Friday, January 29, 2021

Carnivora

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Carnivora


Carnivora is the order that includes lions, tigers, wolves, dogs, cats, raccoons, bears, weasels, hyenas, seals, and walruses, to name just a few. Most carnivores are land animals, but an important and highly specialized group of carnivores, the pinnipeds or fin-feet, have taken up life in the oceans; pinnipeds include seals, sea lions, and walruses. A few other carnivores, such as the sea otter, are also specialized for life in the oceans. Around 70 species are among the living Carnivora. They are distributed across the world, in all major land masses (except possibly Australia, where the only terrestrial Carnivora, the dingo, may have been brought by man) and in all oceans, with the exception Antarctica and small islands. Places such as Antarctica are to cold and scarce of food for animals in the order of Carnivora to survive.


Most members of the Order Carnivora can be recognized by their enlarged fourth upper premolar and first lower molar, which together form an efficient shear for cutting meat and tendon. These teeth are referred to as the carnassial pair. The exceptions are a few forms, such as bears, raccoons, and seals, in which these teeth are secondarily modified.


Carnivores tend to be medium-sized animals; too small and they couldnt find enough within their capacity to kill; too large and they wouldnt be able to satisfy their appetites. Most have very acute senses. Vision and hearing are excellent in many carnivores, and the sense of smell is often remarkable. Most have relatively large brains. Many are excellent runners. A few are good long-distance runners, but more commonly, Carnivora are rapid sprinters that use stealth to approach their prey, and then overcome it with a short, violent rush. A few, like bears and raccoons, seem relatively slow or clumsy, but even these species are capable of remarkable bursts of speed. Even the long-distance runners dont have the highly modified and relatively inflexible skeletons and movement patterns of cursorily herbivores like artiodactyls; this is probably related to the often unpredictable demands that catching and killing large prey place on their skeletons.Cheap custom writing service can write essays on carnivora


In proportion to their body size, carnivores have large head and well developed cerebral hemispheres which control the intelligent behavior needed for hunting. Their senses are efficient, enabling the animal first to locate prey at a distance and then to guide the attack. Carnivores have a fine sense of smell (Nasua narica), important for both trailing prey and for communication. Scent released from the anal and other glands conveys information about an animals identity, sex and territorial ownership.


Most carnivores breed only once a year, although a few species (weasels) breed only every two or three years. Most species have a gestation period of 50 to 115 days. Delayed implantation of the fertilized egg occurs in ursids and some mustelids, so the period from mating to birth is considerably longer than average. Litters vary in size from single offspring in bears to 1 or more in skunks and wild dogs. The young are usually blind at birth, completely helpless, covered with hair and are necessarily dependant on parental care for up to two years. In captivity some carnivores have been known to live for up to 0 years.


Human relationships with the Carnivora are extremely varied. On the one hand, dogs and cats have been domesticated for thousands of years. Many carnivores, such as mink, seal, fox, and bobcat, have long been hunted or ranched for their fur. Other carnivores benefit humans by killing pests such as snakes and rodents, or by consuming carrion. However, the reputation of many large carnivores as predators on man or on livestock a false or highly exaggerated reputation, in most cases has been used to justify unrestricted hunting. Hunting and trapping of wild carnivores for fur, and the destruction of habitats around the world have also contributed towards bringing many carnivore species to extinction or to the brink of extinction.


As their habitats dwindle and populations become more fragile, the fate of the many species of carnivore is totally in human hands. We must decide if we are willing to make the sacrifices necessary to save these strikingly beautiful creatures.


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Thursday, January 28, 2021

Lord Of The Flies Essay

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Elements in society can test the integrity of the individuals that live in it. In William


Goldin's, The Lord of the Flies this is shown through a few key symbols. In the beginning of


the novel the conch represents authority, but as chaos starts to take over the authority is


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destroyed. The signal fire shows the loss of hope and a decent to corruption. In the beginning it


is used as a means of rescue, but after Piggy's glasses are stolen, Jack lights the forest on fire


trying to kill Ralph. Ralph represents leadership. As the kids turn to Jack, Ralph looses power


over the children, and anarchy rules the island.


The rules of the conch give hope for a civilized way of life on the island, but hope is lost as


the children loose interest for the rules. Jack speeks without permission but Ralph quickly


interupts, "Jack! Piggy has the conch which means he is allowed to speak." Ralph,


being a fair chief, upholds the rule of the conch and lets everyone have a chance to speak.


