Case study 2 Essay Example | Topics and Well Written Essays - 500 words - 2

Case study 2 - Essay Example This paper will describe the approach to care that is necessary to be given to Mr. P and the treatment plan. The paper will also describe the methods for providing both the patient and family members with education. In order to give the proper care needed for any sickness, the care provider should first seek the doctors’ guidance. Since Mr. P is suffering from heart failure, it would be necessary that a follow up is made to ensure that he uses the prescribed drug as required without missing a single prescription. The care will also involve ensuring that Mr. P visits the hospital at the right time. It is also essential that care should involve provision of moral support. In this case, he should be provided with all assistance needed, especially with activities that he cannot do due to his condition (Maron, 2008). The treatment plan of cardiomyopathy and heart failure is to cope with the disease symptoms and signs. It also involves ensuring that the condition is not left to worsen and risks and complications are minimized. The recommended treatments for Mr. P regarding his health status include the use of angiotensin-converting enzyme (ACE) inhibitors. This enzyme assists in boosting heart pumping aptitude. The enzymes include lisinopril, enalapril, captopril, and ramipril. In case he is not able to take ACE, he should be given angiostensin recerpter blockers such as valsartan and losartan. This should be taken in accordance with doctor’s prescriptions. Cardiomyopathy can also be treated using Digoxin (lanoxin) drug. This drug helps in increasing the strength of the patient’s heart muscle contraction. The drug is also said to slow down rate of heartbeat. It minimizes symptoms of heart failure thereby improving the patient’s ability to live with the disease (Maron, 2008). Since Mr. P has some traces of blood fluid in his lungs, it would be necessary that he be given Diuretics water pills that make the patient urinate

How has the treatment of cancer evolved over the past 10 years Research Paper - 1

How has the treatment of cancer evolved over the past 10 years - Research Paper Example cannot imagine the circulation of blood in the veins and arteries of the body, not only this, but if blood is not circulated then the liver may cease to perform its function and in turn, kidney shall stop filtering the waste out of the body. If waste is not excreted out of the body then it will obstruct the digestion procedure and hence the process of assimilation will be hindered and ultimately the body will lack the energy that it requires to perform various tasks and thus one can imagine how the machinery inside the body functions. The most significant components, however, in the body that lays the foundation of the entire human structure are cells. Cells in medical terms are known to be the building blocks of a human body. Every organ is composed of these cells. Blood circulation is the most important condition that is to be met for the continuation of life in a body cannot take place without the presence of cells. But the paradox is, if these cells start growing unnecessarily than they may prove to be as dangerous as being fatal. Cells in a human body are produced by the multiplication of existing cells and splitting of these cells provides the human body with its cell requirement from time to time. When the body does not require some cells, they die and are drained out of the body in various forms. However if the cells began to divide and give birth to more cells without the body needing them then this causes complexities in the body and leads to a disease known to us as cancer. Cancer is the abnormal growt h of body cells and it may take place at any portion of the body. Growth of the human body is a natural phenomenon and it takes place by virtue of the dispensable ability of the body cells. A cell divides into two, two divides into four and four into eight and so on and so forth, as per the body requirement. The DNA in the cells contains all the information regarding growth or demise of cells in the body if this information is corrupted, by reasons to be

