Monday, December 30, 2019

The American and French Revolution Similarities and...

The American and French Revolution: Similarities and Differences During the late 18th century, two great revolutions occurred, the American Revolution and the French Revolution. Between the years of 1775-1783, The American Revolution was fought between the thirteen British colonies in North America and Great Britain, their mother country. Thomas Hutchinson, the royal governor of Massachusetts at the time, sums the reason for war best, saying ‘No middle ground exists between the supreme authority of Parliament and the total dependence of the colonies: it is impossible there should be two independent legislatures in one and the same state (Van Tyne 135). The American Revolution was effectively a conservative advancement, and was fought†¦show more content†¦This barred the bourgeoisie from progressing socially and politically. The semi-feudal system found in France was not only disliked by the bourgeoisie, but it was also resented by peasants and typically any person with an income. By 1789 many French people had become critical of the m onarchy, which led to a common bitterness towards royal absolutism among the French people. The people disliked this political theory because it argues that a solitary person should hold all the power in a government. The Frenchmen resented the increasing and irregular taxes, government intrusion in their personal lives, and the maltreatment of religious minorities. An uncontrollable national debt was created due to the huge saddle from the unbalanced system of taxation. On July 14, 1789, the storming of the Bastille immediately became proof that power no longer resided in the King, but in the people, in accordance with the theories developed by their philosophers of the eighteenth century. These great thinkers philosophies were influenced by the age of Enlightenment. The age of Enlightenment, while occurring simultaneously alongside the pre-war era, played a major role in shaping peoples negative newfound opinions of their country and their king. The age of Enlightenment is depicte d as an increase in the use of reasonableness to institute morals,Show MoreRelatedSimilarities And Differences Of The French Revolutions And The American Revolution709 Words   |  3 PagesThe Latin American Revolutions and the American Revolution both had similarities and differences. These revolutions were similar in a way, because they both were fighting against their suppressing powers and one difference was the way that unity shaped the way they gained independence. The Latin American revolutions occurred during the 18th- and 19th- centuries. These revolutions had multiple issues that shaped their independence and wars, such as the social structures of their colonies. At the topRead MoreSimilarities And Differences Between The French And Latin American Revolutions1044 Words   |  5 PagesAmerica. The North American and Spanish American Revolutions were similar in that they both shared the common goal of liberation from the foreign colonial governments that ruled over them. However they differed in that there was no goal for social reform in the American Revolution, but in the Haitian Revolution the slaves had the goal of social reform of the rigid social class system. Another difference between the revolutionary processes in the two regions is that the American Revolution was successfulRead MoreSimilarities Between The French Revolution And American Revolution1067 Words   |  5 PagesThe American Revolution and the French Revolution The late 1700’s was a time for cutting-edge inventions, literary and philosophical achievements, upcoming and rising leaders, and lastly, revolutions. The American revolution took place from 1770 to 1783. The French Revolution began in 1789 and lasted for a decade Both the American and French Revolution occurred at the same time and the citizens were both fighting for freedom from a monarchy, there are many important similarities and differencesRead MoreSimilarities And Similarities Between The American And French Revolution897 Words   |  4 PagesDuring the time period of 1648-1945 there were many revolutions taking place around the world. The biggest revolution that took place was the American and the French revolution. There were many similarities and differences between them. The first similarity being that they both wanted to escape their government. The second similarity being that they both started an uprising of people against their own government, due to unfair taxing. The French peasants were not represented by the government becauseRead MoreEssay On The French Revolution And American Revolution1370 Words   |  6 PagesThe American and French Revolutions are both unforgettable historical events that have made a substantial and se vere impact on the present-day society. The American Revolution was an influential time period, lasting from 1774-1783, where the 13 British colonies in the Americas rebelled against the rule of Great Britain for independence. The French Revolution was a period of chaos from 1789 to 1799, where the people of France tried to overthrow their monarchy, King Louis XVI. Both of these RevolutionsRead MoreSimilarities Between The French Revolution And American Revolution706 Words   |  3 PagesThe French Revolution and the American Revolution have many similarities but there are definitely some differences between these two wars as well. Yes, both wars were focused around liberty and equality and both were trying to gain freedom but the main difference between these two wars were the context. (www.quora.com) America wanted to gain freedom from rules and taxes that Great Britain had put upon them, whereas France wanted to abolish the French monarchy and form a better government where peo pleRead MoreCompare and Contrast the American and French Revolutions800 Words   |  3 PagesBoth the American and French Revolutions were focused around liberty and equality. Both countries were trying to gain freedom. America was trying to gain freedom from the rules and taxes put upon them by Great Britain. Whereas the French wanted to abolish the French monarchy and create a better government in which the people could have more of a say in society. Although the revolutions of both started for very similar reasons, and both countries fought for the same thing, the outcomes of the twoRead MoreEssay on Comparing The French Revolution and The American Revolution1339 Words   |  6 PagesA revolution, by definition, is the overthrow of one government followed by replacement with another. The American Revolution against the British during 1775 to 1783 and the French Revolution pitting the French people against their own government during 1789 to 1799 were both very important politic al and social turnovers. This movement towards the establishment of a constitutional government influenced political thought throughout the world. By closely examining three of the main causes of theseRead MoreFrench Revolution vs American Revolution1534 Words   |  7 PagesEssay 2/26/13 CC Essay French and American Revolution Both the American and French revolutions were focused on liberty and equality. America was trying to gain freedom from the rules, unfair taxation, War debt, and lack of representation from the British. The French Revolution on the other hand wanted to abolish the French monarchy and create a better government in which people could have more of a say in society, and also had similar causes as the American Revolution. They were similar inRead MoreSimilarities Between The Spanish American And Atlantic Revolutions1230 Words   |  5 Pagesthe American, French, Haitian, and Spanish American Revolutions. If broken down, the revolutions have very few things in common and the list of differences seem to go on forever. However, the similarities are what tie all of the revolutions together. Their similar political vocabulary and a large democratic nature are a couple of examples that make them alike. If looking at the picture as a whole, the revolutions can be compared because they all had one goal to meet. Some of the revolutions are

