English Coursework A Level Help
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English Coursework A Level HelpEnglish Coursework A Level HelpEnglish Coursework A Level HelpEnglish
Coursework A Level Help English Coursework A Level HelpEnglish Coursework A Level HelpEnglish
Coursework A Level Help English Coursework A Level HelpEnglish Coursework A Level Help
Case Study Assessment At A Birmingham Podiatry Clinic
Case study assessment.
A 47 year old female patient attends a Birmingham podiatry clinic with callus and heloma durum
presenting on the plantar surface of the 1st MTPJ of the left foot. The patient is generally fit and
well, and requires routine treatment.
To enable the podiatrist to treat callus and corn, they must first understand the biological process that
leads to the pathology. Callus, or hyperkeratosis, a diffuse area of relatively even thickness (Lorimer
et al.1997), is formed from hypertrophy of the superficial layer of the epidermis, the stratum
corneum, and reduced desquamation rate causing the skin to increase layers and harden (Fig 1).
Mechanical stresses on the skin, for example the compression and friction from poorly ... Show more
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Fluid building up in the tissues caused by an inflammation response, triggered by the repeated
stresses on the tissues, can lead to maceration of the deeper tissues, resulting in wounds and ulcers.
Especially in patients with limited healing due to circulation conditions and diabetes, or those
suffering peripheral neuropathy (Fig 3)
Assessments
A number of assessments are carried out before diagnosing and treating the patient.
Vascular Assessment
Test carried out
Right foot
Left foot
Pulses palpable
Yes
Yes
Doppler pulses
Dorsalis Pedis
Triphasic
Triphasic
Posterior Tibial
Triphasic
Triphasic
Cappillary refill time
2 seconds
2 seconds
Skin Assessment
Healthy
Healthy
Nail Assessment
Healthy
Healthy
Temperature gradient
Warm to cool
Warm to cool
Hair present
Yes on legs and all toes
Yes on legs and all toes
Other skin signs and
symptoms:
Oedema (Non pitting)
No
No
Oedema (pitting)
No
No
Intermittent Claudication
No
No
Rest pain
No
No
Neurological Assessment
Test carried
How Did Edgar Allan Poe Contribute To The Masque Of The...
Edgar Allan Poe is an extremely beloved author, constantly put on a pedestal as a dark, brooding,
tragic writer. His name is practically synonymous with macabre at this point. But what led to this
reputation? Many people read his more disturbing works and conclude he has had a horrible,
painful life but was his life really as tragic as it has been perceived to be? Yes, he dealt with deaths
in his family, mediocre parenting, and substance abuse (alcohol and opium) but that was not
something that was particularly outlandish. People read his stories like The Masque of the Red
Death and The Tell Tale Heart and automatically classify Poe as a horror writer and cannot look past
that. They are completely oblivious to how complex and multi faceted... Show more content on
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Poe s works also served as inspiration for many famous authors who came after him, for example:
Sherlock Holmes was based off of a Poe character; Annabel Leigh in Vladimir Nabokov s Lolita
(1955) was inspired by Annabel Lee; and The Picture of Dorian Gray (1891) by Oscar Wilde was
inspired by an 1842 short story by Poe called The Oval Portrait. Oscar Wilde even named Poe the
lord of romance (Nissen, 64). This exemplifies the expanse of Poe s work and the effect he has on
other writers especially during his time period. In his day and age he was not considered anything
but a good author, obviously he was known for his horrifying stories, but that was not the only thing
he was recognized for. He was recognized for his criticisms, his romance and
Dish Girl Monologue
It sits on his desk, mocking him. Why he brought it to work with him, he has no idea. But there it
is anyway, taking up precious room in his already far too cramped cubicle. Draco shakes his head
and looks away, shifting his headset so that the microphone is positioned properly in front of his
mouth. Now is not the time to dwell on infuriating women and their dapper millinery. He has
business to attend to. What the hell kind of name is The Lioness anyway? Good afternoon, is
Elizabeth Harris available? Hello, Ms. Harris. I am calling on behalf of Dish Network with an
exceptional offer that could save you a ton of money. May I ask who your current television
provider is? When he hears a soft click, Draco sighs, rubbing at the stress lines... Show more content
on Helpwriting.net ...
The sight had left him reeling for a few seconds, his mind rushing to put two and two together.
