Project E Essay Example | Topics and Well Written Essays - 250 words

Project E - Essay Example perceive sound that comes from sound or a speaker while listening is the ability to comprehend or decode the meaning of the information from the speaker or sound. Students can be tested for their audio literacy skills by giving them tests to see if they both heard and listened to the lessons that were taught in class. Another method is to give the students audio books of tutorials that teach how to operate certain software and ask them to demonstrate their understanding of the software. There are a number of ways that can help you improve your listening skills. Hearing is one thing and listening to the information is another. It always advisable to be attentive when listening so that the information being conveyed is understood. I will explain four ways to help you improve your listening skills. I would like to conclude by saying that hearing and listening go together. Meaning that one must hear first before listening. If you fail to hear you will not listen. There are four ways of improving your listening skills and they include: maintenance of eye contact, avoiding obstruction, concentration on the message’s content and reading the body

Susan Power's Scared Wilderness Essay Example | Topics and Well Written Essays - 1500 words

Susan Power's Scared Wilderness - Essay Example Different backgrounds and eras gave them an idea to restore foundation to fulfill the dream of American women. The novel is taking us through the time, when the Mohawk were living on the territory of present-day Minnesota. The fourth novel by Susan Power is taking up to the centre cultural and spiritual traditions. We are getting cognizance with four women: Gladys Swan is enjoying the mansions on St. Paul’s Avenue. She is a housekeeper in the house of Candace Jenssen, who is well-to-do lady. She has all necessary material goods, she does not suffers from poverty, in spite of this she has a lack of spirit, being in disconnection with her husband and the sources and heritage of her Mohawk culture. Gladys, being as the elder of an Ojibwe, is thinking about putting Candace in touch with her ancestors as her private mission. However, Candace does not know about this idea. Beautiful Maryam is her co-conspirator in this unusual task. Candace dismisses appeals of Maryam, thinking about her as a hallucination caused by a brain tumor. Maryam changes the strategy, appealing to Gladys, who is very glad to meet â€Å"a sister†, who would join to her work and share her desire to help Candace. The author is trying to show is the images of the prehistoric biblical times, giving the readers an interesting re-imagining of first meetings of Native Americans with the missionaries of the Christian religion. She makes the reader to look from another fresh point of view to the lives Mary, Joseph and Jesus. Al this is happening in addition to the Power`s contemporary line of story, returning to the traditions of ancient cultures, which the imaginative time-traveler would be able to found in the early 17th century on the territory belonging to the Mohawk people, when man were hunting the food and female Mohawks looked after the gardens and collected vegetables to feed the tribes. â€Å"Do you really want to be reduced to some kind of throwback stereotype from the Dark Ages?

Critically evaluate the current status of the setting including policies and practices Essay Example for Free

Critically evaluate the current status of the setting including policies and practices Essay Self-reflection is a very important tool to be used in order to keep the nursery up to date with current legislation and to raise service standards. By regularly looking at where we are as a setting we can ensure that we continue to offer high quality education to our children. â€Å"Research has proven that self-reflection and evaluation both support good practice within a setting as a part of continual development. Importantly this self-reflection supports good outcomes for children.† (Barber and Paul-Smith 2009, pg. 8) We have been using Ofsted SEF to evaluate where we are doing well and assess where we need to improve. â€Å"The self-evaluation form is designed to help early years providers to review and improve their practice, so that it is of the highest standard and offers the best experience for young children. Importantly it is a useful tool for you and any assistants or staff to evaluate the impact of what you do on children’s welfare, learning and development.† (Ofsted 2009, pg.13) PEST ANALYSIS POLITICAL ï‚ · Politically unsettled ï‚ · Arab spring ï‚ · Benevolent dictatorship ï‚ · No pressure groups ï‚ · Frequent change of legislation but no clear guidelines ï‚ · No official body or organization to refer to ï‚ · Government policies are not consistent and not properly disseminated ECONOMICAL ï‚ · Unsecure financial world markets ï‚ · Fluctuating exchange rates ï‚ · Expensive living ï‚ · Uncertainties in the economy ï‚ · No direct income taxes or VAT ï‚ · Several indirect taxes ï‚ · Increasing running costs ï‚ · Rapid expansion of Early Years industry ï‚ · Increasing competition SOCIAL ï‚ · Increasing number of working mothers ï‚ · Wider range of people ï‚ · Image of good standard of living and overall safety ï‚ · People moving and settling in the area ï‚ · Increased focus on Early Years Education ï‚ · Attractive area for different nationalities ï‚ · Broad spectrum of curriculum covered in the country TECHNOLOGICAL ï‚ · Easier information access (internet) ï‚ · Wider audience ï‚ · Better ability to reach out to the Community ï‚ · Blogging (positive and/or negative) ï‚ · Personal Technology ï‚ · CCTV cameras (name of city) is a safe place, its economy is considered ever flourishing but due to the ongoing global economical crisis it has its financial restraints. This analysis has also outlined how a business can be easily set up but also how difficult it is for it to thrive due to frequent changes in the legislation and the lack of consistent guidelines. Nevertheless, the increased interest in Early Years Education will soon allow practitioners to offer to all children high standards of learning. SWOT ANALYSIS STRENGTHS ï‚ · Well trained, qualified and experienced staff ï‚ · Impressive facilities ï‚ · Outstanding outdoor area ï‚ · Central location ï‚ · Extra-curricular activities ï‚ · Early years themed workshops and professional advisors WEAKNESSES ï‚ · Turnover of staff due to economic situation ï‚ · Policies and Procedures (only few in place) ï‚ · Being tenant of the facilities ï‚ · Old building badly maintained ï‚ · Lack of training opportunities ï‚ · Limited parental involvement ï‚ · Managerial limited decision making ability OPPORTUNITIES ï‚ · Several marketing options ï‚ · Exponential growth of market ï‚ · Partnership with professionals in childcare ï‚ · Diversified skills of staff with different backgrounds ï‚ · Wide professional network THREATS ï‚ · Extremely high price of rent ï‚ · Frequent new regulations with high implement costs ï‚ · New nurseries poaching staff and rising salary expectations ï‚ · Loss of key staff ï‚ · Frequent families’ relocations (name of nursery) is a newly established nursery in (name of city) that was initially planned with a greater focus on business rather than learning. Policies and Procedures were compiled and printed out hastily, without team brainstorming or subsequent effective compliance. The absence of specific legal requirements in the country makes it possible for nursery and day cares to operate, though in the best interest of children, without proper policies and procedures in place. Going through the process of self-evaluation has been the most valuable eye opener possible for me. I now know where we are and where we want to be. PEST and SWOT analysis have  allowed me to celebrate our strengths and pinpoint our weaknesses. Generally all policies will need to be rewritten, implemented and properly disseminated, but priority will be given to Child Protection and Behaviour Management Policies. A Staff training plan also needs to be put in place in order to ensure high standards in care and education of all children. Last but not least, it will be paramount to monitor progress and ensure that our procedures reflect our policies and that good practice is consistent throughout the academic year by gathering evidence regularly.