Sunday, December 22, 2019

The Tragedy Of Hiroshima And Nagasaki - 1422 Words

Papas 1 Hiroshima â€Å"For those who were there and who survived to recall the moment when man first turned on himself the elemental forces of his own universe, the first instant was pure light; blinding intense heat ... if there was a sound no one heard it. The initial flash spawned a succession of calamities. First came the heat. It lasted only an instant but was so intense that it melted roof tiles, fused the quartz crystals in granite blocks ... and incinerated humans so thoroughly that nothing remained except their shadows, burnt into asphalt pavements ... bare skin was burned up to two and a half miles away.† Picturing those scenes is a horrible thing. This is how survivors of the nuclear bombs dropped on the Japanese cities Hiroshima and Nagasaki described the attack. This killing of civilians was definitely one of the biggest war crimes in human history. The bombings of Hiroshima and Nagasaki were unnecessary and unjustified, because the war was basically over, the Russians were marching in anyways and it is an inhumane thing to do. On August 6th and August 9th 1945 the United States dropped two atomic bombs on the Japanese cities Hiroshima and Nagasaki. It was the only time in History that a country used an atomic bomb against another country. The attack was issued by President Truman, with the goal to finally end World War II without losing more American soldiers. Although the release of the Truman Diary in 1995 disproves this. Their main goal was to show the worldShow MoreRelatedThe Day That Shook the World667 Words   |  3 Pageswhen you hear the word â€Å"bomb†? Is it the Boston Marathon tragedy? Is it the Pearl Harbor Bombing? How about the World Trade Center attack? All of these are major bombings that have happened in the U.S. Sadly, they aren’t the only ones. There have been numerous bombings that our world has survived, but that doesn’t mean we haven’t suffered from their outcomes. The devastation of war on our world is monumental. The atomic bombing of Hiroshima is an im portant event in history that has affected peopleRead MoreThe Utilisation Of Nuclear Weapons On The Japanese Cities Of Hiroshima And Nagasaki1580 Words   |  7 PagesThe utilisation of nuclear weapons on the Japanese cities of Hiroshima and Nagasaki is a hotly debated topic amongst historians. With the consent of the United Kingdom (UK) and the United States of America (USA) as outlined in the Quebec agreement, the United States of America dropped nuclear weapons on the Japanese cities of Hiroshima and Nagasaki in August 1945, during the final stage of World War II. These two bombings, which killed at least 129,000 men, women and children are considered a triumphRead MoreEssay on Atomic Bombing on Japan937 Words   |  4 PagesHiroshima: Was Dropping the Atomic Bomb a Military Necessity? On the morning of August 6th, 1945 at around 8:16 a.m., the United States dropped the first bomb on Hiroshima. This bomb was given the nickname â€Å"Little Boy.† Three days after the first atomic bomb was dropped, on August 9th, 1945 at around 11:02 a.m., the United States dropped a second atomic bomb on Nagasaki. This bomb was given the nickname â€Å"Fat Man.† These two bombs immensely destroyed these cities and took the lives of many peopleRead MoreWas The Atomic Bombing Of Hiroshima And Hiroshima Justified?965 Words   |  4 PagesWas the atomic bombing of Hiroshima and Nagasaki justified? Discuss. The atomic bombing of Hiroshima and Nagasaki ushered the world into a new era of warfare. Never before in the history of man had such destruction been wrought in the power of a single bomb. Thousands of civilians were incinerated and Japan’s war capitals were demolished. The horror and terror was unimaginable; yet the bomb had a purpose; to swiftly end the war. In today’s society, it is questionable whether the bomb should haveRead MoreJapan and the Giant Bomb What would you do if, in the blink of an eye, your whole life was900 Words   |  4 Pagesis exactly what the Japanese people at Hiroshima and Nagasaki went through in August, 1945. It was near the end of World War II and Japan was almost done for. Their resources were depleting, their soldiers were dying faster than new ones came in, and they were running out of food. Despite all this, Japan would not surrender. To force them into submission, The United States made a grave decision; they dropped an atomic bomb on two cities, Hiroshima and Nagasaki. This was the first and only time in historyRead MoreThe Debate Over The Atomic Bomb On Hiroshima And Nagasaki1383 Words   |  6 Pages The debate over the impact of the atomic bomb on Hiroshima and Nagasaki concerns the ethical, legal and military controversies surrounding the United States atomic bombings of Hiroshima and Nagasaki. This tragedy occurred on two occasions; the 6th and the 9th of August 1945, and signified the conclusion of the Second World War, 1939-1945. There were many questionable motives involved in the event, as such a decision required moral certainty. Proceeding the bombings, the terms of surrender forRead MoreThe World s Second Atomic Bomb1282 Words   |  6 Pagesof TNT. At 8:15 a.m. that morning, as the citizens of Hiroshima were beginning their day, the Enola Gay released its horrific cargo, which fell for 43 seconds before detonating at 580 meters above Shima Hospital near the center of the city.† â€Å"Three days after destroying Hiroshima, after failing to find an opening in the clouds over its primary target of the city of Kokura, a US B-29 bomber, named Bockscar, attacked the Japanese city of Nagasaki with the world s third atomic weapon. This bomb hadRead MoreAtomic Bombs And Its Effects On Japan1369 Words   |  6 Pageshow many atomic bombs that have killed many Japanese during, World War II in Japan? On August 6, 1945, a new weapon with a significant explosive power known as the atomic bombs just has been dropped on Japan. The dropping of this weapon on Hiroshima and Nagasaki there were 262,020 civilians were killed. The United States to chose the atomic bomb in order for Japan to surrender and end the war quickly. Likewise, President Truman as the duty as president and Commander in Chief to protect American livesRead MoreEssay about Thank God for the Atomic Bomb618 Words   |  3 PagesThank God for the Atomic Bomb In Paul Russell’s passage from Thank God for the Atomic Bomb, he describes how the atomic bombings of Hiroshima and Nagasaki were fully necessary. Russell agrees with President Truman’s decision to drop the atomic bombs because of the logical reasons. He gives examples that compare to the overall effect to America, and the positive things that happen to America such as the fact that the war would be over. I agree with Fussell’s opinion because the atomic bomb solvedRead MoreThe Bombing Of Hiroshima And Nagasaki1174 Words   |  5 PagesMorality of The Bombings in Hiroshima and Nagasaki There have been various arguments regarding the bombing of Hiroshima and Nagasaki that continually surface as to whether it was necessary or morally right to drop the atomic bomb on Japan. Depending upon whose side of the argument you have heard causes one to question whether this was a morally right or wrong decision that was made. Serious reconciliation is needed due to this event, and both sides of the argument need to be strongly considered