Sense and Sensibility Essay Example for Free

Sense and Sensibility Essay Jane Austen’s novel â€Å"Sense and Sensibility† was originally named â€Å"Elinor and Marianne† before the title was changed during publication in 1811. Thus, the readers associate Elinor with â€Å"sense† and Marianne with â€Å"sensibility†. â€Å"Sense† and â€Å"sensibility† establish the overall characterization of the two main characters. The dichotomy of â€Å"sense† and â€Å"sensibility† is one of the perspectives through which the novel is most commonly analyzed. Although Jane Austen seems to be in favour of â€Å"sense†, through the novel’s plot and characterization of the Dashwood sisters, Jane Austen seems to be suggesting that a balance of both attributes is necessary in order for one to survive in their society. â€Å"Sense and Sensibility† refer to Elinor and Marianne, respectively. From the footnotes of the novel, â€Å"sense† is defined as possessing judgment and intelligence, while â€Å"sensibility† is defined as capacity for refined emotional response to feelings and experiences, involving delicate sensitivity to moral and aesthetic issues. From these descriptions, Elinor can be portrayed as the embodiment of â€Å"sense†, while Marianne is â€Å"sensibility†. At the beginning of the novel, Jane Austen describes these two traits in Elinor and Marianne and how they are in comparison to each other. â€Å"Elinor†¦ possessed a strength of understanding and coolness of judgment†¦ and her feelings were strong: but she knew how to govern them† and â€Å"Marianne’s†¦ quite equal to Elinor†¦ but eager in everything†¦ she was everything but prudent. † These descriptions set up the basic personalities of the Dashwood sisters throughout the novel and are important in showing their growth. Some of the main trials faced in the novel are for â€Å"sense† and â€Å"sensibility† to cooperate and for the sisters to find a meeting point between reason and emotion. In the novel, as Elinor and Marianne mature and develop, the readers start to see the sisters exhibiting each other’s characteristics. For instance, when Elinor finds out that it was Robert that Lucy married and not Edward, she reacted the way the readers would expect Marianne to behave: â€Å"Elinor could sit no longer†¦ burst into tears of joy, which at first she thought would never cease. † By exhibiting â€Å"sensibility†, Elinor demonstrates to Edward her feelings for him and consequently, they are happily married at the end of the novel. Another instance is when Marianne reflects on her behavior: â€Å"My illness has made me think†¦ I saw in my own behavior†¦ nothing but a series of imprudence towards myself and want of kindness to others. † Here Marianne begins to think more rationally and before long, she sees how caring and heroic Colonel Brandon is capable of being (previously, she thought of Colonel Brandon as one who has succumbed to the infirmity of dull middle age) and eventually, Marianne gets her happy ending. From the aforementioned examples, the readers perceive that it is only when the sisters are able to find an intersection point between reason and emotion and their â€Å"sense† and â€Å"sensibility† are in balance, do the Dashwood sisters get their deserved outcomes. Here, the title â€Å"Sense and Sensibility† act as a plot device, as well as a device for character development. Another way in which the title of the novel is significant is it explores some of the main concerns in â€Å"Sense and Sensibility†. One of the main concerns explored is the relationship between Elinor and Marianne. The title â€Å"Sense AND Sensibility† perhaps suggests that â€Å"sense† cannot exist and function without â€Å"sensibility† and vice versa. Seeing that Elinor represents â€Å"sense† and Marianne represents â€Å"sensibility†, this would explain the reversal of roles at the end of the novel. The role reversal discards the somewhat fixed descriptions of the Dashwood sisters at the beginning of the novel. If Elinor and Marianne were to remain true to Jane Austen’s characterization of them, they would not be able to achieve their respective happy endings. Another concern explored through the title is societal expectations of women. In the introduction, it explains that â€Å"sensibility† may be considered as â€Å"a feminine attribute in some respects, but it would be socially inconvenient for women to possess too much of it, for they would not fit in with what was required of them or put up with what they had to endure†. One example, where the â€Å"possession† of too much â€Å"sensibility† has caused a problem is Marianne. When Marianne saw Willoughby at the ball, she was overcome by emotions and acted against the social code and shortly after that she fell ill. This is a result of her having too much of â€Å"sensibility† and too little â€Å"sense†. Perhaps Austen is trying to make a point that in society, a woman needs to have Elinor’s â€Å"sense†, but she also needs to display emotion and possess a bit of passion like Marianne. In short, the well balance of â€Å"sense† and â€Å"sensibility† is necessary. All in all, the overall impression that the readers get from the title, â€Å"Sense and Sensibility†, in relation to the novel’s plot and characters, is that the novel is not about the triumph of sense over sensibility or their division; on the contrary, the readers remember â€Å"sense† and â€Å"sensibility† as a conjunction of terms that serve together as the compound subject of Jane Austen’s novel.