Toward the end of the novel, the children do not care to follow the rules, and the meetings often


break into arguements. Jack is the first to stand up to Ralph, "We dont need rules anymore. We


know who ought to say things." Jack does not care for the rules, or for Ralph. He feels that they


do not need order. Jack does not want the weaker to be heard. Some of the weaker children


realize that no one listens to them so they do not speak. After Ralph calls an assembly "Piggy


came and stood outside the triangle, this indicated that he wished to listen, but would not speak".


Even Piggy, who spoke at earleir meetings, is now scared to voice his own opinion.


In the beginning of the book the fire is a beacon of hope, but as the chidren loose faith they


turn to Jack, who uses the fire as a means of destruction. The first time that Ralph speaks of the


fire the kids are very excited, but do not think of the dangers involved. At the second meeting


Ralph shouts, "We shall make a fire"... "A fire! Make a fire!" The children are very anccious to


go light the fire, they do not think about any of the consequences. The boys argue during the lighting of the fire but do not realize that it is getting out of hand. Piggy realizes the fire is out of


hand "...there is your small fire..." He immediatly puts the blame on Jack, who was the first to


start argueing. The boys all claim some responsibility for the fire after they realize that it has


killed a littleun. Jacks tribe sets out to kill Ralph so they light the forest on fire, intending to kill


Ralph, but instead they attract the attention of a passing ship. The captain of the ship comes to


check the island and finds Ralph "We saw your smoke. What have you been doing? Having a


war?" Jack steals Piggy's glasses, then lights the forest on fire so they can kill Ralph, but in the


end Jack is responsible for the rescue of the remaining children.


Ralph is chosen as the leader, but the kids turn against him and he looses all power.


Ralphfeels that since he was chosen to be the leader, the kids should follow his rules and listen to


what he says. The children start to turn away from Ralph, "I'm the chief on the island. You


chose me!" but Ralph does not let the children forget that he is the one that they have to listen to.


Ralph is the only one who enforces the rules through the whole novel. Ralph feels that "the rules


are all [they've] got!" Ralph feels that without the rules the group cannot funtion properly, and


that everyones voice should be heard. The day after the murder of Simon, Ralph and Piggy are


the only ones left in Ralph's group. Ralph brings up the murder, "That was Simon." Ralph


realizes that the beast running down the mountain was really Simon, and that they have


commited murder. This is one of the times that you really see how honest Ralph is with himself


Everyones integrity is shaken by certain events throughout their lives. As the children


loose hope, fear and evil pump through their veins creating a vendetta which does not end until


they are saved, as a result of an attempt to destroy the only drop of law and order remaining on


the island. The individuals in society that live off of hate will only bring misery to themselves as


they realize that the ones who are honest and stand up for themselves are always one step ahead.


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Tuesday, January 26, 2021

Black River

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Black River Journal


Quote 1


""This is Sunny Kerrigan, King five news, reporting live from the first day of Nicholas Balagula trial, where reclusive author Frank Corso…"""


G.M. Ford, Black River, p.1-


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Explanation 1


It introduces our character Frank Corso. It shows in this our protagonist is a well known criminal author and media follows him everywhere. This quote is important because it shows information about the character that will be play a crucial role in the novel.


Quote


"Renee Rogers flicked her eyes toward the stairs just in time to see Corso mount the last three steps to the mezzanine. HE was even better looking in person, than he was on TV, she decide six-three or four, somewhere in the vicinity of forty, wearing a black silk shirt and jeans under what must have been a three-thousand dollar cashmere coat. A man of extremes, she thought, as he strode across the marble floor in her direction. Probably what going in so much trouble, way back when."


G.M. Ford, Black River, p.


Explanation


Here it shows one of the lawyers against the criminal and how she looks towards Corso and see not only a famous writer but also a man that knows what he and what he does. He is not only that but also a good looking man that makes him put up a tough guy routine which is assumed that is why he gets into so much trouble.


Quote


""The only thing that would make me happier than seeing Balagula in prison would be seeing him in electric chair, which as far as I'm concerned is where he belongs, " Corso said."


G.M. Ford, Black River, p.5


Explanation


In this quote it explains how strongly Corso felt about this criminal Balagula who destroyed the Fairmont Hospital and ended killing so many people and he felt that this was the best punishment for the antagonist and nothing less than that.