Theories Of Innovation And Change Management Essay

Theories Of Innovation And Change Management Essay Spending quality time surfing and researching the internet on Innovation and Change, I realized that there are uncountable theories and researches on innovation and change. From all indication, these researches and theories stated clearly that, innovation is inevitable because business and competition is constantly evolving, typically in the advanced technological tools and systems driven by the constant environment changes which is in line of the definition of Innovation the introduction of new and improved ways of doing things at work (West et al, 2003) or the successful exploitation of new ideas (Porter and Ketels, 2003) While there are many competing models and methods for change and innovation, applying any of them requires a consideration of the individuals or resources involved and the context within which they will be used When innovation is mentioned, it is important to recognize that one key element is people; people are the source of creativity, which is the basis for innovation. As we understand, Creativity is the means of generating new ideas and perspectives. One way to understand people as a source of creativity is to focus on their capabilities, skills, and motivations particularly those that are more likely to produce imaginative and artistic behavior. Leaders need to inspire, motivate and encourage staff to come out with new creative ideas, to reward people for good ideas. According Linda Holbeche; (2006), she does not believe that it is easy to combine the hard and Soft Changes (E and O Theory) as this will lead in mistrust of the orgainations leaders by their staff. The author, on the other hand, explains that organizations who have the skill and capabilities to resolve and combine the two theories will not only improvement or increase profitability and productivity but also put their employees on the adaptation phase for change.  This method will create positive organizational culture of change ownership by employees and will lead to a successful transformational change in the organization (Beer and Nohira, 1995). L. Holbeche (2006) mentioned that successful change occurs when people willingly change their behaviors. This is the same with Lewins force field analysis. With any planned change, works need to be prepared in order to predict the relative success of that change. What the management and leaders should do is to identify the restraining force which developed by Kurt Lewin, a pioneer in the field of social sciences, and alleviate the concerns by providing the people with adequate information about the impending change and its underpinning. According to Lewins force field analysis (1951), an issue is held in balance by the interaction of two opposing sets of forces those seeking to promote change (driving forces) and those attempting to maintain the status quo (restraining forces). force field analysis graphic What could be the utmost motivating factor in gaining employee buy-in is the fact that there will be role or position to be eliminated, and that the change can only enhance processes, eliminating resistance in the process. We to carefully examine the state of affairs of the business before we map up responses to organizational changes, as stated in the diagram above, some people would accept changes while others would decline then eventually resist. The life cycle of change resistance is a gradual process until you acquire at least 90% buy-in. Change leaders are challenged to manage the change towards survival though change might mean to alter existing systems, culture and processes. A clear strategy for this is to break down changes so that the people could absorb it little by little. This means to integrate the driving forces that could increase the rate of change acceptance. The company should look at initiating changes not only based on internal pressures but more emphasis is placed on opposing external pressures. Culture is essential to innovation in organizations as Dobni (2008) stated the objective to be modern, the facilities to support innovation, functional level habits necessary to impact an industry and value direction, and the surroundings to apply innovation (p. 540). With this, innovation could be viewed as contextual from an organizational culture viewpoint and the level to which a company can be modern will circumscribed by its culture. Dobni (2008, p. 543) provides another aspect that associates business culture with innovation through its industry direction. When it comes to change, there are three change phases according to the results of the research carried out by Prosci (2011). The first is preparing for change, the second, managing change and the last reinforcing change. if the three stages are effectively applied success is hence guaranteed. Self Leadership Assessment and Action Plan Self Leadership Assessment and Action Plan Having said all of these, it is evident that leaders should also be in a position to balance between employees freedom and responsibility. Leaders have to do this without domination or control while at the same time, showing concern over employees feelings and needs. There is a need to generously encourage their employees creativity and voice their own concerns, as argued by Amabile (1998) and Peltz, (1956). A successful leader is a great listener to staff concerns and problems. Respect, honesty and trust are key principles in the way I lead and guide my staff.   The approach I follow is a participatory approach in designing and planning the yearly plan, in welcoming opinions and suggestions, in recognizing staff efforts, in providing opportunities for performance development and career path under a collectively approved training/learning plan. Further, fairness is what I follow to treat staff without any biased feeling or favoring one over others. Despite the wealth of knowledge and experience gained over years as a manager, I believe that enhanced skills to enhance and strengthen my leadership skills. To enable myself to efficiently become a successful leader for others to follow and to enable a planned change, leaders need to possess the technical expertise and to select the right people to jointly plan and implement change. Nonetheless, the need for a shared understanding cannot be emphasized enough in the literature. This is the only way that a more open as well as more honest communication can be promoted. Eventually, concrete actions leading to attaining the planned changed can be thus developed through this. At an organizational level, the climate where shared understanding is the dominant norm, maximizing the fit among strategy, structure and purpose related to the impending change. However, there remains the fact that the readiness and the willingness of the people must be in existence to sustain the appropriate kind of work. Owing to this fact, I need to scientifically gain the right knowledge and path of how to become the role model. A feasible and doable action plan would involve: 1) creating an effective team within the division, 2) designing a double vision of the division with defined mission, 3) opening a flow of communication between senior/middle managers and staff (operations talk to program and vice versa), 4) creating recognition and award system based on staff performance and yearly assessment, 5) ensuring a healthy, supportive and creative environment among the division staff, 6) driving creativity, innovation and change within the division; and in every employee inside the organization wherein leaders cannot affect change and innovations alone, they need followers to implement and 7) proving record of respected and trusted leader; support building employees loyalty to the organization. These are namely my plan of action to further enhance and develop my leadership skills that are essential for my career development and for the organizational success. Once these skills are obtained, my performance and capabilities will be stronger as a leader that will lead me to overcome difficult challenges on the way be it internally or externally. I need to reiterate that if we have a trusted, transparent and open relationship between managers/leaders and staff that is built over years, staff will not react strongly against change. Next is to conduct innovation and change-centered exercising programs such as goal setting and process mapping. Organizational Innovation and Change-Related Training This training is designed on studying how to set goals from team and business levels. Such training instructs members how to set goals by using organizational goals, declaration of values and vision and mission statements. Learning how to create innovative goals in the workplace is primary of this program. Strategic innovation goal setting skills are the designed outcome of this training. This training is suitable for staff, professionals and managers, with a total exercising time of 4 hours. The studying goals of this training are: à ¢Ã¢â€š ¬Ã‚ ¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Help the company develops and apply activity plan à ¢Ã¢â€š ¬Ã‚ ¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Identify