The Different Kinds Of Truth Philosophy Essay

The Different Kinds Of Truth Philosophy Essay There are two different kind of truth which is something that is true and something that is believed to be true. We must accept the idea that man can acquire all kind of truth but let us not mix them up. We would risk that the mixture will dissolve them up. Truth consists in the agreement of our thought with reality. The Aristotelian definition of truth states  [1]  : To say of something which is that it is not, or to say of something which is not that it is, is false. However, to say of something which is that it is, or of something which is not that it is not, is true. A belief is called true if it agrees with a fact or stated otherwise  [2]  . Beliefs determine how we see, interact and experience the world around us. Beliefs are ideas that are made after repetition and contemplation, that are accepted as truth and reality and therefore impact how we see life  [3]  . Believes and truth are often in conflict. For something to be true it must be public, eternal, and independent. By using different way of knowing such as reason, emotion, perception and language it can help us to distinguish the truth. Some knowledge can be taught and some we learn by our self through a process of reasoning. In our daily life, sometimes our logical thinking affects our believed about something. The fact is our logical thinking based on our experiences. Our reasoning is based on our pass experiences and from that we make a generalization. It is just the matter of how far our logical thinking based on our experiences can distort our attempt to distinguish between truth and believed truth. By putting down your hand into hot fire thus teaches us not to do it again. The implication of reasoning is of the greatest importance because it comes from our inner instincts. Logic attempts to help us determine whether our argument is true or false, or whether it is logical. Based on pass experience, it is logical if we tend not to do the same mistake by putting hand on fire because it is painful. Similarly with the truth, we tend to be selective in choosing knowledge based on our pass experienced and logical thinking. Sometimes mistake do happen during the process because we are easily influenced by our surrounding. The last question that will be dealt with is the question of what people know. According to the psychologist Jean Piaget  [4]  Ã‚  certainly regarded thinking as secondary to the actions of the intelligence. For him, logic was a science of pure forms, structures simply representing the processes of thought. As for me, logic was too narrow, arid and mechanical to properly represent human thought processes. Therefore, I can say that the truth which is true and believed to be true is not conforms and affirms through logic as ways of knowing alone because human have many limitations to count of. Logic work alone cannot really distinguish between something that is true and something that is believed to be true. Is emotion is the effective way? For some people, emotion plays an important role when it comes to decision making. Whether we like it or not, our emotion is depending on degree of logic that is include during the process of decision making. Imagine if you are a doctor and you have two make a decision whether to give a kidney to two of your patients who suffer kidney failure. One of the patients is your family. Which one would you give the kidney? Would the priority go to your family? The doctor tends to be bias if the decision made is involving with emotion. If I was the doctor, I would personally give the kidney to my family. But, based on what reason? The only reason why is because of strong love emotion. We tend to be bias in the process of seeking the truth because of our emotion. Based on scientific explanation, emotional situation triggers the release of chemicals in the bloodstream that alter the functioning of the brains neurons and other bodily functions as well. In effect, the situation requires some special behavior different from what we would do in the normal course of events. We only accept truth that will give us pleasure and make us happy. Emotional states seem to occur when things of particular importance occur in our lives. The neurobiologist Antonio Damasio  [5]  (1994) provides a somatic marker hypothesis  [6]   which explains how emotions make decision making possible. The doctor try to believe by giving the kidney to his family will save her/his live by ignoring the other patience live. How the doctor would know which operation will succeed? In this situation, we can say that the doctor is in believed truth. Thus, we can conclude that emotions are ordinarily conceived as irrational occurrences that cloud judgment and distort reasoning. It would be better if we separate our emotion when make a judgment. However it is impossible to that. Some philosophers, particularly those identifying themselves as postmodernists  [7]  , assert that truth is not absolute, but depends upon the individual point of view. Perception is one the ways of knowing that can help us to distinguish the knowledge whether it is true or just believed to be true. Everyone has different perception regarding on certain thing depends on own personal background, knowledge, experiences and our perceptions grow as we mature. I still remember during my childhood, my mom always told me to finish my meals or else the unfinished foods will cry. To be frankly, I believe on what my mom had told me. As I grow, I know that the foods will never cry as it is non-living thing. It just my mums trick to make sure I finished my meal. The perception of children will not be the same as adult. The problem is our perception constantly changing as we increase the scope of our knowledge. Thats why in science subjects we always come across with the term evolution and revolution. As scientist doing more research, they found that the previous theories are no longer applicable to support their new discovery. During the 20th century, in the history of biology, biologists mostly accepted that living organisms is classified into five kingdoms  [8]  . However, in 1978 the American Biologist Carl Woese  [9]  proposed a three domain classification. From the example and explanation above, we can conclude that our perception is not fixed and differ from one another. But without perception, it is hard for us to differentiate the truth. Last but not least, we can use language as one of the way of knowing to help us distinguish whether the truth are the real truth or believed to be the truth. According to R.A Hall: language is the institution whereby humans communicate and interact with each other by means of habitually used oral-auditory arbitrary symbols  [10]  . Language plays an important role in our lives in seeking the truth. Language allows us to form statement, express concept and our idea. Let we take the example of a statement all bird can fly. From the statement, we can express our idea to other people that all type of birds has the ability to fly. Imagine how could we explain the word bird, all, fly without word? Without the  statements it would be hard to organize our ideas and to then determine if these ideas are true or only we believe them to be true. We could use other alternative such as gesture, sounds and drawing to represent our ideas. As it connected to the ideas that they portray they als o become part of the language. The statements created by language help us to determine if an idea in true or not. Since a sentence expresses the relationship between objects we can check the validity of the statement. If ostrich cannot fly, then we can prove the statement all bird can fly is not true. The presence of evidence can always prove the statement is false then we know the statement is not true. The problem with language is sometimes it is misinterpreted due to the word that has many different meaning. For example the word gampang. For Indonesian it means easy but for Malaysian it is insulting. Admittedly, all knowledge could be regarded as a combination of truth and believed truth, and since all information needs to pass our subjective minds to become knowledge. By using the four ways of knowing logic, emotion, perception and language can helps us to distinguish the truth. One ways of knowing stand alone to distinguish the truth and believed truth would not be very fruitful. 1450 words.

