Tuesday, August 25, 2020

Mythology essay Example | Topics and Well Written Essays - 250 words

Folklore - Essay Example The two old Greek legends together give an energizing relate of occurrences that give an away from of the philosophical and strict perspectives on the antiquated Greeks with respect to death and existence in the wake of death. For the most part from the two stories, it is clear that the old Greeks dreaded the hereafter and viewed demise as a not all that sublime and unwanted normal occasion. For instance, during his visit to the Hades, Odysseus saw the dead who were pitiable, denied of their brains. Then again, The Myth of Er by Plato recommends the antiquated Greek conviction that ethical individuals are compensated after death while improper individuals face discipline upon beneficiary passing. This is especially outlined by the portrayal of how Er saw the miscreants being rebuffed while individuals who were Virtuous gathering were compensated with satisfaction. Ultimately, the old Greeks accepted that the perished ought to be covered with pride with legitimate standard entombment rituals to permit them get to life following death after their

Saturday, August 22, 2020

Medical Imaging/Radiology Small Bowel Obstructions

Question: Talk about theMedical Imaging/Radiology for Small Bowel Obstructions. Answer: Presentation: Condition/Pathological Process/Medical Significance The little inside deterrents (SBO) are the class of intestinal or entrail check that is utilitarian or mechanical squares in the digestive tract that prompts obstruction in typical intestinal. These SBOs can prompt impediment in ordinary transmission or discharge of absorption items from digestive system. The significant reasons for SBO are spiked stitches, volvulus, ischemic injuries, pseudo-deterrent, intestinal atresia, and conduit condition. Further, happening of attachments because of medical procedures (stomach), Crohns infection likewise causes little inside check. The ordinary clinical signs of SBO development are the crimpy stomach torment, stoppage, retching sickness, stomach distension (1, 4). Neurotic Process and Medical Significance The event of SBO in the digestive system prompts collection of GI emissions and gas in inside proximal of the digestive tract that is essentially the site of Small entrail hindrances. This activity further upgrades the cell secretory capacity prompting expanding in more entrail proximal aggregation. Henceforth, dynamic peristalsis gets started above and underneath the deterrent (2). At top degree of check, there is the event of regurgitating that prompts improvement of intraluminal pressures which thus causes gut divider lymphedema. The expanded intraluminal pressure in slender beds prompts amassing of liquids and different materials in intestinal lumen upgrading expanded mortality and horribleness. The development of bonds happens when the gut turn on its mesenteric pedicle which whenever left untreated can likewise prompt passing. Further, bacterial development at the site of block prompts microvascular changes that permit mesenteric lymph hubs translocation. The clinical importance of SBO incorporates sepsis development, wound dehiscence, stomach ulcer, short entrail condition, goal and even demise because of deferral in treatment (5). Imaging Procedures Employed to Evaluate the Pathology The plain radiography of level and upstanding perspective is required in the event that SBO is suspected, in any case, this imaging procedure is relevant on account of straightforward obstacle. Further, enteroclysis is required when plain radiography neglects to recognize SBO even within the sight of clinical side effects. Enteroclysis affirms SBO in halfway and complete blockages. Further, CT filter (figured tomography checking) is utilized when clinical conditions like torment, fever, tachycardia and leucocytosis happen in the patient (3). Radiologic Features The as a matter of first importance identifyingthe radiological component of little gut hindrance is an appearance of air-liquid little entrail that is visual in plain radiography (plain X-beam). Further, the presence of colonic gas features fragmented impediment as opposed to finish SBO. Plain radiographic additionally features the nearness of remote body like gallstones. Be that as it may, interestingly, radiography, gastrografin gut shows up as an obstacle in the mid-little inside. There is the presence of third uncommon liquid in the intestinal lumen. The straightforward SMO are ordinary in appearance while complex once are volvulus, ischemic gut, shut circle, and