the factors that influence ideal goals à ¢Ã¢â€š ¬Ã‚ ¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Sequence the steps for putting organizational goals into action à ¢Ã¢â€š ¬Ã‚ ¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Applying visualization techniques Innovation and Change-Related Process Mapping Training Process applying represents a visual device used to show you the primary businesses. Process charts are also regarded as communication device, planning device and a device that effectively cuts cost for organizations. The benefits of this training is to enhance the knowing of procedures inner to the company and increases control groups knowing of the business and functional performance. Provided that procedures are the most effective way to manage the company, procedures then directly supports the organizational goal. By improving procedures, the company can enhance inner productivity, efficiency, variety and customer support. Through this, the company could generate useful analytic data in order to obtain conclusions, draw results and produce recommendations. This two-day training is suitable for professionals, program implementers, control associates, program planners, change professionals and enhancement teams. This exercising programs goals are as follows: à ¢Ã¢â€š ¬Ã‚ ¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Improve efficiency and quality of work through determining critical areas of enhancement à ¢Ã¢â€š ¬Ã‚ ¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Rediscover primary procedures through analysis of organizational complications Conclusion In summary, there are many ideas and literature on change, innovation and leadership. Some can be implemented successfully while others cannot be actionable on reality.   Many factors control the need for change and change vary in nature like why,. Nevertheless, the most important factor of change that all research and books agreed upon is: the PEOPLE. The authors contemplated on how to correctly and effectively manage the peoples behaviors during a change. The relationship of trust, honesty and respect between leaders and employers, when this is felt within the organization, employees will welcome the change with less resistance be it soft or hard changes. Change is inevitable, particularly in the world of business. Change can cause both positive and negative results for any company. First, change means growth and improvement, thus it can help companies to focus on the different threats and opportunities which can be implemented and prevented inside the organization in order to ensure success and maintain position in the market and industry. On the other hand, change can also cause negative results for any company, particularly in the aspect of management. It can cause huge amount to be spent, at the same time great effort to be exerted in order to ensure that the change will not affect the behavior and attitudes of the employees and other important stakeholders towards the company.

Critical Evaluation On ASP Net Computer Science Essay

Critical Evaluation On ASP Net Computer Science Essay ASP.net is a new technology and powerful web development language to build a web application much faster. Lately, we can always hear the news of ASP.net especially on the web developer sites. ASP.net is not only is the transformation from ASP, ASP.net can be said that is new era in the web development field. In this seminar, I will explain what is all about for ASP.net. First of all, I will briefly explain what ASP.NET is and what are the main differences between ASP.net and ASP classic version. Describe how efficiency of ASP.net that can achieve compared to ASP classic and what are the features that ASP classic cannot archive in the ASP.net Secondly, I will compared the different version of ASP.NET such as ASP.NET 1.x, ASP.NET 2.0 and ASP.NET 3.5. Among the different version of the ASP.NET, what and how much the improvement that latest version of ASP.net has bought it to us to develop a web application. I am also list out the advantages and disadvantages for the different version of ASP.net. On the other hand, I am also cover the topic for ASP.net AJAX which is developed by Microsoft. ASP.net AJAX is a extensions to ASP.net to implement the AJAX functionality. That means AJAX functionality added to ASP.net web application without writing the Javascript. Therefore, I will explain how ASP.net AJAX helps in the web development. Introduction of ASP.NET ASP.net is the new web programming tools from Microsoft. Why ASP.net is needed when the ASP classic version is working fine. ASP.net is not only is the next- era of ASP but it is a technology that improves much more than the ASP classic version and can increase the productivity. ASP.net is look similar to the ASP classic version if we not see the functions that ASP.net provided. Some of the features and items look very similar in the ASP classic. ASP.net allows us to use 2 type of the programming language which is C# or VB.net to write the web application in the easy way. It is also provide a huge range to let different background of the programmers can use ASP.net to build their web applications. ASP.net concept like Web Services, Server controls and web forms is a power features to build a real web application. What is ASP? ASP is known as Active Server Pages which is produced by Microsoft Team in the early of year 1990. Microsoft Active Server Pages (ASP) is allowed us to build dynamic and interactive web applications. ASP classic is easily to let web application link to database inside the web application. The web application created by ASP does not affect by using different type of the web browser. The file extension for ASP is .asp. Example: http://www.asp.com/test.asp. The default programming language to build ASP web site is using VBscript to buid, but it is support other programming languages like JSscript (JavaScript from Microsoft). But ASP.net allows web developer use either visual basic (VB) or ASP.net language to build the web applications. Compilation Process There are 2 type of compilation that available which is pre-compiled code and interpreted code. Pre-compiled code Pre-compiled code is mean when the web developers are finish writing the code. Before start to use the code, the code is completely compiled. So, pre-compiled code is only need to compile once. It will make the performance is much faster. Pre-compiled is Machine dependence. Interpreted Code Interpreted Code compilation process is totally different from Pre-compiled code. That is because interpreted code will only compiled the coding when there have user to request the web pages and it compiled while the execution time is. Interpreted code compilation will only compiled the code when there is any request from the user. So, the performance will slower than Pre-compiled code. Interpreted code is machine independence. .Net solves the problem by using a two-step process for compilation The 2 step of the compilation is common intermediate language (CIL) and common language runtime (CLR). .Net is compiled all the code to CIL. Then change it to become machine independent language (CLR). The CLR is to execute the web application code. When the web developers write a web application with the programming language such as VB .NET or C#, the web application source code will not compiled into machine code directly. Instead, the VB or C# compiler will convert the web application source code into another language called as MSIL (Microsoft Intermediate Language) or CIL (Common Intermediate Language). CIL is quite similar to object-oriented assembly language. CIL is a platform-independent language. This is because when execute or running a web application, CIL code will only compiled the source code into machine code. The entire web application is not compiled from CIL into machine code. Instead, the methods will only be called or executed while the code is compiling. Actually the .NET Framework will only understands one language which is MSIL or CIL. However, the web developers can write a web application by using Visual Studio which provides the languages such as .NET and C#. Because Visual Studio.NET Framework consist the compilers for these languages that enable web developers to compile their code into CIL . The web developers can write code for the .NET Framework using any one of dozens of different languages, including Caml, COBOL, JavaScript, PHP, Small Talk, PERL, Oberon, Ada, Apl, Eiffeel and more. Below the diagram is to explain how the CIL and CLR work in the .Net framework. First of all, the web developers using different type of programming languages to write their web application. After that, the code is compiled using their own compiler to convert into Common Language Infrastructure. .Net compatible language compile to a second platform-neutral language called Common Immediate Language (CIL). After the Common Language Runtime compiles the CIL to machine readable code that can be executed on the current platform. What is Web server? Web servers are the tool that can manage web application that built by the web developers and make all the web application available to the client web