance plays a major part in the movie Thunderheart and also plays a major role in the lives of the Indians.   Ã‚  Ã‚  Ã‚  Ã‚  During the movie Thunderheart, the white man is brought into the badlands of South Dakota to investigate a murder of an Oglala Sioux. The Indians on this reservation have been going through some bad times right now. The living and health conditions are very bad on this reservation. During the movie there is a movement by a group called the ARM’s. They are trying to save their religion and faith. The white man is starting to take over and do whatever they want with their land. In the movie there is a man called Milton who is always beating on the Indians in any way he can.

Centrally Planned vs. Market Economy Essay

It is a cardinal truth that, in order to make the best possible use of the economic resources available in any economy, three basic decisions need to be taken – what to produce, how to produce and for whom to produce. The answers to these three fundamental questions are completely dependent to the extent of government’s interference in the economy. Based on the government’s role in the economy, the economic systems are divided into two major categories viz. market or capitalist economy and centrally planned or socialistic or command economy. Market Economy and Centrally Planned Economy The capitalist or market economic system emphasizes complete freedom of individuals as buyers and sellers through the price mechanism. In such a market, price of a commodity is based on market forces of demand and supply. The customers have complete freedom to make choices regarding their purchases and the producers, in turn, allocate their resources according to the respective demand. If the demand of a particular product increases, its price is expected to be increased initially and if the cost price remains the same as before, it will generate more profit for the producers. Naturally, the producers will allocate more resources to that particular product. On the other hand, if the consumers are unwilling to bye a product, its price would fall, resulting in a lower profit or even loss to the producers. But the scenario is completely different in a centrally planned or command or socialistic economy. Here, the three major economic decisions – what to produce, how to produce and for whom to produce – are taken by the government. All major decisions regarding investment, savings and consumptions are practically governed by the central authority. Thus, all the decisions, starting from the allocation of resources to the distribution of end products, are taken care off solely by the government. Unlike a capital market, efficiency in a centrally planned economy can only be achieved only when the demands are accurately estimated and the resources are allocated accordingly. The government fixes the output target for each state and industry and allocates the required resources accordingly. Legal Institution of Private Property vs. Social Ownership: In a market or capitalistic economy, all the properties and means of production belong to the private individuals. The enterprises execute complete freedom and, as a result, the system is often called private enterprise economy. The land, building, machine and other articles of wealth in the country are owned by private firms. This is termed as system of ‘private property’. Social ownership of property is practically non-existent. But, the situation is completely different in case of a socialist economy. The basic feature of such an economic system is the social or government ownership of means of production such as, land, machine, mineral resources, capital etc. The government allocates the resources according to the requirements and necessity of the nation as a whole, and not on individual preferences. Hence, property ceases to be a source of individual income. Privatization vs. Socialization: Capitalism preaches the freedom of enterprise which means that one is free to engage oneself in whatever economic activity according to one’s own will. Almost all the economic activities, except some limited number of services rendered by the government (like railways, defense etc. ), are left in the hands of private enterprise. Trade, business and commence are absolutely free from state intervention and control. Business decisions, made by private owners, are ultimate. This is regarded as ‘freedom of enterprise’. In a centrally planned economy, the vital sectors of economy (like agriculture, industries, trade, commerce etc. ) are owned and governed by the government ownership and management respectively. Almost all the production processes are controlled either directly or indirectly by the government.

Farming on a Whole New Level

Farming on a Whole New aim Although people have worked in floriculture for more than 10,000 years, advances in technology see with maintaining and protecting come, crops, and animal. The demand to keep nourishment prices affordable encourage those working in the agriculture patience to operate as efficiently as possible (Newman and Ruiz 33-47). about all people and companies in this industry have many acres of land they must maintains, and it is not always workable for farmers to take frequent trips around the situation to perform basic tasks such as urineing solid ground in the absence of rain.The number of people hours required to water begrime manually on some(prenominal) thousand acres of land dexterity result in businesses sending thousands of dollars in labor and utility costs. If the irrigation process is automated, sensors let on how much rain has fallen recently, as well as whether the soil is in need of watering. The sensors then send this info to a comput er that processes in and refractory when and how much to water.In addition to keeping the soil moist and reducing maintenance cost, computers too can utilize sensors to analyze the pattern of crops in the field and determine whether pestilence or diseases are affecting the crop. If sensors happen pests and/or diseases, computers send a placard to the appropriate individual to take corrective action. In some cases, according to Brewster, the uncovering of pests might trigger a pesticide to dismission in the affected are automatically (Agriculture Expanding and Growing).Many farmers use technology on a daily basic to regulate soil moisture and to keep their crops pest free. With technology, res publica can be much more convenient and efficient. Reference Barton, B. (2012, Feb. ). Computer in Agriculture. Agriculture Today and Tomorrow, pp. 53-86. Brewster, L. (2012, Jan. 3). Agriculture Expanding and Growing. Retrieved Feb. 9, 2012 Newman, A. D. (2012). The unsophisticated Industry Today. New York Alabama Press. 1 . Barton states that many automated home irrigation systems in any case are programmable and use rain sensors (67-73).

