Saturday, December 28, 2019

The effect of sensory-Perceptual information on anxiety level of patients undergoing coronary artery bypass graft surgery Free Essay Example, 1000 words

Running head: EFFECT OF SENSORY PERCEPTUAL INFORMATION ON ANXIETY LEVELS The Effect of Sensory-Perceptual Information on Anxiety Level of Patients Undergoing Coronary Artery Bypass Graft Surgery [STUDENT NAME] [COURSE NAME] Abstract Coronary artery bypass graft (CABG) surgery is a common procedure that restores normal blood flow to the heart, alleviating the painful symptoms of heart disease, such as angina. It typically results in improved quality of life, while decreasing the risk for heart attack. However, it is common for CABG patients to experience anxiety, which can lead to depression, and poor psychological adjustment may lead to increased risk for adverse events and poor patient outcomes. This project paper outlines the problem, provides a comprehensive literature review and describes the planned interventions that are designed to provide CABG patients with the sensory-perceptual information they need in order to reduce their level of anxiety and increase coping skills. The project will be carried out within a hospital setting, utilizing all patients undergoing CABG who are referred by the cardiac catheterization laboratory. Each intervention is described in detail. Interventions will include a 12-minute video presentation, an informational brochure and informational sessions with the main researcher. We will write a custom essay sample on The effect of sensory-Perceptual information on anxiety level of patients undergoing coronary artery bypass graft surgery or any topic specifically for you Only $17.96 $11.86/pageorder now At the individual information session, the researcher will adapt the information presented to fit with the cultural background, linguistic preference and health beliefs of the CABG patient. Table of Contents Chapter 1 Background and need for the project 4 Purpose of the project 7 Significance of the project 7 Theoretical Framework 8 Chapter 2 Search strategy 9 Review of literature 9 Studies investigating the association between anxiety/depression and CABG 9 Studies providing systematic literature reviews 12 Studies on educational intervention and other factors 13 Summary and discussion 15 Chapter 3 Implementation procedures 16 Chapter 4 The Project Teaching Plan 18 Objectives 21 Materials 22 Vocabulary 22 Motivation 23 Chapter 5 Summary 23 Conclusions 23 Implications for nursing 24 Recommendation for further study 24 Appendix 25 References 28 Chapter I Background and need for the project Coronary artery bypass graft (CABG) surgery is a procedure that uses a healthy blood vessel to create a bypass, an arterial bridge, that allows blood to be routed around a blocked or diseased artery ("Coronary bypass, " 2010). Typically the vessel used is taken from the patients leg, although vessels from an arm, chest or the abdomen have also been used ("Coronary bypass, " 2010).

Friday, December 20, 2019

Essay on Book Summary and Review Going Public by Samuel...

Going Public: New Strategies of Presidential Leadership by Samuel Kernell OVERALL: Presidents use sympathetic crowds rally public opinion to his side (promote himself and his policies) going public remains a potent weapon in the president’s arsenal, for advocating his own agenda and blocking initiatives from adversaries in Congress. This strategy continues to evolve given the intense polarization of Congress and the electroate AND changes in communications technology Implications of these factors (especially in combination) on the future of presidential leadership the lessons of 9/11 on going public in foreign affairs Going public means making direct appeals to voters in order to scare Congress into passing legislation that hte†¦show more content†¦so the president must mobilize the electorate to pressure Washington elites to submit to the president’s leadership. Going public conflicts with bargaining in several ways: ** it often includes fluff, not the substantial exchanges necessary for bargaining it does not extend benefits for compliance but imposes costs for noncompliance. more like a threat than a mutually advantageous bargain it entails posturing, it hardens positions and makes bargaining more difficult it undermines the legitimacy of other politicans, Congress in particular (p3-4) individualized is the preferred strategy by modern presidents examples of successes Chapter 3 - How the presidents entering washington have changed: outsiders and divided government Truman: cooperation ONLY OUTSIDERS CAN GO PUBLIC gp is a strategy for independent politicians with few group or institutional loyalties and who aren’t so interested in sacrificing short-term gain for hte longer-term advantages of bargaining. when gp, a president seeks to mobilize other politicans’ supporters on his behalf. usually, a particular audience or constituency is targeted with a particular message. *organization is crucial to success. Chapter 4: the President and the press how the press has led to the trend of going public charts to show trend (beginning of chapters) the Washington press corps’ relationship to executive has changed with the transformation in the political