browser. It can success connected through a local network or over the Internet (two different machines or same machine). While there are many Web servers available which one of the common ones is Apache, Internet Information Services (IIS), and iplanet Enterprise Server. (DotNetNuke, 2009) To test or run ASP.NET Web applications, you need a Web server Internet Information Services (IIS) IIS Web server comes bundled with Windows 2000, Windows XP Professional, and Windows Server 2003. UltiDev Cassini Web Server ASP.NET Development Server How does ASP work? An ASP page is stored at server-side. So, client cannot simply view an ASP page on the web browser. They need to request the ASP page through the web server which is supports for ASP. When a client request an ASP page through the web browser, the web server will locates the ASP file on the hard drive and interpret it. After that, it will remove all the ASP Script and replace them with HTML Text. Below is the diagram: (picture 1) This is the ASP script for a page called HelloWord.asp Web server locates the ASP file and replace with HTML text and send back to the web browser. Problem with ASP Classic ASP is using html controls to interact with the user. Although ASP is having few good functions to build web application, it still not perfect yet to satisfy web developer in some of the areas. For example, ASP needs to code all the things in a single web page including the functions and interface. It is not very convenience when need to modify or update some of the data on the web page. Besides that, another disadvantages using ASP classic to build web page is lack of the performance and scalability, which means the web page that built by ASP classic will not auto fix the web pages with the web browser. The layout of the web page will out of the margin and the content cannot show as what web developer have designed for. How does ASP.net work? Think of ASP.NET web pages as normal HTML pages that have sections marked up for special consideration. When .NET is installed, IIS Web server on the local machine will automatically to check for files with the extension .aspx and it will use the ASP.NET module that have a a file called aspnet_isapi.dll to handle them. First of all, the client requests the web page from the web server. Then the web server started to locates the instruction file. Meanwhile, the ASP.net code is sent to the Common Language Runtime for compilation. After that, the HTML stream returned to the web browser. After the web browser get the HTML code. It will processes the HTML code and display the content of the page to the client. ASP.NET compared with ASP Classic Now, I will differentiate the asp version between ASP.net and ASP classic. What are the changes in ASP.net instead of the ASP classic and what is the improvement from ASP classic. Besides, I am also focus on what are the new features in ASP.net. First of all, the mainly ASP.net difference from ASP classic is ASP.net is ASP.net is support more language for scripting. For example, Asp.net supports visual basic language, C#, C++, Jscript and ADO.net as well. Support multiple languages will getting more web developer choose ASP.net as their first choice to develop a web page and web applications and let different background programmer can work together by using a same application. Besides, there are few points to compare between ASP.net and ASP classic. One of the aspects is compilation. ASP classic is built up by Jscript and it only interpreted the Script line by line when the page is requested. Moreover, ASP.net compilation is totally different with ASP classic. ASP.net is automatically compiling all the code while the code is first time executed. The compiled code will store inside .NET classes within assembly. .NET classes are including the server-side coding and HTML code. So, when ASP.NET page is executed for first time, the compiled code will store inside the .NET classes. Next time will render the ASP.net page by execute the compiled code that has created. The performance for ASP.net will be increased because there are no longer like the ASP classic has the difference between the compiled code and the coding within the server-side languages within asp web page. ASP.net performance is faster due to the compiled code but ASP classic is using the scripting languages like VBScript. VBScript is representing to machine code and did not require any additional parsing. That is why web developer is preferred to use ASP.net instead of using ASP classic. On the other hand, the difference between ASP.net and ASP classic is the scalability factor. For ASP classic, the components inside the web pages are not easy to update, replace and maintain it. If want to update particular component, IIS is required to shut down then only can successfully replace or update the component. After done all the modification, IIS need to restart once.( Neel Sus. 2009). For ASP.net, it was different with ASP classic which it is scalable and easy to do modification on the web pages. The term of Xcopy command is used to build an efficiency ASP.net web application page. The Xcopy term is to copy a file to another location. It is allow to do the modification without need of restart of web server. The web developer can do the changes on the web application and no web server restart is required to take effect. It will direct take effect once the web application is requested.(Bean Software. 2002). Advantages of using ASP.NET After compared the version between ASP.net and ASP classic, here is some of the advantages of using ASP.net. ASP.net has reduced the need of code to build a web application; it required lesser code to build a large web application. This will help web developer save time, and more efficiency to build a large web application. Another new feature from ASP.net which does not include in ASP classic is the authentication function. Authentication is the processes to obtain and validate the information that provide by user are valid or not. If it is valid, the user will get the authorization and the authorization process will check the user whether have permission to access the particular resources on the web pages. It will increase the security of the web application and make sure all the user information is secured and not grab by someone. (MSDN. 2010). Besides that, ASP.net file extension is .aspx and it has a code behind page which is .aspx.cs. The difference between .aspx and .aspx.cs is .aspx is the interface for the web application. It stored all the html coding and some of the C# language label for some of the particular components. Meanwhile, aspx.cs is a place to let web developer to code all the functionality for the button, and the business logic on that page. Moreover, ASP.net is server-side technology. It means all ASP.net coding is executed and compiled on the server side before it send it back to the web browser. Below is the example of code behind on aspx.cs: The ASP classic need to code a web application coding inside a same page including the HTML and the function code. It will become messy if web develop wanted to do the modification on the web pages. It need take some time to analyze the code first before doing any modification. (Steve Kozyk. 2008). The disadvantages of using ASP.NET One of the main disadvantages of using ASP.net application is it only support on Windows platform. That means other based Operating System is not allowed to use ASP.net to develop their web application. The limitation of the ASP.net will make some of the web developer abandon to use ASP.net to develop their web application and choose other more appropriate application to develop their web application such as PHP support in any platforms. ASP.net 1.x compared with ASP.net 2.0 We move to the next topic which is the comparison between ASP.net 1.x and ASP.net 2.0. ASP.net 1.x release on year 2002-2003 and ASP.net 2.0 is released on year 2005. Firstly, we compared the compilation models for this 2 version. ASP.net 1.x will only automatically compile few files such as asp page (.aspx), user control, http handler, web services and Global.asax class files. Others file that not automatically compile, web developer need to compile the rest of the files before publish the web application to the web server. ASP.net 2.0 has increase the efficiency in the compilation process. ASP.net 2.0 will automatically compile the file types that include asp page file (.aspx), asp and asp page behind code (.cs). So, the web developer only need to create the web application and publish it. ASP.net 2.0 have a folder called App_Code which can keep the helper classes, business object inside but cannot put the asp pages (.aspx), Global.asax and other non-code files. ASP.net 2.0 will compile elements inside the App_Code folder and name as code.dll. In ASP.net 1.x, when the web developer need to do the modification on the web application, they need to open the entire project file do modify and update it. After done the modification, they need to compile the entire project and publish it to web server again. But ASP.net 2.0 allows web developer just open the particular file that wants to modify. After done the modification, web