I.T. System for a Newsagents

As in went into the first newsagents they said that they had no Information technology Equipment such as computers in their shop so I went into the next newsagent and explained to them I was in year 10 and was in the middle of doing a GCSE Coursework and was to update a system. I then said to them I would like to help them and update their system, they said they would be more than happy if I would do that for them because they did not know how much profit they were making or even loss. I then went into an off-licence that was near to where I lived on Cranbrook road. I told them what I was doing and explained that I was doing an Information technology Project, I then asked them if they would let me update their system so it would save them time and money on their business. They said, † yes ok, as it would help me as well†. Now that I had one choice I had then started to make my way to the Gants hill library, they said that their system was already up to date but said thank you for the offer. I still had 2 offers but unfortunately had to choose. I decided by thinking of who would have the most benefit of the system and I thought in the end that a newsagent would not really need a system as much as an off licence, as an off-license has a lot more stock and is much bigger than newsagents, I also thought it would be more challenging than a newsagents and hope to find out the profit/loss made by my clients and also hope they benefit from me. This was my final decision. Description of Problem: An off-licence called Cranbrook Food & wines situated on Cranbrook road sells stock of food, drinks and sweets and other grocery items. The problem is that my client knows if he is making a profit or loss but he doesn't know how to work it out on a P.C. As for the last5 years he has been doing it manually and Manual systems cannot keep up and they are much slower than P.C.'s. So he has I asked me to help him using the information he provides me with such as Income and Expenditure. They have a system but were not using it for Microsoft Excel, they told me they have hardly any idea how to use Microsoft Excel, and said they used their computer only to write letters on Microsoft Word and use the Internet for e-mail. Now it is up to me to show them how to work Microsoft Excel and update their system by making profit and loss account and a cash flow showing them their rates of profit so they now how much profit they will make when they see there closing balance. I will also be using formulas and teaching them to use Microsoft Excel and will also help them by showing them some strategies which will help them run their business better. One of their incomes is selling the stock and Expenditure is buying the stock. These will go into their profit and loss account using the figures that they supply me with and there will also be more such as, Electricity bill, Gas bill, Water bill etc for Expenditure, and Photocopier etc for Income. I will use formulas to total each of them up and use formulas to find out the closing balance. I will set-up a cash flow for them, as it is very easy to use, as they are new users. I will also put in formulas so if they wished to change anything such as change the price of the photocopier it will also change all the incomes and outcomes as well as the closing balance. To find a bit more about my client, I asked some questions so I could know how much knowledge he had about computers. 1) How long have you run a business? A) I have run a business for 5 years now. 2) What do you do in your business? A) In my business I have to stand behind the counter-serving people for about 11 1/2 Monday-Saturday, I also have to send my wife or sister to the cash and carry to buy our stock then I have to set-up all the stock and label the price on all the stock. 3) Do you use you system for any record of your business or financial work? A) No, I only use the computer for my e-mail and to write letters to people. 4) Have you employed any staff? A) No, my family and me run our business. 5) What do you now anything about computers, do you have any knowledge? A) Yes I know how to work on the Microsoft word processor and the Internet. 6) Would any of your business partners have trouble using the computer, and are they all familiar with Microsoft excel? A) My business partners are my family and they have no knowledge of Excel but as soon as I learn I will be able to teach them it won't be a problem. General Specification: My client has a very good knowledge of Personal computers but does not have a good knowledge when it comes to Microsoft excel. I had checked his computer and I could see he has windows 2000 and this is good, as it is the latest out. As he has very little knowledge of Microsoft Excel I will have to make this system very easy to use and I will also be installing a help wizard, which he does not have so if I'm not there he can rely on the help wizard to help him. The system I will input will also be flexible and quick so he won't waste any time. I am very sure that the software I will install will be fully compatible with my client Computer as I checked all the system files in their CPU. I have to also install Microsoft excels on his computer as his computer only came with Microsoft word, works, money and autoroute. My targets are benefit both of us, me by being successful and getting a good grade and my client, by helping his business by making it easier for him and much more efficient . When my system is finished it will be time saving, which will allow my client to either do personal things or expand on his business more. So my targets are to help my client have a better and more efficient business. By creating spreadsheets, which will show him the profit, he is making and will allow him to see what to decrease on, e.g. if Electricity bills are à ¯Ã‚ ¿Ã‚ ½500 then he will know to turn of light and save electricity. This will also save a lot of his time. The new system I will be installing must be able to automatically change the corrections as my client is unfamiliar with excel. It must also be very easy to use, and must have a help wizard to guide my client. The information that he would want to store, would need to be stored in an organised way-I could do this by using tables to present the information in a more clearer way to my