Draco hadn t even realized that he d left the club with it, but when he d seen the misshapen brim,
finger like indentations marring the dark felt, it d all come back to him. The ride home spent in a
red haze of angry arousal. The cold shower that had done nothing to abate his boiling hot
emotions. The dreams of yielding feminine flesh and his hands carding through a fierce shock of
unbound hair. He s not sure what had possessed him to even touch the thing again, let alone carry
it around with him, but his actions make him wonder if that blasted woman has bewitched him.
Draco! Carpool leaves in five! Mark, who works in the adjacent cubicle, calls out to him. His co
worker rolls backwards in his chair, enough so that he can look around the partition separating
them, and lets out a low whistle. Man, you look like shit. Rough day? You ve no idea, is Draco s
acerbic reply. Mark grins. Well, the day s over, so just tell who or whatever s bothering you to go
screw themselves, then go somewhere and have a stiff drink. That s your solution to everything.
Yep. The man s smile widens at Draco s quip. Now are you coming or not? Chuck will leave our
asses behind if we re late and you know
John Stuart Mill s Definition Of Happiness
In order to determine whether happiness should be or not be the goal of all human kind, we must
first consider what kind and of happiness that humans desire, and it s true definition. According to
John Stuart Mill, the definition of happiness is an intended pleasure and an absence of pain. (Shafer
Landau, p.17) As accurate as Mill s definition of happinessseems to be, we must consider that if we
achieve this intended pleasure for ourselves, then will the same pleasure be experienced by those
around us? For example, say you re back in your kid years, (5 11 years old), and you re at the
point in your life when you re innocent enough to ask your parents for that awesome new toy that
you ve been wanting ever since it came out. Let s say that
Italian Restaurant Business Plan
Italian Restaurant Business Plan
Marketing
Executive Summary
This business plan for The Pasta House Co. Fenton (PHC) reflects the opportunity to purchase the
assets and leasehold improvements of the restaurant currently operating as JD Drews. The current
owner is interested in selling the operations, as the store is not doing the volume he thought it
would and he would like to get out of this location and the debt service he has incurred. My goal is
to submit this business plan to his bank in the event he is unable to make loan or rent payments and
defaults on the loan. We will be a position to take over the SBA loan, and with additional funds
added, convert this location to a profitable Pasta House Co. franchise restaurant.
The ... Show more content on Helpwriting.net ...
* Combine the corporate marketing strategies with my own to build volume quickly. * First year
sales to hit between $1.5 and $2 million with 10% growth in first few years. * High Gross margins. *
Maintain food and labor costs consistent with High Ridge. * Maintain and expand my outstanding
reputation. * Remain a neighborhood family restaurant. * Be the first fine dining Italian Restaurant
in Fenton (the fastest growing community in Missouri).
1.3 Keys to Success * The Pasta House Co. name and reputation is well known in the St. Louis
area. The food served is voted a St. Louis favorite every year. * The products we serve are of the
highest quality. We combine this quality with great service and atmosphere. We then add menu
items that appeal to all ages of the family as well as single adults. * Current management staff and
crew have a great deal of experience. * Location, Location, Location! Some people have named
the intersection of Hwy 30 and 141 The Golden Circle . Fenton is the fastest growing community
in the entire state of Missouri! * This shopping center location is three years old. Every spot in
the center is filled and the main anchor is a Dierbergs grocery store, the highest quality grocery
chain in the area. * This location offers private rooms on a reservation basis. I have developed the
bulk food and catering large party s concept at my other location and plan to promote it with the party
Domestic Violence Against Women
In the most recent data available from 2015, it was disclosed that nearly 92,000 Canadians had
report to the police an incident related to domestic violence; of this number, 80% of them were
women (Burczycka, 2017). It is then no surprise that intimate partnership violence has been found to
be one of the major causes of violenceagainst women in Canada (Ministry of the Status of Women,
2015). Many agencies focus on supporting directly the female victims and providing them with
secured shelters and safe spaces to rebuild themselves after leaving their abusive relationship
(Shelter Safe, 2017). However, a need to address domestic violencefrom the roots arose in
Ontario1982, when the community identified a gap in the offer of programs... Show more content on
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As for Michele Paddon, creator of the Women s program currently delivered by Changing Ways,
she describes in her book abuse as the use of [...] words, actions or behaviours on purpose and
repeatedly with the intention of gaining control over that person (Paddon, 2015). She also
establishes three different dimensions of domestic violence, based on the work of Michael P.