developer just need to publish the file code to the web server and no need to recompile. In ASP.net 1.x, the code behind page of web application are require an IIS virtual directory to run and the IIS is require to store inside the local computer which used to develop the web application. ASP.net 2.0 code behind page can access the local host IIS directly and the IIS has store inside the web server. In ASP.net 1.x, the procedure to process the web application page is send the client request to the web server. First, the Init event is called. After that, called the Load event by the PreRender event is called net. Lastly, the Unload event is called and the generate output will sent it back to the client. In ASP.net 2.0 has added few new attributes. The attributes will help web developers to have a control for the new framework features which is theming and personalization. Besides, ASP.net 2.0 Page class has provided new method, event, and properties. The 3 important script for the properties is ClientScript, Header.IPageHeader and Master. There are 3 new important methods such as GetValidators, setFocus, and RegisterRequiresControlState. In ASP.net 2.0, there are few new events implements. First, PreInit is called before initial the web page. Then, InitComplete will be occur when the page is completely initial. Next, the PreLoad event is called immediately after the InitComplete event and before the web page begin to load. The LoadComplete event will occur after the page is load complete at the end. Last, PreRenderComplete event is occur and this event will store personalize data and page HTML is rendered. Web developers can use all these events to build up their web application in a dynamic way. Summary After compared the version between ASP.net 1.x and ASP.net 2.0. ASP.net 1.x is unable to open a particular page not inside the project but ASP.net 2.0 can modify particular page without open the entire project. We can know that the code behind pages is a efficiency way to write all the functions, logic to make the web development process become more efficiency and effectiveness. As the conclusion, ASP.net 2.0 has added more features to increase the performance and the secure of data. (Benoy Baskaran. 2006). ASP.net 3.0 compared with ASP.NET 3.5 The ASP.net 3.0 is using a base of the ASP.net 2.0 but there are added several of the new features on it such as Windows Presentation Foundation (WPF), Windows Communication Foundation (WCF), Windows Workflow Foundation (WF) and Windows CardSpace (WCS). First of all, The Windows Presentation Foundation is one of the interface sub-system using at windows. Windows Presentation Foundation has using the Windows function like create, view and manage of the files, media and user interface (UI). Because it will make the web developers can create the more attractive, better impression on the interface and the different use experience on it. Windows Presentation Foundation (WPF) is built with 2 important parts which is display engine and the framework. The mainly function is to build the 3D graphic and use the Direct3D technology. Next, Windows Communication Foundation (WCF) or name as Indigo. It is a service-oriented communication system. It has all the current .Net features like .Net remoting, ASMX,WSE and MSMQ. The WCF is built on the version of the .net Framework 2.0 and above. It also is a core of the Windows Vista. Windows XP and Windows Server 2003 operating system also support once install the WinFX Runtime Components. Besides, Windows Workflow Foundation is the next features on the ASP.net 3.0. It is a new workflow development on the .net Framework. Windows Workflow Foundation include the namespace, workflow engine for Visual Studio 2005. It support in Windows XP, vista and Windows server 2003 as well. Lastly, Windows CardSpace (WCS) is an application that stored the user information in a more secure way and in digital form. It has provide a unify interface to select which identity need to use for transaction. For example, use an identity to login to a specify website. As the conclusion of ASP.net 3.0 is a combination of ASP.net 2.0 and Windows Presentation Foundation (WPF), Windows Communication Foundation (WCF), Windows Workflow Foundation (WF) and Windows CardSpace (WCS). (Mnaveenrao. 2009). What is new in ASP.net 3.5 After we view the new features of ASP.net 3.0, let us see what other new features that will be added in ASP.net 3.5. ASP.net 3.5 is implementing inside the Visual Studio 2008 and it released on year 2007. The ASP.net 3.5 is using the same engine in the ASP.net 3.0 and it has added new features in it. So, let check out what are the new features in ASP.net 3.5. First of all, one of the new features that added inside the ASP.net 3.5 is the ASP.net AJAX. Although ASP.net 2.0 can use the features of the ASP.net AJAX, it still needs to install the extension to ASP.net 2.0 and ASP.net 3.0 only can successfully use the features. It is totally different which ASP.net AJAX is integrated in ASP.net 3.5. So, it is help web developers to build a better quality user interface easily. (Suprotim Agarwal. 2009) Next features that added in the ASP.net 3.5 is LINQ. LINQ (Language-Integrated Query) is to display the query that capability to the programming language such as C# and VB.net. The format of query in LINQ is something like the format of SQL. It is contains Select, From and Where keywords which have the same functions in the SQL. Here is the example of LINQ. Int Rental = from house in Rent where rental > 100 select house; ASP.net AJAX have added several new controls that can easily to call a control that can link to the datasource. The first new control is called ListView. ListView control is consist of some of the features like can show the result of the datasource in different view such as Datagrid, Gridview, repeater and the controls that available in ASP.net 3.0. It allows web developers have the ability to insert data, edit data, delete data, sorting the data. These controls are flexible because the web developers can design how the data present the result. After view the features of ASP.net AJAX, ASP.net 3.5 is added few new assemblies like System.Core.dll, System.Data.Linq.dll and System.xml.Linq.dll is an assembly to implementation for LINQ. System.Web.Extensions.dll is the implementation for ASP.net AJAX. ASP.net 3.5 allow different version of ASP.net store on the same computer. Security in ASP.net Securing an ASP.NET application requires a clear understanding of all the security options provided in ASP.NET, and show how the security subsystems interact each other. Since ASP.NET is built on the Microsoft .NET Framework, the web application developers will has the full access to the full set of the built-in security features inside the Visual Studio .NET. For example, the code access security and role-based user-access security. It is important to know how the different security subsystems interact each other and how it will be able to make the web application more secure. Before web developers configure the security for the web application, they need to configure the web application to implement the two security function that described in the following table. Security function Description Authentication It is a process of getting identification credentials from a user such as name and password, and to validate those credentials against some authority. Authorization It is a process to control the access to the resources regarding on the authenticated identification credentials ( such as role ). ASP.NET achieves the authentication security function by using the authentication providers, the security modules consist the code that able to authenticate the user credentials. To enable authentication security function in ASP.NET web application, the web developers need to create an authentication section entry first in the application root configuration file. The authentication session syntax are showing below: Using ASP.NET Configuration Files ASP.NET configuration file is written in a hierarchical structure format. Web.config is a file to store all the configuration data for the ASP.net web application. It also contain another file called Machine.config which is store configuration information as well. Web.config file and other web application files is located under same directory. But Machine.config file is located in the install root directory. All the sub-directory will inherit all the settings in the directory unless it has overridden by the Web.config file which located in the sub-directory. In Web.config file, it contains all the ASP.net functionality in the section. The Web.config file is written as below: In the web.config configuration file, it is contains 3 sub-sections which are authentication, authorization, and identity. The values that set for these 3 section configuration file is to overriding the configuration file in the application root. All sub-directory will inherit those settings automatically. However, sub-directory can have their own web.config file that override the directory web.config settings. Besides, the web developers may use the syntax to specify a particular file or directory. Critical Evaluation on ASP.net After