Quote 4


""Our Mr. Corso is in attendance again." Few subjects got a predictable rise out of Nico as did the subject of Frank Corso. Despite years of glaring media coverage, Nico rarely took offense at anything generated by the media coverage. The dogs of capitalism, he called them, and neither read the papers nor watched the news. Mr. Corso, however, was another matter. Anything written about him by Mr. Corso he wanted to see immediately.


G.M. Ford, Black River, p.4-5


Explanation 4


In this quote it represents Frank Corso is someone in the media that doesn't even regard the media much. Balagula could care less for media coverage, however if there is one thing that boast him it is what Corso has to say about him.


Quote 5


"A little talk is often dangerous thing."


G.M. Ford, Black River, p.4


Explanation 5


Even thought this quote is short it says a lot. In this quote it talks about how Corso's book (little talk) can end up being very dangerous for Balagula because the books is based on him and talks about all the things he has done. Therefore exploiting this criminal to the whole world, which everyone would take everyone very seriously because Corso is very renowned writer all over.


Quote 6


"Corso thought it over. "I guess there's a part of me tat believes something corny like What goes around comes around. That things are intended to be in a certain way, and if you deviate too far you suffer the consequences."


G.M. Ford, Black River, p.40


Explanations 6


In this quote we have a well-known saying, which is, "What goes around comes around." I believe this is true and think that the author wants us to realize that this saying is universal and not only fictional characters think like this but so do people in the real world.


Quote 7


""It's what's left of the Black River," Corso said…Corso walked over the edge of the water. "The Black River used to be a major drainage for Lake Washington. All these little creeks running in, feeding the lake, and the Black River draining it out into the Cedar River and then the White and Green, until they all got together as Duwamish and emptied into Puget Sound. "Except that the clack River wouldn't die," Corso continued. "It went underground." He swept his hand around. "It pops up as marshes and seepage all over this part of country. They can't build on it so they turned into a bird sanctuaries."""


G.M. Ford, Black River, p.7-8


Explanation 7


The title comes in place with this quote. I think the author wanted to make a comparison with the Black River and the crimes Balagula had done. That how Balagula was a Russian and how he did crimes there and now in America he does the same. However now it is becoming old so something new has to be done on it. Therefore indicating something has to be done with Balagula.


Quote 8


""It's a river's nature to remain a river," Nhim Pov said."


G.M. Ford, Black River, p.8


Explanation 8


In this quote it explains that something that there will always be there and cannot be changed when it comes to dealing with nature. Although when it comes to a person some things have to be taken into matters and the person should be punished if they have done something wrong.


Quote


""I am Cambodian. I am in America now, but I will always be Cambodian. Like the Black River, I will always be what I am.""


G.M. Ford, Black River, p.


Explanation


It shows that no matter where you are from you will always be the same person form inside. For example, Pov will always be a Cambodian, Corso a criminal writer, and Balagula would always be a criminal and would never change because that's what he is and will always be known for that.


Quote 10


"Corso help up a moderating hand. "Mr. Downs," he said, "if you knew me at all you'd know my offer's got nothing to do with charity. With you or without you I'm going to find out what happened to my friend and why." He turned the hand palm up. "If somewhere in the process, I can help you to come to grips with a father you never knew, all the better. What's true is that I think you can use for me.""


G.M. Ford, Black River, 144


Explanation 10


Here it is seen the type of person Corso is and how he believes that to help his friend if he can help someone else he would be happy to do it. However, his main priority is to find out what to his friend and why. Which shows his characteristic that over this tough guy routine there is a guy that cares a lot more about his life and work. He also cares about his friends truly even if they are his ex-lover.


Please note that this sample paper on Black River is for your review only. In order to eliminate any of the plagiarism issues, it is highly recommended that you do not use it for you own writing purposes. In case you experience difficulties with writing a well structured and accurately composed paper on Black River, we are here to assist you. Your cheap custom college paper on Black River will be written from scratch, so you do not have to worry about its originality.


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Monday, January 25, 2021

Life as a Neanderthal

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I have chosen to write my story about the life of a Neanderthal. Neanderthals existed about 0 000 to 00 000 years ago. Using information I have gathered from various sources I will be describing a Neanderthal's daily life activities, their rituals, culture, the tools they used and their methods of communicating to one another.


I woke up to the smell of fresh forest grass and trees. The sun was shining brightly, however the harsh cold temperatures of Europe were still hard to bare with. Today will be a busy day, just like any other, and there are many things to do.