imprisoned hernias (3,5,6). Treatment Options There are both employable and non-usable treatment choices according to the state of SBO. Non-Operative Treatments Attachments A decrease in intraoperative injury can limit the attachment arrangement in the peritoneal surfaces Intense Postoperative Obstruction Intervention These are essentially postoperative conditions that emerge after SBO medical procedures including incisional agony and ileus arrangement. They require nursing the board systems for control Dangerous Tumor Treatment Careful resection is viewed as non-usable treatment for obstacle happening because of tumor arrangement Incendiary Bowel Disease Management The event of aggravation is an indication of SBO arrangement, in this manner, high-portion steroids, parenteral treatment, and inside rest are non-usable procedures to control fiery entrail sickness. On the off chance that non-usable treatment isn't practical than gut resection, medical procedure, and stricturoplasty is utilized for treatment (7) Radiation Therapy This includes as a non-usable treatment where intense radiation treatment is applied to SBO followed by steroids. On the off chance that radiation treatment isnt fruitful, at that point careful treatment is the main alternative. Checking and Observation The beat rate, pulse, and turgor pressure, pee yield gauges consistently demonstrate the liquid status of the body. Along these lines, appropriate estimation and perceptions help to screen the seriousness of the infection. Nasogastric Tube This nasogastric tube is utilized for upper gastrointestinal decompression to maintain a strategic distance from queasiness, retching and gut distension (8) Absense of pain The prescription is endorsed to help the peritoneal aggravation signs that are starting indications of gut ischemia. Liquid Replacement Therapy There is a ceaseless loss of liquid because of retching and sequestration in introductory phases of the malady. In this manner, liquid trade treatment in for of isotonic liquid admission in liters is kept up to supplant the liquid misfortune (1, 2). Usable Treatments The laparoscopy is actualized as a protected and viable careful choice if there should be an occurrence of extreme states of little gut check. Medical procedure is a nice procedure when just single glue band or a hernia is the reason for SBO yet medical procedure is perplexing when thick attachments produce SBO. The employable treatment is engaged with the instance of disappointment of non-usable administration or treatment (9). References OConnor DB, Winter DC. The job of laparoscopy in the administration of intense little inside hindrance: a survey of more than 2,000 cases. Careful endoscopy. 2012 Jan 1;26(1):12-7. Maung AA, Johnson DC, Piper GL, Barbosa RR, Rowell SE, Bokhari F, Collins JN, Gordon JR, Ra JH, Kerwin AJ. Assessment and the executives of little entrail impediment: an Eastern Association for the Surgery of Trauma practice the board rule. Diary of Trauma and Acute Care Surgery. 2012 Nov 1;73(5):S362-9. Lee JM, Jung SE, Lee KY. Little inside check brought about by phytobezoar: MR imaging discoveries. American Journal of Roentgenology. 2012 Nov 23. Bartels SA, Vlug MS, Hollmann MW, Dijkgraaf MG, Ubbink DT, Cense HA, van Wagensveld BA, Engel AF, Gerhards MF, Bemelman WA. Little entrail deterrent, incisional hernia and endurance after laparoscopic and open colonic resection (LAFA study). English Journal of Surgery. 2014 Aug 1;101(9):1153-9. Tierris I, Mavrantonis C, Stratoulias C, Panousis G, Mpetsou A, Kalochristianakis N. Laparoscopy for intense little gut obstacle: sign or contraindication?. Careful endoscopy. 2011 Feb 1;25(2):531-5. Kirshtein B, Mizrahi S, Sinelnikov I, Lantsberg L. Stomach casing as an uncommon reason for little gut deterrent in an older man: report of a case and audit of the writing. Indian Journal of Surgery. 2011 Jan 1;73(1):73-5. Li, M. Z., Lian, L., Xiao, L. B., Wu, W. H., He, Y. L., Song, X. M. (2012). Laparoscopic versus open adhesiolysis in patients with glue little gut deterrent: a deliberate audit and meta-analysis.The American Journal of Surgery,204(5), 779-786. Maung, A. A., Johnson, D. C., Piper, G. L., Barbosa, R. R., Rowell, S. E., Bokhari, F., ... Kerwin, A. J. (2012). Assessment and the board of little gut impediment: an Eastern Association for the Surgery of Trauma practice the executives guideline.Journal of Trauma and Acute Care Surgery,73(5), S362-S369. Lee, J. M., Jung, S. E., Lee, K. Y. (2012). Little inside block brought about by phytobezoar: MR imaging findings.American Journal of Roentgenology.

