Friday, January 24, 2020
Chaucers Canterbury Tales - Comparing Dishonesty in The Physicians a
Dishonesty and Hypocrisy in The Physician's and Pardoner's Tales à à à Chaucer presents characters in the Physician's and Pardoner's Tales who are very similar to each other in one important way. Although the characters seem on the surface to be mirror images of each other, they have an important underlying similarity: both the physician and the pardoner are not what they appear to be to most people. Both are hypocritical, although they show this hypocrisy in different ways. à One way of seeing this hypocrisy, in the case of the physician's tale, is to examine the way the similarities and differences between the knight Virginius and the physician himself in terms of what he sees as moral actions. It seems fairly clear that the physician identifies himself with Virginius during the telling of the tale. One of the main ways in which the physician identifies with Virginius is by sharing his concern for Virginia's future state of virtue. He shows his concern with Virginia's future by speculating on whether she will continue to be "a thousand foold moore vertuous" than she is beautiful -- as she is at the beginning of the tale -- when she "woxen is a wyf" (VI.40; VI.71). Virginius shows his concern for his daughter's virtue by killing her rather than allowing her chastity to be compromised; the physician shows that he believes it necessary for a father to guard his daughter's virtue in a long comment (VI.71-104) describing a father's duty to have his daughter w atched over by governesses, or "maistresses" (VI.71). à The most important way in which Virginius differs from the physician -- and the physician clearly does not see this -- is in the moral application of the tale. The physician clearly intends for the ta... ...uthority or to skim beneath the surface of the tale, as is shown by the hostility of the host. Harry Bailly does not respond to the pardoner's accusation that he is "moost envoluped in synne," but merely appeals to force in threatening the pardoner. à Neither achieves the result that he wants, and the reason for this failure in each case is his general failure to be honest, either with others (in the case of the pardoner) or with himself (in the case of the physician). For this reason, Chaucer pokes fun at both of them in subtle ways throughout their tales. à References Benson, C. David. Explanatory Notes to "The Physician's Tale" in The Riverside Chaucer. General Ed. Benson, Larry D. Boston: Houghton Mifflin, 1987. Chaucer, Geoffrey. The Canterbury Tales in The Riverside Chaucer. General Ed. Benson, Larry D. Boston: Houghton Mifflin, 1987.
Thursday, January 16, 2020
Case Marriot and Flinder Valves Essay
1. Why is Marriottââ¬â¢s CFO proposing the Project Chariot? To improve the financial performance of the firm, by re-structuring the company in two separating activities to distinguish those that require a large fixed assets (Real estates ownership) and those with relative low amount of assets (Management services and others). By dividing in this way, the large amount of debt will go with the real estates ownership called Host Marriott Corp. (HMC), whereas the rest of activities will go to Marriott International (MII). Doing so, the value of the 2 firms combined will exceed this yearââ¬â¢s book value, according to expectations (see appendix 1). 2. Is the proposed restructuring consistent with managementââ¬â¢s responsibilities? It is, as it clearly separate the activities and focus on management services rather than owning the hotels. Furthermore, it improves the cash flows from the existing structure (see appendix 1), this improvement will allow HMC to meet its debt responsibilities ( a total cash flow projected of $771 million in 1992 versus $478 million in 1991. The DCF in HMC assuming a worst case scenario will exceed current value of the firmââ¬â¢s assets $5,218 million versus $4,600 million, which indicates that the firm will improve as its assets will appreciate. 3. The case describes two conceptions of managersââ¬â¢ fiduciary duty (page 9). Which do you favor: the shareholder conception or the corporate conception? Does your stance make a difference in this case? We agree upon favoring the shareholder conception, as this provides an improvement on cash flows, as this condition is met, other financial gaps can be covered, plus it revalues the total firm based upon the expected cash flows. In this particular case, by having this improvement on cash flow, debt responsibilities can be covered inside HMC or by using the line of credit guaranteed by MII. On regards of the bondholders, the option is to increase the return as bonds will reduce the grade to junk bonds, for the calculation on DCF we assume a return of 10.81 assuming the highest risk for bonds. This action will compensate bondholders for the action. 4. Should Mr. Marriott recommend the proposed restructuring to the board? Yes, as it increase the value of the combined firms, focus activities per company and provides better cash flows.