Thursday, December 12, 2019

Small Business Activity Entrepreneurship †Free Samples to Students

Question: Discuss about the Small Business Activity Entrepreneurship. Answer: Introduction Evaluation of investment portfolio for a stock broking company is important to keep the company updates with the stock selling and purchasing. In the study, the impact of globalisation on the portfolio investment is discussed. Presentation of evaluated investment portfolio is done in the study. Analysis on portfolio investment and recommendations are also provided in the study. The globalised impact of financial market on respect of stock broking company and the major activities that influence financial market are discussed. As per Kidwell et al. (2016, p.145) the events and the announcements that financial companies make in respect of the financial changes are the main responsible factors affecting financial market. DeMiguel et al. (2014, p.132) said change in the share price, cash position; dividend income put their effect on the financial market. In respect of a stock broking company, the updating of financial market determines the company activities. Variable rate of stock price, share purchase price, share selling price, dividend and interest are the main components in the basis of which a stock broking company turn. The changes that put effects on these components change the activities of the stock broking company. As per Chaboud et al. (2014, p.174) Value Investing strategy of investment portfolio is one of the best-recommended strategies that help a stock broking company by valuing its mutual fund. In reference to the case, the stock broking use to value the mutual fund, the dividend income and interest to analyse the progress of the company. According to Henrekson and Sanandaji (2014, p.175), the companies that follow the rules of valuing mutual funds, use to give the investors the chance of getting discounts on their share. In respect of the case study, the investors get discount based on the mutual fund valuation. According to Kalemli?ozcan et al. (2013, p.254), the stock of the company provides the opportunity to the stock buyer by giving index funds, actively managed funds or Exchange traded funds. In respect of the case study, the stock broking company sells exchange-traded funds to the investors in a discount rate. Calculations on SPI 200 Index, SP/ASX 200 Index SP/ASX Australian including their average and standard deviation date SPI 200 Index Futures Ccontract SP/ASX 200 Index SP/ASX Australian Government Bond Price Index 7/10/2017 5663 5724.44 100.70 7/11/2017 5661 5728.93 0.000784 100.64 -0.00068 7/12/2017 5613 5673.83 -0.00966 100.73 0.000973 7/13/2017 5681 5736.77 0.011031 100.88 0.001419 7/14/2017 5678 5765.12 0.00493 100.79 -0.00091 7/17/2017 5685 5755.47 -0.00168 100.72 -0.00064 7/18/2017 5619 5687.39 -0.0119 100.58 -0.00142 7/19/2017 5652 5732.13 0.007835 100.62 0.000457 7/20/2017 5686 5761.45 0.005103 100.58 -0.00048 7/21/2017 5651 5722.84 -0.00672 100.80 0.002175 7/24/2017 5612 5688.07 -0.00609 100.85 0.000536 7/25/2017 5650 5726.60 0.00675 100.80 -0.00051 7/26/2017 5703 5776.63 0.008698 100.69 -0.00112 7/27/2017 5706 5785.01 0.00145 100.85 0.001598 7/28/2017 5620 5702.82 -0.01431 100.85 6.94E-05 7/31/2017 5647 5720.59 0.003112 100.89 0.000367 8/1/2017 5700 5772.37 0.009011 100.76 -0.00131 8/2/2017 5667 5744.20 -0.00489 100.80 0.000397 8/3/2017 5652 5735.12 -0.00158 100.93 0.001259 8/4/2017 5646 5720.58 -0.00254 101.05 0.001198 8/7/2017 5692 5773.56 0.009218 100.99 -0.00058 8/8/2017 5664 5743.75 -0.00518 100.99 3.96E-05 8/9/2017 5684 5765.66 0.003807 100.91 -0.00078 8/10/2017 5685 5760.93 -0.00082 100.85 -0.0006 8/11/2017 5627 5693.14 -0.01184 101.10 0.002496 8/14/2017 5658 5730.41 0.006525 100.98 -0.00122 8/15/2017 5689 5757.48 0.004714 100.87 -0.0011 8/16/2017 5733 5785.10 0.004786 100.79 -0.00078 8/17/2017 5732 5779.21 -0.00102 100.85 0.000615 8/18/2017 5692 5747.11 -0.00557 100.94 0.000892 8/21/2017 5665 5725.85 -0.00371 100.84 -0.00101 8/22/2017 5698 5750.12 0.00423 100.81 -0.00033 8/23/2017 5681 5737.16 -0.00226 100.69 -0.00113 8/24/2017 5697 5745.48 0.001449 100.83 0.001389 8/25/2017 5696 5743.86 -0.00028 100.79 -0.00046 8/28/2017 5663 5709.89 -0.00593 100.67 -0.00117 8/29/2017 5617 5669.01 -0.00719 100.81 0.001439 8/30/2017 5636 5669.72 0.000125 100.61 -0.00201 8/31/2017 5674 5714.52 0.007871 100.51 -0.00099 9/1/2017 5686 5724.59 0.001761 100.70 0.001839 9/4/2017 5665 5702.00 -0.00395 100.82 0.001211 9/5/2017 5678 5706.23 0.000742 100.60 -0.00214 9/6/2017 5659 5689.73 -0.0029 100.87 0.002641 9/7/2017 5664 5689.88 2.67E-05 100.70 -0.00172 9/8/2017 5655 5672.62 -0.00304 100.89 0.001875 9/11/2017 5693 5713.15 0.00712 100.80 -0.00089 9/12/2017 5734 5746.44 0.00581 100.68 -0.00116 9/13/2017 5734 5744.26 -0.00038 100.55 -0.00125 9/14/2017 5723 5738.68 -0.00097 100.33 -0.00222 9/15/2017 5680 5695.02 -0.00764 100.24 -0.00092 9/18/2017 5708 5720.60 0.004481 100.00 -0.00233 9/19/2017 5702 5713.58 -0.00123 99.93 -0.00072 9/20/2017 5699 5709.09 -0.00079 99.88 -0.00052 9/21/2017 5642 5655.42 -0.00945 99.90 0.00018 9/22/2017 5672 5682.14 0.004713 100.01 0.001111 9/25/2017 5671 5683.73 0.00028 99.98 -0.00033 9/26/2017 5659 5670.98 -0.00225 100.07 0.00095 9/27/2017 5641 5664.28 -0.00118 100.03 -0.00038 9/28/2017 5646 5670.39 0.001077 99.80 -0.00236 9/29/2017 5668 5681.61 0.001978 99.88 0.000861 10/2/2017 5712 5729.33 0.008364 99.75 -0.00136 10/3/2017 5679 5701.44 -0.00488 99.86 0.001142 10/4/2017 5628 5652.06 -0.0087 99.97 0.001091 10/5/2017 5634 5651.77 -5.2E-05 100.09 0.00121 10/6/2017 Average -0.0002 Average -9.7E-05 SD 0.005783 SD 0.001262 Calculation on Share component, Futures contracts, Cash position, Portfolio value and Portfolio return Share component Futures contracts Cash position Portfolio value Portfolio return 7/10/2017 7360261 80000 273055 2000000 7/11/2017 7363767 80200 273055 7717022 1.35028141 7/12/2017 7303048 85000 273055 7661103 -0.007272583 7/13/2017 7341535 78200 273055 7692790 0.004127483 7/14/2017 7340025 78500 273055 7691580 -0.000157206 7/17/2017 7322693 77800 273055 7673548 -0.002347223 7/18/2017 7239246 84400 273055 7596701 -0.010064974 7/19/2017 7265289 81100 273055 7619444 0.002989256 7/20/2017 7310637 77700 273055 7661392 0.005490358 7/21/2017 7295071 81200 273055 7649326 -0.001576193 7/24/2017 7258399 85100 273055 7616554 -0.004293472 7/25/2017 7281666 81300 273055 7636021 0.002552648 7/26/2017 7338709 76000 273055 7687764 0.0067533 7/27/2017 7280815 75700 273055 7629570 -0.007598508 7/28/2017 7240946 84300 273055 7598301 -0.00410681 7/31/2017 7252737 81600 273055 7607392 0.001195765 8/1/2017 7265805 76300 273055 7615160 0.001020531 8/2/2017 7279565 79600 273055 7632220 0.002237852 8/3/2017 7285734 81100 273055 7639889 0.001004246 8/4/2017 7259029 81700 273055 7613784 -0.003422807 8/7/2017 7299914 77100 273055 7650069 0.004754442 8/8/2017 7290126 79900 273055 7643081 -0.000913939 8/9/2017 7320204 77900 273055 7671159 0.003666929 8/10/2017 7314009 77800 273055 7664864 -0.000820972 8/11/2017 7250763 83600 273055 7607418 -0.007522904 8/14/2017 7277005 80500 273055 7630560 0.003037413 8/15/2017 7332967 77400 273055 7683422 0.006903857 8/16/2017 7356672 73000 273055 7702727 0.002509385 8/17/2017 7316923 73100 273055 7663078 -0.005160735 8/18/2017 7277007 77100 273055 7627162 -0.004697889 8/21/2017 7236549 79800 273055 7589404 -0.004962786 8/22/2017 7261713 76500 273055 7611268 0.002876762 8/23/2017 7284706 78200 273055 7635961 0.003238923 8/24/2017 7279183 76600 273055 7628838 -0.000933243 8/25/2017 7278322 76700 273055 7628077 -9.96715E-05 8/28/2017 7234619 80000 273055 7587674 -0.005310767 8/29/2017 7201057 84600 273055 7558712 -0.003824193 8/30/2017 7201381 82700 273055 7557136 -0.000208557 8/31/2017 7262693 78900 273055 7614648 0.007581515 9/1/2017 7283523 77700 273055 7634278 0.002574572 9/4/2017 7248611 79800 273055 7601466 -0.004307317 9/5/2017 7255430 78500 273055 7606985 0.000725799 9/6/2017 7222572 80400 273055 7576027 -0.004077977 9/7/2017 7225350 79900 273055 7578305 0.000300627 9/8/2017 7162071 80800 273055 7515926 -0.008265314 9/11/2017 7230359 77000 273055 7580414 0.008543577 9/12/2017 7291138 72900 273055 7637093 0.007449208 9/13/2017 7298504 72900 273055 7644459 0.000964117 9/14/2017 7306533 74000 273055 7653588 0.001193376 9/15/2017 7288876 78300 273055 7640231 -0.001746625 9/18/2017 7304359 75500 273055 7652914 0.001658675 9/19/2017 7318317 76100 273055 7667472 0.00190041 9/20/2017 7291030 76400 273055 7640485 -0.003525932 9/21/2017 7287758 82100 273055 7642913 0.000317838 9/22/2017 7314219 79100 273055 7666374 0.003064911 9/25/2017 7308241 79200 273055 7660496 -0.000766982 9/26/2017 7318300 80400 273055 7671755 0.001468604 9/27/2017 7326602 82200 273055 7681857 0.001315883 9/28/2017 7320479 81700 273055 7675234 -0.000862505 9/29/2017 7318716 79500 273055 7671271 -0.000516425 10/2/2017 7351948 75100 273055 7700103 0.003751297 10/3/2017 7362416 78400 273055 7713871 0.00178652 10/4/2017 7310109 83500 273055 7666664 -0.006138596 10/5/2017 7323464 82900 273055 7679419 0.001662296 10/6/2017 3733804 646300 244913.7 4625017 -0.507063712 The average, standard deviation and Beta of the above calculation ios Average 0.013098953 SD 0.181285651 Beta 