I first went to sharpen my stone tools. It was very important that we had our tools in perfect condition when we hunted for optimal hunting time and to catch a lot of animals. My tribe didn't really have any strategy when we hunted; we relied on our force of power more than anything, however we were excellent hunters. Our cave was almost empty that day, and the migration season was beginning, so I hope that my tribe can bring back lots of food to store in the cave until we follow the animals to their new location. That day we brought home reindeers to store in our cave. We slaughtered the animals until they could not stand anymore and dragged the bodies back to our tribe's location. (http//www.geocities.com/CapeCanaveral/704/)


Part of our culture included cannibalism, and we eat our own kind sometimes. (http//members.iinet.net.au/~chawkins/life.htm#bear)


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When it got really cold we used caves as shelters, or we would build shelters from bamboo sticks, wood and animal pelts to keep us warm. Our bodies have adapted to the harsh climates of Europe. (http//www.geocities.com/CapeCanaveral/704/)


Our tools were very primitive, however they worked for what we needed to get done. We used pointed stones for hunting, burin or chisel-like stones for cutting grooves, borer stones for making holes in soft materials, drills for making holes in harder materials (used in a twisting motion like a drill) and scrapers to scrape materials. As the years went on our technology of tools advanced as well and we soon were able to built flints to start fires and began to shape blades out of stone. We used the bones from all the animals that we hunted as different tools. Everything on an animal was useful to us, so we kept everything that would help us survive. (http//www.geocities.com/CapeCanaveral/704)


We believed in the spirits of animals. These beliefs were incorporated in our cave art which some of the tribe members would decorate our shelters with. There would be carvings on the cave ceilings and walls, mostly drawings of animals and other Neanderthal beings. Our tribe members also made sculptures. The cave art was there for entertainment, however it is our belief that if we drew an animal that we wanted to hunt, and we stabbed its picture, we would have luck on the day of our hunt. (http//members.iinet.net.au/~chawkins/life.htm)


Another belief of ours was in life after death and we cared about our dead so we buried them. This would be the tradition when we would pass on into the next world. We would grow flowers on the graveyards. We would draw pictures on the cave walls about burials and different gravesites. Most of our tribe members die at around the age of 0; the men grow to about 5 feet 6 inches and the women to 5 feet inches. (http//members.iinet.net.au/~chawkins/life.htm)


The day is almost over as I am sitting with my tribe around a fire roasting meet and eating. We share stories and ideas to keep us entertained before we go to sleep to wake up to a new day tomorrow. Our communication skills were very limited because we did not have a wide vocabulary of words, so we had to use many hand gestures to inform others about what we wanted to tell them. (http//www.smithsonianmag.si.edu)


Nowadays the only way to study the life of Neanderthals is through their remains and fossils that scientists discover in the ground. Their remains can give us a great deal of knowledge about them, such as that they could endure a lot of pain because most of the bodies that have been discovered have at least one fracture. There is still much more to discover about this species. (http//www.geocities.com/CapeCanaveral/704/)


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Friday, January 22, 2021

Charlie Chaplain's "The Kid"

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The Kid (11)


Written and directed by Charlie Chaplin


Music composed by Chaplin


Starring Charlie Chaplin as the Tramp Jackie Coogan as the Kid


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Also starring Edna Purviance, Chuck Reisner, and Lita Grey


Like the Kid in the film, Charlie Chaplin was a penniless orphan as a young child and used to dance on street corners in London with his brother for spare change. At age eight, he joined a child dance troupe and began taking child roles in London plays. When he was twenty-three, Chaplin toured the U.S. with a stage troupe and was discovered by producer/director Mack Sennet, who had him star in 5 short films within one year (114) for his production company Keystone. By the end of the year, Chaplin was a wealthy man and an established presence in the filmmaking world. Through his initial 5 films, Chaplin evolved the character of the Tramp, an invincible vagabond, [a] resilient little fellow with an eye for beauty and a pretense of elegance who [stands] up heroically and pathetically against overwhelming odds and somehow triumph[s] (Katz 5). He perfected the character in 115 in The Tramp, considered by many to be his first masterpiece. Analyze the character of the Tramp. By the 10s this figure was universally recognized and still is today. Why is he so appealing? What is comical about him? What makes him sympathetic and even at times admirable? What differentiates him from generic vagabond characters? Note the many contradictions in both his personality and his physical characteristics. Why would Chaplin deliberately make his signature character so paradoxical?


