Tuesday, August 6, 2019

Empire State Building Essay Example for Free

Empire State Building Essay The Empire State building is one of the landmarks of New York. The overall design is very sleek and simple yet it managed to stand out from the other skyscrapers in the city. Its â€Å"low key Art deco style† combined with the â€Å"steel frame and steel claddings† have distinctly set it apart from the various urban elements of the city (Matthews). The Palace of Versailles in France is a clear example of Baroque architecture. Its opulent interior and grandiose design epitomized the essence of Baroque which is highly ornate and complicated. From the landscape to the huge massive structures, Versailles has exquisitely exuded splendor and luxury (Walton 161-173). The Petronas Towers in Malaysia is considered as one of the tallest buildings in the world. The design of the buildings was intended to showcase the cultural influences of the Malaysians. It used â€Å"Islamic arabesques and repetitive geometries characteristic† which reflected Islam architecture which is the dominant religion in the country (Skyscraper. org). Works Cited Matthews, Kevin. â€Å"Empire State Building. † 2008. Greatbuildings. com. 5 March 2009 http://www. greatbuildings. com/buildings/Empire_State_Building. html â€Å"The Petronas Towers. † n. d. Skyscraper. org. 5 March 2009 http://www. skyscraper. org/TALLEST_TOWERS/t_petronas. htm Walton, Guy. Louis the X1V Versailles. Chicago: Univ. of Chicago Press, 1986.

Literature Review: Treatment and Management of Pain

Literature Review: Treatment and Management of Pain INTRODUCTION The aim of the wise is not to secure pleasure  but to avoid pain -Aristotle The word pain is derived from the Greek word poine, which means penalty or punishment. Pain is a sensory experience associated with actual or potential damage of tissue,with physiological and psychological responses. Pain is a personal experience and varies from person to person. It is manifested in verbal and nonverbal behaviours, physiological responses like pulse rate, respiratory rate, blood pressure, emotional and spiritual reactions(Nursing clinics of America,2002). Inadequate treatment of both acute and chronic pain is widespread throughout medical surgical wards, intensive care units, emergency departments and in general practice. This neglect is extended to all age groups, from neonates to the elderly. In September 2008, the World Health Organization estimated that nearly eighty percentage of the population in the world has either insufficient or no access to treatment for severe and moderate pain. Every year millions of people around the world, suffer from pain without treatment. Reasons for proper pain management failure include cultural, religious, societal, and political attitudes, including acceptance of torture(Taylor et al.,2008). When surveyed 21% to 90% of adults expressed some about the pain associated with the needle based procedures. Up to 90% of young children shows serious distress during vaccination. This general level of anxiety can be severe, and is termed as injection phobia. This phobia can result in syncopal attacks with significant clinical impact (Yael et al.,2003). In hospital practice intravascular lines are used for various purposes like recording pressure and to administer drugs, fluids and to draw out blood. Pain inflicted by the insertion of cannula into the skin is a significant concern. Effort should be made to assess and manage acute pain. As, by doing so, nurses can reduce pain, increase patient comfort , satisfaction and improve patient outcomes (Jacobson, 1999). Research evidence shows that cutaneous stimulation is an independent nursing intervention to minimize patients pain. Gate control theory clearly explains the effect of cutaneous stimulation. Cutaneous stimulation modalities can be clubbed with acupressure to increase its effectiveness in pain management. Research studies have highlighted the fact that cryotherapy is equally effective and important in alleviating or minimizing pain as a cutaneous stimulation technique (Sabitha P.B, et al.,2008). The analgesic effects of cutaneous stimulation (pressure, massage, vibration, heat, cold) are thought to be caused by activation of large A-beta fibers and inhibition of smaller A-delta and C fibers, thus closing the gate to pain impulses. The exact mechanism by which this gating occurs has not been established, but it may be through endorphin release (Ruth,2009). NEED FOR THE STUDY Research Studies reveals that, among nursing diagnosis pain constantly ranks the highest position. Nurses often have the closest contact with patients on a daily basis. They are the health care providers most directly responsible for the overall management of pain. Nurses play a pivotal role in pain assessment, pain intervention, monitoring the effects of treatment and communication of information about pain management (Keela A.Herr, et al.,1992). The complementary therapies are used to relieve the symptoms of pain. These include relaxation technique, visual imagery, cryotherapy, massage, aromatherapy etc. Increasingly complementary therapies are attracting attention in contemporary nursing practice. These interventions are suitable for procedures like injections, venepuncture, that cause acute transitory pain (Barbara, 2000). Cold application relaxes muscle and muscle contractility, vasoconstriction decreases capillary permeability, decreases blood flow, slows cellular metabolism, decreases pain by slowing nerve conduction rate and blocking nerve impulses, decreases edema by reducing capillary permeability (Barbara kozier, 2006). The pain related to minor invasive nursing procedures can be dealt with non-pharmacological measures than pharmacological measure. The pharmacologic measures like local anesthetic spray, eutectic mixture of local anesthetic (EMLA) have long term effects, which is undesirable. Also its cost effect should be kept in mind, as these simple but essential procedures are repeated for the same person for many times. Hence non-pharmacological measures can be the choice for relieving or preventing such minor invasive pain, like venepuncture pain (Saju T.P,2009). A study conducted to find out the effects of two non-pharmacological pain management measures for IM injection pain recommended to use cold therapy and distraction to decrease pain intensity. The first group received local cold therapy, the second group received distraction and the control group received only routine