An Ecomomic Forecast :: essays papers

An Ecomomic Forecast Evaluating the bull market today, it is almost impossible to pick up a financial journal without seeing news on the bull market that some consider to be overvalued. Overvalued or fairly valued, only the future will show the truth. Either way, this market is one that has shown greater run ups and returns, than any other market in history. (Reference Appendix #1a) Recently the Dow Jones Industrial Average has reached historical highs and then receded back to previous levels, leaving investors who are used to consistent and record setting gains month after month, baffled. Both the Dow Jones and the S & P 500 indices have seen modest and even flat performances over the past three months. (Reference #1b) A recent article that was published on the front page of the Wall Street Journal emphasized that returns were flat due to the fact that investors were concerned of the possible on set of inflation. If these concerns are warranted and inflation is thus expected, the Bull market may ve ry well be over. This after all makes sense, inflation has slowed and stopped many run-ups in the past, and the onset of inflation now could very well do the same. While the article introduced some possibilities, it said nothing of the likelihood, the causes of, the Fed.'s reactions to, and the probability of expected inflationary increases in the future. This paper is thus dedicated to expanding on these ideas by exploring the rationality of these concerns by examining the circumstances surrounding inflation. It is my speculation that the Bull market may eventually correct itself in the future, but not in the short term due to immediate inflation. That is, that the market was in fact flat due investors concerns, but actual imperative inflation does not look to be expected in the near future. In order to begin to understand the nature of market trends and forces, one must first consider the current state of the U.S. economy relative to its' business cycle. Certain aggregates can be measured that tell us a great deal about this. These aggregates have a strong history of leading, coinciding, or lagging the relative business cycle with a high amount of regular correlation. Appendix 2a contains illustrations, which show graphically the trends of the leading, lagging, and coincident indicators over the past few years. These graphs are composites of each group, and upon examination it is clear that all the indicators are rising.