the evaluation of the ASP.net, we can know that there are a lot of changes and improvement that involve in the latest ASP.net version. But there are still got competitor in the web development field. There are still got another language and platform to let web developers to choose their favorite web development tools to build their web application. One of the competitors for ASP.net is PHP. Introduction of PHP PHP is stands for Hypertext Preprocessor. PHP is open source language and it is a cross-platform because it compatibility with different operating system such as Windows, Unix system. PHP is a scripting language to build dynamic web site and it is run at the server-side. The PHP syntax is similar with the language of C, Java and Perl. So, it will help web developers build their web application efficiency and quickly. PHP allows web developer write the simple PHP syntax in HTML files directly, it can done this by eliminating the need of cgi programs. Moreover, PHP make web developers easy to supervise to the large web application by put all the components inside one html file. For example, when creating the catalogue for online trading web site, the web developers must have to design all the design templates for all the catalogues web pages. In the early day, the web page design is written in the html format and shows all the data by using different type of design templates. In PHP, is only need one application to build all the web application pages that link to the database in the appropriate pages, correct location and related content. This is to avoid any redundancy web pages is created and easy to maintain and manage the web application. As we know, PHP is a cross-platform scripting language. So, we not only can use the PHP code to build web application, but it can use all the PHP libraries and all the code written in PHP. One of the big features in PHP is it supports for numerous databases such as Oracle, MSSQL, MS Access and others. Besides, it is support networking, zip and consist a set of built-in functions. IT is free to download from the PHP website by everyone. PHP is a language easy to learn because most of syntax is similar to language C. In my opinion, I think that ASP.net performance is higher than PHP. That is why I choose ASP.net as the web development tool in my project. ASP.net application is developed using Visual Studio which produced by Microsoft. It is easy to build the web application interface and component easily added in the web application. It makes the coding part for the web application is much simpler and development more productivity. Although PHP is an open source scripting language for all the web developers, it does not have own web development tool to build their web application. They need to use third party software to implement their PHP concept and coding inside. Some of the third party software like Adobe Dreamweaver is one of the software that can write PHP scripting language. Although there are free to charge in use of PHP scripting language, but some of the third party software may need to buy license to continue use for web development. So, it also needs to cause the cost of web development increased. Besides, Visual Studio .NET is provides a huge of features to make the web development easier. Web developers also provide students to download a free scaled down Visual Studio version which can provide better features. The features that come with the PHP is lesser and it was very simple features that use to build web application. It will make web developers have the limitation to build their web application. However, there are a lot of add-ons which available on the internet for web developers to download. With the PHP add-ons, it will make the PHP has some same function inside the Visual Studio. It is very troublesome to ask PHP web developers download the add-ons one by one and implement to PHP. It will waste a lot of efforts and time to download and install the add-ons. . For example, AJAX is not built in in PHP, web developers need to download themselves. So, ASP.net is better than PHP which the Visual Studio will come with a full set of the features that need to use in web development. It will make the web development process running smoothly and more productivity. On the other hand, Jasir Javaz (2010) noted that PHP getting a huge support from the web developers. This is because the PHP is an open source and it is free to everyone. Besides, PHP version 5 has provide many object oriented development concepts to the web developers to build their web application in a better way. It will make the structure of the web application and the coding is easy to implement each others. In ASP.net, it is different with PHP which is has better languages support. ASP.net able to let different language background web developers use Visual Studio.Net to build their own web application. The supported languages for ASP.net got VB.net, C#, J#, C++, COBAL. PHP is run on Apache server and Apache also is an open source. ASP.net is run on IIS which is Internet Information Services. The benefits of using ASP.net are the user interface design and application coding part is separated to 2 parts. So, it is easy to let web developers to focus on design the overall web application interface. Besides, the code-behind pages also easy to manage and update if there have any changes or any new logic need to implement in it. So, ASP.net is more user friendly in use to design a web application design. This is one the reason I choose ASP.net in my project. It is not only provide more features and it is easy to let me design the web application interface and easy to manage and update. As the conclusion, there are a lot of factors and reasons to make a web developer choose their own web development tool. A web developer chooses the suitable web application tools will make their more understanding on the application and use specialize programming language. Summary PHP is an open source and free to everyone. PHP also work on Linux OS which is open source as well. Using Linux OS, the performance will be higher, more secure than using Windows. It is low cost for whole web development. PHP is easy to learn especially for the beginners because the scripting language is similar to language C. ASP.net is an powerful which full set of the features that easy to build up an efficiency and effectiveness web application. ASP.net is using the pre-compiled concept which I have mentioned above. Better programming language support and easy design for user interface and code-behind. Conclusion As the conclusion, I f

SHELTER FROM THE STORM Essay -- Essays Papers

SHELTER FROM THE STORM Domestic Violence is a prevalent issue facing men and women in the United States. The only way to put an end to domestic violence is to acknowledge it and report it. With the help of the government, local charities and the concern of Tucson community members, many different resources have been created to help and support victims of domestic violence as well as rape. Every year in the United States hundreds of thousands of domestic violence crimes are committed, many of which go unreported. According to a National Crime Victimization survey, "over two-thirds of violent victimization against women were by someone known to them"(Bachman, pg.1). Approximately 5% were relatives other than husbands, 35% were aquantences, and nearly 28% were intimates such as husbands or boyfriends. Females experienced more than 10 times as many incidences of violence by their companion than males. Women experience 572,032 violent victimizations by their significant other, while the number of incidents for men has been 48,983 on average, each year. In an article to Health Care Providers, it has been reported that medical expenses associated with domestic violence have accelerated to $3-5 billion dollars annually and continues to rise. "Almost 6 times as many women victimized by intimates (18%) as those victimized by strangers (3%) did not report their violent victi mization to police because they feared reprisal from the offender"(Bachman, p.1). In the Greater Tucson area approximately 16,000 charges are filed each year, at least half of which result in in-custody arrests. A statistics report from the Tucson Police Department for the twelve month period of March 1998 to February 1999 shows that only 384 phone cal... ...ordinator for ACADV/DVC Legislative Concerns. Bodfield, Rhonda. Hull helps to keep open Douglas shelter for abused. www.azstarnet.com/plsub-cgi/fastw, Oct. 29, 1998. Burnett, Dave. Tucson Centers for Women and Children. www.azstarnet.com/~tcwc/. Cook, Kristen. Forum focuses on domestic violence. www.azstarnet.com/plsub-cgi/fastw, Oct. 25,1998. "Domestic Violence for Health Care Providers," 3rd Edition, Colorado Domestic Violence Coalition, 1991. Hart, Barbara. "Remarks to the Task Force on Child Abuse and Neglect," April 1992. Moore, Roberta. Oasis Center. w3.arizona.edu/~oasis/home.htm. Pacific Coast Publishing Regional Telephone Directory, 1999-2000. Sandal, Inger. Domestic Violence Center, city’s 1st, opens in January. www.azstarnet.com/plsub-cgi/fastw, Dec. 12, 1996. Violence Against Women. www.usdoj.gov/vawo/toc.htm.