care. The results shows that average pain intensity in local cold therapy, distraction and control groups was 26.3, 34.3 and 83.3 respectively. The findings indicate that pain intensity was significantly higher in the non-interventional group than the interventional groups. This study supports the efficacy of non-pharmacologic pain management methods (Hasanpour M et.al.,2005). The large intestine energy meridian is an acupressure point located on the backside of the hand between index finger and the thumb. Largeintestine energy meridian point can be used for relieving pain in the scapula, arm and shoulder, rigidity of the neck, eye diseases and also in the treatment of other disorders like constipation. The large intestine energy meridian pathway is bilateral. Considering the anxiety due to painful procedures such as venepuncture, as well as the unpleasant feelings, the investigator felt that application of cryotherapy to the skin would decrease the pain-related responses associated with venepuncture. This study was therefore undertaken to asses the effect of cryotherapy on the large intestine energy meridian point (li4), during intracath insertion to reduce the perception of pain and variation in physiological responses like pulse rate, respiratory rate and blood pressure. CHAPTER II REVIEW OF LITERATURE Review of literature is a key step in research process. It refers to an extensive, exhaustive and systematic examination of publications relevant to the research project. Nursing research may be considered as a continuing process in which knowledge gained from earlier studies is an integral part of research in general. Literature review refers to the activities involved in searching for information on a topic and developing a comprehensive picture of the state as knowledge on that topic (Polit and Hungler,1993 ). Therefore the investigator studied and reviewed the related literature to broaden the understandings about the topic to gain insight into the selected problem under study. The literature has been reviewed under the following headings: SECTION A: Literature regarding pain and changes in physiological parameters during venepuncture. SECTION B: Literature regarding large intestine energy meridian point and pain. SECTION C: Literature regarding effectiveness of cryotherapy on pain and physiological parameters. A quasi experimental pre test post test control group study was conducted to assess the effectiveness of vibratory audio visual stimulation to reduce acute evoked procedural pain experienced by the individuals, during invasive procedures in a selected health centre. Convenient sampling technique was used to select 80 persons who were receiving IM injection. Among the participants 95% expressed a reduction in pain due to vibratory audio visual stimulation,15% said that they had not experienced any reduction in pain. Results of the study suggested that vibratory audio visual stimulation was effective in reducing acute evoked procedural pain (Saju T.P,2009). A randomized, controlled study, in a convenience sample of 92 patients in the emergency department who required peripheral cannulation as part of their evaluation were enrolled in the study. All the subjects answered questionnaires pre and post IV placement and rated pain intensity during procedure on a 100 millimeter visual analogue scale. Participants in the study included 47(51.1%)of patients received the anesthetic spray and 45(48.9%) were randomly assigned to control group and had their IV line placed in a standard method. The mean pain score in the study group was 27 millimeter and 28 millimeter in the control group (p=0.934). Results revealed that anesthetic spray was an effective intervention in reducing pain during intravenous insertion (Hartstein B.H,et al.,2007). A crossover single blind experimental study conducted on  effectiveness of acupressure to reduce pain in IM injection. Each  subject received an injection with acupressure applied to one buttock and an injection without acupressure to the other buttock or vice versa. The perception of pain was measured on a visual analog scale. Among 64 patients, 32(50%) were female. The mean score for perceived pain intensity for acupressure injection was 3+-2 and the mean score for the injection without acupressure was 5+-2. Results revealed that acupressure was effective in reducing IM injection pain (Alavi N.M,2006). A prospective randomized clinical trial to evaluate the effect of a Valsalva manoeuver, which stimulates the vagus nerve, on perception of pain during peripheral venous cannulation in adult patients. Among 110 patients scheduled for elective surgery, half of them underwent venepuncture during a Valsalva manoeuvre and the other half underwent venepuncture without performing a Valsalva manoeuvre. The numerical rating scale score was 1.5+/-1.2 for Group A and 3.1+/-1.9 for Group B, the difference being statistically significant (P Pain management is in the purview of all health professionals, specially nurses and is an important component of comprehensive nursing care, since it is the patient and nurse who faces the pain alone. Although most of the nurses have a commitment in pain reduction, far fewer work for alleviation. Ignoring patients pain may be causing harm. Unrelieved Pain can cause cell, tissue damage and even death. Health education on pain management for health professionals at all department levels have been noticed as an important measure towards changing ineffective pain management practices (Holleran R.S,2006). Needle phobia is a term used to describe an anticipatory fear of needle insertion. If pain and anxiety are poorly managed, there can be significant negative consequences. The memory of traumatic venepuncture experiences can lead to extreme anxiety and physiological responses such as venous constriction . Some children and young people may have been conditioned by the fears of relatives or friends concerning needle procedures(Thurgate C. Heppell S, 2005). A quasi experimental design was adopted to obtain data from 86 younger (between the age group of 25-55) and 89 older (between the age group of 65-94) volunteer samples. Subjects responses to experimentally induced thermal stimuli were measured with following pain scales: vertical visual analog scale,21-point numerical rating scale, verbal descriptor scale,11- point verbal rating scale and faces pain scale. For discriminating different levels of pain sensation all the five scales were effective. The most