Saturday, December 14, 2019

Since X Ray Was Discovered Health And Social Care Essay Free Essays

string(74) " in a chosen specialised field during the class of his/her work as an RT\." Since X ray was discovered by Roentgen in 1895, its medical application has grown to be a fast and dynamic imaging mode. Today ‘s imagination section consists of an impressive array of diagnostic and curative devices from x-ray machines, CT Scan, PET Scan, additive gas pedal, which chiefly use ionising radiation for diagnosing and intervention of unwellnesss ; and with the add-on of ultrasound and MRI that use sound moving ridges and magnets for diagnosing alternatively of X raies. Therefore, radiology is considered as the window of the healthcare establishment and the radiologic engineers are the individuals behind these state-of-the art machines. We will write a custom essay sample on Since X Ray Was Discovered Health And Social Care Essay or any similar topic only for you Order Now In the x-ray section, one of the divisions of radiology section, the x-ray machines are used for diagnosings of unwellnesss. For 100 old ages the film-screen system has been the imaging system of pick. This system uses radiographic movie, screen and wet chemical science to bring forth an image merely like conventional picture taking. Every RT ‘s end is to supply high quality images for accurate diagnosing ; hence each measure is really critical. The RT must be equipped with cognition and accomplishments from anatomy, positioning and exposure techniques. One little error can endanger the image and outputs an unacceptable radiogram which entails repetition scrutiny that chiefly means extra radiation dosage to the patient. This is one of the disadvantages of a film-screen system wherein one time the movie has been processed ; there is no manner to change it. What you see is what you get. Fortunately, with the turning engineering of imaging modes came the debut of digital imaginati on which follow the same construct as digital cameras wherein brightness and contrast of the image can be changed and images can now be cropped. Its advantage compared to film-screen is really obvious, since images can be altered, repetition scrutinies, oftentimes is no longer necessary. The engineering is brilliant and its introduction has grown the wonder of every RT whether it is efficient compared to the traditional system. And of class, it is. However, as with every other engineering has its drawback. Since the new engineering chiefly uses computing machine and computer-aided equipments oftentimes do the full occupation. The inquiry lies wherein will the competency of the RT in footings of exposure technique factors be same as utilizing the conventional manner? Several international surveies stated that because of the convenience of the system, the RTs utilizing the machine oftentimes fail to see the criterion protocols in every technique choice because images can be manipulated subsequently. Change of images from clip to clip should non be a day-to-day scenario because use sometimes interfere accurate diagnosing. As of the research workers ‘ cognition, there are no known local related surveies in the diminution of RT ‘s competency in utilizing CR. One of the grounds may be this mode is still in the phase of debut in the Philippines and that its deduction is non yet intensively studied. But this does non halt the research workers to seek of happening out if there is so a diminution in RT ‘s competency with the new system. This survey is a comparative-correlational research in finding the degree of radiographic competency between film-screen system and CR on exposure technique factor choice. The chief aims of the research workers are to compare if there is a important difference in footings of radiographic competency in the RT who uses film-screen from CR and to find if the respondents profile and bureau has a important relationship in footings of radiographic competency. Base on the consequence of the survey, the research workers will be able to measure the indispensable acco mplishments needed for the profession. Technology so has helped us in many ways. However, without the competency of the professional manipulating the equipment is futile. This means that the engineer who has the exclusive duty of manning the state-of-the art equipment should non trust from engineering, alternatively engineering should trust on them. REVIEW OF LITERATURE This survey chiefly aims to compare the degree of radiographic competency on exposure technique factor choice between film-screen system and computed skiagraphy ( CR ) . Exposure technique factor choice is an of import foundation for these two types of image receptor ( IR ) or imaging system. Image receptor is a device that converts X raies into seeable visible radiation. Competence should non change whether the radiologic engineer ( RT ) is utilizing the conventional or digital system, otherwise, it will get the better of the intensive survey of the exposure techniques during the undergraduate old ages. Furthermore, supplying appropriate exposure techniques is paramount in the profession since these techniques besides mean radiation dose on the portion of the patient. Harmonizing to Fauber A ; Johnston ( 2012 ) , the radiographer ‘s actions at the control panel straight determine the nature and the makeup of the x-ray beam. This means that the selected exposure technique fact or is straight relative to patient dosage. In add-on, it is the duty of the radiographer to larn the doctrine, factors and methods that minimizes ionising radiation exposure to the patient ( Callaway, 1996 ) . This besides means that an RT is supplying quality patient attention when he/she gives an adequate and necessary sum of radiation to the patient. Competence in Radiologic Technologist Klemp ( 1980 ) defined competency as â€Å" an implicit in feature of a individual which consequences in effectual and/or superior public presentation on the occupation. † A competent individual is imbued with the right cognition, accomplishments and attitude on a peculiar undertaking. Other writers define competency as â€Å" a bunch or related cognition, accomplishments, and attitudes that reflects a major part of one ‘s occupation, which has a relationship in the public presentation on the occupation that can be measured with well-accepted criterions, and that can be improved with preparation and development ( Parry, 1996 ) . † In radiologic engineering, for illustration, an freshly licensed RT already possess cognitive and motor accomplishments at an entry degree, nevertheless, it can merely be enhanced through proper and consistent preparation in a chosen specialised field during the class of his/her work as an RT. You read "Since X Ray Was Discovered Health And Social Care Essay" in category "Essay examples" Knowledge, Skills, Attitude As mentioned, competency is a combination of cognition, accomplishments and attitudes. These constituents are indispensable as a whole because the absence of one constituent greatly affects 1s public presentation. Harmonizing to Dowd ( 1996 ) , cognition as portion of competency includes theories and constructs which were gained as a consequence of the experience of executing certain undertakings. Furthermore, in the field of radiologic engineering he added that cognition includes job-specific nomenclature, methods of forming information and an apprehension of rules and generalisations. On the other manus, Hans Reynold in 1928 defined accomplishment as combined mental and physical qualities which make it utile to industry. Knowledge if combined with accomplishments is of import in the workplace. Furthermore, one can non develop a accomplishment without cognition and at higher degrees, cognition are converted to accomplishments ( Klieme, 2004. ) The last constituent that determines competency is the attitude. The attitude such as beliefs, values, traits, and motivations is a portion of competency because it indicates the individual ‘s response to a peculiar event or state of affairs. Attitude refers to the sensitivity or mental province of individuals/users towards a merchandise, thoughts, or attributes. It besides implies on mental preparedness on a peculiar object or his properties toward an object or his penchants. ( Hulse A ; Dowd, 1996 ) . In the field of radiologic engineering, competency does non merely intend that the RT is equipped with the cognition and accomplishments but RT is besides imbued with the right attitude and judgement to supply each patient with quality attention On Radiographic Competence In the field of radiologic engineering, one facet of the profession requires competent accomplishments in radiographic exposure factor technique. The said competency is indispensable particularly in the diagnostic x-ray imagination, wherein exposure factors are the key to accurate diagnosing and supplying radiation dose to minimum degree. For 100 old ages, film-screen technique has been the method of pick in radiographic imagination ( Bushong 2009 ) . Film-screen system uses radiographic movies, radiographic intensifying screens and wet chemical science to do the image seeable. Furthermore, this conventional system should adhere to the criterions of the darkroom demands. Film-screen system has the same construct as a typical conventional camera. In a film-screen technique, radiologic engineer should be certain on the exposure factors to be applied in a peculiar exposure because improper choice of exposure factors can take to overexposure or underexposure of the movie. Overexposure or underexposure degrades image quality and hence, it can take to rejection of movie, therefore necessitates the demand for repetition scrutiny. Repeat scrutiny provides unneeded dosage to the patient and extra costs to the section. On the other manus, as with the other inventions in engineering, diagnostic imagination has shifted its class from conventional to digital. Computer applications are employed presents in diagnostic imagination modes. An appropriate analogy that is easy for most people to understand is the replacing of typical movie cameras with digital cameras: images can be taken, instantly examined, deleted, corrected, and cropped, and later sent to a web of computing machines. Computed skiagraphy system ( CR ) is an low-cost solution to digital imagination. Alternatively of the movie, CR employs an imaging home base to capture x-rays and makes it seeable when the home base is scanned into a computing machine and digitized it. Once the image is converted to informations, it can be recorded on a optical maser printed movie or can be transmitted and stored digitally. It has particular characteristics like use or sweetening of the image. Its specialised package is used to image sing with enhanced maps similar to film-screen system, such as contrast, brightness, and rapid climb. ( dicomsolutions.com, 2011 ) . Computed skiagraphy has practical proficient advantages compared with conventional techniques, such as broad contrast dynamic scope, post-processing functionality, multiple image screening options, and electronic transportation and file awaying possibilities. In this system, image quality can be achieved because of the post-processing techniques that are non possible with film-screen system. This system is convenient for the engineers because the RT can counterbalance for exposure technique inaccuracies by seting the technique during post-processing stage of the image instead than that clip of exposure. In radiologic engineering field, competency agencies that the RT is equipped with the cognition, accomplishments, attitude and judgement to supply each patient with quality attention. Harmonizing to Olavidez ( 2005 ) , competency is indispensable in the field of Radiologic Technology because RT is a fast growth profession ; RT trades with human lives and most of all, the RT course of study is non plenty to fix the pupils to be equipped with the accomplishments necessary for the profession particularly in the particular Fieldss of radiologic engineering. For an RT to go competent, he/she should hold undergone formal educational background followed by specialised preparation in their chosen field that takes months. As an RT, he/she should hold comprehensive cognition and accomplishments in patient attention, radiologic processs and radiation dose. Exposure Technique Factors Exposure technique factors influence and find the measure and quality of X ray to which the patient is exposed ( Bushong, 2009 ) . Kilovolt extremum ( kVp ) , milliamperage ( ma ) , exposure clip and source-to-image distance ( SID ) are the chief exposure technique factors. Furthermore, the said factors besides affect image quality. Milliamperage and exposure clip are the exposure factors that affects the measure of radiation. Milliampere is the step of x-ray tubing current, whereas milliampere-second ( ma ) is the green goods of exposure clip and exposure tubing current. They straight affect the optical denseness ( OD ) of the movie. Optical denseness is the overall darkening of the movie. The darker the movie, the higher figure of x-rays is given to the patient. The higher the figure of X raies that are the given to the patients, the greater the radiation dose they receive. Source-to-image receptor distance besides affects the measure of the radiation. The closer the patient is to the x-ray beginning, the higher dose the patient gets. For chest X ray, the standard SID is 72 inches, while for the other x-ray scrutinies, the standard SID is 40 inches. Kilovoltage extremum ( kVp ) , straight affects the quality of radiation. kVp is the maximal electric potency that travels across the x-ray tubing. Since kVp affec ts the quality of the x-ray beam, it besides affects the quality of the radiographic image. Kilovoltage straight affects contrast. Contrast is the fluctuation of densenesss on the movie. The advantage of utilizing higher kVp is that the patient will have lower dose of radiation because it will non be absorbed. However, higher kilovoltage produces more spread radiation, therefore increases the transmittal of X raies to the image receptor and degrades image quality. The best techniques to forestall spread radiation are utilizing beam restrictors such as collimator to filtrate low energy X raies and to cut-off low energy beams utilizing radiographic grids. By using beam restrictors and grid will heighten image contrast because spread radiation will be prevented. Furthermore, spread radiation will besides supply unneeded dosage to the patient. Therefore, exposure technique factor choice is indispensable. To supply quality radiogram and to restrict patients to radiation should be a end for every RT. Harmonizing to Bushong ( 2009 ) , RTs are required to utilize their accomplishments to bring forth the best possible image with individual exposure ( Bushong, 2009 ) . Otherwise, repeat scrutiny will supply unneeded radiation dosage to the patient. Therefore, it is necessary for the RT to be equipped with cognition and accomplishments to pull strings these exposure technique factors to bring forth coveted optical denseness, contrast, and image item on the finished radiogram. RT in Film-Screen System In conventional film-screen system, before each scrutiny, the radiologic engineer must choose the optimal radiographic technique factors- kVp, ma, and exposure clip ( Bushong 2009 ) . There are many considerations to find the value of each factor and they are complexly interrelated. Contrast and Density are the photographic factors of the radiogram and it functions to do the image seeable. Visibility of image is of import so that anatomical image will look for proper diagnosing. After each exposure, there is no manner to pull strings its contrast and denseness and that ‘s what makes film-screen system hard as unequal contrast or denseness entails repetition scrutiny. Since use of the image is non possible in this system, the RT should be certain with the technique factors prior to the exposure ; otherwise, misreckonings can ensue to underexposure or overexposure. In a film-screen system, overexposure and underexposure of the image is considered unacceptable because the of impor t constructions are non seeable and therefore it is non a tool for proper diagnosing. In other words, image quality is dependent on exposure factors. RT in Computed Radiography In CR system, image quality is non dependent on exposure factors. Digital image is unrelated to dose, kVp becomes less of import. Since, image quality is non dependent on exposure factors, image can be