client I.e. A spread sheet. The system would also have to be user friendly as I was saying before and needs to be able to follow simple instructions so that everyone could use it easily and effectively. Specific Specification: After I had discussed some things with my client, we had both decided to include: * Profit and Loss- To show if he is making enough profit or not. * Formula's- so if he changed one of the outcomes e.g. water bill is à ¯Ã‚ ¿Ã‚ ½200 to à ¯Ã‚ ¿Ã‚ ½500 the total outcome will also change which will save quite a lot of time. * Validation checks- to check a computer to carry out when data is input. * Security- to make sure no one can tamper with the information, which is inputed with the exception of my client, and people who he wishes to share his password with. * The system is easy to use- to make sure my client can use the system with no trouble so he can change information and input it easily and so he can understand the system. We has also acknowledged that my client does not know much about spread sheets so he would like me to make it an easy system. The information I am going to use should be put under suitable heading; I have made some up for my client; – Stock – Photocopier – Selling Price – Retail price – Expenses The system must allow the information to be organised into certain orders e.g. the Stock could be put in numbers and the quantity sold could be put into alphabets. The system must also be able to save the information. As my client is going to need to store a lot of information on his system it will need to be stored efficiently. The new system must also be able to perform accurately so the system will need to be able to do many important calculations by using formulas if needed. The system must perform rapidly- the system must be able to calculate all the different prices when the quantity sold is changed. This will prevent my Client of having to waste time and tired of it. My client has not just started his business in fact he has been running it for 10 years now. He has also asked me to put a password on all the systems as it will save him from his files being deleted or being viewed by any other person which he doesn't want to no. Design of Solution: I have now got to choose which software my client would want to use; and which is most suitable for this assignment, we can choose any of the following choices: – Data base package (Microsoft Access & Microsoft Pinpoint) – Word Processing package (Microsoft Word & Microsoft Word perfect) – Microsoft Desktop Publishing (DTP)(Microsoft Publisher & Adobe PageMaker) – Presentational package (Microsoft PowerPoint) – Spreadsheet Packages (Microsoft Excel & Lotus 1-2-3) – Graphics Package (Corel draw & Microsoft paint) – Computer aided design (CAD) (Auto CAD) After thinking about the problem, I decided we could definitely not use all of this software so I have narrowed it down by choosing to use Microsoft Word and Microsoft Excel. I did not choose The Data base packaging as my client had no access to it as he did not have the software installed on his computer, but this did not matter as Microsoft access is one of the programs we could do without. We did not use the Presentational or Graphics Project as this is a GCSE project and we will not need a lot of presentation in our work. We also did not use it as the presentational package is not very confidential and all the information I will be storing for my client will have to be confidential so no one can change it without him knowing. These are also the same reasons why we did not use Microsoft Desktop Publishing. I chose the word processor as it can be used in letters, essays, projects, CV's etc. In my list I wrote Projects and as I'm doing one right now I thought it would be a good idea to use word. I also chose word as there is a very big advantage to it, it can be edited if mistakes have been made and can also be formatted in many ways such as, Letters can be Bolded, made Italic, and underlined. The word processor also gives you the advantage of making a word art, as you can see I have used this a number of times, and you can also choose between a ranges of clipart. I will mainly use this program to write out my GCSE coursework project and say what how and when I did to help my clients business. Microsoft excel is a spreadsheet made up of a grid into where numbers are entered. The program it self is used for mathematic calculations, statistical and financial calculations. I mainly chose it for the financial calculations as I am going to help my clients business. Even though my client does not have access to Microsoft excel, instead he has Microsoft works spreadsheet, I fell that Excel is better so I have a disk, which has Excel on it, and I will be happy to install it for him. I will use excel to put all of the Income and expenditure (PROFIT & LOSS) into a table, this will show how Much profits my client gets and how much of it he spends. FIELD NAME DATA TYPE REQUIRED DATA ENTRY REASON Opening Balance The opening balance of cash flow Formula No Opening balance is brought over from the closing balance at the end of the month the number is produced by formula so you do not need to type it manually Revenue This is the sales that the company receives when selling their products Number Yes This is a figure and changes from month to month so it needs to be typed in manually Overheads The utilities in this are the Electricity, gas and water bills. Another overhead is the raw materials, this is when they buy the products that they are selling Number Yes This also varies from month to month so it will need to be typed in Manually. Total Overheads Formula No The Total Overheads are brought from the overheads so at the end of the month if the overheads were changed the total overheads would also change automatically. Systems Flowchart: . RESOURCES: I have now installed the help wizard on his computer, which should be able to help him, whenever I am not there to assist him. I have also installed Microsoft excel. I am now going to show you the hardware and software I am going or not going to use. Hardware: The hardware that I am using to create this system are Intel powered Pentium machines which have PII 266 systems, containing 2 GB of hard Drive, 32 Megs of RAM and a 8 Meg Video Card. The server that windows use is NT. My client Pc is