preferred scale to represent pain intensity in both cohorts was the numerical rating scale, followed by verbal descriptor scale (Frana Benini,M.D,2004). Pain is a phenomenon that we experience to a greater or lesser extent, and the associations between blood pressure and pain are potentially of great interest . It is well recognized that pain can raise blood pressure acutely. Acute pain leads to generalized arousal and increased sympathetic nerve activity. Blood pressure increase during the application of physical pressure to the nail beds or the skin of the cheek, or during electrical stimulation of a digital nerve. Various studies found that inflated cuff leads to forearm ischemia and increases the degree of pain, which correlates with the increase in blood pressure (Pickering G.Thomas,2003). SECTION B:Literatures regarding large intestine energy meridian point and pain. The large intestine energy meridian point is referred to as LI4 or Hoku. The energy meridian pathway is bilateral and begins in the surface of the skin at the root of the index fingernail. It courses through the arm and hand , and the outward end of the shoulder blade is crossed. Then the meridian leaves the skin surface to connect with the lower part of the lung and transverse colon. It then returns to the skin surface at a point under the chin. From that point, the meridian is again buried deep within the area referred to as the double chin. It follows the lower row of dental roots, passing then to the upper line of teeth roots, crossing the front of the mouth to emerge on the skin surface and the facial point next to the nostrils (Chandramita Bora,2009). A randomized controlled trial was conducted on 60 primiparous women who were randomly assigned in two groups (n = 30): ice massage (treatment) and sand bag group (control). The severity of the basal pain was measured at the beginning of active phase (4 cm cervical dilation) based on Visual Analogue Scale (VAS). Then, after two groups received intervention, the severity of the labor pain in 4, 6, 8 and 10 cm cervical dilation was measured. In the case group, the crushed ice twisted in a terry bag was rocked on the web of skin between thumb and forefinger. The massage was carried out in large intestine energy meridian point throughout three contractions. The sand bag tactile massage in large intestine energy meridian point was served in the control group. The data were analyzed using SPSS software and descriptive analysis using Mann- Whitney, à Ã¢â‚¬ ¡ 2, paired and independent t tests and P A one-group, pre test, post test study conducted to evaluate the the use of ice massage on acupressure energy meridian point large intestine 4 (LI4) to reduce the labor pain. The pain was measured using McGill Pain Questionnaire (MPQ) and 100-mm Visual Analog Scales (VAS). Participants noted a pain reduction mean on the VAS of 28.22 mm on the left hand and 11.93 mm on the right hand. The post delivery ranked McGill Pain Questionnaire dropped from distressing to discomforting. The study results suggest that ice massage is a safe, noninvasive, nonpharmacological method of reducing labor pain (Waters L.Bette, et al.,2003). A study using ice massage for reducing labor pain was carried out by a researcher among twenty women on their admission to the labor and delivery unit at Florida. Ice massage of the energy meridian LI4 was performed during each contraction and was carried out over a 30-minute period. Data from the Visual Analog Scale (VAS) showed a mean reduction in pain of 25.15. The reduction of pain was statistically significant despite the small number of participants. The study results suggest that ice massage is a safe method of reducing labor pain (Naomi lester, et al., 2003). A one group repeated measurement post test study was aimed at identifying the effect of cutaneous stimulation in large intestine energy meridian point on reduction of arteriovenous fistula puncture pain among forty five hemodialysis patient. First the arteriovenous fistula puncture pain of control group was measured, and then the arteriovenous fistula puncture pain of experimental group (with cutaneous stimulation) was measured using visual analogue scale and objective pain behaviour checklist. Analysis of data was done by use of paired t-test, t-test, ANOVA and Pearson correlation coefficient. The results concluded that the subjective pain score of arterial line (paired t = -0.28, p = 0.77) and the subjective pain score of venous line (paired t = 2.61, p = 0.01). The cardiopulmonary signs of arteriovenous fistula puncture pain in experimental period was (pulse paired t = -0.8, p = 0.42; systolic BP paired t = 0.98, p = 0.33; diastolic BP paired t = 0.43, p = 0.66).Results revealed t hat cutaneous stimulation in large intestine energy meridian point was effective in reducing arteriovenous fistula puncture pain(Kanho Taehan,2001). A study in which patients having acute dental pain were treated with ice application on largeintestine energy meridian point of the hand on the same side of the painful region. Ice massage was administered by inserting ice cubes into wet gauze pad and gently massaging the skin around the large intestine energy meridian point. When the patient stated that the area is felt numb or after a period of 7 minutes whichever, occurred first, the massage was stopped. Control group received tactile massage alone. McGill pain questionnaire was used to measure the pain intensity of the patients.. Ice massage reduced the intensity of dental pain by fifty percentage or more in most of the patients, and reduction in pain were significantly greater than those produced by tactile massage alone (Melzack Ronald, et al.,2000). SECTION C : Literatures regarding effectiveness of cryotherapy on pain and physiological parameters. A study was conducted to determine the effectiveness of cryotherapy on arteriovenous fistula puncture pain in hemodialysis patients. A convenient sample of 60 patients (30 in experimental and 30 in control group) who had undergone hemodialysis through AVF, was assessed using randomized control trial. Both the objective and subjective pain scoring was performed on two consecutive days of hemodialysis. The tools used were a questionnaire assessing demographic data, an observation checklist for monitoring objective pain behaviour, and a numerical pain intensity scale for subjective pain assessment. The objective and subjective pain scores were significantly (p=0.001) reduced within the treatment group than