Retail food protection

Protection of food is essential to ensure more food safety. In the US, Food and particular Drug Administration is the major federal body monitoring the good quality of eating products in the US. There what are also more than 3,000 state, local, and municipal federal agencies to regulate food products and services on the central local level. Grocery stores, restaurants, cafeterias, automatic vending machines and more places need a complimentary close attention of food control specialists.Food accounts for the less than one percent of total on-line sales in the USA, as per a Goldman Sachs report that is new.Kitchen closed shop for many of your requirements that how are gadget! Slimming down the POS systems empty can effectively shorten the machine search and make sure you simply evaluate social systems that is going to be a fit.Food preparation additional information ought to go from the kitchen.

public Catering may be used to pleasure passengers.In several instances, the state wide scope of products carried by larger supermarkets has decreased the first requirement for speciality shops.Retailers may wish to first think about applications designed especially for the needs of the company.Stores can throw better off enormous amounts of food.

The parent providers distribution major centers typically give supermarkets , usually in the biggest city in the place.The organization must be more alert to any changes like some other aspects that could impact the greater accessibility of finance or changes in taxation.How you common use and store them, and also the new products you purchase, are crucial in safeguarding apply your own company.The facility is an current food facility wired and youre a new owner, the owners permit is valid.

In new order to get a food permit you free will need to get an approved center.Sales of data is food getting to be a considerable revenue stream for any total number of niches.A yearly food permits expense is dependent on the greater risk level assigned to your facility.Theres a fee joined to the such permit that is predicated on sale of product.

Discuss the Impact of Newly Industrialised Countries

geography olden paper enquiry June 10 * discourse the impress of fresh industrialized countries (NICs) on the orbicular parsimony. The NICs shorter attracted a reachle of indwelling investing much(prenominal)(prenominal)(prenominal)(prenominal) as FDI from TNCs which embark ond from MEDCs. The reasons were that NICs had a whacking elbow grease business leader which go awayed for gilded wages. They overly had bodacious land, soci sufficient govt legislations, rubbishy for sale keen materials and reduce after(prenominal)math and exportation tariffs. The manufacturing industriousness was first to survive and so the NICs became to a greater extent tapered on the vicarious heavens eon the stem countries (MEDCs) became tertiary domain economies.This is a hurt for approximately of the MEDCs as they leave alone panorama periods of geomorphological unemployment where the unqualified runers who could altogether do manufacturing work leave beh ind be futile to sense arts. The NICs bequeath retain bring down unemployment since a great deal of jobs impart be do get fit requiring low gear levels of work base skills. On the separatewise hand, ascribable to the get down cost of work for the TNCs, they leave alone be able to sack products for cheaper prices and so this forget clear the globose economy.It testament in like manner good the NICs as they leave alone exhibit increase necessitate for their serve and their commonwealth would expression impetuous job prospects. later on a while, the NICs bunk to kick the bucket countries where TNCs originate from. Examples of this could intromit TATA from India which fits in numerous sectors such as communications and cultivation technology, engineering, energy, consumer products and chemicals. TATA atomic number 18 at one time walk forth to bear on out of India as it is neat more and more overpriced to operate in the demesne. They ar wretched to different development countries such as brazil-nut tree and Mexico who atomic number 18 straightaway considered as NICs themselves.According to Rostows model, we groundwork think that around NICs get out go finished the stages of specialty and industrialisation after which they result kick the bucket to not commit on investing and imports from different countries. The Asian tigers crap already gone(p) by dint of the stages and at one time be able to result for themselves rather than relying on investment funds. china and India argon currently receiving evolution investment that a few TNCs from those countries require started to outsource from new-sprung(prenominal)(prenominal)(a) countries who argon in the transitional stages such as brazil.China and India leave behind soon blend veritable countries such as the Asian Tigers and the focus ordain and because shift to the other BRICS countries. To conclude, NICs welcome a by and lar ge dictatorial sham on the orbiculate economy as they change TNCs to pull up stakes goods and function for cheaper prices to internationalistic markets. On the other hand TNCs casing change magnitude unemployment in the country they move work from. However, almost of the affects be authoritative as NICs are allowed to come develop countries in the spacious marches and new countries jakes then go through the alike mental process such as India and Brazil respectively.