Sunday, August 2, 2020

Freelancers vs. Employees What Is Best for Your Startup

Freelancers vs. Employees What Is Best for Your Startup © Shutterstock.com | Roman SamborskyiIn this article, you will learn about 1) what people requirements startups have, 2) a comparison of hiring freelancers and employees including the implications, and 3) an argument which option is the best fit for your startup.INTRODUCTIONYou’re working to get your startup off the ground. You and your business partners have everything set up but you’re reaching that stage where it is time to grow. You can’t do it alone but you don’t yet have the budget to lure top minds away from the key players in your industry. The only way forward is to be smart with your money and make the most of your budget so you can get the right people without going broke.The first question you’ll ask is what kind of workers you can hire. You need people to help you accomplish what you need without breaking the bank. To answer this question, you’ll need to decide between two types of workers: employees and freelancers.Hiring either type of worker comes with ad vantages or disadvantages but the decision should always come down to the needs of your company.Here is a quick guide for directing your HR team towards the right type of candidate.STARTUP REQUIREMENTS FOR HUMAN RESOURCESThe startup phase of your business requires a lot of agility. You need to be flexible and quick when you’re making decisions and striving towards milestones. It is essential to be able to move from discovery to validation quickly and to be able to pivot back again just as quickly.All of this needs to be reflected in the kind of people you hire. Thus, your HR practices should look like this:Your HR practices must be flexible.Flexibility in hiring and firing is key here. You need to be able to bring people on and let them go without jumping through a long series of flaming hoops. You need contracts that can onboard people without difficulty and that won’t result in long legal battles if you need to reevaluate and let them go.You also need flexibility in staffing p eople on different tasks and projects. Depending on your business, you will need people on your team who are good at more than just one thing. You’re not yet at a stage where you can afford to hire specialists to do a single job. Thus, it’s better to look for generalist people. By looking for someone who can multi-task across multiple projects or roles, you save HR costs because you won’t have to hire several people.Your flexibility also needs to extend to your key employees. To avoid huge staff shake ups, key employees need to be retained by all means. In HR terms, you need to be willing to give them what they need to keep them around. The things you need to keep employees around will vary by employee. You need to be flexible to be able to offer them what they need, not what you think they need.People must be affordable in a total package.When hiring people, always keep in mind that you have to look at total HR costs. Its not only the salary, HR costs include social security, insurance, days off, IT and equipment and indirect costs such as communication costs as well.As your liquidity is tight and you might not yet generate a sufficient cash-flow, your goal is to minimize HR costs. That means you have to find the employee that offers the best deal in terms of his total HR costs compared to the skill-set he brings to the company.Basically,   finding the complete package is the best way to keep your overhead low without eating into your productivity.Work done by people must be effective.Your HR practices need to look at more than just costs and overhead. Its important to  find people who have sufficient knowledge, the appropriate skills and an attitude that is in line with your startup’s vision.COMPARISON OF FREELANCER VS. EMPLOYEE IN A STARTUPNow that you have a better idea of how you need HR to operate, you can better assess what kind of workers you need. Here is a quick breakdown of how freelancers and employees stack up according to your startup’s HR requirements:FlexibilityIn terms of flexibility in hiring and firing, freelancers win. They are faster to hire and easier to fire. You don’t have to worry about the paperwork that comes along with an employee and most of the time, you don’t want to wait for a cooling off period if they’re coming from another position. Freelancers are also more flexible in terms of start dates and won’t take on jobs that they can’t start in the immediate future.Freelancers are also easier to fire. However, that does not mean you can cut them loose without paying their bills. The best freelancers will have cancellation clauses in their contracts that protect them from clients who want to ditch them too quickly.On the other hand, employees will be less flexible to hire, depending on country-specific regulations. You’ll need to go through HR due diligence, because they’re around for a longer period of time. Hence, you’ll generally perform background checks on them. Plus, you’ll nee d to make sure that they are available to be your employee. Then, there is the paperwork, the negotiations and all of the other things that go along with hiring an employee.Employees are also difficult to dismiss. You need to have a valid reason to getting rid of them and even if you do, you might still pay a benefits package to them when they leave.Flexibility also varies in staffing people on different tasks and projects. The freelancers you hire would primarily be specialists in their field and because they’re freelancers, you’ll only be able to assign them tasks that you hired them for.Employees are more flexible on the job. Because they’re employees, you can move them from project to project and assign them tasks outside of their traditional roles without