the control group. Results revealed that cryotherapy was effective in reducing arterivenous fistula puncture pain in hemodialysis patients (Mahajan S, et al.,2008). A quasi experimental study to assess the effectiveness of hot fomentation versus cold compress for decreasing intravenous infiltration in patients admitted in a selected hospital in Pune . The sample size was 60 and data collected with an observational checklist and behavioral pain scale. The pre treatment mean score of degree of infiltration was decreased from 7.1667 to 0.7071 in hot fomentation and from 6.9333 to 0.7571 in cold fomentation. The findings indicate that the hot fomentation and cold compress both are effective in treatment of intravenous therapy related infiltration (Anjum shabana,2007). A quasi-experimental study to determine the effect of local refrigeration applied to skin prior to venepuncture on pain-related responses in 80 school-age children who got admitted in the emergency ward in the pediatrics center in Iran. Subjects were selected by purposive sampling and were divided into two equal groups: test and control. In the test group the physiological responses were measured prior to venepuncture. Then the skin on the area of venepuncture was refrigerated by an ice bag for 3 minutes and the procedure is performed immediately. After five minutes of the procedure the physiological responses, behavioural responses and subjective responses were measured. In terms of the physiological responses before and after the procedure in the experimental and control group, there was no significant difference (p=0.07) between the two groups. There was a significant difference (p=0.0011) between the test and control groups with regard to the behavioural responses to the painful procedure.There was also a significant difference (p=0.0097) in the subjective data in the two groups after venepuncture.Results revealed that the local refrigeration was effective in reducing venepuncture pain (Movahedi Fakhar Ali,et al.,2006). An experimental study to assess the effectiveness of ice application on the treatment zone prior to type -A botulinum toxin treatment on the pain during injections . Totally, twenty four patients who underwent botulinum type-A toxin in upper face for esthetic purposes were undertaken in the study. Ice application was done five minutes prior the injections on the right lateral orbital zones of the patients, and on their left sides, toxin were injected without applying ice. The average visual analog scale values indicating the pain that the subjects felt in their right and left sides were found as 1.1 and 5.9, respectively. Results revealed that ice application is effective in reducing pain during injections (Sarifakioglu N,2004). A study was conducted to evaluate the effect of the application of cold or hot on the pricking pain sensation based on autonomic responses. Electrical stimulations were applied to subjects arms as an artificial pricking pain, the skin blood flow and skin conductance level at the tip of the finger were measured. Pain was assessed using visual analog scale. Pain stimulation produced a significant rise in skin conductance level and a significant decrease in blood flow. Cold application to the stimulation site using an ice-water pack decreased blood flow and skin conductance responses and sensation of pain. Application of heat, by hot water bottle resulted in a significant rise in pain sensation . The results suggested that cold application promotes relief of pricking pain sensation and suppress the autonomic responses, and the application of heat has no such effect (Saeki Y,2002). A one group pre test post test experimental study to evaluate the effect of cutaneous stimulation (cryotherapy) on pain reduction in Emergency Department patients . Second objective was to identify the effect of cutaneous stimulation on blood pressure and heart rate. Potential factors that could influence the dependent variables such as age, gender, educational level, location of pain, and site of cutaneous stimulation were tested. All 50 samples were treated with cutaneous stimulation to relieve pain. After cutaneous stimulation, subjects reported significant reduction in pain, and demonstrated decrease in heart rate, and blood pressure readings. The most effective site of cutaneous stimulation was contralateral to the pain. Age, gender and educational level had no significant effect. The results of this study provide empirical evidence that cutaneous stimulation effectively reduces pain, heart rate, and blood pressure (Sylvia M. Kubsch,2002). A study was conducted to evaluate the effectiveness of local dry cold application on the bruising, haematoma and pain at the subcutaneous low molecular weight heparin injections site. The researcher selected sixty three patients who had received 2 x 20 milligram enoxaparine and divided the samples into four groups. In the first group, cold therapy was not given. Cold was applied to the injection site for five minutes before the injection in the second group, and in the third group five minutes after the injection. In the fourth group, it was applied to the injection site for five minutes pre and post injection.After each injection, the patients pain intensity and duration were measured, and the occurance of bruise and haematoma were monitered at 48 and 72 hours after the injection. Results showed that haematoma was absent at the injection site of all subjects. The subjects pain perception was significantly reduced with the application of ice (Kuzu N, et al.,2001). In a paired clinical trial, the effectiveness of ice in reducing the pain of intravenous catheter placement was assessed in 28 adult volunteers. An ice pack was placed over one arm for 10 minutes, followed by insertion of an 18-gauge angio catheter in both arms. Patients recorded their pain assessment after each venepuncture on a previously validated 100-mm visual analog scale and identified their preferred method for the procedure (pretreatment with ice or no pretreatment). The mean pain score for catheter placement on arms pretreated with ice was 27.5  ± 15.9 mm; the mean pain score for the control arms was 34.2  ± 21.6 mm (P = 0.17).Results revealed that application of icepack was an effective method in reducing pain of intravenous catheter placement. Future studies should examine whether ice is effective at reducing pain from other more painful procedures and whether the response to ice is gender-related (Richman P B, et al.,2000).