very different it is a Gateway PC, Intel inside Pentium 3 PC with Windows 98. It contains 32 Megs of RAM, 20 GB of Hard drive, DVD and 20 Meg video drives. Software: The software packages that I am going to use are Word Processing, Desktop Publishing and Spreadsheet. A Word Processor can be used to write letters, reports, essays, projects, memos, curriculum vitae, theses and basically any form of written work. When text is entered at the keyboard, the characters and words are displayed on the screen and held in the computer's memory. This work can be saved to hard drive or disk and can also be printed out. The advantage of using a Word Processor is that the text can be changed or edited onscreen and reprinted if mistakes are made. I will be mainly using Word Processor to do my project, which is listed above. A Desktop Publishing Program allows users to look at the page of he document as a whole and design the layout by marking areas for text and graphics. Text can be typed directly into the Desktop Publisher package or it can be imported from a word processing package. The text can be arranged in columns with large titles or headlines heading the columns. Images can be imported from graphics packages, scanned or taken from clipart. I will mainly be using this program to do my user documentation. A Spreadsheet is a computer program which is designed to display and process numbers. It is made up of a grid to which numbers are entered. The program contains many mathematical, statistical and financial calculations, which can be applied to the numbers. Many Spreadsheets can also show the numbers in the form of graphs. I will be using this program to show my profit and loss and cash flow for my client. The software packages I am not going to use are Presentation, Database and Graphic packages. A Presentation Package allows users to prepare and give presentation to using the computer. The information being presented is made into a set of slides. Each slide can contain text, clipart, graphics, video, sound and animation. A salesman might use the program to demonstrate a new product; a teacher, to give a lesson or lecture; a pupil might use the software to prepare a talk or a school assembly. A Database is a collection of related data items, which are linked and structures so that the data can be accessed in a number of ways. A simple database consists of only one set of data. This is called a flat file. An example of a flat file is pinpoint or Microsoft works. A relational database is more complex. Relational Databases are very powerful as they allow the data to be accessed in many different ways. An example of a relational database is Microsoft Access. I am now going to show you the advantages and disadvantages of a manual system (File base system) and see which one I chose and why? ADVANTAGES: * Do not have to waste electricity when using CPU * The financial cost for a file base system is not around à ¯Ã‚ ¿Ã‚ ½1000 where as it does to buy computer * If the electricity goes out you wont have to worry about your business, as you would have it all on paper. * The computer may crash and you could loose all your data if not saved. DISADVANTAGES: * Computer saves time as writing takes to long * It is easier to work out profits more easily * If you need to change something, the computer will adjust the changes to everything else it affects automatically * If you make a mistake the computer would detect it and notify you by underlining it or correct it automatically. * You can produce graphs and charts by using the Popular Microsoft Excel whereas you would have to spend time calculating and drawing it if you had no computer * You can store up to hundreds of pages on one simple disk. The above argument tells you that you would benefit more from having a P.C Computer system than you would with a manual system. I will go with the results of this argument and use a computer to do my project. I am going to use a spreadsheet over a database because for this particular coursework, a spreadsheet is more appropriate than a database. This is because the information I will be inputting is not relational or linked e.g. Library books are linked in some way therefore it maybe put into a database. A spreadsheet is also good for financial use as it is good with mathematical equations this is another reason why I am using it instead of Database. Data Collection, Data Capture and Input: The data that my client wishes me to put into his system are; sales from stock; sales from photocopier; electricity bill; Gas bill and buying stock, other than that my client does not mind what information I input. The information will be given to me by my client which he will get from his Bills and from his invoices that he holds which has a record of his shops sales records and how much he spends to buy the stock. Input Devices: The input devices are will be using are as follows: Keyboard: The most common way of entering data into a computer is through the keyboard. Modern Keyboards often have a support at the front of the keyboard as a rest for the typist's wrist's and some manufacturers have designed keyboards with a more curved key layout in an attempt to make typing faster and more comfortable, even though this maybe, the keyboard is very slow even for today's typing experts. Mouse: The pointer on the screen is called the mouse; you may move the pointer by the user moving the mouse, which will move the pointer. Under the mouse is a ball, which rolls as the mouse is moved. When the screen pointer is over an icon or a menu selection the mouse can be double-clicked to activate the program. This is a standard device like the keyboard. The Input devices I will not be using are; Scanners: Scanners enable both pictures and text to be input to a computer. Scanning text in order to recognise the words and letters requires special software. The most common type of scanner is the flatbed but smaller and cheaper hand-held scanners, which are rolled over the document/picture, are also available. Although the scanner is available to me I have no need to use it. Touch screen: A touch screen is when there are beams of infrared light just in front of the glass on the computer monitors. When a user touches the screen or glass with their finger, the infrared light recognises it and co-ordinates the points. The computer