0.252910465 As per Lim et al. (2014, p.175) analysis on the investment portfolio of every stock broking company needs to be done for having a good future course of business. In analysing the result of the outcome of the investment portfolio of the case study broking company, the portfolio return is analyzed first. According to the outcome made on the portfolio of the broking company, it can be analyzed that the overall return on the investment portfolio is average. Negative outcome are very frequent in respect of the portfolio return. As per Clare et al. (2016, p.185) the future contract needs to be good enough to have a good portfolio return in future. According to the calculation, in the future contract of the investment portfolio, the amount is quite satisfactory which ensures the future progress of the company to be good. The cash position in the calculated period is kept intact. It is analyzed from the investment outcome is the amount of dividend shares. Zakamouline (2014, p.174) said that every stock broking company needs to have better dividend income by having better dividend interest. The dividend is zero and thus the dividend income is zero. This dividend amount affected the total dividend amount and is also very low in respect of the number of shares. Further the average on the portfolio outcome has been performed. The figure of the average is also not satisfactory. Standard deviation and beta calculations are also performed by using the Jensen Index formula. The calculation is done based on the case study as at October 5, 2017. It can be analyzed from the investment portfolio outcome that the situation of the broking company is not perfect in respect to the number of stocks of the different company it holds. Firstly, the decisions regarding the dividend income need to be developed for the company. From the calculation, it is found that the stock broking company is mainly providing 0% dividend to the stockholders of the company. In the contrast of a stock broking company, the figures of the dividend income are much less. However, influenced by Lim et al. (2014, p.176) it can be said that by developing the dividend percentage on the number of stocks, the company can again in future earn better return. Secondly, the portfolio return needs to be developed by planning more efficiently regarding the stock purchase and sell. From the calculation, it is found that the stock broking company is facing almost negative portfolio return, which is very unaccepted situation. However, the selling and purchasing price if stock and shares and the discount rate needs to be rechecked and revalued so that the portfolio return always stays above 1. Conclusion In the study, the importance of the stockbroking company and its influences by the globalisation are discussed. It is found that the stock broking company applied mutual fund valuating strategy. It is found from the calculation that, portfolio return and dividend income of the company is very low. Negative return on portfolio is found in the calculation. It is seen that increasing the dividend rate and revaluating the purchase and sale price of the shares can develop the present situation of the company. Reference list Chaboud, A.P., Chiquoine, B., Hjalmarsson, E. and Vega, C., (2014). Rise of the machines: Algorithmic trading in the foreign exchange market.The Journal of Finance,69(5), pp.2045-2084. Clare, A., Seaton, J., Smith, P.N. and Thomas, S., (2016). The trend is our friend: Risk parity, momentum and trend following in global asset allocation.Journal of Behavioral and Experimental Finance,9(1), pp.63-80. DeMiguel, V., Nogales, F.J. and Uppal, R., (2014). Stock return serial dependence and out-of-sample portfolio performance.The Review of Financial Studies,27(4), pp.1031-1073. Henrekson, M. and Sanandaji, T., (2014). Small business activity does not measure entrepreneurship.Proceedings of the National Academy of Sciences,111(5), pp.1760-1765. KALEMLI?OZCAN, S.E.B.N.E.M., Papaioannou, E. and PEYDR, J.L., (2013). Financial regulation, financial globalization, and the synchronization of economic activity.The Journal of Finance,68(3), pp.1179-1228. Kidwell, D.S., Blackwell, D.W., Sias, R.W. and Whidbee, D.A., (2016).Financial institutions, markets, and money. Hoboken: John Wiley Sons. Lim, S., Oh, K.W. and Zhu, J., (2014). Use of DEA cross-efficiency evaluation in portfolio selection: An application to Korean stock market.European Journal of Operational Research,236(1), pp.361-368. Zakamouline, V., (2014). Portfolio performance evaluation with loss aversion.Quantitative Finance,14(4), pp.699-710.