Wednesday, January 8, 2020
Gestational Diabetes Mellitus (GDM) Essay - 1850 Words
The prevalence of Gestational Diabetes mellitus (GDM) is growing worldwide. 1-14% of women in pregnancy is affected by DM 1. Due to increased incidence and proposed lowerà ¬ing of the thresholds for diagnosis the health care cost of GDM can be expected to rise proportionately. The discussion of whether a benefit exists to the treatment of GDM assumes greater importance now than in the past. Even though it has long been known that women with preexisting type 1 and type 2 diabetes are at increased risk for adverse maternal and fetal outcomes, the relationship of GDM to various perinatal risks has been less clear. OSullivan and Mahan3 developed, Glucose tolerance test criteria for the diagnosis of GDM, nearly 50 years ago. It has beenâ⬠¦show more contentâ⬠¦These associations were present at glucose levels currently lower than those used to diagnose GDM. 7 In spite of little evidence to support a treatment benefit to the identification and treatment of mild carbohydrate intolerance during pregnancy screening for GDM has been recommended for most pregnant women 8 Universal screening for GDM has been adopted by most US obstetricians for nearly 15 years.9 However, lack of international consensus regarding diagnostic criteria has continued to add to the problem of assessing the value of treatment. Currently a 3 hour 100 g diagnostic test is utilized predominantly in the United States, while much of the world uses a 75 g, 2 hour test. The 2008 guidelines of the US Preventive Services Task Force concluded that there is lack of evidence to evaluate the benefits and harms of screening and treatment of GDM. 11 Recently, 8 ranà ¬domized trials concerning treatment of GDM were identified.12 The conclusion was that, women with GDM should be considered only for specific treatment in addition to routine obstetric care. However, the decision about whether to offer specific dietary advice or more intensive treatment is not yet clear. Further analysis of existing and recent data concerning potential treatment benefit of GDM is warranted. Retrospective studies: The only large scale case control study describing perinatal outcomes inShow MoreRelatedGestational Diabetes Mellitus ( Gdm ) Essay2044 Words à |à 9 Pages2016 Gestational Diabetes Mellitus INTRODUCTION Gestational Diabetes Mellitus (GDM) is defined as a glucose intolerance that has been diagnosed during pregnancy.1 GDM affects anywhere between 1% to 14% of pregnancies and is on the rise due to the global obesity epidemic.1 Such a large range is due to the differences in screening technique and diagnostic criteria. Those who have a higher risk include women who are obese, have a previous history of GDM, have a family member with type 2 diabetes, areRead MoreGestational Diabetes Mellitus ( Gdm )1683 Words à |à 7 PagesGestational diabetes mellitus (GDM) is a type of diabetes that occurs during pregnancy and caused by insulin resistance in the body. Risk factors of GDM include maternal age, ethnicity, family history, BMI, and deficiency of vitamin D. To be diagnosed with GDM, a woman must go through two screenings tests called the glucose challenge test and glucose tolerance test with high blood glucose results. Proper management such as a healthy diet, physical activity, and med ications are needed to preventRead MoreGestational Diabetes Mellitus ( Gdm )2927 Words à |à 12 PagesGestational Diabetes Mellitus (GDM) is defined as glucose intolerance that occurs during pregnancy [1]. GDM is a widespread condition in Indian women during pregnancy affecting nearly 21 percent of all pregnancies [2, 3] nationwide. Prevalence of GDM in India differs from region to region, with 3.8% in Kashmir [4], 16.55% in Tamil Nadu [5], 7.7% in Maharashtra, 7.1% in Haryana [6], 19% in National Capital Region [3]. Epidemiological studies have confirmed the association of GDM with increased feto-maternalRead MoreEssay on Gestational Diabetes Mellitus (GDM)2085 Words à |à 9 PagesGestational diabetes mellitus (GDM) is an intolerance of glucose documented for the first time during pregnancy. It is usually a short-term type of diabetes and the most common health problem with pregnant women. GBM is caused by the way the hormones in pregnancy affect the mother. GDM accounts for 5-7% of all pregnancies (American Diabetes Association, 2010). During pregnancy the placenta develops and becomes the main bond between the mother and the baby. It is used to make sure the baby hasRead MoreIntroduction. Gestational Diabetes Mellitus (Gdm)By Definition1257 Words à |à 6 PagesIntroduction Gestational Diabetes Mellitus (GDM) by definition is a carbohydrate intolerance that is developed or recognized for the first time during pregnancy (Chen, Chuang, Fang, Kuo, Lee, Li, Lin, NIen,Wu, 2017). 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GDM not only causes complicationsRead MoreRisk Factors : Description Of Gestational Diabetes Mellitus Screening1265 Words à |à 6 PagesGestational Diabetes Mellitus Screening Description of Gestational Diabetes Mellitus Gestational diabetes mellitus (GDM) is a form of diabetes that occurs in pregnant women who do not have a prior history of diabetes mellitus (American Diabetes Association, 2016). It occurs in approximately 7% of pregnant women across the world and 6% of pregnancies in the United States (Caissutti Berghella, 2017). GDM occurs when there is insulin resistance leading to glucose intolerance or high levels of glucoseRead MoreNutrition Research Analysis1101 Words à |à 5 Pages1. Cho, J., Choi, Y., Kim, A., Kim, H., Lee, J., Lim, S., Oh, J., Yoo, H., Yoon,K. Nutritional Intake of Pregnant Woman with Gestational Diabetes or Type 2 Diabetes Mellitus. Clinical Nutrition Research 2013; 2: 81-90. Article from a Korean peer-reviewed journal examined the nutritional intake of 125 women diagnosed with gestational diabetes or type 2 diabetes mellitus for over two years. The woman had not been provided nutritional education on how to manage their blood glucose or proper diet duringRead MoreThe Effects Of Gestational Diabetes1016 Words à |à 5 PagesOne of the most common metabolic disorders during pregnancy is gestational diabetes mellitus (GDM) and its occurrence continues to increase (8). The 2004 analysis by the Center for Disease Control and Prevention states that cases of GDM are at 9.2%. The American Diabetes Association defines GDM as a condition where glucose levels are higher than normal either at the start or during pregnancy (1). The definition is used whether insulin or only diet modification is used for treatment and even if theRead MoreDiabetes Mellitus : A Type Of Diabetes1369 Words à |à 6 PagesIntroduction Gestational Diabetes Mellitus is a type of diabetes that was first discovered during pregnancy. According to Canadian Diabetes Association (2015), three to twenty percent of women develop Gestational Diabetes Mellitus (GDM). GDM is a result of increased insulin resistance or glucose intolerance. Incidence of GDM varies by age, body weight, and ethnicity. Canadian Diabetes Association (2015) mentioned that individuals who are at greater risk include women over 35 years of age, women
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