can detect the position of the finger and respond accordingly. I am not using touch-screen because it is not available to me. Processing: Validation and Verification: I will need to have some validation checks as a mistake may happen and this prevents this, a mistake that could happen and is very likely to is writing in the number with text rather than numerical symbols, that is eight instead of 8. The range checks are very liable to read editing with time as the company grows. So they too should be easy to modify. However it is important not to over use the validation only but to only have the item in suitable areas, as people find going error messages very annoying. Verification is the checking of a mistake manually. It involves either printing of your work to look at it or looking at it on the monitor screen, another way is double-checking your work twice or you may make a mistake such as writing the instead of the or in figures such as 394 instead of 934. There are certain types of validation; they are Picture check, Character count, Range check, Presence check and file lookup. Presence check means the cell or field cannot be empty, if there is nothing inside the cell or field it will read error. Character count would make sure there is only a limited amount of characters that can be typed into a cell. Range check, checks the range of numbers that is typed. E.g. the number can be equal to, less than, greater than or between parameters, picture check, checks that the data entered in this field is as expected, i.e. TTTNNTTT (where T=text and N=number) so it would be something like this, GFD77GGG. Finally File Lookup, V PATEL, here the persons code (first three characters) and the subject code, (last three characters) can be checked by opening separate files and ensuring the codes do exist in a valid list. Output Format: Output Devices: The output devices I am going to use are: Monitor: The computer monitor screen or VDU is the most common output device. The most common size of monitor screens are 15 inches, others are 17 and 19 inch, which are much bigger. Computer monitors are similar in many ways to the television. They use a device called cathode ray tubes which contains an electron gun at the back the tube which fires electrons at phosphor dots coating the inside of the screen. Laser Printers: Laser printers work on the same principle as photocopiers. The toner, which is powered in, is transferred to the paper where it is fused by the action of heat and pressure. Lasers are very quiet printers and give high quality print. Laser Printers can print 8-10 pages per minute, which is much faster than other printers. The output devices I will not be using are; Liquid Crystal Displays (LCD's): Liquid Crystal Displays utilise tiny crystals which, when a charge is applied across them, polarise the light passing through them. Used in combination with special filters, this means that light will not pass through when an electrical charge is applied. LCD's are also used in watches and calculators. Thin Film Transistor Screen: A more advanced type of display, giving a full colour and high quality output, is the TFT active matrix screen. Each pixel on the screen is controlled by its own transistor. This provides a higher resolution and more contrast. I am now going to show you how my cash flow works and also show you part of a cash flow. As you can see in he highlighted section is the revenue, the formula I had inputted in the total revenue cell=SUM (B4:B5) pending on which total I wanted. By inputting the formula, certain changes vary; such as now if you change the â€Å"sales from stock in shop† it will automatically change the total revenue, and is also the same if you change the â€Å"sales from photocopier† it will automatically change the total revenue. For example if you higher your price of the photocopier you will make more money, so my client will need to change the figures in the photocopier section. For instance if he changes it from à ¯Ã‚ ¿Ã‚ ½300.00 to à ¯Ã‚ ¿Ã‚ ½400.00 the total revenue will automatically change to à ¯Ã‚ ¿Ã‚ ½2.400.00 that would not happen if the total were typed in manually. As you can see, there is a formula to work out the total revenue; it does this by adding the cells B4 and B5 together. I have several formulas and different formulas are used for different things. For instance if I wanted to know the total revenue I would use a formula which looked something like this; =SUM (C3:C4), and then it would give me the total of the two cells. This is the same for total expenditure, but if I wanted to know the net cash flow I would have to minus the total revenue from the total expenditure, it would look something like this; =SUM (C5-C6), then it will give me the total amount left over. The formulas used in the spreadsheet above are as follows: =SUM (B4: B5) This formula adds up the total revenue for the particular month, it does this by adding up all the revenues. This formula varies throughout each month, as business may be better or lower. =SUM (B9: B11) This formula adds up his total expenditure or expenses for the particular month. The expenses vary throughout each month. =SUM (B6-B12) This formula shows the net cash flow by subtracting the total revenue from the Expenditure resulting in the profit/loss. =SUM (B16-B17) This formula works out the closing balance by subtracting the Opening balance from Net cash flow resulting in the closing balance. Introduction: Now that I have finished creating a system I have to test it, to see if there are any problems. Strategy: There are to different ways I could test my system. Test1- I could test it with the current figures. Check if the formula works and see if the validation is accurate. Test2- I could test it with last year's figures, and see if the totals agree. I will then again see if the validation checks are accurate. I have chosen to do test 1 and I will do this by doing it in a Test plan & results table. The results able will consist of three columns the first is â€Å"Test† for what I'm going to test e.g. If the Validation works. The second is â€Å"Prediction† e.g. if I put the validation check in Cell C4 that 9>500, it would print error if there was more than 500. The last column is the â€Å"Results†. It is where you put in he results of your test and to see if your predictions are correct.