The Kid was Chaplins first feature-length film and marked the beginning of his tendency to mix comedy with pathos, a quality that arouses feelings of sympathy, pity, or compassion. (The blend of comedy and pathos reaches its culmination in The Goldrush (15), which many consider his greatest masterpiece.) The comedy in The Kid is more rooted in character and serious situations than in the mindless slapstick of many other silent comedies. Consider the most comic moments--how are they enhanced by the presence of pathos in the film? And how is the pathos enhanced by the comedy? What would the film be like without the comedy?


Chaplin continued making silent films long after sound films became popular (e.g. his City Lights [11] and Modern Times [16] were both silents when most other pictures were talkies). Discuss why a director would choose silents over talkies. What can silent films do that talkies cant?


Discuss the character of the Kid. Jackie Coogan became a star with this role and stayed a star throughout his childhood. His career slumped when he became an adult, however, and by the mid-10s he was virtually unknown. He had a comeback as Uncle Fester in the original Addams Family t.v. show. What makes the Kid so appealing? Is there anything complex about his character? What do he and the Tramp do for a living?


Analyze the dream sequence. Why is it there? Is there anything symbolic in it? Does it add to the emotional effect of the film or to your understanding of character? What kind of heaven does the Tramp eventually find?


Please note that this sample paper on Charlie Chaplain's "The Kid" is for your review only. In order to eliminate any of the plagiarism issues, it is highly recommended that you do not use it for you own writing purposes. In case you experience difficulties with writing a well structured and accurately composed paper on Charlie Chaplain's "The Kid", we are here to assist you. Your cheap custom college paper on Charlie Chaplain's "The Kid" will be written from scratch, so you do not have to worry about its originality.


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"To Catch A Thief"

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KRISTI BOEKER


MARCH 7, 00


4TH


HEMOPHILIA RESEARCH PAPER


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HEMOPHILIA IS A HEREDITARY DISEASE, IN WHICH THE BLOODS ABILITY TO CLOT IS MARKEDLY IMPAIRED. WHEN A NORMAL PERSON RECEIVES A CUT OR OTHER INJURY, BLOOD FLOWING FROM THE DAMAGED BLOOD VESSELS RAPIDLY FORMS A CLOT THAT SERVES TO STOP THE BLEEDING. WHEN A HEMOPHILIAC RECEIVES A CUT OR OTHER INJURY, HE MAY BLEED FOR HOURS OR EVEN DAYS. ALTHOUGH SOME HEMOPHILIACS LIVE FAIRLY NORMAL LIVES, OTHERS ARE SEVERLY DEBILITATED AND MANY DIE PREMATURELY. THIS DISEASE AFFECTS MOSTLY MALES. WOMEN WITH A BLEEDING DISORDER MAY HAVE FREQUENT MISCARRIAGES, ESPECIALLY DURING THE FIRST TRIMESTER. DISEASES IN THIS CATEGORY INCLUDE HEMOPHILIA AHEMOPHILIA BVON WILLEBRANDS DISEASE. THERE ARE TWO BASIC TYPES OF HEMOPHILIA. IN HEMOPHILIA A, WHICH IS ALSO CALLED CLASSICAL HEMOPHILIA, A PARTICULAR BLOOD CLOTTING FACTOR, KNOWN AS THE ANTHEMOPHILIC GLOBULIN, AHG, OR FACTOR VIII, IS ABSENT OR GREATLY DIMINISHED. IN HEMOPHILIA B, A DIFFERENT CLOTTING FACTOR, CALLED PLASMA THROMBOPLASTIN COMPONENT, PTC, OR FACTOR IX, IS LACKING OR DEFICIENT. HEMOPHILIA B IS SOMETIMES CALLED CHRISTMAS DISEASE, AFTER THE FAMILY NAME OF THE FIRST PATIENT WHO WAS FOUND TO HAVE THIS TYPE OF HEMOPHILIA.