CT scan of abdomen and pelvis without contrast Essay

ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gallbladder, adrenals, kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seen constant with acute appendicitis. Osseous structures of the abdomen appeared unremarkable. No free air was seen. PELVIS: Good quality, non contrasted actual CT examination of the pelvis with coronal reconstructions. Prostate, seminal vesicles and urinary bladder appeared WNL. The bowels seen on the study appeared WNL, except for inflammatory changes of the appendix and seccum with acute appendicitis. Osseous structures of the pelvis appeared in tract with evidence of bilateral hip degenerative changes. IMPRESSION: 1. Findings consistent with acute appendicitis 2. Degenerative changes of the hips Paula Reddy NN:EF D: T: DISCHAGE SUMMARY Patient Name: Benjamin Engelhart Patient ID: 112592DOB: 10/05/Age: 46Sex: M Date of Admission: 11/14/2012 Date of Discharge: 11/17/2012 Admitting Physician: Benard Kester, MD General Surgery Procedures Performed: Laparoscopic appendectomy with placement of RLQ drain on 11/14/2012 Complications: None. Discharge Diagnosis: Acute subapperative appendectomy perforated. DIAGNOSTIC/IMAGING LABS: Lab results at the time of admission showed a WBC count of 13. CT scan done in the ED revealed an acute appendicitis with fleggon. HOSPITAL COURSE: The 46 years old Caucasian gentleman presented to the ED with a 3 day history of abdominal pain, however in the last 24 hours and it has________ migrated to the RLQ with anneorixia, guarding and elevated WBC of 13 and CT scan consistent with appendicitis. The patient was taken to the operating room where he underwent a laparoscopic appendectomy that revealed appendix perforation and phlegmon. The appendix was removed in toto with an intact stable line. A drain was placed in the RLQ due to the fleggmonous material. Patient did well over the successive 2-3 days postoperatively with resumption of an oral diet having past flatus with having bowel movement with minimal drain output. However his WBC lowered to 6. His drain has been left intact. Patient is being discharged on the post operative day 3 on a 1 week course of PO gentamicin. The drain left in place. The drain will be removed in my office on 11/24/2012 if the drain output is minimal. Patient is on a PO diet. He was given a script for both antibiotics and PO narcotics. (Continued) PLAN: Post operative visit in my office in 1 week for evaluation and possible removal of JP drain. No heavy lifting for 4 weeks following surgery. Patient is to complete his full course of post operative antibiotics. DISCHAGE SUMMARY Patient is to report to the ED or my office earlier if any redness or foul smelling drainage out of the wound sit. Any swelling, fever, pain or any other concerns. Patient and his wife verbalized the understanding of the agreement with the above plan. Bernard Kester CC: Max Hirsch, MD D:11/14/2012 T:11/14/2012 HISTORY AND PHYSICAL EXAMINATION Patient Name: Benjamin Engelhart Patient ID: 112592DOB: 10/05Age: 46 Date of Admission: 11/14/2012 Emergency Room Physician: Alex McClure, MD Admission Diagnosis: Acute Appendicitis HISTORY OF PRESENT ILLNESS: 46 year old gentlemen with past medical history significant only for degenerative disease with bilateral degenerative disease of the hips. Secondary to arthritis. Presents to the Emergency room after having had 3 days of abdomen pain. It usually started 3 days ago and was generalized vague abdomen complaint. Earlier this morning the pain localized and radiated to the RLQ. He had some nausea without amesis. He was able to tolerate PO earlier around 6am. but now denies having an appetite. Patient had very small bowel movement earlier this morning that was not normal for him. He has not passes has the morning. ‘he is voiding well. Denies fevers, chills or night sweats. The pain is localized to the RLQ without radiation at this point. He has never had a colonoscopy. PAST MEDICAL HISTORY: Significant for arthritis of bilateral hips seen by Dr. Hersch. PAST SURGICAL HISTORY: Negative MEDICATIONS: Piroxicam for degenerative joint disease of bilateral hips ALLERGIES: No known drug allergies SOCIAL HISTORY: Patient admits alcohol ingestion nightly and on weekends. Denies tobacco use and illicit drug us. He is married. FAMILY HISTORY: No history of cancer or inflammatory bowel disease in his family. REVIEW OF SYSTEMS;;12 point ROS was preformed and is negative except noted in above HIP, PMH and PSH. Careful attention was paid to endocrine, integumentary, pulmonary, renal and neurological exam PHYSICAL EXAMINATION: Vital Signs. TEMPERATURE: 101.0, Blood Pressure- 127/179, Heart Rate-129, Respirations- 185, Weight-215. Situations 96% on room air. Pain Scale- 8/10. HEENT-Normal cephalic, atrumatic pupils equally round and reactive to light. Extra ocular motions intact. ORAL: Shows oral pharynx clear but slightly dry mucosal membranes. TMS: Clear. NECK: Supple, No thrangegally or JVD. No cervical,  subclavicular, axilarry or lingual lymphinalpathy. HEART: Regular rate and rhythm. No thrills or murmur heard. LUNGS: Clear to aspiration bilateral. ABDOMEN: Obese with minimal bowel sounds, slightly distended there is RLQ tenderness with guarding and pinpoint rebound. Positive _____. Actuator signs with negative psoas side. RECTAL: No evidence of blood or masses. PROSTATE: WNL. EXTREMITIES: No clubbing, cyanosis, clots or edmea. 