Admitting diagnosis: Egtopic pregnancy Essay

Chief Complain: The patient presents in the emergency this morning, complaining of lower abdominal pain. HISTORY OF PRESENT ILLNESS: the patient states that she has been having vaginal bleeding more like spotting over the past month, she denies the chance of pregnancy although she states she is sexually active and using no birth control. Gynecologic History: Patient is graved to par 1 abortus 1. her only child is a year old 15 year old daughter who lives in Texas that lives with her grandmother. PAST MEDICAL HISTORY: Positive for hepatitis B PAST SURGICAL HISTORY: Pilonidal cyst removed in the remote past, has plastic surgery on her ears child. SOCIAL HISTORY: Married, has 1 daughter, patient works as a substitute teacher, smokes 1 pack of cigarettes on a daily basis. Denies EtOH. Smoked marijuana last night, no iv drug abuse. ALLERGIES: Tetanus MEDICATION: None REVIEW OF SYSTEMS: Patient complains of lower abdominal pain for the past week. Apparently got much worse last night, and by this morning wasn’t tolerable. She is also having some nausea and vomiting, denies hematemesis and mel She has had vaginal spotting over the past month with questionable vaginal discharge as well. denies the frequency, urgency and hematuria and denies arthralgia. Review of systems is otherwise essentially negative. PHYSICAL EXAM: Vital signs show temperature 97 degrees. pulse 53 respirations 22. blood pressure 108/60. GENERAL: Physical exam revels a well developed, well nourished 35 year old white female is the moderate amount of distress the time of the examination, HEENT are all remarkable except poor indentation. neck is soft and supple. CHEST: Lungs are clear in both fields. HEART: Regular rate and rhythm. ABDOMEN: soft but positive  tenderness of her lower abdominal area. Fundus was not palpable. above the pubic area. Left andexal are more than tender than the right. VAGINAL: The cervix is closed. a moderate amount of motherapulient vaginal discharge is noted. the patient wouldn’t allow me to perform a bimanual examination due to her pain. so the speculum was withdrawn. EXTERMITIES: No clot or edema. NUEROLOGICAL-in tact urea x3, no nuerologica defictest. DIAGNOSTIC: Dr. on admission hemoglobin 12.8 grams, hemaocrit is 36.6%. urine analysis is essentially negative. beta hcg is positive wit the WBC count of 23,278 RADIOLOGY: Pelvic ultrasounds shows a 7 week 4 day off viable ectopic pregnancy per radiologist. the patient was given Demerol 25mg and Phenergan 25mg iv for the pain after her report was obtained. she was also given Claforan 1 gram iv, I paged Dr. Gerald GYN, physician as soon as they received the ultrasound report at approximately 10 am he was not in his north Miami office. I paged the south Miami office and reached Dr. Gerards office at approximately 10:15am. his office personnel advised me that he is not on call, Dr. Vonbeck is on call. I spoke with Dr. Vonbeck at approximately 10:25 am and she will be here to take the patient to the operating room. ADMITTING DIAGNOSIS: Left Ectopic 1st trimester pregnancy. The patient received and iv of lactated ringer’s upon the arrival in the emergency room. This was normal saline while we were awaiting Dr. Vonbecks arrival. The surgical procedure was explained the patient and her husband all the risk and benefits were discussed. Then assessing in immediate surgery and informed consent was signed. no old records are available for review. Dr McClure end dictation. Rosemary Bumbak dictating a OPERATIVE REPORT Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Admission: 03/27/2012 Date of Surgery: 03/27/2012 Surgeon: Rosemary Bumbak, MD Assistant: Michael Gerard , DO Anesthesiologist: General and tracheal by Dr. Avalon Estimated Blood Loss: approximately 1000ml required transfusion of 2 units of whole blood. specimen removed portion of left fallopian tube containing the ectopic pregnancy. Preoperative Diagnosis: left tubectoipc pregnancy Postoperative Diagnosis: 1 rupture let tubal ectopic pregnancy 2. Hemoperiteoneum 3-pelvic adhesions Surgical Procedures: 1-exploratory laperotomy 2-partial salpingectomy 3-evauation of hempopatium 4-lisis of adhesions Procedure in detail: The patient was prepped and draped in the usual manner and placed under adequate general anesthesia, Pfannenstiel incision was preformed and carried through skin and subcutanous tissue, fascia and peritoneum. the paritenial cavity was entered. the hemoparituim was noted, and approximately 500 ml of blood was rapid evacuated from the pelvic cavity, as were large cloths, following this, the bowel was packed away the pelvic area with packing lapse. A retaining retractor was introduced. The left fallopian tube was noted. A large tubalectopic pregnancy was noted effecting approximately the distal half of the fallopian tube. Following this Heaney clamp was placed and the mesosalpinx cell and another curver clamp was paced in the proximal aspect of the left fallopian tube beyond the area of ectopic pregnancy. A patial salpiingectomy was preformed. removing the portion of the left fallopian tube containing the ectopic pregnancy. Heaney clamps were replaced with sutures with #1 micro. Hemostasis was checked again and no bleeding was detected. Further evacuation of blood and blood clots was then preformed. the right fallopian tube was noted to be covered with adhesions both tubular variatand tubal uterine The adhesions were then sharply lysed freeing the right fallopian tube. Hemostasis was checked again. No bleeding was detected. Mild cirrhosis abrasion was noted was noted where the area of the ectopic pregnancy was apparently attached to the bowel and not bleeding and was very superficial. hemostasis was checked and no bleeding was detected. The