BOTH HEMOPHILIA A AND HEMOPHILIA B ARE INHERITED DISEASES THAT ARE TRANSMITTED FROM ONE GENERATION TO THE NEXT BY A RECESSIVE GENE LOCATED ON THE X CHROMOSOME, ONE OF THE TWO SEX CHROMOSOME. BECAUSE MEN HAVE ONLY ONE X CHROMOSOME, THE EFFECT OF A RECESSIVE GENE ON THE CHROMOSOME CANNOT BE COUNTERBALANCED, AND NEARLY ALL HEMOPHILIACS ARE MALES. WOMEN HAVE TWO X CHROMOSOMES, SO THAT EVEN IF A WOMAN CARRIES A GENE FOR HEMOPHILIA ON ONE X CHROMOSOME, IT IS VERY LIKELY THAT HER OTHER X CHROMOSOME WILL CARRY A GENE FOR NORMAL BLOOD CLOTTING, AND THE NORMAL GENE, WHICH IS DOMINANT, WILL PREVENT HER FROM HAVING THE DISEASE. HEMOPHILIA, THEN, IS EXTREMELY RARE IN WOMEN, BUT A WOMAN CARRYING A GENE FOR THE DISEASE MAY TRANSMIT IT TO HER SONS, AND HER DAUGHTERS MAY TRANSMIT IT TO THEIR SONS.


AN INDIVIDUAL WITH HEMOPHILIA A HAS POOR BLOOD CLOTTING. THE MISSING CLOTTING PROTEIN, WHICH IS CALLED FACTOR VIII, CAUSES THE PROBLEM. HEMOPHILIA A IS ONE OF THE MOST COMMON INHERITED BLEEDING DISORDERS. IT AFFECTS PRIMARILY MEN. PROBLEMS USUALLY START IN EARLY CHILDHOOD. SEVERE CASES WILL CAUSE BLEEDING PROBLEMS, BRUISING WITHOUT INJURY, NOSEBLEEDS, JOINT BLEEDING LEADING TO ARTHRITIS AND DEFORMITIES, INTERNAL AND BOWEL BLEEDING, BLOOD IN THE URINE. IN SOMEONE WITH MILD HEMOPHILIA, EXCESSIVE BLEEDING MAY OCCUR ONLY WITH INJURY OR SURGERY. HEMOPHILIA A IS DIAGNOSED BY MEASURING THE LEVEL OF FACTOR VIII IN THE BLOOD. OTHER BLOOD TESTS MAY ALSO BE PERFORMED TO MAKE SURE THERE IS NOT ANOTHER CLAUSE FOR LOW FACTOR VIII LEVELS. IF YOUR DOCTOR SUSPECTS THAT YOU HAVE HEMOPHILIA, THE DOCTOR WILL PERFORM BLOOD TESTS TO EXAMINE HOW WELL YOUR BLOOD COAGULATES. NORMALLY, WHEN BLEEDING BEGINS, A COMPLEX SERIES OF CHEMICAL EVENTS PRODUCES A PLUG TO STOP THE BLEEDING; THIS PLUG IS CALLED A FIBRIN CLOT. DIAGNOSIS OF HEMOPHILIA USUALLY INVOLVES CAREFULLY CONTROLLED EVALUATION OF THE LENGTH OF TIME IT TAKES BLOOD, MIXED WITH SPECIFIC CHEMICALS IN A TEST TUBE, TO PRODUCE A FIBRIN CLOT. IF SUCH SCREENING TESTS ARE ABNORMAL, OTHER BLOOD TESTS ARE RUN TO DETERMINE THE AMOUNTS OF FACTORS VIII AND IX IN THE BLOOD. THESE TESTS HELP DOCTORS DIAGNOSE THE TYPE OF HEMOPHILIA AND ITS SEVERITY.