A Reading of Blakes A Cradle Song Essay -- William Blake S. Foster Da

"A Cradle Song" S. Foster Damon's 1947 reading of "A Cradle Song" indicates that most early critics accepted Isaac Watts' Hush! my dear, lie still and slumber as the model for Blake's poem. However, Damon claims that "There is no more resemblance [between the two works]than there must be between any two cradle-songs. He also claims that the designs of the second plate have a "Raphaelesque hardness, which is in this day not pleasant." Vivian de Sola Pinto acknowledges the connections between "A Cradle Song" and Watts' work made by Damon and others but notes that no critic has yet explored the relationship between Blake's and Watts' work in detail, a task she takes on in her 1957 study. Placing Watts' "A Cradle Hymn" side-by-side with Blake's "A Cradle Song," de Sola Pinto analyzes their thematic and prosodic similarities and differences, ultimately reading Blake's song as the "delogicalization" of Watts' hymn. In his 1959 reading of "A Cradle Song," Robert F. Gleckner asserts that it is an expression of Blake's concept of moving into the realm of higher innocence citing as evidence that after 1815, Blake always followed "A Cradle Song" with "The Divine Image" in the sequence of Songs of Innocence. Gleckner discusses the movement from "pleasant dreams" and "sweet smiles" to "moans" and "weeping" as the movement from innocence into experience and ultimate innocence, "the hope of mankind" which is "the ultimate negation of self." Gleckner claims that this "song" is actually a "prayer," the same prayer mentioned in "The Divine Image." Hazard Adams' 1963 reading asserts that the poem is both a song and a "prayer for the continued innocence of the child." Adams classifies the poem as one of Blake's lullabies which Adams claims ... ...iam Blake. Cambridge: UP, 1973. Gleckner, Robert F. The Piper and the Bard: A Study of William Blake. Detroit: Wayne State UP, 1959. Glen, Heather. Vision and Disenchantment: Blake's Songs and Wordsworth's Lyrical Ballads. Cambridge: UP, 1983. Hirsch, E.D. Innocence and Experience: An Introduction to William Blake. Chicago: UP, 1964. Holloway, John. Blake: The Lyric Poet. London: Edward Arnold, Ltd., 1968. Keynes, Geoffrey. Commentary. Songs of Innocence and of Experience Shewing the Two Contrary States of the Human Soul. By William Blake. 1789,1794. New York: Orion, 1967. Leader, Zachary. Reading Blake's Songs. London: Routledge and Kegan Paul, 1981. Lindsay, David W. Blake: Songs of Innocence and Experience. Atlantic Highlands, NJ: Humanities Press, Int., 1989. Ostriker, Alicia. Vision and Verse in William Blake. Madison: U Wisconsin P, 1965.