peritoneum was closed continuously was homeochinoc suture. The facsia was approximated was inntrupted with  figure of 8 stitches of micro and the skin was approximated with staple gun. The patient tolerated the procedure well and left the operating room in satisfactory condition. All counts were correct. Blood loss was estimated at 1000ml which was replaced with 2 untis of whole blood while in recovery. Rosemary Bumpbak, MD OBGYN DIAGNOSTIC REPORT Dr Donna Harrison dictation Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Admission: 3-27-2012 ER Physician: Alex McClure MD Transvaginal ultrasound on 3-27-14 Patient History: Serve left pelvic pain rule out ectopic pregnancy. Pregnancy test is positive. Findings-transabdominal imaging demonstrates utures with small amount of fluid within it Psudodecidual sign. There is a large amount of hemorrhage seen within the left adnexa. no embryo is seen. The right ovary is unremarkable Endovaginal examination was performed in searched of viable ectopic. One is seen with crown length with 1.3cm corresponding to 7 weeks and 4 days. A large amount of free fluid is seen, esooudo gestuational sac is noted within the uterus which is oblong. IMPRESSION: A left sided ectopic pregnancy is found with large amount of hemorrhage is noted and extending into the cul-de-sac the hemorrhage measures 13x6x10cm. Dr. McClur and the emergency room was notified which notified the surgeon and is on her way, end of report Dr Harrison. (Contiuned) _________________________ Dr. Donna Harrison NN:EF D: 3/27/2012 T: 3/27/2012 Please send a copy of this report to Rosemary Bumbak, MD OBGYN DISCHARGE SUMMARY Rosemary Bumbak, MD OBGYN Patient Name : Brenda C. Seggerman Patient ID: 903321 Date of Admission: 03/27/2012 Date of Discharge: 03/30/2012 Admitting Diagnosis: ectopic pregnancy Surgical procedures: 1-expoloratory laparotomy 2-partioal salpingectomy 3-evacation of hemoparitoneum 4-lises of adhesions Complication-blood loss requiring transfusion x2 History: This 35 year old white female Gravida 3 para 10121 had her last menstrual cycle in early January. Prior menstrual cycles had been regular. She reported no contraceptives but not attempting pregnancy. Patient presented to the emergency room complaining of vaginal bleeding with pain in lower pelvic area. ultrasound preformed in the emergency room showed a 13.8 cm left adnexall mass with positive cardiac activity compatible with ectopic pregnancy. Hospital Course: On 3-27-2014 the patient underwent exploratory laparotomy, left partial salpingectomy, evacuation of hemoparitoneum, and lyses of adhesions. Blood loss was approx 1000ml and was replaced with transfusion of 2 units of red blood cells the blood type was noted to be ORH negative and RhoGAM was provided. The patient was discharged on post operative on day number 3 on after having a normal bowel movement she was discharged with complaints on no medications. She understood her instructions regarding follow up, wound care a nd limitations Rosemary Bumbak ,MD OBGYN PATHOLOGY REPORT Berry J Lzano, dictation for PATIENT NAME: Brenda C. Seggerman. PATIENT ID: 903321 Date of Admission: 3/27/2012 Surgery: 3-27-2014 Admitting diagnosis: Ectopic pregnancy Surgeon: Rosemary Bumback, MD OBGYN Pathological Findings: 03-s-965 specimen received 3/27 specimen report 3-320 Procedure: left partial salpingectomy The patient has a ectopic pregnancy as proven by pelvic ultrasound. tissue received left fallopian tube. GROSS PATHOLOGY: desc examination of designated â€Å"left fallopian tube† reveals a left fallopian tube measuring 6cm in length and 2.3 cm in normal width. Sectioning of the tube reveals a distending of the tube with blood clot and possible field tissue. reprehensive sections are places in 1-c for embedding MICROSCOPIC: Microscopic examination was preformed

^^Culture in England

England is a exciting country to visit and it also has a lot of interesting things to do such as : visit some beautiful beaches , go skiing , visit some famous places to see a beautiful views . If you like countryside view , you can visit other small cities without London , you would enjoy the fresh air and pretty natural views . 1 Tourism In England If you want to go traveling or have a relax holiday , England is a good choice because it has many famous places which you should visit . Now I'm going to introduce to you mom famous places in England: * Tower Bridge : is one of the most attractive place to visit .If you visit London , you should visit Tower Bridge because it's like a important icon or view in London . If you don't visit tower bridge , your holiday in Uk won't be wonderful and very waste of your experiences in Uk . It was built in 1894 by 50 architects and designers entered a competition to design a bridge . It took 8 years to built and 432 people – who did hard w orking to built . When you stand from high – level walkways , you would see a underfed view of London and you also can gain a great understanding how life would been of a bridge was built . Bucking Palace : is the Queen official London residence . It's a big and luxury palace with 19 living rooms , 52 bedrooms for guest and royal family , 78 bathrooms , 188 staff rooms , 92 official rooms . It was built in 1703 . Victoria Queen lived in here from 1837 . When you walk from the door of palace go inside , you will see a central lake where called † the heart of London † . When you walk around central lake , you ill feel like losing in the heaven because it's has a wonderful and romantic view .The dancer will be waving handkerchief and waving many small bells at their bases . Cotswold is the Morris dance is mildest. * In Cambridge area , people dance Morris Molly style – which follow the nature of humor . This dancing style looks funnier because the male dancer is called † Molly † will be masquerade as a woman . * In the northwest of England , the Morris dance looks more professional . The dancers will stand around to dancing and wearing handcuffs leg . Their clothes especially showy and has a lot of color mixed together .In conclude , England is a rich country about the culture . It's a very exciting place to visit and has many interesting to do . It's really make me attractive and want to know more information about this culture . I hope one day I can visit England and gain some experiences about culture of this country . I hope everyone after reading my little bit information of England would have the same feeling and interested in too . 3 References . -http://thousand. Com. Van/died-nay-tureen-thong-cue-NCO-ann.-la-gig/ -http://vi. Wisped. Org/wick/Ann.