Johnson: common couple violence (CCV), intimate terrorism and violent resistance (VR).
Common couple violence occurs often in one specific instance when one partner uses physical
violence against their partner; however, it is not linked to a pattern of abusive behaviours and
generally does not escalate into a cycle of power and control (Paddon, 2015). Intimate terrorism
refers to more than physical assault and includes but is not limited to emotional abuse as well, as
part of the numerous tactics use to control their partner. Victims of intimate terrorism tend to modify
their behaviours out of fear for their partner, which is considered a strong indicator for the
counsellors working with abused women (Paddon, 2015). In contrast, violent resistance is often
thought in term of self defense, a term that does not exist in the judicial system in Canada. VR is
therefore referring to any violent act inflicted
Coca-Cola Impact Analysis
Coca Cola is a multinational brand conducting its operations worldwide. Coca Cola is US based
company operating its operations in more than 200 countries worldwide. The purpose of this paper
is to provide insight of impact of operations of Coca Cola, the largest multinational corporation on
the economy of UK. Overview of company Coco Cola is a carbonated soft drink produced by the
Coca Cola Company which initiated its business in 1944. When the soft drink was invented in the
late 19th century it was intended as patent medicine which then was bought by Asa Griggs Candler,
a business man. The soft drink gained dominance in the market throughout the 20th century due to
the effective marketing tactics of Asa Griggs Candler. The soft drink is... Show more content on
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Qualitative impact helps in analyzing the impact of Coca Cola in restructuring of the economy is a
variety of different ways. For instance, the investment of Coca Cola in the technological program
helps in upgrading the technology of the overall economy and better organisational skills (Epstein
Buhovac, 2014). Through Coca Cola s local enterprise networks, management skills through pooling
of combined knowledge, and the management skills overall in the whole value chain of UK
beverage industry have been enhanced and improved. Other impact of Coca Cola on UK s economy
includes raised consumer expectation of indigenous competitors and improved product quality.
Furthermore, the Coca Cola market orientation investments helps in boosting the domestic
competition thereby incorporating and transmitting the competitive practices of international
economy to the UK local economy. In addition to this, through the demonstration effect of the
foreign direct investment of UK, contributes in enhancing the standard of quality throughout the
entire UK. In the distribution sector of UK, Coca Cola has stimulated the local entrepreneurship. In
this regard, Coca Cola helps in boosting the local domestic economic sector of UK (Wood,
Poverty In A Tale Of Two Cities
The rich s desire to have it all and the poor s ability to barely make ends meet are both depicted in
the novel, A Tale of Two Cities, written by Charles Dickens. People during the French revolution
showed desperation in more intense and harsh ways than people today, however the reality is
poverty has stricken families for generations. While there is poverty all over the world there is also
greed. CEOs, presidents, kings and queens all live beyond their needs. The French revolutionstarted
because the people living in poverty were tired of being treated as inferior to the rich. The poor
rose up in an attempt to overthrow the corrupt leaders. Today in America, economic recessions scare
the poor and cause them to be weary of the government similar... Show more content on
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Unemployment is one of the major causes for economic troubles for the poor. In Elizabeth
Warren s America Without a Middle Class, it is said that today one in five American s is
unemployed. Today, America is risking the formation of a new underclass. An article Soaring
Poverty Casts Spotlight on Lost Decade by Sabrina Tavernise adds to this increasing
unemployment rate by saying that young, less educated, mainly men, can t support their children
and form stable families because they are jobless. Not having a job is one of the main causes as
to why the under class is drowning in debt and why they have no money. Lack of jobs was also a
major problem for many poor people in the French Revolution Era. Family owned businesses and
stands were not producing enough money to keep the people off the streets. Another main factor
causing the poor to stay poor is the lack of security. Elizabeth Warren in her article America
Without a Middle Class says that going to college and finding a good job no longer guarantees
economic safety. Sabrina Tavernise s Soaring Poverty Casts Spotlight on Lost Decade also
highlights the fact that the median full time worker has made no progress on average wage. This is
particularly shocking because students think going to college will help them become apart of the
elite upper class, however, this is no longer necessarily