Monday, August 5, 2019

Tamil Nadu Tourism Essay

Tamil Nadu Tourism Essay Welcome to Incredible Tamil Nadu Tourism Tamil Nadu is one of the state of India, Its capital is Chennai is the main centre where the traditional and modern merge,.Tamil Nadu population of 72,138.95as of 2011 .Divided into 32 districts in Tamil Nadu. State 89 % of population are Hindus .11% population together Christians and Muslims. Tamil Nadu official languages Tamil and English. Tamil Nadu culture and tradition together which attracts tourists from the whole world. Tamil Nadu known as the temple state of India, and all across this magnificent state one will find a remarkable memorials, temples containing involved carvings and humbling gateways. It is characterized by a history ,dates back to over five thousands years and a rich culture. Each attraction most important will have a religious or creative story attached to it will leave one spellbound Tamil Nadu Tourism revives the mind ,carry happiness, moderation , enjoyment gives to the Tourist. Tamil Nadu is taking a lot of opportunity for the development of tourism industry. It has many heritage centers, pilgrimage centers, long natural coastal line, perennial river system, hills station pilgrimage centers, and weather owing to lack of so many factors like infrastructure facilities, government cooperation, marketing facilities to mobile number to tourists within the India and abroad, proper planning and ideology Tamil Nadu state that attracts a huge number of foreign tourists every year. Tamil Nadu State with several famous for tourism genre The credit should be given to the presence of unlimited attractions that include beautiful temples, mesmerizing hill stations, silent beaches and cities with rich heritage. The credit should also be given to the high standards of the facilities that the top tour operators in the state arrange for the visitors. Tamilnadu-tour.in claims to be a leading name in offering customized tours to the foreigners, expecting a lot from the states tourism industry. INTRODUCTION; Tamil Nadu Tourism one of the preferred hotspots for persons wanting a continuing heritage, cultural and beautiful splendour .religious experience.Tamil Nadu is breath taking hill stations and long sunshiny beaches ,provides to people who visit not only to marinate in the culture but people who want to relax and just let go for a while. Tamil Nadu coastline 910 kilometers (600 Mt) long, Tamil Nadu third longest coastline in the country .Foriegn visitors were The government of Tamil Nadu is now making peaceful promotional efforts and accord importance for tourism. Tamil Nadu to promote as an attractive destination of tourist at the International level to support the existing tourism in the state. Tamil Nadu state provide world class services to tourist. Tamil Nadu 2nd state in attracting foreign tourists and 3rd in domestic tourists. .Tamil Nadu Tourism should be become an exclusive offerings to overcome all the above advantages for development. Tamil Nadu is popular for its mysteriou s beauty and charms ,It will surely capture your gentleness a lot. Foreign and Domestric travellers can easily determine a number of comfortable stay in boarding places in the Tamil Nadu, tourist stay,seven star hotels, five star hotels,three star hotels ,budget hotels and resorts. According tourist preferred to stay in accomdation of the Tamil Nadu state. Tourist can look for magnificent lodgings in Chennai, Ooty Coimbatore, Karaikudi, Trichy, Kanyakumari, Madurai, Tanjore, Dindigul ,Rameshwaram,Kodaikanal and yercaud, Natural resources tradition and further socio-cultural assets numerical demographic dynamics like employment, population, income,occupation levels. Tamil Nadu state sixteen tourist information centres situated at airports and railway stations in the state information on tourism potential and services in Tamil Nadu Tourism Tamil Nadu Tourism leads in Medical Tourism. Eco- Tourism. Rural Tourism, Pilgrimage Tourism Heritage Tourism Cultural Tourism Adventure Tourism Responsible Tourism TOURIST ATTRACTIONS AND HISTORICAL PLACES IN TAMILNADU HILL STATIONS AND BOTANICAL GARDEN; Ooty Ooty is famous as the queen of the hill stations and contains of attractive varieties, of the local economy is now controlled by tourism Kodaikanal Kodaikanal is one of the finest beautiful hill stations in Tamil Nadu.Its located about 7,200 feet above the sea level. Kodaikanal is honey moon destination of several tourist Thalaiyar Falls, as rat-tail falls is unique of the highest (975à ¢Ã¢â€š ¬Ã‚ ² high)  falls .The falls seen although roaming from Ghat road to  Kodaikkanal by road. Yercaud An modest hill station, 30 km distance from Salem . Yercaud. isSettled mid the Shevaroy Hills of the Eastern Ghats, some of the places be visited are the Lake, Ladys Seat, Arthurs Seat, and the Shevaroyan temple. Tourists do make a point to pick coffee aswell as pears ,bananas and jackfruit Yercaud Lake is centrally situated and is the middle of attraction YelagiriKolli Hills Yelagiri is a popular hill station characterized