issue. This is useful both when you’re busy or when you’re slow because you can best use your employees’ time without needing to renegotiate their contracts. Essentially, their flexibility helps you justify their s alary.AffordabilityFreelancers are often located in a different geographical area than your startup which means you often face high communication costs. Early communication might be slow and bringing them into the office will usually be on your dime. On the other hand, they wont require office space.Freelancers are also more expensive per hour because they charge a flexibility premium and because they have some very unique specialist skills that are valuable on the market. Remember that they are also covering the expenses of a small business so they have overhead to take care of after they receive their salary. Basically, they’re paying IT, taxes and healthcare costs so you don’t have to.Freelancers are more expensive in the long run but can be more affordable if you’re working on a fast-paced, short-term project. Although you’ll pay a premium, you stop paying once the project is over.Employees are often more affordable in the long run because the employees build up a knowle dge base and network connections within the company. Their flexibility is important here because you can use them in other ways when you’re facing some down time in the office. You can also train them to be leaders which increases their value to the company.However, the separation costs may be high if an employee isn’t performing well. If you have to fire an employee that has been around for a longer time, you will give up on the skills that you trained him, which means you will basically lose your investment.EffectivenessFreelancers and employees have a similar level of general knowledge. However, their working standards vary significantly.In some industries or functions that are in high demand, such as data science or IT, you may only be able to hire freelancers. These freelancers will have honed their skills elsewhere and become experts in their field, which is why they demand higher fees. To succeed as a freelancer and command those fees, you need to be exceptional at what y ou do. This premise is valuable when your startup needs something done fast but still done well.However, freelancers often work project based. This is essential for their profession and for their status as freelancers. If they work only with one client or take on too much work from a single client, their status as freelancers starts to become murky. The more time and responsibility they have with one client, the more likely they are to be mistaken for employee. This limits their personal mobility and makes their life difficult with tax agencies.Employees are generally more effective over the long term. Because they have greater ties to your company, they are likely to invest more of themselves in your company. It makes sense for them to do so because your success and their success are directly related. Thus, an employee will go out of their way to learn more about the company’s structure, processes and goals. They are then more likely to perform in a way that is geared towards you r company. Employees will have the company in mind when making decisions rather than having tunnel vision on what is best for the project and themselves.You can  watch a discussion of the implications of hiring a freelancer vs employee for your startup. SHOULD STARTUPS WORK WITH FREELANCER OR FULL TIME EMPLOYEE?The answer to this question depends on the startup phase, business function and the unique situation that your startup is in. Even if one sounds better than the other initially, you still need to explore both avenues depending on what your startup needs now, in the near future and in the long run.Start making your decision based on the startup phase you’re currently in.If you’re in the seed phase, you need a lot of flexibility with your staff. You need to be able to pivot at a moment’s notice. You also need to be able to downsize when necessary. Generally, it’s a better idea to have a higher number of freelancers on board alongside a small number of employees who are directing the ship.If you are entering your growth phase, you’re a bit more settled and you don’t require so much flexibility. You also need people who are going to help you grow as a business rather than just completing tasks or projects. During this period, its better to have a high employee ratio. Keep freelancers around primarily to work on very specific tasks.Now, think about your business functions and the role that you are hiring for.Certain core functions require less flexibility and you need to have the team working within your vision. This is especially true for core functions where you need to be working together as a unit, rather than individually. Some of these core functions include: product development, technology development, sales, marketing and HR.Support functions that are not critical for validating key assumptions early in your business are more flexible. They can be outsourced to a freelancer without undermining the goals and direction of the business. Acco unting and payroll are two of the functions that can easily be sent out to freelancers. IT, basic design or programming and any roles that work on one specific function within the business are also suitable candidates for these roles.CONCLUSIONThe choice between a freelancer and an employee depends on your individual business. The best way to make this choice is to dial into what your needs are rather than what your budget allows. Instead of putting a price on your staff, think about who will help drive your company forward and work your way down from there. Consider the stage of your business and the requirements of the role and the mystery will be resolved quickly.