manipulated. In a conventional system, the movie serves as both image acquisition and show medium. With CR, the image home base serves as the acquisition medium but does non expose the image. Since these maps are separate in CR, the digital signal can be altered to counterbalance for underexposure or overexposure and an acceptable image can be displayed on the proctor ( Shephard, 2003 ) . With CR system, post-processing is possible that helps heighten image therefore leting the RT to change image contrast and denseness. Since image can be manipulated or modified, underexposure or overexposure is no longer a job with this system, because it can normally salve fluctuations from the optical technique, whereas proficient mistake with a screen-film system frequently requires a repetition ex posure ( Pizzutiello, 1993 ; Cesar, 1997 ) . Therefore, with CR, proficient mistakes are eliminated because of exposure discrepancies that are possible with salvageable consequences, presuming equal kilovoltage is used ( Ballinger, 1999 ) . On Assessment of RT Competence In order to cognize the competency of a professional, assessment plays a critical function. Assessment is of import so as to measure if the RT is still competent to make the occupation. Since we are in the epoch of rapid engineering, it may come to a point that we will merely set our assurance on computing machines instead than our competency. Harmonizing to Olavidez ( 2005 ) , competency is an discernible ability and it can be measured against set of criterions. Appraisal of competency is a combined cognition, accomplishments, and attitudes that reflect the current work pattern. Furthermore, it can bridge the spread between workplace demands and criterion. Choice of exposure technique factor is of utmost importance because RT trades with exposing patients to radiation. Exposure technique factor is tantamount to the quality and the measure of radiation that exits the patient, hence, the RT should be precise in giving exposure technique factors. Supplying appropriate radiation dosage is necessary to forestall the patients from the jeopardies of the ionizing radiation, hence anterior to the exposure of the patient, accurate exposure techniques should be practiced. The issue of supplying accurate techniques lies in a digital system, wherein images can be manipulated during post-processing. Harmonizing to Fredrick Walker ( medicalimagingmag, 2008 ) , a radiologic engineer at Sharp Rees-Stealy in San Diego, CA, he pointed out if the image is excessively dark, we can pull strings the image utilizing post-processing techniques like windowing or shadowing or to set contrast without holding to reiterate the scrutiny. Furthermore, since image can be manipulated during post-processing, it can promote complacence instead than truth with exposure techniques which can ensue in overexposed or underexposed images ( Medicalxray, 2010 ) . In add-on, harmonizing to Enfinger ( 2012 ) , that it is true that the image can be adjusted, nevertheless, it is non recommended because the natural information from the initial exposure will incorporate information from spread radiation that degrades image quality even if it is manipulated subsequently. Harmonizing to Shephard ( 2003 ) , it is likely that digital imagination will replace conventional screen-film skiagraphy in many modern medical imagination centres in the close hereafter. It has already been stated that even if the image can be manipulated during post-processing, this should non be a pattern because somehow it can deteriorate image quality which consequences in inaccurate diagnosing. One retrospective analysis of patients who had undergone lumbar spinal column radiogram for the diagnosing of osteoporosis comparison diagnostic truth with screen-film versus digital skiagraphy. The writers suspected that bone mineral loss could be more easy seeable with screen-film imaging due to the fact that image contrast can non be adjusted with this mode, whereas CR ( and DR ) images undergo digital post-processing techniques to maximise contrast. This could ensue in misdirecting consequences that confound diagnostic strength in osteoporosis. Therefore, this is a challenge now for the RT to keep their competency amidst the assistance of engineering. Competence of RT is the foundation of supplying quality patient attention by supplying appropriate radiation dosage for accurate diagnosing. Synthesis The focal point of the literature and surveies cited was the radiographic competency of RT between film-screen system and computed skiagraphy and it is through this survey that the research workers can place and compare whether their competency will differ based on the image receptor that is being used. In add-on, competency in exposure technique factors is indispensable because this will besides intend radiation dosage to the patient. It has already been affirmed that the construct has been there for the past few old ages and hence the present survey is surely non a new construct. Nevertheless, the research workers deemed it necessary to carry on a survey measuring the competency of the RT for the benefit of the establishment where they belong because the research worker wants to suggest a professional plan that could beef up the foundation of the RTs ‘ . It is besides of import for the school to offer the plans since about the RT from the different infirmaries in Davao City a re merchandises of this establishment. This survey is similar to the other surveies cited in this subdivision because it stated on the effects of digital imagination on the radiographic competency of the RTs. Furthermore, old surveies dealt with the effects of image use on image quality and it indirectly link to the competency of the RTs. Conceptual Model In this position, the research workers attempted to measure the degree of radiographic competency of the RTs in footings of cognition, accomplishments and attitude. Through measuring the competency of the RTs, the research workers are able to find the degree of radiographic competency ; their strengths and failing of radiographic techniques. On the other manus, the research workers identified the factors that can impact their competency, such as the respondents ‘ demographic profile in footings of age, sex, figure of old ages in service and educational attainment and the profile of establishment such as bureau and its categorization are besides considered. To hold a graphic image of the survey, Figure 1 served as the research paradigm SCHEMATIC DIAGRAM Independent Variables Dependent Variables Factors Respondents ‘ Profile Age Number of old ages in service Agency Private Public Image Processing Film-Screen System Computed Radiography Degree of Radiographic Competence Cognition Skills Attitude Figure 1 Conventional Diagram demoing the relationship between the independent and dependent variables STATEMENT OF THE PROBLEM The survey aims to compare the degree of radiographic competency in utilizing a film-screen system and computed skiagraphy on exposure technique factor choice ; specifically it aims to reply the undermentioned inquiries: What is the respondents ‘ profile in footings of: Age Number of old ages in service What is the bureau of the health care establishments in footings of: Private Public What is the degree of the respondents ‘ radiographic competency in utilizing film-screen system on exposure technique factor choice in footings of: Cognition Skills Attitude What is the degree of the respondents ‘ radiographic competency in utilizing computed skiagraphy on exposure technique factor choice in footings of: Cognition Skills Attitude Is there a important relationship between the respondents ‘ profile and the degree of radiographic competency in footings of: Cognition Skills Attitude Is there a important relationship between the bureau of health care establishment and the degree of radiographic competency in footings of: Cognition Skills Attitude Is there a important difference in the degree of radiographic competency between film-screen system and computed skiagraphy in footings of: Cognition Skills Attitude Hypothesis There is no important relationship between the respondents ‘ profile and the degree of radiographic competency in footings of: Age Number of old ages in service There is no important relationship between the bureau of the healthcare establishment and the degree of radiographic competency in footings of: Public Private There is no important difference in the degree of radiographic competency between film-screen system and computed skiagraphy in footings of: Cognition Skills Attitude DEFINITION OF TERMS Accuracy- refers to the grade of conformance of a measured or calculated value to its existent or specific value. Computed Radiography- is an low-cost solution of digital imagination system that uses a photostimulable phosphor as the image receptor. Digital Radiography- an all-digital technique in which x-ray soaking up is quantified by assignment of a figure to the sum of x-rays making the sensor ; this is besides called as cassetteless system. Exposure- step of ionisation produced in air by X raies or gamma beams. Exposure Factor Selection. It is the factor set by the radiographer ( kVp, and ma ) to bring forth visibleness of constructions in the radiogram. Film Screen System- is the conventional image receptor that uses radiographic movie, radiographic escalating screen and wet chemical science to visualise the image in the radiogram. Image receptor- is a device that converts x-ray beam into seeable image. Degree of Radiographic Competence- refers to the step of the degree of competency of the radiologic engineer in accomplishing ends and aims in supplying quality radiogram with minimal radiation dosage to patients. Private hospital- is a infirmary owned by a net income company or a non-profit organisation and in private funded through payment for medical services by patients themselves. Public hospital- is a infirmary which is owned by the authorities and have authorities support. Significance OF THE STUDY This survey seeks to find if there is a important difference on the degree of the respondents ‘ radiographic competency in exposure technique factor choice between film-screen system and computed skiagraphy ; and to find if there is a important relationship on the degree of radiographic competency between respondents ‘ profile and bureau. Based on the consequences of this survey, the research workers can place the strengths and failings of the RTs and if it shows important diminution in the competency of the RT in the CR system, the research workers will suggest an enhancement plan for the professionals. The said plan will besides be a portion of the Continuing Professional Education ( CPE ) , and it will be added to the CPE units needed to regenerate RT licences. This survey will be most helpful to the radiology section of the infirmary to heighten Health Care Delivery by restricting radiation dosage to the patients. Furthermore, finding the attitude toward the imagination system will assist the section to reassess the mental and the emotional province of the RT ‘s. Mental and Emotional province of the RT are of import since they are covering with patients. It is the duty of the RT to render quality patient attention by supplying appropriate radiation dosage. Furthermore, this survey will besides be of most helpful to the schools offering radiologic engineering as to escalate the foundation of the pupils in footings of exposure technique factors. Based on the consequence of the survey, there may be a demand to revise the course of study to further escalate the accomplishments of the RT pupils. Computed Radiography is non a portion of the standard RT course of study, and it may be one factor that affects the diminution of competency on the portion of the professional every bit good as the pupils. Chapter 2 Methodology This part discusses the research design used, the research venue where the survey will be conducted, the description of samples and the sampling technique, the instrument used, the inside informations of process and the statistical analysis to reply the research job. Research Design The survey will use a comparative-correlational research. To find the difference between the degree of competency in film-screen system and computed skiagraphy, comparative survey will be used. Furthermore, to find the relationship between the respondents profile and bureau between the degrees of the radiographic competency, correlational design will be employed. Puting The survey will be conducted from the selected infirmaries in Davao, Digos and Tagum City using either film-screen system and computed skiagraphy. The infirmaries utilizing film-screen system are the undermentioned: Alexian Brothers Health and Wellness Center, Km. 4, McArthur Highway, Matina, Davao City ; Davao Regional Hospital, located at Apokon, Tagum City 8112 and Davao Del Sur Provincial Hospital which is located at Lapu-lapu St. Digos, City Davao Del Sur. On the other manus, the infirmaries utilizing the computed skiagraphy system are the undermentioned: Davao Doctors Hospital ( DDH ) , E. Quirino Ave. , Davao City ; Southern Philippines Medical Center ( SPMC ) , J.P Laurel Ave. , Bajada, Davao City and Davao Medical School Foundation and Hospital ( DMSF ) , Medical Drive, Bajada, Davao City. Participants The respondents of the survey are the Registered Radiologic Technologists and Associate X-ray Engineers coming from the selected infirmaries in Davao City using a film-screen and computed skiagraphy system. Furthermore, the qualified respondents should be at least six months in service at the clip of the rating. Measures The research appraisal is composed of four parts. The first portion of the appraisal consists of inquiries refering to the profile of the respondents and infirmary. The 2nd portion consists of inquiries on the respondents ‘ degree of cognition on exposure technique factor choice. The inquiries are specifically structured in such a manner that assesses the respondents ‘ acquired cognition on technique choice. Based on the consequences, the attitude in footings of respondent ‘s response in both film-screen and CR system will be categorized as follows depending on their average mark: Points Obtained Qualitative Description 30-25 Very High 20-24 High 15-19 Reasonably High 10- 14 Low 13- 0 Very Low Interpretation The aforesaid appraisal signifier that will be used as instrument of the survey is constructed and designed by the research workers as to mensurate the basic cognition in exposure technique factor choice regardless of the imagination system used. Its cogency and dependability was attested by experts of the field. Furthermore, the 3rd portion of the appraisal is an existent rating wherein the respondents are observed during x-ray scrutiny. They will be assessed in the existent choice of the exposure technique factor and the result of the image. The said appraisal is a point system ; the appropriate the RT performs in technique factor choice and the acceptable the image, the higher the points. Based on the consequences, the degree of radiographic competency in footings of respondent ‘s accomplishments will be categorized as follows depending on their average mark: Points Obtained Qualitative Description 10 Very high degree of radiographic accomplishments 7-9 High degree of radiographic accomplishments 4-6 Reasonably low degree of radiographic accomplishments 1-3 Low degree of radiographic accomplishments Low degree of radiographic accomplishments means that the respondents were non able to execute the appropriate exposure techniques and came up with an unacceptable radiogram. Reasonably low degree of radiographic accomplishments means that they were non able to execute appropriate exposure techniques and came up with a passable radiogram. High degree of radiographic accomplishments means that they were able to come up with a quality radiogram but did non execute appropriate exposure techniques. Last, really high degree of radiographic accomplishments means that they were able to come up with a quality radiogram and performed appropriate exposure techniques. The appraisal is limited in the x-ray scrutiny of the skull and thorax. Furthermore, the last portion of the appraisal is consists of inquiries sing the attitude of the respondents. The respondents ‘ attitude will be assessed base on their attitudes about the imagination system and its facets. The research workers will use the Likert Scale wherein the respondents are asked to bespeak a grade of understanding and dissension with each of a series of statement. The consequences will be categorized as follows depending on their average mark: Points Obtained Qualitative Description 5 Strongly Agree 4 Agree 3 Indifferent 2 Disagree 1 Strongly differ In add-on, the research workers will utilize purposive sampling as to measure up the respondents for the survey. Ethical Consideration Research blessing will be obtained through the research reappraisal section or human resources section from the six infirmaries. To promote voluntary engagement of the RTs ‘ in this survey, the cover missive of the intent and nature of the survey, informations confidentiality, and research support will be attached. The namelessness of the respondents will be ensured. Procedures 1. Letter inquiring for permission. 