The Skin Moisture Levels Health And Social Care Essay

This review looks at the diary referenced1, to understand whether the methodological analysis and consequences published are realistic and are able to lend to the pattern of occupational wellness and wellness and safety in general. It considers whether or non the information and consequences given, is indifferent and that the information provided and recorded from the experiments, utilizing specific sets of voluntaries and the methodological analysiss applied along with the equipments and stuffs that were utilised on that juncture, is consistent with the purposes of the diary. The review itself has been approached and written by the writer utilizing the IMRaD ( Introduction Methods Results and Discussion ) format to show the review in a structured format giving suited remark where it is believed that more information could hold been made available.DrumheadThe diary is biased towards one peculiar piece of equipment that is used to make skin measurings ; sentiments are formulated from a group of writers from the same company. Data is collected in a signifier of a questionnaire and ocular observations recorded but unavailable to the reader. The diary mentions ‘Studies ‘ have been undertaken, but there is no grounds from any of them to assist find whether the methods used on this juncture were appropriate. Mention to allow usage of baseball mitts is hapless and despite the diary being requested by a pharmaceutical company there is small utile information on the usage of creams. On a positive note ; the diary does recognize that more consciousness and instruction is required by both employee and employer. ReviewIntroductionThe undermentioned text is the full abstract from the diary under review which sets out the ground for the survey by the writers: ‘The purpose of this survey was to set up whether those working in certain businesss had skin with lower wet content than would be considered normal. Skin wet degrees were measured every bit good as ocular appraisal. Consequences indicated that all occupational groups studied had tegument that was less good hydrated than would be considered normal, although there were important inter-individual fluctuations within any one group. These fluctuations were at least every bit important as business. Awareness of the demand to utilize baseball mitts as protection against chemicals and to utilize creams to reconstruct status was low, as was compliance'.1MethodsThe diary has been read by the review writer to understand what the diary writers are trying to convey to the reader. It is marked where the referee has considered that a full apprehension is required to be certain of the justification for the diary to hold been produced and later published. Where possible, literature has been sourced and referenced to help in the apprehension of the capable affair and besides to offer up any other information which may hold proven utile or may propose that the diary is non conveying every facet of information pertinent to the chosen capable affair. This literature has been sourced through Library ‘s online installations but largely by utilizing the Internet Search Engine ‘GoogleTM ‘to bring up certain articles associating to the capable affair including referenced information about the setup used on the test voluntaries.ConsequencesIt has been established early on into the diary that the conducted probe of the capable affair had been requested by a Pharmaceutical company called Crookes Healthcare 2 who appear to be situated in Nottingham UK. However, no information was readily available sing this company apart from contact inside informations as their cyberspace sphere site appeared was inactive and was advertised as à ¢â‚¬Ëœdomain available for sale ‘ at the clip of this review being produced. The diary addresses a really of import topic affair which gives concern to non merely Occupational Health Practitioners and Advisers but besides Health & A ; Safety Professionals in general along with the medical community. The information and decisions are non merely derived from experiments but referenced from a figure of articles and books largely based on the capable affair of Epidemiology. Mention is besides made to a company ‘Hill & A ; Knowlton ‘ 3 who advertise themselves as a public dealingss and public personal businesss web and one facet of their operation is to help with clinical tests enlisting within their Healthcare & A ; Wellbeing section. A sum of 132 voluntaries have been selected from office workers, hairstylists, pre-school nursery staff and catering staff. Apart from the office workers, the businesss were selected as they are seemingly known to hold high degrees of occupational contact dermatitis being subjected to chemicals that have a fatting consequence and being exposed to wet work. The office workers were selected to seek to set up whether working in modern air-conditioning offices might demo similar effects. It is non instantly stated why the baby's room staff were selected but it does become evident subsequently in the diary that they are subjected to crisp altering but in general a good government of have oning suited baseball mitts appeared to be observed. The enlisting administrations appeared non merely to supply full clip workers but besides parttime / impermanent workers ( pupils ) for these tests, which consisted of both work forces and adult females of assorted ages and presumptively with different tegument types. However, the periods of exposure to the voluntaries except the office workers would most likely been well varied during their existent working times. Specifically, this would use to pupils, who would hold besides been in categories analyzing and therefore non ever subjected to the jeopardies related with occupational tegument disease for 8 hr periods every twenty-four hours. Interestingly, there is no reference of what other substances the voluntaries may hold been subjected to during their ain clip ( avocations and other physical involvements participated in ) ; that is outside of the workplace environments which may or may non hold a bearing on the consequences of such a survey. The diary besides mentions that Studies suggest that low skin wet degree predisposes to the development of irritant contact dermatitis.1, but there is no existent grounds provided of which surveies are really being referred to. However, it was on this footing that the writers felt it of import to set up to what extent workers in the selected businesss had lower than normal skin wet degree compared to other occupations.1DiscussionThe four writers of the diary are from a household based company with what appears to hold a good background in Occupational Skin Management 