by its scenic view Sirumalai Hills Valparai Top Slip Kalrayan Hills Pachamalai Hills Javvadhu Hills BEACHES; Marina Beach : Marina beach is a second largest beach in the world ,Its located in chennai  marina beach is a most tourist charm of the city Kannyakumari Beach Arabian Sea ,Bengal and the Indian Ocean the most exciting residences to go in Kanyakumari,and famous for Vivekanandar rock, Thiruvalluvar statue Eliots Beach Sottavalai beach Mudaliarkuppam Beach Sangutuarrai beach WATER FALLS Hogennakkal Falls Courtallam Falls Thirparappu Falls Papanasam Falls Akasa Gangai Falls FAMOUS TEMPLES AND DECLARED MONUMENTS Chola Temples (Thanjavur) Siva Temple (Gangaikonda cholapuram) Iravatheeswarar Temple (Dharasuram) Monuments(Mamallapuram) NavaTirupathi temples Navagraha Temples Six Residences of Lord Murugan Temples Located at: Kancheepuram The traditional and modern merge. Kanchipuram is famous tourist Place and is also well known for its silk sarees. Rameswaram Chidambaram Thanjavur Madurai Srirangam Thiruvannamalai Kanyakumari CHURCHES: Santhome Velankanni Manappad Ponnimadha Pannimaya Madha Church MOSQUES: Thousand Light Mosque(chennai) Nagore Durgha Thengaipattinam Keelakkarai Erwadi Kalyalpattinam PALACES: Thirumalai Naicker mahal Thanjavur Palace Chettinad palace Padmanabhapuram palace BIRD SANCTUARIES: Vedanthangal Karikilli Koonthakulam Karaivetti Pulicat Udhyamarthandapuram Vaduvoor Chittirankudi Pichavaram Mangrove Coast Vettangudi Vellode WILDLIFE SANCTUARIES: Mudumalai ; Madumalai is a famous for its wild life sanctuary Mundathurai Berijam Kalakkad Kodaikarai NATIONAL PARKS: Anaimalai Indira Gandhi National Park Gulf of Mannar Maraine National Park Guindy National Park LIST OF TOURIST ATTRACT DAM IN TAMIL NADU Tamil Nadu to satisfy there are many small and large man-made. dams Amaravathi Dam Mettur Dam Krishnagiri Dam Noyyal Oarathuppalayam Mukkadal Grand Anicut Bhavanisagar Dam Vaigai Dam Upper Anaicut Varattu Pallam Vaigai Dam Kamaraj Sagar Perunchani Dam Perumpallam Shanmuganathi Dam Solaiyar Dam Sathanur Reservoir Above all tourist destinations in the air reached from Ooty, the nearest airport, from Coimbatore, 100 km .Coimbatore is well attached to, Bangalore, Mumbai, Madurai and Chennai.. Ooty well attached by road to many cities. regular bus services attaching Ooty to Tiruchirapally, Coimbatore, Chennai ,Madurai, Mysore, Bangalore, Kanyakumari, Calicut, Ooty attached to Mettupalayam to toy train organisation on the narrow tracks PESTLE ANALYSIS OF TAMIL NADU TOURISM: PESTLE Analysis are Political.Economic,social,Technology,Legal and Environment (P)olitical Consequence on Tourism Industry: One of the earliest Political parties was south Indian Welfare Association founded in 1916. In 1960 made DRAVIDA MUNNETRA KAZHALAGAM standard more powerful political force in the state, In 1967 election DMK captured of state government,split from DMK in 1972 ALL INDIA ANNA DRAVIDA MUNNETRA KAZHALAGAM was founded , since 1967 this two political parties has power in the Tamil Nadu state . IN 2011 election ALL INDIA ANNA DRAVIDA MUNNETRA KAZHALAGAM head selvi J.Jayalalitha took control of the Tamil Nadu state .Governments announced several projects in tourism Industry leaders say much can be done to rebuild tourism reputations. although Tamil Nadu state .has often political violence, The Government targete travelers and foreigners and domestic touristBut with the right government and industry reactions, visitors people, most of them foreigners. ow a days one of the worlds most famous destination Tamil NaduTourism, more visitors.from foreign investors and hotel operators.opportunities fo r tourism, The Tamil Nadu minister for Tourism, That was prepared successfully by the Tamil Nadu themselves, said.Industry analysis say tourism to expand promptly over the future twenty five years. But, the key, they say, is that Tamil Nadu governments find ways to prevent political violence, and action quickly to composed (E)conomic Consequence on Tourism industry: Tamil Nadu 2nd largest Tourism economy, one of the most advanced states in India .Its worth of economic effort, the GSDP, stands at INR 4.28 lakhs crore, as of 2012 Tamil Nadu a. An investor sociable state with the government expressing policies for the development of the Tourism activities .Tamil Nadu will continue to stay in the top stage of the country, with an annual growth .Tamil Nadu Tourism With medical care in Vellore Chennai, Madurai and Coimbatore, Tamil Nadu Government undertaking tagline adopted to promoting tourism ,has a strong banking system huge potential for tourist economic ,basically best Industrialized state ,Urbanized state and Tourism state in India (S)ocial Consequence on Tourism industry: In Tamil Nadu there are more cultural sharing by tourist visitors ,tradition a common locality by its manner of behaviour and speech, the style of dress and embellishment, the food behaviours and the social arrangement of life Tourist,people important contribution to sociality Tamil Nadu will reach a high standard of sociality development, with the Human