2. After the blessing of the proposal of this survey, the research worker will organize with the human resource section and the radiology section caputs. Once approved by radiology caputs, the research workers will get down the rating procedure. The research workers will aim two months in assemblage of informations get downing October 1- November 1. Based on the consequence, the research workers will so place the area/s of troubles by the respondents and so proposed an enhancement plan for the professional concentrating on the failings identified. Datas Analysis The undermentioned statistical methods will be utilized for the analysis of the informations and reading of the consequences: To reply the undermentioned jobs, obtaining Frequency, Mean and Percentage will be employed. What is the respondents ‘ profile in footings of: Age Number of old ages in service What is the bureau of infirmary in footings of: Private Public 3. What is the degree of the respondents ‘ radiographic competency in utilizing film-screen system on exposure technique factor choice in footings of: Cognition Skills Attitude 4. What is the degree of the respondents ‘ radiographic competency in utilizing computed skiagraphy on exposure technique factor choice in footings of: Cognition Skills Attitude The Pearson Product-Moment Coefficient of Correlation will be used to correlate the respondents ‘ degree of radiographic competency and the ( 1 ) respondents ‘ profile and ( 2 ) profile of the healthcare establishment. It seeks to reply the undermentioned jobs: 5. Is there a important relationship between the respondents ‘ profile and the degree of radiographic competency in footings of: Cognition Skills Attitude Is there a important relationship between the bureau of health care establishment and the degree of radiographic competency in footings of: Cognition Skills Attitude Last, T-test will be used to compare the degree of respondents ‘ competency between film-screen system and computed skiagraphy: Is there a important difference in the degree of competency between film-screen system and computed skiagraphy in footings of: Cognition Skills Attitude The processing will be done with the usage of SPSS. Scope and Restriction The chief intent of the survey is to find if there is a important difference on the degree of the radiographic competency of radiologic engineers on exposure technique factor choice between film-screen system and computed skiagraphy. Furthermore, the research workers will besides seek to find if there is a important relationship on the degree of radiographic competency between radiologic engineers ‘ profile and bureau. The research workers will use the three competences viz. : Knowledge, Skills and Attitude. The survey is limited merely to six health care establishments in Davao, Digos and Tagum City with the following profile: Name of Hospital Image Receptor Agency Alexian Brothers Wellness Center Film-Screen System Private Davao Doctors Hospital Computed Radiography Private Davao Del Sur Prov. Hospital Film-Screen System Public Davao Regional Hospital Film-Screen System Public DMSF Computed Radiography Private SPMC Computed Radiography Public Furthermore, the survey is limited to skull and chest scrutiny. Since the survey discusses the quality and measure of radiation, nevertheless, it does non cover the radiation dose the patient receives. The survey merely focuses on the image quality based on the exposure techniques -kVp, ma and SID- selected by the respondents. Appendix 1: Communication Letter Raymund CS. Del Val Davao Doctors Hospital President Thru: Mirasol B. Tiu Director Human Resources Department Beloved Sir/Madam: We would wish to seek permission to carry on our survey in this establishment specifically in the Radiology Department. Our survey is entitled â€Å" Radiographic Competence between Film-Screen System and Computed Radiography on Exposure Technique Factor Selection † . The chief aim of this research is to place the radiographic competency between the radiologic engineers ‘ using film-screen image receptor and computed skiagraphy ( CR ) . Through your engagement, we finally hope to find if competency in exposure technique choice varies or non. We assured that this information will be held in confidential and will be used merely to broaden the position of our survey. Your blessing on this affair will be extremely appreciated. Respectfully Yours, Dannalyn D. Ibanez, RRT Jules King Defensor, RRT Researcher Researcher DDC- RT Department DDC- RT Department Theresa T. Eguia, RRT Research worker DDC- RT Department Noted By: Joshua P. Sero Dr. Lucila T. Lupo RT Program Chair Head of Research Dept. Appendix 2: COVER LETTER Dear Respondent, We are the module of Davao Doctors College- Radiologic Technology Department and soon carry oning a survey entitled â€Å" Radiographic Competence between Film-Screen System and Computed Radiography on Exposure Technique Factor Selection † The chief aim of this research is to place the radiographic competency between the radiologic engineers ‘ using film-screen image receptor and computed skiagraphy ( CR ) . Through your engagement, we finally hope to find if competency in exposure technique choice varies or non. Enclosed with this missive is a brief questionnaire that asks a assortment of inquiries. The questionnaire is composed of five parts. First portion is your personal profile. Second, is your establishments ‘ profile. The 3rd portion is a quiz-type that measures your cognition about exposure factor techniques on skull and chest scrutiny. In the 4th portion, we, the research workers will detect you based on your existent choice of the exposure techniques during the x-ray scrutiny. And in conclusion, we will be inquiring sing your attitudes and positions toward your current occupation as an RT. Your replies and responses are confidential and will be used for research purposes merely. We hope you will take a few proceedingss to finish this questionnaire. Without the aid of people like you, research on radiographic competency could non be conducted. Your engagement is voluntary and there is no punishment if you do non take part. If you have any inquiries or concerns about finishing the questionnaire or about take parting in this survey, you may reach us at 222-0853 local 107 or 09161932693 or you can e-mail us at danna_rrt @ yahoo.com. Sincerely, Dannalyn D. Ibanez, RRT Jules King C. Defensor, RRT Researcher Researcher DDC- RT Department DDC- RT Department Theresa T. Eguia, RRT Research worker DDC- RT Department Appendix 3: Samples of Questionnaires Degree of Competence in Exposure Technique Factor Selection Evaluation Form Part I: Respondent ‘s Profile Name ( Optional ) : ______________________________ Rating: _____________ Sexual activity: ______________________ Date: ______________ Age: _________ Number of Years in Service: ________ Part II: Healthcare Institution ‘s Profile: Type of Institution: ( ) Primary ( ) Secondary ( ) Tertiary Type of Imaging System: ( ) Film Screen ( ) Computed Radiography Part III: Cognition SKULL RADIOGRAPHY Thymine F In skiagraphy of skull, particularly for paediatric and geriatric patients, short exposure clip is required. 2. Use of grid is required in skull skiagraphy 3. In skull skiagraphy, wherein a smaller field size is required exposure factors may hold to be increased. 4. In skull imagination, a 15 % addition in kvp should be accompanied by half decrease in mom. 5. Skull skiagraphy requires a high contrast image, which requires a high kvp choice. 6. When utilizing a grid, it may non be necessary to increase the exposure factor. 7. When exposure factor is done with the usage of bucky, it is of import to see an addition of ma to keep the movie denseness. 8. In skull skiagraphy, the usage of medium kVp and short exposure clip and the highest possible ma is recommended. 9. It is necessary to increase kVp when an x-ray requisition indicates status such as: hydrocephaly, osteochondroma, and Paget ‘s disease. 10. A sidelong skull place will necessitate lesser exposure than PA skull X ray. 11. When tube angulation is applied during skull x-ray, there is an addition in exposure severally. 12. 40 inches distance is used during skull skiagraphy to obtain appropriate degree of denseness. 13. Skull with injuries due to vehicular accident will necessitate lesser exposure factor. 14. ma is the factor of pick for skull process. 15. Skull process with air spreads due to trauma, kVp is the factor of pick. CHEST RADIOGRAPHY Thymine F 1. Aerated tissue such as lungs require high sum of exposure to enter appropriate degree of denseness. 2. The thickness of the thorax is normally measured with callipers as a usher to the proper ma choice. 3. In portable thorax X ray, the ma value is decreased. 4. Pathological status of the thorax may non be taken into history in gauging the electromotive force value. 5. To find farther the pathology emphysema the usage of lower kVp exposure requires. 6. By and large, kV should be high plenty to ensue in sufficient contrast to show the many sunglassess of grey needed to visualise the finer lung markers. 7. Chest skiagraphy requires the usage of high mas and long exposure clip to minimise the opportunity of gesture and attendant loss of unsharpness. 8. Chest transcending 30cm in thickness requires an addition non merely in ma but besides in kVp 9. In pleural gush, normal thorax technique will ensue in underexposed image. 10. 72 inches distance is officially use during chest skiagraphy to obtain appropriate degree of denseness. 11. In chest x-ray utilizing air spread technique, normally gives lower patient dosage. 12. Chest is considered as a low contrast anatomy. 13. In patients with pneumonia, it is ever appropriate to diminish exposure techniques. 14. In patients with pneumothorax, it is ever appropriate to increase exposure techniques. 15. By and large, as grid ratio additions, patient dosage will diminish. Part IV: Skills Exposure Technique Factor Selection Mark Did the engineer usage calliper to mensurate the thickness of the portion? ( to use appropriate kVp ) 1 point. 2. Make the engineer suitably use radiographic grids? 1 point. 3. Make the engineer collimate the portion of involvement? ( collimation reduces spread radiation therefore provides high contrast image ) 1 point. 4. Make the engineer usage appropriate source-to-image distance ( SID ) ? 1 point. Radiographic Image Is the radiogram acceptable in footings of contrast? 2 points. ( 2- acceptable 1- moderate 0- unacceptable ) Is the radiogram acceptable in footings of denseness? 2 points. ( 2- acceptable 1- moderate 0- unacceptable ) Is the image decently collimated? 1 point Is there a presence of image fuzz? ( Long exposure clip contributes to image fuzz ) 1 point. Entire Part V: Attitude For Film-Screen user: Film-Screen System Strongly Agree Agree Indifferent Disagree Strongly Disagree 1. Film-Screen imagination system still is the best mode of pick in bring forthing a quality radiogram. 2. Film-Screen imagination system gives more accurate consequences compared to digital system. 3. Film-Screen imagination system is the most convenient mode in choosing proper exposure technique. 4. Since I can non pull strings the image in a Film-Screen system, I should be precise in choosing kVp and ma in every scrutiny. 5. If the image becomes underexposed, I normally do repeat scrutinies. 6. If the image becomes overexposed, I normally do repeat scrutinies. 7. I normally choose high exposure factors in Film-Screen. 8. Collimation is really of import in Film-Screen. 9. I think film-screen bounds patient radiation dosage. 10. I feel that my competency on exposure technique factor choice is great in film-screen system. For Computed Radiography user: Computed Radiography Strongly Agree Agree Indifferent Disagree Strongly Disagree 1. CR is the best mode of pick in bring forthing a quality radiogram. 2. CR gives more accurate consequences compared to digital system. 3. CR is the most convenient mode in choosing proper exposure technique. 4. Since I can pull strings the image in a CR system, sometimes I am non certain in choice of kVp and ma. 5. If the image becomes underexposed, I normally do repeat scrutinies. 6. If the image becomes overexposed, I normally do repeat scrutinies. 7. I normally choose high exposure factors in CR. 8. There is no demand for collimation since cropping is available during station processing in CR. 9. I think CR bounds patient radiation dosage. 10. I feel that my competency on exposure technique factor choice is lesser in CR. Appendix 4: Mention Books Ballinger, PW, Frank ED: Merill ‘s Atlas of Radiographic Positions and Radiologic Procedures, Volume 3, 9th erectile dysfunction. St. Louis, Mosby-Year Book, 1999 Bloom BJ, erectile dysfunction. Taxonomy of Educational Aims: Cognitive Domain. New York, NY: David McKay Company ; 1956. Bontrager, K, Lampignano, J: Textbook of Radiographic Positioning and Related Anatomy 7th erectile dysfunction. Singapore, Mosby, 2010. Bushong, SC: Radiologic Science for Engineers: Physicss, Biology, and Protection, 9th erectile dysfunction. St. Louis, Mosby-Year Book, 2001. Callaway, W, Gurley, L: Introduction to Radiologic Techology. Mosby-Year Book Inc. 1996. Cesar LJ: Computed skiagraphy: its impact on radiographers. Radiologic Technology 68:225, 1997. Dowd, SB. The profession ‘s hereafter: leading development. Radiologic Technology. 1992 Fauber TL: Radiographic Imaging and Exposure. ST. Louis, Mosby, 2000. Fauber, TL A ; Johnston, J: Necessities of Radiographic Physics and Imaging. Mosby. 2012. Klieme, E. et al.The Development of National Educational Standards: An Expertness, Berlin: Bundesministerium fur Bildung und Forschung. 2004. Lauer OG. Principles and Practices of the College-Based Radiography Program. St. Louis, Mo: Warren Green Inc ; 1984. More, C. Skill and the English Working Class, 1870-1914, London: Croom Helm. ( 1980 ) Piaget, J. La psychologie de l’intelligence, Paris: Colin.1947. Pizzutiello RJ, Cullinan JE: Introduction to Medical Radiographic Imaging. Rochester, NY, Eastman Kodak Company, 1993. Shephard, C: Radiographic Image Production and Manipulation. Nashville, Tenessee, 2003. Yumul, R. Introduction to Radiologic Technology with Science, Technology and Society. Manila. 2012 Diaries Siddiqui, Nazlee A ; Khandaker, Shahjahan. Comparison of Services of Public, Private and Foreign Hospitals from the Perspective of Bangladeshi Patients. 2007. Balasubramanian, Siva K. and Wagner A. Kamakura, August. â€Å" Measuring Consumer attitudes towards the market topographic point with tailored interview † , Journal of Marketing Research, Vol. 26. 1989. Unpublished Thesiss Pabunag, Richard et Al. â€Å" Level of Professional Competence of Radiologic Technologist in Davao City on Factor Selection of X-rays of Skull, Extremities and Chest † . Davao City. 2008. Online Beginnings Enfinger, Jeremy. Subjects in Radiography. April 22, 2012 Medicalxray.com.cn July 12/2010 Dicomsolutions.com ( www.discomsolutions/ds-digital-radiology/acquire.html ) . 2011 Dilulio, Renee. CR versus DR: Which is the Techs Choice? ( hypertext transfer protocol: //www.medical imagingmag.com/issues/articles/2008-05_02.asp. May 2008 hypertext transfer protocol: //www.libraryindex.com/pages/1831/Health-Care-Institutions-TYPES HOSPITALS.html † Health Care Institutions – Types of Hospitals.2007 Appendix 5: BUDGETARY Requirement BUDGETARY Requirement Manpower ( Representation fee/ Burden fee ) Statistician 3,000 Research Adviser 4500 ( Proposal, Final ) Validators of Research Instruments ( 3 ) 900 Meals and bites 1500 Subtotal P 9,900 Transportation system Allowance: 2 Calendar months 5,330 Office Supplies ( booklets, paper, cartridge, ink ) 1000 A? of the Contingency Fund 1,623 TOTAL P 17,853 How to cite Since X Ray Was Discovered Health And Social Care Essay, Essay examples