4, and they have been peculiarly selective in their usage of a Corneometer A ® system from Courage + Khazaka electronic GmbH ( Model CM825 ) for the measuring of skin hydration. As stated on their web site â€Å" In 1997 EnviroDerm Services stepped into the universe of skin analysis when they became involved with Courage & A ; Khazaka electronic and their high quality scope of tegument analysis equipment † .4 There are in fact a figure of different commercial contraptions that appear to be available which have non been considered at any clip during these peculiar tests ( The usage of Internet Search Engines such as ‘GoogleTM ‘ will easy place such setup if the user inputs cardinal words ) . The writers have established that occupational tegument diseases form a big portion of occupational disease with the most common signifier being irritant contact dermatitis.1, 5 with adult females being more affected than work forces. However, farther reading from one of the sourced mentions indicates that experimental surveies of skin annoyance have non confirmed differences between the sexes ; therefore, the higher prevalence of irritant contact dermatitis among females is most likely due to exposure, occupational and non-occupational. Nickel allergic reaction is the most common contact allergic reaction which appears to be most frequent in immature females, and in 30-40 % consequences over clip in manus eczema 5. Nickel is found in most metal and metal plated objects such as kitchen utensils, scissors, costume jewelry, tickers, spectacle frames, buckles, slide fasteners, fasteners, coins, white gold and some industrial film editing fluids. 6 Certain nutrients besides contain hints of Nickel. Hand eczema has an impact on quality of life and females seem to describe a higher grade of uncomfortableness than males. To accomplish the optimum consequence of preventative attempts sing occupational tegument disease, the focal point for bar should take at cut downing wet exposure.5 Hand eczema is in fact ne'er mentioned in the diary which is surprising given that up to 1 in 10 people suffer from this status. There is nevertheless mention to literature which covers intervention for a signifier of skin annoyance, and therefore it can merely be assumed that none of the participants were recorded as enduring from this status, which is easy recognizable by its expression and the countries around the custodies that it usually infests itself. 7 Some informations from ocular appraisals has been obtained which concluded that a figure of participants in the test did so hold visual-apparent tegument jobs and these were recorded on a questionnaire signifier. There is besides reference that peculiarly in winter during dry and blowy conditions this can in fact consequence in wet loss and once more nameless surveies are stated as demoing that really low humidness can besides hold such an consequence. 1 Unfortunately there is no reference of what clip of twelvemonth the test took topographic point and or any information about the environment in which the measurings were taken. Besides, the diary writers indicates that their feeling was that the voluntaries were of the mentality that they have dry tegument but it did non match with measurings taken apart from the providing workers who tended to hold cracked tegument and what appeared to be contact dermatitis and were in fact aware of their ain tegument conditions. There is much information provided about skin harm, low and hapless tegument wet and that ocular appraisal is an unsure index of overall conditions of skin disease and harm and that the accent should be placed on measurings of tegument conditions.1 The usage of baseball mitts and creams was besides discussed in the diary but nil is stated ( but may hold been recorded on the questionnaire signifier ) , sing what direction, counsel and preparation if any was given by the participant ‘s employers. With regard to baseball mitts, foremost the questionnaire asked about the usage of baseball mitts non merely at work but besides at place specifically about utilizing chemicals, and this was recorded as baseball mitt use being highly hapless as half the participants ne'er used them at all and merely a little proportion used baseball mitts when managing chemicals. It is recorded that more than three quarters of the hairstylists did non utilize any baseball mitts which is surprising given the sum of chemicals and detergents that would be handled daily in this business. The two groups that used baseball mitts on more occasions were the office and pre-school baby's room workers. Lack of cognition of creams along with the usage of creams appeared besides to be really low with less than half the participants utilizing none and a really little sum merely utilizing it on occasion. However, the diary states that there is clinical grounds to back up the position that the usage of creams can be used in both intervention and bar of dry tegument and irritant contact dermatitis. The diary does indicate out that employers should promote the usage of creams within its wellness and safety scheme for the workplace but the job with creams as stated in the diary is that it has to be applied on a regular basis for any utile consequence. What is really surprising is that there is no mention to the preventive benefits of utilizing appropriate baseball mitts, surely for short term exposure ; except where it was conveyed by those participants who had been advised that it was compulsory to utilize them, in peculiar the pre-school baby's room staff where good hygiene steps non merely for the worker but besides the kids in their attention had been decently recognised.Contribution to PracticeA batch of the ‘Discussion ‘ subdivision in the diary has been supplied by the writers through the tests that were undertaken and from their ain professional cognition shop. The usage of a Corneometer A ® system 8 to roll up the information is a important factor in the part to the overall findings as it has turned up some interesting consequences for the skin wet degrees within the group of participants. Along with this, the diary has besides highlighted person ‘s behavior towards the usage of baseball mitts and creams as described and supported by the tabular arraies of informations produced within the article. The usage of referenced acknowledged plants has besides provided some consistence with agring statements but some underpinning information has been either missed or omitted. This diary does nevertheless positively province that there is still really much more ‘awareness and instruction ‘ required to be conveyed to both employee and employer in these peculiar businesss sing best patterns in occupational tegument direction.