Wednesday, December 4, 2019

The French and Indian War free essay sample

The primary reason for retaining such a large force was that demoralizing the army would put 1,500 officers, many of whom were well-connected in Parliament, out of work. Stationing 10,000 troops to separate Indians and frontiersmen was one role. The outbreak in May 1763 of Pontiac Rebellion, an Indian uprising against the British expansion, reinforced the logic of this decision (Stamp Act). George Greenville became the prime minister in April Of 1763. He knew that he would have to find a way to pay for this large peacetime army. Raising taxes in Britain was out of the question, since there had been virulent protests in England against the 1 763 cider tax. The Greenville ministry therefore decided that Parliament would raise this revenue by taxing the American colonists without their consent. Parliament had previously passed measures to regulate trade in the colonies, but it had never before directly taxed the colonies to raise revenue (Stamp Act). The first tax in Greensville program to raise a revenue in America was the Sugar Act that was passed on April 5, 1764. We will write a custom essay sample on The French and Indian War or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page American colonists initially objected to the Sugar Act for economic reasons, but before long they recognized that there were constitutional issues involved. The British Constitution guaranteed that British subjects could not be taxed without their consent, which came in the form of representation in Parliament. The colonists elected no members of Parliament, and so for Parliament to tax them was seen as a violation of the British Constitution (Stamp Act). Following the Sugar Act, The Stamp Act was passed by Parliament on March 22, 1765.Because of its potential wide application to the colonial economy, the Stamp Act was judged by the colonists to be a more dangerous assault on their rights than the Sugar Act was. While the colonial sculptures were acting, protests began taking place in the streets. It was during this time of street demonstrations that the well known group, the Sons of Liberty was formed. Groups identifying themselves as Sons of Liberty existed in almost every colony (Stamp Act).The British government had gotten the impression that because the colonists had objected to the Stamp Act on the grounds that it was a direct (or internal) tax, colonists would therefore accept indirect (or external) taxes, such as taxes on imports. With this in mind, the Townsend Act was passed in 1767 that placed new duties n paper, paint, lead, glass, and tea that were imported into the colonies. These were items that were not produced in North America and that the colonists were only allowed to buy from Great Britain (Townsend Acts).This act proved to be short lived and by 1 770 most of the Townsend taxes were repealed, but that on tea was retained. Colonists were still opposed to the tax on tea, which resulted in the return of tea back to Britain. In Charleston, the colonists even left the tea on the docks to rot. Things would eventually culminate and on December 16, 1773, after officials in Boston refused to turn three shiploads of taxed tea to Britain, a group of colonists boarded the ships and destroyed the tea by throwing it into Boston Harbor (Boston).