Friday, December 6, 2019

Musical Styles of Mozart and Beethoven free essay sample

Mozart exemplified the Viennese Classical styles of elegance, balance, and sophistication. Through this he exemplified and expanded all Classical styles, such as the sonata form and the double-exposition sonata (which gave the new material). He was able to be contrapuntal yet homoerotic at the same time. He frequently used symmetry in his phrasing, Like four-measure phrases, for example. He composed both dynamically and chromatically. He expanded the use of wind Instruments In the orchestra. He was also the opera man, and contributed to the following three types: opera series (serious), opera buffo (Italian comedies), andSingles (German comedies). He not only focused on the music, but used It to create lifelike characters. To give more power to the plot, recitative cosec was used to keep the plot rolling. His arias often had multiple moods through sectional forms, and vocal lyricism was included in instrumental writing. Beethoven was the first person to cherish cyclical structure. We will write a custom essay sample on Musical Styles of Mozart and Beethoven or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page His compelling themes are still memorable today, such as the short-short-short-long theme from Symphony N . 5, and Ode to Joy, in Symphony N. 9. It took him lots of time to compose his music as e was constantly revising his music.His dynamics were very wide ranged. He influenced many people by starting new trends. He added new instruments to the orchestra, like the piccolo, trombone and contrabass. Whenever new advances to the piano came out, he used them, like expanded range and new pedals. He developed many classical forms, such as the sonata form, string quartet, concerto, and so on. He replaced the Minuet and Trio with the new vibrant Scherzo and Trio.