Early Childhood Learning Essay Example | Topics and Well Written Essays - 1500 words

Early Childhood Learning - Essay Example The third part will summarize some of the commentaries on the controversy and finally the conclusion will discuss which if any view is correct, and the importance of the controversy at hand. In an experiment conducted by Booth and Waxman (2002), a group of three years old children were subject to the same objects which were separated into two groups, either as animate objects or artifacts. When some of the objects with eyes on them, which are strong perceptual cues to animacy, and the objects were presented as artifacts, the children characterized them as artifacts. This shows that even in the face of strong perceptual gestures, conceptual information still aids the process of word learning in childhood, a view that contradicts the Attentional Learning Account view. Something which sparked a number of responses and different interpretations to this experiment but which face certain difficulties that further support the view that conceptual information does have a role in early word learning. First it was noted that both conc... s, in what sense then is perceptual information immune to conceptual information This simply means that if two factors affect the same variable, the only way one of the factors can be immune to the other is if one of them does not have an effect at all on the variable, something that the experiment mentioned above excludes. Second it was claimed by the Attentional Learning Account that perceptual information contributes directly to word learning unaided by any conceptual information; the experiment shows however that perceptual learning can be aided by conceptual information in a way that can change the outcome of the experiment. A special case of these two different views will be taken into account; namely the disagreement about the shape bias. The controversy over the role of conceptual learning in early word learning for children has initiated the shape bias controversy; briefly stated it is an implication of the two views outlined above. On the one hand the proponents of the Attentional Learning Account claim that shape bias does not emerge until infants are able to distinguish at least 50 nouns which is in line with the claim they support that conceptual knowledge is only available much later. On the other hand Booth and Waxman have shown with an experiment they conducted with 18 to 22 months old children with vocabulary that does not exceed 18 nouns that these children have extended their uses of words on the basis of shape. This experiment thus interpreted challenges the whole of the Attentional Learning Account proponents. In a paper in the Developmental Science journal, Booth and Waxman have shown experiments in support of the Attentional Learning Account view and have tried to show that they can be interpreted in a way that does not do any harm to their view

Microsoft To Issue Record Number of Patches Essay

Microsoft To Issue Record Number of Patches - Essay Example To find the average of values in B3 and B4, a formula = (B3+B4)/2 is typed into, say cell E2, giving the4 average. Entering a value into the cell causes the value to be visible in the formula thus enabling it to be changed without edition of the formula. The easiest way to enter cell references into formulas is by typing the reference. To use values in B4 and B6 in a formula meant to calculate monthly revenue, one types in = B4+B6 then enter to get a result. However, it is much easier to utilize functions, which are algorithms that can be followed, by excel, to attain a result (Smart 5). To get the average of values in B3 and B4, one could type = then type the average function’s name, followed by a left parenthesis, then the two cells. After typing a colon, excel discerns that one is defining a cell range. On entering the cell references, one types, a right parenthesis and then presses enter to get the result. Charts display a series of numeric data in the form of a graph in order to make it easier to understand enormous quantities of data, in addition to the relationships, between the data series (Smart 7). Excel supports many chart types that help one to display data in a meaningful manner. Charts have many elements with some displayed by default, and others added when needed. The display of the elements in the chart can be changed by moving them to different chart locations, adjusting their size or reformatting them. The spreadsheet consists of a chart area, plot area, plotted data points, category (horizontal) and value (vertical) axes, chart and axes titles, and data labels. After the creation of a chart, any of its elements can be modified. One can change the chart axes’ display, add data labels and titles, add a data table or legend, and apply a special option for every type of chart. To add a chart title, one click where the title is to be added, clicks chart title on the layout tab, clicks above chart, then types the