Development of the state equivalent those of established countries (T)echnology Consequence on Tourism industry: Tamil Nadu 2nd largest software technologyexporter in Indiais central to Tamil Nadus foreign position and accounts for over Tamil Nadu is well placed to adventure its force in the IT sector to these management systems. Tamil Nadu has a moderately advanced technology,TamilNadu Infrastructure that is accomplished of searching, storage and supervision information. (L)egal Consequence on Tourism industry: Legal of Tamil Nadu provides several simulations The application for respect shall be the recognition as an permitted Travel Agent shall be decided by the Ministry of Tourism, Government of India, for five years, based on the Inspection Report Approvals of a Committee comprising of the Travel Agency should be under the charge of the Owner a full time member is sufficiently trained, proficient in matters ,concerning ticketing, , transport, accommodation currency,facilities, customs tourism, regulations and travel services. effective ,statement skills, knowledge of overseas languages, other than English. (E)nvironment Consequence on Tourism industry: Environment is gradually gaining standing eco-friendly journey tours are also gaining in Tamil Nadu Tourismseveral perfect locations to attract the tourist. The Eco Friendly areas of Tamil Nadu are for sightseeing the Environment at its finest and to be a measure of it. Tamil Nadu tourism Introduce the use of recycled paper ,polythene bags to possible Tamil Nadu alternatives encourage the planting of trees and greening of the local environment of tourism industry TAMIL NADU FUTURE TOURISM ; THREE RANGE OF YEARS IN Vision 2022 Vision 2030 Vision 2037 VisionTamil Nadu Tourism 2022 Tamil Nadu Tourism sets the plan for organisation development for the state to reach the preferred outcomes by 2022. Capital income of Tamil Nadus people will reach US   $10,000 per annum Income countries, Tamil Nadu Tourism provide to its people, high quality infrastructure arrangement overall state comparable with the finest in the world.Important to reaching Vision 2022 is classifying the organisation requirements.Tamil Nadu Tourism plans to develop the vital facilities. This Vision 2022document statements the inter-play in the middle of 3 crucial constituents of development, specifically should be the long term growth goals of Tamil Nadu Anything are the inputs required in terms of infrastructure, investments policies be the targeted amount produced mix in terms of financial income, sectoral structure and pace of development should the benefits be spread in people balance between growth and environmentVision 2022 include tourism industry enhanced economic enthusiasm, fines t in class human development indicators, a well established organisation Tamil NaduTourism will be amongst Indias maximum economically successful states by 2022, achieving the growth countries worldwide. Tamil Nadu will show a highly complete growth pattern it will mostly be a deficiency free state with occasions for gainful and productive occupation for disadvantaged, Tamil Nadutourism will be Indias most important state in social growth and will have the peak Human Development . Tamil Nadu Tourism development will improveWater Sanitation, Dynamism, Transportation, Connectivity, Irrigation Education and Healthcare. Tamil Nadu Tourism will be one of the top favourite investment destinations in Asia and the best preferred in India repute for good organization and competitiveness.Tamil Nadu Tourism will be known as the modernisation hub on the asset of world class organisations in various grounds and the best human ability.Tamil Nadu Tourism will safety zone ,Peace, Security and Fortune for all citizens and trade, supporting free movement of ideas, people , business and rest of the world VisionTamil Nadu Tourism 2030: Tamil Nadu Tourism development plan Vision 2030 has suggested to establish nearby villages for the development of the area.The vision document evaluated that about Rs 18,940 crore needed to be invested for the development of the areas for high tech tourism spots . The Tamil Nadu Tourism Department would invest the improve Government accomodation,star hotels, resorts and budget class hotels. More Foreign visitors to attract will open new parks ,bullet rail and moreInternational Airport in the state.The particulars finding in several levels of tourism Tamil Nadu will reservation and care for it Eco Tourism and Heritage Tourism Tamil Nadu Tourism Industry will actively address the sources of liability of the state ,its people owing to reservations arising from accepted causes, profitable recessions, and extra man-made motives and mitigate the effects.Vision 2030 Tamil Nadu Tourism will develop culture of responsive the see-through ability the security, and equivalent chance to all stake holders. Vision Tamil Nadu Tourism 2037 : Vision 2037 document, prepared by specialists on behalf Tamil Nadu government, has underlined that the natural resources state can be transformed future investment on