Thursday, November 28, 2019

Lesson Plan Essays - Lesson Plan, Pedagogy, Teaching, Texture

Lesson Plan LESSON PLAN TITLE: Touch Grade Level: Pre-school (12-18 months) Subject: Language development, vocabulary enrichment, and science Source: www.lessonplanspage.com Materials: feelie bucket Items of different texture Time: 15-30 minutes Objective: The child will be introduced to sensory descriptors, including smooth, rough, hard, and soft. The child will understand that objects can be described with one or more of these words, such as smooth and hard. Procedure: 1. Introduce the sense of touch by asking students what they can do with there hands. Lead the class to see that they touch things with their hands, and then ask them if everything feels the same when they touch it. You may have to lead the discussion by asking them how the carpet or floor feels. Introduce the words rough, smooth, hard and soft. Be sure to give examples of each so that the students can begin to associate these words with concrete examples. 2. Place the feelie bucket on the floor during circle time. Have each student put there hand into the bucket and pull an item out. Ask the children to describe the item they have found. Encourage the children to touch all or the objects. Assessments: Ask children later in the day to describe the way things feel. Repeat the activity a few days later and see if the children can identify the objects by their appropriate desciptive words. Education Essays

Monday, November 25, 2019

ASAM 20 essays

ASAM 20 essays One of the original arguments for adding a Bill of Rights to the United States Constitution was that it was needed to protect individuals and minority groups from a potential tyranny of the majority. Whether it was the European Americans, African ­Americans, Native Americans, or the Japanese Americans the Bill of Rights was established to benefit all Americans, and only Americans. It dealt with individual liberties, as well as the boundaries between federal and state authority. Hoping to build a strong bond between Americans, the Bill of Rights failed. Article Fifteen states: The right of citizens of the United States to vote shall not be denied or abridged by the United States or by any State on account of race, color, or previous condition of servitude. For an American, there should be no problem. However, this was not always the case. For a time African Americans were unable to vote, and Slavery was well over; however they were still unable to vote. There are many examples of minority injustice in the unites States, but perhaps that strongest example was when the Japanese Americans were forced into internment Camps. Japan's surprise attack on Pearl Harbor in 1941 caused the United States to enter World War I. It also stirred hostility against Japanese people in the United States. Many Americans associated Japanese Americans with the Japanese pilots who destroyed U.S. Navy ships. The Executive Order 9066, signed by FDR in 1942, was designed to designate military areasfrom which any or all persons may be excluded. Curfews were established for the Japanese Americans, and they were confined to detention camps until their loyalty could be determined. More than 100,000 Japanese Americans were confined in ten detention camps scattered over seven states including:Arizona, Arkansas, California, Colorado, Idaho, Utah, and Wyoming. As a result, the lives of Japanese Americans were completely turned upside down. They ...

Thursday, November 21, 2019

Chus experience in The Mural as an allegory Essay - 1

Chus experience in The Mural as an allegory - Essay Example This is very apparent in the Most Arrogant Man in France, whereby Petra Chu examines the various eras in the works of Gustave Courbet based in the way she uses the rhetorical language. During the 19th century, journalists, artists and writers from France endured suppression by the government. In salon Rhetoric, how The painter’s Studio gives an example of the art in time, conjuring up the trope, irony and allegory as a mechanism of freedom, sovereignty and censure (Chu 1-238). As Michael fried asserted that the progress within the French art was evidenced in the paintings, Chu on the other hand, looks at evolution in terms of social-political circumstances that are within the artwork. This is, to an extent in line with Nochlin and Rubin, however, in her research, Chu illustrates that the way Courbet uses the real allegory is as though it’s a device for emancipation. There have been different and numerous interpretations concerning courberts images but Chus perceive them differently. She says that most of Courbet’s artistic work merely purposed to produce a commodity in order to make a living out of it, but she viewed in a very different perspective. She continues to say, Courbet may have been pressured by life to produce various commodities in order to make a sell out of it without considering the image that the commodities displayed to the public. Chu cites one of the letters sent by Courbet to Thà ©ophile Gautier "if I am making art, or rather, if I am attempting to make it, it is first of all to make a living from it."(Chu 13). As we see, Courbet produced commodities after experiencing financial hardships without necessary being concerned the type of message that his commodities portrayed to the world. Chu perceives the pictures in a deeper angle than we can think off. For example, Chu illustrates Courbet may be deeply appealed by some subjects, for instance the fleshy nudes and the deep caverns. In such paintings and images, Chu sees the role of

Wednesday, November 20, 2019

Alarm Systems Paper Essay Example | Topics and Well Written Essays - 750 words

Alarm Systems Paper - Essay Example 87) Fay, on the other hand, defines an alarm system as â€Å"tools that make security incident response possible†. (2007, p. 258) Due to its critical nature in safeguarding the resources of the organization, this paper is written with twofold objectives: (1) to present the mechanics on how the alarm system works and (2) to present the rationale for using different types of alarm systems. Alarms are either electrical or mechanical devices. In its simplest form, an alarm system is nothing but one or more sensors connected to some sort of siren. The very simplest alarm would have a switch on the door, window, vent, or skylights and it would be wired so that if someone opened the any of the areas specified, the siren would start wailing. You could implement this alarm with a switch, a couple of pieces of wire and a siren. However, this does not end here. An alarm system would only be effective with appropriate monitoring. Four methods of monitoring are noted by Morris (2007, p. 87), to wit: local monitoring, central station monitoring, direct fire or police monitoring and propriety monitoring. Depending on an organization’s resources and requirements, the appropriate method of monitoring is applied. Finally, an operator is required to interface with the alarm system. The operator sets, resets and responds immediately to the alarm system. Morris (2007) averred that â€Å"a basic alarm system is divided into three layers: perimeter protection, area protection, and spot protection. Perimeter protection is the first line of defense to detect a potential intruder. Alarm sensors on the perimeter are typically Area protection, on the other hand, is utilized to protect the interior premises of an organization. Accordingly, â€Å"these devices provide coverage whether or not the perimeter is penetrated and are especially useful in detecting the

Monday, November 18, 2019

Sexuality and Middle Adulthood Essay Example | Topics and Well Written Essays - 500 words

Sexuality and Middle Adulthood - Essay Example According to Erik Erikson, the most important developmental challenge of middle adulthood is the conflict of generativity versus stagnation. Most people in the middle adulthood consider sexuality as essential component for physical and mental well-being. However, one of the basic issues concerning human sexuality during the middle adulthood is that there is a considerable decline in the frequency of sexual activity. According to Zanden, Crandell, and Crandell, "Frequency of activity and number of partners declines in middle adulthood ' Many healthy adults enjoy an active sex life into 70s and beyond' Medications for health problems often have sexual function side effects'. Lack of opportunity can be a factor... Time pressures of the job and family may leave couples with little time or energy for sex' Sexuality is refocused to sensuality for many middle adults." (Zanden, Crandell, and Crandell, 2000, p. 519). Therefore, human sexuality confronts serious challenges during the middle ad ulthood, although it is a highly essential component of human life during this period. Human sexuality during the middle adulthood confronts a basic issue with regard to the sexual activity of the individuals and most often there is an important decline in the frequency of sexual activity during this period.