1+ pedal pulses bilaterally. NUERO: Cranial nerves 2-12 grossly intact. DIAGNOSTIC DATA: WBC was 13.4, Hemoglobin and hematocrit 15.4 and 45.8, platelets 206 with 89% shift. Sodium 133, Potassium 3.7,Chorlide 99, Bicarbonate 24, BUM and Creatine 18 and 1.1, Lukeuos 146, adermin 4.3, total bulliru,1.7, remainder of the LFTs is WNL. Urinary analysis reveals trace keytones with 100 mg per decimeter with small amount of blood. CT scan was preformed revealing evidence of acute appendicitis with parasitical inflammation as well as facilitation of appendix inflammation and haziness in aperparacifiacal dilation. There is evidence of degenerative joint disease in bilateral hips on the cat scan as well. ASSESTMENT PLAN: This 46 year old Caucasian gentleman has signs and symptoms and radiographical findings consistent with acute appendicitis without evidence of abscesses. The plan is to take him to the operating room for laproscopic possible open appendectomy and possible large bowel dissection should the case resisitated. Plan was discussed with patient with his wife. Risk, benefits and alternatives were discussed. There was no barriers to communication and all questions were answered appropatily The patient understands the plan and desires to proceed . (Continued) The plan was discussed with Dr. Keslerof general surgery who agrees and will take patient to operating room . Alex McClure, MD D:11/14/2012 T:11/14/2012 PATHOLOGY REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/05/Age: 46Sex: M Pathology Report No: 10-S-9044 Date of Surgery: 11/14/2012 Attending Physician: Bernard Kester, MD general surgery Preoperative Diagnosis: Acute appendicitis Postoperative Diagnosis: Necrotizing acute appendicitis Specimen Received: Appendix other than incidental Date specimen received: 11/14/2012 Date reported: 11/16/2012 CLINICAL HISTORY: Acute appendicitis. GROSS DESCRIPTION: The specimen was received in formily? With patient name, ID and appendix. It consist of a appendix measuring 6 x1.5Ãâ€"1.5 cm there periepdesial fat attached to it measuring 6Ãâ€"4 by1 cm. The cirrosal surface is hemmoraggric. Upon opening the appendix there is percudent exudates material. The wall thickness measures 0.3cm. Representive sections are present is 1 cassettes. MICROSCOPIC DESCRIPTION: Performed MICROSCOPIC DIAGNOSIS: Appendix appendectomy, Necrotizing acute appendicitis. ICD Diagnosis Code: 540.9 (Continued) CPT Code: 8-88304 Georgia Tamato,MD ALW: D:11/14/2012 T:11/14/2012 OPERTIVE REPORT Patient Name: Benjamin Engelhart Patient ID: 112592DOB: 10/05Age: 46Sex: M Date of Admission: 11/14/2012 Date of Procedure: 11/14/2012 Admitting Physician: Bernard Kester, MD General Surgery Surgeon: Bernard Kester, Assistant: Jason Wangner, PAC Circulating nurse: Jimmy Dale Jet, RN Preoperative diagnosis: Acute appendicitis. Post operative diagnosis: Perforated appendicitis. Operative Procedure: 1: Laparoscopic Appendectomy. 2: Placement of RLQ drain. Anesthesia: General endotracheal. Specimen Removed: 1 Necrotic appendix. IV Fluids: 1700 crystalloid. Estimated Blood Loss: 10mL. Urine Output: 300mL. Complications: None. INDICATIONS: This gentleman is a 46 year old Caucasian male that came in with a 3 day history of abdominal pain, however the pain worsened after 24 hours to the RLQ and caused a significant amount of anorixia. He presented to the ER department. CT scan to abdominals and pelvis showed acute appendicitis. Labs showed WBC at 13. Laparoscopic appendectomy procedure was explained along with the risk, benefits and possible complications. Patient voiced his desire to proceed. Patient was started on preoperative gentamicin. DESCRIPTION OF PROCEDURE: Patient was ID’d times 2 in the pre op holding area. A final timeout was held in the nursing area, anesthesia and surgical service during in which the patient ID was confirmed and the surgical site was initialed. He was given preoperative antibiotics. He was taken back to the OR and placed in the supine position. General endotracheal anesthesia was induced. SEDs were placed on his lower extremities. His Left arm was tucked to the side. Foley Catheter was placed. His abdomen was shaved and prepped with betadine solution, and draped in the usual standard fashion. A small semicircular umbilical incision was made to the subcutaneous tissue down to the fascia. And was gasped at either side and was incised. Kelly clamped was easily inserted. Stay sutures made a _____on either side the Hasson trocar was placed and pneumoperitoneum was easily  achieved. 10 mL port was placed in Left abdomen and a 5 mL was placed in the LLQ. Inspection of RLQ showed a significant amount of adhesions and the small bowel trying to wall off perforated appendix. Milky purulent exudates was noted in surrounding area. The small bowel was carefully peeled off the RLQ side wall. Fibrous exudate the vermiform appendix was identified. It was neurotic perforated in appearance The cecum was mobilized by taking down the lateral attachments laterally. The adhesions of the terminal illium through the pelvis were significant, attempts at this time were not made to free them. There was no evidence of obstruction. The base of the appendix was Identified and dissected and lifted free. Stapler loaded with___ was used to transect the base______however again inflammation extended to the level of the cecum. Though the cecum itself was also inflamed. The remainder of the mesoappendix was divided with a Endo GIA loaded with a _____. Appendix was placed into a endo catch bag was brought out through the umbilical cord site and sent to pathology for routine processing. Inspection of the RLQ and the area was irrigated coupsuley, there was no further evidence of purulent exudate. The appendicualr stump remained and doesn’t appear to be inflamed. However____wasn’t bl eeding. There was some fibrous exudate in the area. Consequently I felt like we had 2 options, we either perform a right epicolodectomy, given the intent of the adhesions in the pelvis would likely require a laparotomy or place a drain with antibiotics possibly controlling the fistula until the inflammation resolves. But hopefully it will heal on its own spontatensouly. Consequently we placed a19 French round Blake drain in the RLQ and brought it out through the LLQ in the 5mm port site. It was secured to the skin using a micro suture. Nuenopartiumeum was then desufflated the fascia of the umbilical port site was closed using a 2,o vicro that had been previously placed. All wounds were enthsitized using 1/2% marking solution and was coupsley irrigated. Skin edges approximated using 4 or monocro. The wounds were dressed with beatdine spray and steri strips. Drain sponge was placed around the drain, Foley catheter was removed. The patient was awakened, exubated then taken to recovery PAR in stable condition. Having tolerated the procedu re well. No complications were observed. DISPOSISTION: 1: The patient will be transferred to the floor. 2: He will be kept at least overnight. 3: He will be taught drain care. 4: He will go home with the drain on place. 5: He may require a fistulagram in the future. Benard Kester, MD D:11/14/2012 T:11/14/2012