A PERSON WIHT HEMOPHILIA A MAY RECEIVE REGULAR TRANSFUSIONS OF FACTOR VIII. OTHER TRANSFUSIONS MAY BE NEEDED IN AN EMERGENCY OR BEFORE SURGERY. MEDICATIONS MAY ALSO BE NEEDED FOR TREATMENT OF THE CONDITION OR COMPLICATIONS. FOR EXAMPLE, A MEDICATION CALLED DDAVP MAY INCREASE FACTOR VIII LEVELS. FACTOR VIII IS GIVEN BY SLOW, INTRAVENOUS INFUSION. A PERSON CAN DO THIS AT HOME. A PERSON WHO REQUIRES FREQUENT INFUSIONS OFTEN HAS A CENTRAL LINE SURGICALLY IMPLANTED. THIS IS A CATHETER THAT GOES INTO ONE OF THE LARGE VEINS, AND PROVIDES A PAINLESS WAY TO GIVE THE FACTOR VIII. SERIOUS HEMORRHAGE MAY REQUIRE TREATMENT IN THE HOSPITAL. SOME PERSONS HAVE IMMUNE SYSTEM PROBLEMS THAT MAKE HEMOPHILIA A WORSE. THESE PERSONS MAY REQUIRE TREATMENT WITH MEDICATIONS TO SUPPRESS THE IMMUNE SYSTEM. CHRONIC JOINT DEFORMITY DUE TO HEMOPHILIA IS BECOMING LESS COMMON. HOWEVER, SOME INDIVIDUALS REQUIRE OPERATIONS TO JOINT PROBLEMS. THE MOST COMMON SITES FOR SURGERY INCLUDE THE WEIGHT BEARING BONES OF THE HIPS AND KNEES. ALL MEDICATIONS HAVE SIDE EFFECTS, INCLUDING ALLERGIC REACTIONS AND STOMACH UPSET. SURGERY CARRIES A RISK OF BLEEDING, INFECTION OR ALLERGIC REACTION TO THE ANESTHESIA. BEFORE CURRENT SCREENING PROCEDURES, A FACTOR VIII TRANSFUSION CARRIED A RISK OF HIV OR HEPATITIS. CURRENTLY WITH PRESENT SCREENING TECHNIQUES FOR FACTOR VIII PRODUCTS, THE RISK OF ACQUIRING HEPATITIS AND HIV IS VERY LOW. INDIVIDUALS WHO HAVE ONLY BEEN RECEIVING BLOOD PRODUCTS IN THE PAST 10 YEARS HAVE A VERY LOW RISK OF ACQUIRING HEPATITIS AND HIV FROM FACTOR VIII. LIFELONG TREATMENT AND MONITORING ARE GENERALLY REQUIRED.


HEMOPHILIA A IS A GENETIC DISEASE. THE DISEASE CANNOT BE PREVENTED IN A PERSON WHO IS BORN WITH THIS GENE. GENETIC SCREENING CAN TELL INDIVIDUALS IF THEY ARE CARRIERS OF THE DISEASE. SINCE HEMOPHILIA A IS A TREATABLE DISEASE, GENETIC COUNSELING BEFORE OR DURING PREGNANCY CAN BE HELPFUL TO COUPLES WITH A FAMILY OF THE DISEASE. AN UNBORN FETUS CAN ALSO BE TESTED FOR HEMOPHILIA. THE TESTING CAN BE DONE AS EARLY AS THE FIRST TRIMESTER, WITH CHORIONIC VILLI SAMPLING OR AMNIOCENTESIS. THESE TESTS CARRY A SMALL RISK OF CAUSING A MISCARRIAGE. LONG TERM EFFECTS OF HEMOPHILIA A ARE USUALLY ONLY SEEN WITH MODERATE TO SEVERRE DISEASE. POSSIBILITIES INCLUDES ANEMIA, OR SHORTAGE OF RED BLOOD CELLS BLEEDING INTO THE BRAIN, RESULTING IN STROKES AND MENTAL DISABILITIES DAMAGE FROM BLEEDING. THIS INCLUDES JOINT DEFORMITY; ARTHRITIS, AND MUSCLE STIFFNESS ABNORMAL IRON DEPOSITS IN THE LIVER AND OTHER ORGANS, WHICH MAY CAUSE DAMAGE. THIS IS NOT A CONTAGIOUS DISEASE SOMEONE WITH HEMOPHILIA OR A FAMILY HISTORY OF HEMOPHILIA MAY FIND GENETIC COUNSELING HELPFUL. THIS WILL DETERMINE THE RISK OF PASSING ON THE ABNORMAL GENE TO THE CHILDREN OR GRANDCHILDREN. AN INDIVIDUAL WITH SEVERE DISEASE MAY NEED TO HAVE FACTOR VIII LEVELS CHECKED OFTEN. OTHERS MAY REQUIRE ONLY PERIODIC MONITORING.


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Wednesday, January 20, 2021

Performance Excellence Environmental Scan: Southern California One-Stop System Synopsis

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The Southern California Regional Performance Excellence Forum (SCRPEF), the Employment Development Department (EDD), and the California Workforce Investment Board joined to study customer satisfaction concerning the California One-Stop Career Center System, "a statewide network of conveniently located centers that each provide employment, education, and training services all in one place" (EDD, par. ). The purpose of the study was to analyze customer satisfaction with and determine performance improvement by the local One-Stop Centers. In addition, it was hoped that the results of the study could be used to identify future expansion of the program (SCRPEF, page 1) by means of resources and assistance (SCRPEF, page 0). SCRPEF is comprised of voluntary representatives from Federal, state, and local workforce investment systems (SCRPEF, page 0).