Friday, November 15, 2019

Relations Between The US And India

Relations Between The US And India India and Pakistan have been in the interest of the United States due to their strategic positions and roles the South Asia. This memo will describe an overview about US relations and policies toward India and Pakistan. It will also provide recommendations that Vietnam must support US policies toward India because of the benefits for our country regarding to economic development, nuclear energy plan and defense and security stability. This memo uses realism and systemic approach as the analytical framework. It studies and analyzes the relationships and policies in the concern with power and security in the whole international system. BACKGROUND Relations between the US and India After Indian independence in 1947, the relationship between India and the US was not warm. US policies regarding to India -Pakistan dispute over Kashmir was one issue that deteriorated India US relations since the US was supporting Pakistan over India. Even during Sino Indian war in 1962, when the US provided India with military support, the relationship did not improve much. During Cold War, the US was concerned about the neutrality of India because India signed the Indo Soviet Treaty of Peace, Friendship and Cooperation in 1971.  [1]  During this period, the US viewed India as just a regional power with little global weight and concentrated more on supporting Pakistan, which was invaded by the Soviet from 1979.  [2]   After Cold War, the US lessened assistance to Pakistan, leading to a better relationship with India. Furthermore, since 1991, India has transformed the economy and opened the country to foreign investment. With rapid growth, India has become an emerging economic power in the world and had opportunities for economic engagement with the US.  [3]  The relationship between the countries has been positively shifted, especially in economic development, security, military and nuclear cooperation. However, it has been constraint mainly because of the complication of the trilateral relationship: the US India Pakistan. Current Policies of the US toward India Economic Policies: The US strongly supports Indias economic reform, and develops trade and investment partnership with India. Bilateral goods trade revenue between the two countries increased 932.14%, from $5.6 billion in 1990 to %57.8 billion in 2011.  [4]  US foreign direct investment to India was $27.1 billion in 2010, a 29.5% increase from 2009.  [5]   However, India has extensive trade and investment barriers, such as heavy government involvement in the banking and finance sector and demanding regulatory structures. Therefore, the US has encouraged and supported India to remove those barriers.  [6]   Security and Military Policies: The US and India share a variety of common strategic priorities. Both are concerned about the rise of Chinas power and do not want China to dominate Asia. They also consider the security of energy lanes in the Indian Ocean as a critical factor to their national security.  [7]  With those strategic policies, the US has had Indias in its side in a number of situations. India supported the US in three resolutions against Irans nuclear programs and in the reconstruction in Afghanistan. Indian military forces have also had tight contacts, joint patrols, joint training and exercises with the US.  [8]   The US has been selling defense equipment to India. By 2011, US arms sales to India reached approximately $8.83 billion.  [9]  However, US arms sales decisions to India still depend on the stability of the region, especially the balance between India and Afghanistans military. The US is also concerned about the engagement between India and Russia and Israel, the two major suppliers Indias army.  [10]   Another remarkable point in US policies toward India is that US President Barack Obama publically announced that the US will supports India to be one permanent member of United Nation (US) Security Council if it is expanded.  [11]  Although it does not mean that the Council will be reconstructed and India will be able to have a permanent seat soon, Obamas announcement has been an effective diplomatic gesture to show the importance of the US to India and to strengthen their relationship.  [12]   Nuclear Policies: US nuclear policies have been to cooperate with India. By doing so, the US not only to be able to sell nuclear fuel, technology and reactors, but also build up India as a counterweight of China in Asia.  [13]  In October 2008, the US Congress approved an agreement facilitating nuclear cooperation between the two countries. Although the deal has brought benefits for both the US and India, it has faced criticism and responses from many other countries. The deal has been said to go reversely against the international efforts of nuclear nonproliferation. It can also increase the risk of a nuclear arms race in Asia, when Pakistan, Iran and North Korea are attempting to develop their nuclear weapon programs as well.  [14]   Relations between the US and Pakistan After Pakistan became independent in 1947, the US provided military aid to Pakistan but did not seek deeper relations. However, in 1965 when the Indo Pakistan war occurred, the US suspended the assistance.  [15]  In 1979, the US discovered that Pakistan was building a uranium-enrichment facility in response to Indias nuclear program, and then stopped the aid.  [16]   In the same year, the Soviet invaded Afghanistan, leading to the reconnection between the US and Pakistan. However, once again, the discovery of Pakistans nuclear weapon programs in 1990 caused to the suspension of military assistance from the US.  [17]   The nuclear tests in 1998 led to new US sanctions to Pakistan. However, the 9/11 terrorist attacks on the US (2001) was a turning point from which Pakistan started to be valuable for the US in the counter-terrorism campaigns. Economic assistance came back, and Pakistan became a major non-NATO ally of the US.  [18]  But since May 2011, after US intelligence killed Osama bin Laden in Abbottabad, Pakistan, the relationship has reached to its lowest point since 2001.  [19]   Current Policies of the US toward Pakistan: Economic Policies: In March 2009, the US develop an AfPak policy to emphasize that success in Afghanistan depend on actions taken in Pakistan. The US has increased annual aid to Pakistan from $600 million to $1.5 billion in five years. The new strategy has aimed to assist Pakistan to improve living standards of local people, especially ordinary Pakistanis along the border region and counter al Qaeda and Taliban propaganda.  [20]   Military Policies: Obamas administration now is still expanding Bushs policy of drone attacks to the Taliban in the north-west of Pakistan.  [21]  This strategy has shown its effectiveness in killing Taliban groups, but it has alienated the public because of innocent civilians being collateral damage. According to the Bureau of Investigative Journalism, a non-profit organization in England, between 474 and 881 civilians in Pakistan have been killed in strikes from 2004 to 2012.  [22]   The US has assisted Pakistan with Train and Equip programs. US arms and security assistance has included helicopters, infantry arms, advanced identification systems and police training, with the purpose of strengthen Pakistan domestic stability and law enforcement capability.  [23]   Nuclear concern: WikiLeaks in 2010 revealed US diplomats fear that Pakistans nuclear weapons program could lead to the weapons falling into the hands of terrorists or a devastating nuclear exchange with India.  [24]  However, US responses toward Pakistans nuclear programs are still unclear. Challenges the US Faces: Challenges for the US in South Asia are the quadrilateral relationships between the US, India, Pakistan and China. These relationships are extremely complex. India and Pakistan have had a long history with wars and conflicts. The Kashmiri sovereignty has been a major issue of tension. The two countries also appear to be fighting a shadow war inside Afghanistan.  [25]  The US India and the US Pakistan relationships themselves are constraint because of each other. The tie between the US and Pakistan displeases India and vice versa. Chinas South Asia interests are firmly linked with Pakistan. This situation is problematic not only for the China India relationships, but also for the China the US ones because of significant US investment in Pakistan. RECOMMENDATIONS Vietnam has strategic relations with India, but not really with Pakistan, thus at the moment we just need to focus on US policies toward India. In order to maintain peace in the region, develop relations and get benefits from both India and the US; Vietnam must support US policies toward India. Following are the reasons: Benefits for the Economy: US economic policies toward India bring Vietnam benefits, not harm. The US encourages and supports India to remove trade and investment barriers,  [26]  opening more favorable conditions for Vietnam to trade with India. Both India and the US are important economic partners of our country. By supporting US policies, we can maintain and develop economic relationships with both countries, with the purpose of strengthening our economy. Benefits for the Nuclear Energy Plan: US policies toward Indias nuclear energy program benefit Vietnams plan of building nuclear power plants. The US has showed its interest in assessing other countries nuclear programs to see whether they are for peaceful purpose or not. Having an example of a peaceful energy nuclear program being supported by the US, we can confidently develop our plan. In addition, India has been a partner for our program, apart from Japan and Russia.  [27]  With US technology transfers, India can assist Vietnam more effectively. Cooperation with India will be important to us because we might no longer rely on Japan, which might exit the nuclear industry due to the damages after the tsunami in 2011.  [28]   Benefits for Defense and Security: The US India relations is a counterweight of China in Asia, especially in the East Sea conflicts. Supporting US military and security policies toward India brings Vietnam advantages in championing our targets from the disputes. High level of military exchanges, joint training and exercises between Vietnam and India,  [29]  with US support, has been strategic for us to deal with China. Backing India to be a permanent member of the UN Security Council is also beneficial for Vietnam due to the relationships between the two countries. CONCLUSION US relations with India and Pakistan have had a long history, with significant changes after each period of time. The US has had special interest in both India and Pakistan because each country has strategic importance for US power and security. With regard to this situation, Vietnam must support US policies toward India because they bring us benefits for our economy, nuclear energy plan and defense and security stability.

Wednesday, November 13, 2019

Automobiles in the 1950s Essay -- essays papers

Automobiles in the 1950s Another element that was present in the 1950’s was automobiles. Automobiles were something that everyone once dreamed of owning. Now after the war. they could finally own one. Automobiles of the 1940’s were dull and very plain. This was because designers were too busy designing tanks, planes, etc... for the ongoing war. The major event that took place that changed the way cars looked and how they performed happened on October 14, 1947. This was when Chuck Yeager broke the sound barrier. From this point on everyone wanted to go faster. People wanted automobiles with larger displacement engines. They also wanted sleek and aerodynamic cars. This prompted General Motors Corporation to hold Motorama in 1949. This was a giant exposition of concept cars that had an emphasis on power, style, convenience, and features. These for features would be what many cars of the 1950’s would be based on. One car that was a design evolution was the Chevrolet Corvette. The first Corvette was built on June 30th, 1953 at the Flint, Michigan plant and continues to be produced today. In 1953 it featured an all fiberglass body with a chromed grill. The car had no side windows and no outside door handles. Each 1953 Corvette was virtually hand built and all 1953 models were white and had red interiors. This may have not been the most technologically advanced car but it would pave the way for the true performance and sports car. Concept cars also played a part in the 1950’s. They were designed to attract the publics eye, introduce and gauge the publics reaction to new styling and engineering ideas, help attract the public to the auto dealerships where they were displayed at, and to drive car crazy kids nuts. The 1955 Lincoln Futura featured a plexiglass bubble top and a 300 horsepower V-8. In the 1960’s this car was sold to a car customizer in California and was converted into the first ever Batmobile. The 1958 GM Firebird III was the most radical concept car of the 1950’s. It was powered not by the normal combustion engine but by a gas turbine engine. It also featured a dual cockpit design and was controlled by joystick controller instead of the normal steering wheel. Another element that was seen in the 1950’s were the tail-fins present on most Cadillacs. The first Cadillac that had the tail fin was introdu... ...1957. It was a very basic satellite and let out beeps every few seconds. This was very surprising to the US. They did not think that the Soviets had the knowledge of anything as complicated as a satellite. As a result of the launch of Sputnik the US began to put greater emphasis on science and engineering in education. They also began to try extra hard to develop space technology. Thus the space race had begun. The American Dream of the 1950’s involved achieving and expanding upon the success of previous generations. This is shown in all of the things mentioned. Cars for example show how much of a success previous generations were at creating machines. In the 50’s however people made these cars better and equipped them with newly developed technology. This was the progressive spirit that the 1950’s had. People had the spirit to expand to new areas. The introduction of the interstate system allowed for easy expansion and growth. People began to move away from the norms that the 30’s and 40’s had set. They began to live the ways that they wanted and they would not let things such as technology restrict them. This is how the 1950’s played out the American Dream.