Advanced research design Term Paper Example | Topics and Well Written Essays - 2500 words

Advanced research design - Term Paper Example This design is employed in gathering data that are empirical on cultures and societies of humans. Data collection in ethnographic design can take a form of a questionnaire, an interview or observation. In this study, the collection of data was done using the internet based behavioural intervention for increasing physical activity and healthy eating. The interventions used in this study were presented to the participants through the email. This means that the intervention were in the form of a booklet. The sample for this research was made up of consists of college freshman of ages between 18 and 20. The participants were enrolled with the fact that they were willing to complete an internet-based behavioural intervention program to prevent weight gain. The participants were volunteers from a local university and were randomized to either a group of the intervention group or a control group. The dependent variable for this study was the efficiency of the intervention, whereas the indep endent variable was the different behavioural change for increasing physical activity and healthy eating by individuals who took part in the intervention. The controlled variable for this study was the participants’ ages. This is because the age of the participants did not have any effect on the reduction of weight. Despite the different ages of the subjects, there were no proofs of the age effect on the intervention efficiency response because change in the intervention efficiency response was due to the increasing physical activity and healthy eating by the participants. Hypothesis. The hypothesis for this study would be that increasing the physical activity and healthy eating increases the efficiency of the intervention where as reducing the physical activity and healthy eating will reduce the efficiency of the intervention used. Plan for statistical analysis of the hypothesis. Procedure Materials used. To analyse the hypothesis, the apparatus that would be used for includ e: A recorded CD, Oral and written explanations about the intervention, a research study, a response booklet and scale to rate the intervention efficiency. An example of such a scales used are: 1--------2--------3--------4--------5--------6--------7--------8--------9--------10 Not at all Very much. In this scales, digit 1 represent little efficiency where as digit 10 represent increased efficiency. Procedure. All subjects will be given oral and written explanation on research and the intervention through heir emails. The subjects will then be given behavioural intervention with highlighted concerns on the process of increasing the physical activity and healthy eating. In this case, the intervention will be made up of various physical activities and tips on healthy eating. The participants will take part in the intervention activities and record all the details from one intervention to another. The subject would measure their weight gain when having little physical activities and whe n having increased physical activities. Using a scale, the participants will describe the experience in the process of intervention by rating their efficiency of the intervention. All the results obtained would be recorded in a table. Discussion. A table with data on the extend of physical activity, healthy eating, and weight gained would be established. The increase in physical activity and healthy eating would be compared with the weight gain of the participants. The mean, standard deviation, and the mode for the data would be established (Bowling, 2007). A graph of weight gain against the physical

Can social psychology save humanity Discuss Essay

Can social psychology save humanity Discuss - Essay Example Myers also points how â€Å"materialism† and â€Å"consumerist culture† can never provide lasting peace for its pursuers. Myers asserts that material affluence can at best give a temporary surge of happiness. What would give lasting happiness are the following - loving close relationships, adherence to a religious faith, a positive outlook, a stress-free work environment, etc. In effect, a low consumption, non-materialistic way of life could fetch more happiness for the individual and the group. The theory is backed by plenty of statistic. Several surveys have shown that married people are happier than those who are single; more church-goers find inner harmony than non-believers; those involved in community activities find more satisfaction than the rest (Yang, Kleinman, et al., 2007). It is important to recognize the current prevalence of misery and distress across the globe. Statistics show that the financially well-off are only marginally happier than their poorer compatriots. It means that additional wealth that is not essential for survival provides disproportionately low value. The recent decades had seen an increase in the cases of depression and suicide. While societies are getting more affluent, the distribution of wealth remains highly uneven. For example, the gap between the rich and poorer sections of society is wider than ever before. The percentage of people living in poverty had not changed much. Life-threatening epidemics such as malaria and AIDS are rampant in the third world. Teenage suicide rates are at an all time high. Violent crimes have not abated despite legislation to curb them. A large chunk of humanity does not even have access to basic amenities like clean water, electricity and telephone facility. All of the above conditions paint a da rk and discouraging picture of the present human condition. But all is not lost.