Methodology


To adequately meet the needs presented by the study, a survey was developed to survey the staff of full-service One-Stop Centers located in Southern California from San Diego to Santa Barbara, California (kiosk and satellite One-Stop Centers were not included). The survey consisted of sixteen multiple-choice questions that were divided into three areas of analysis customer satisfaction, continuous improvement systems, and performance management. The first set of questions (customer satisfaction), were divided into four separate sections. The survey was mailed, faxed, or distributed in person to the One-Stop Centers, and follow-up telephone or email interviews were conducted with Local Workforce Area staff members responsible for monitoring customer satisfaction and improvement systems. When all the One-Stop Centers in a particular Local Workforce Investment Area used the same methods and tools, they were considered to be one entity. Results were compiled from seventy-one percent of the One-Stop Centers, a seventy-percent response rate (SCRPEF, pages and ).


Results


Over sixty-three percent of the One-Stop Centers interviewed reported collecting customer satisfaction information daily. Young adult customers are under-represented in the survey results because most of the youth serviced by the One-Stop Centers attend kiosk or satellite centers rather than the full-service centers. The kiosk and satellite centers were not included in the study. Sixty percent of the One-Stop Centers use the same tool to collect results (SCRPEF, page 4).


Nearly half of those respondents interviewed, forty-nine percent, said that results of customer satisfaction input is communicated to other staff members monthly. A smaller percentage of respondents communicated with other staff members weekly and another smaller percentage communicate results quarterly (SCRPEF, page 4). The survey results also indicate that staff members responsible for monitoring customer satisfaction and improvement systems vary widely and include special staff coordinators, managers, receptionists, teams of staff members, or no specific person (SCRPEF, page 4).


The great majority of respondents indicated that a standard customer satisfaction system is in place (6 percent), as well as a continuous improvement system (eighty-six percent) (SCRPEF, page 6). In addition, sixty-three percent of those with a system in place indicated improvements in performance since implementation (SCRPEF, page ).


Continuous Improvement Methods


Continuous improvement tools used by the One-Stop Centers surveyed varied (SCRPEF, page 6 and 7and included) the following


• Malcolm Baldridge Quality Criteria (forty-five percent)


• Total Quality Management (twenty-three percent)


• "Simply Better!" (fifteen percent)


• International Standard for Organization (one percent)


• Combination of tools including those listed above and the Balanced Scorecard (fifteen percent)


Implications


Because the majority of One-Stop Centers displayed an improvement in their staff's performance with a monitoring system in place, the SCRPEF concluded that some assistance would be appropriate to help the One-Stop Centers maintain and expand their monitoring of customer satisfaction and continuous improvement programs (SCRPEF, page 10).


"The private sector (for-profit) has found customer service and best practices have led to significant profit gains and repeat business" (SCRPEF, page 10). However, the public sector does not have the same goals.


For the public sector, the goals include maintaining the same customer base (keeping customers from switching to a different government agency to meet their needs) and proactively averting negative outcomes (SCRPEF, page 10). The report of this study cited another study by Accenture, titled, "Customer Relationship Management A Blueprint for Government," which detailed goals for the public sector in maintaining customer satisfaction. The Accenture study also concluded that obstacles to maintaining customer satisfaction were bureaucracy and managing technology (cited in SCRPEF, page 10). Therefore, the SCRPEF study concluded that technology assistance would be an appropriate method to help the One-Stop Centers expand and maintain their customer satisfaction and continuous improvement systems (SCRPEF, page 10).


Recommendations


As a result of the study, two recommendations were made (SCRPEF, page )


• Establish training for the Local Workforce Investment Area personnel on customer service strategies and data management


• Establish training for pertinent Local Workforce Investment Area personnel on implementing continuous improvement strategies


Employment Development Department, California Worknet One-Stop Career Center System. http//www.edd.ca.gov/one-stop/


Southern California Regional Performance Excellence Forum (00).


Performance Excellence Environmental Scan Southern California One-Stop System. http//www.calwia.org/pdf_reference/OneStopStudy0.pdf


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