creative economy.The vision 2037 future document, which is a highway map for future development, Tamil Nadu Tourism administration is preparing vision 2037 document for raise of tourism, keeping vision 2037 in mind. Is prepared by a board headed by tourist can revenue full value of creative economy. Infrastructure for Tamil Nadu tourism includes growth of resorts, hotels ,theme parks and entertaining hitech mallsimprovements to heritage monuments, development of places of tourist interest and the Tamil Nadu state targets a foreign tourist of 30 million by vision 2037. The estimated total investment in various projects amounts to Rs. 30,000 crore. SUSTAINABILITY IN TAMIL NADU TOURISM The Tamil Nadu Tourism Department is focusing on growth of sustainable tourism and in coming days all plans will be in sustainable Tourism model, The sustainable development method involves that the natural, cultural and other resources of Tamil Nadu Tourism All tourism simulations in coming days will be based on eco-tourism ,heritage tourism pilgrimage tourism, educational tourism model in Tamil Nadu Tourism.At present Tourism is one of the huge Industries in Tamil Nadu which are receiving more foreign tourists, every year. The Tamil Nadu Tourism Department, also the role of local media saying that local media is very active Tamil Nadu Tourism in and have been importance many local issues on systematic basis. This approach is really significant because utmost tourism development depends on charms and activities related to the natural location, important heritage and cultural patterns of areas Its heartening to see that in a like Tamil Nadu Tourism compared to several states, activit ies and participation of local media is very very high,TamilNadu is sustainability place in tourist attractions its contain towering temples pristine beaches, , , churches, mosques, scenario mountains wildlife. Other important fact of sustainable improvement relate to stress on pilgrimage-based tourism and quality tourism. This method to tourism focuses on forecasting and development process The Art, culture and planning represents all attractions. The Tamil Nadu Tourism cultural tradition invites foreign tourists. TamilNadu tops in foreign tourist visit in Medical Tourism and natural resources experience the enchanting TamilNadu present sustainability position involves related to the airlines, cruise and responsible Tourism Industry.Sustainable tourism generate benefits besides provided that tourist attractions, services and Facilities for`good value for money tourism resources and Charm the varieties of tourists. It is important to appreciate that sustainability and the movements required are part of a package with amongst the tourist Tamil Nadu Tourism is an motivated and statement that aims to Tamil Nadu to achieve likely along compound scopes of economic success, fullness, social progress, cultural plurality, and environmental sustainability. It dimensions on the strengths of Tamil Nadu sustainability due to natural the hard work of her citizens, and the results of governance. The focus of this document is on the physical, social and institutional infrastructure that needs to be established in Tamil Nadu if the growth rates in several sectors under to be achieved Taken in part or realized piecemeal, they are not probable to succeed. The goals set are achievable but call for a stretch by all investors the Tamil Nadu State government .

Sunday, August 4, 2019

The Jungle Essay examples -- Essays Papers

The Jungle "The Jungle" portrays the lower ranks of the industrial world as the scene of a naked struggle for survival. Where workers not only are forced to compete with each other but, if they falter, are hard pressed to keep starvation from their door and a roof over their heads. With unions weak and cheap labor plentiful, a social Darwinist state of "the survival of the fittest" exists. The real story revolves around the integration and eventual disintegration of Jurgis Rudkis and his family, Lithuanian immigrants who move to the Chicago stockyards in hopes of a better life. Unfortunately, their hopes quickly disintegrate; like thousands of other unskilled immigrants at the turn of the century, financial necessity forces them into virtual slave labor in order to survive. For Jurgis and his family, the slave master is the ruthless and greedy meat packing industry, whose leaders value their workers no more than the animals they slaughter. "The Jungle" shows the relationship between the animals that were being slaughtered and the workers who were slaughtering them, from very early in the novel. It compares the workers to the animals who are penned up and killed every day in the stockyards, which are moved along on conveyer belts by machinery that cares nothing for their individual desires. In the monotonous killing of each of the hogs, "They had done nothing to deserve it; and it was adding insult to injury, as the thing was done here, swinging them up in this cold blooded, impersonal way, without a pretense of apology without the homage of a tear."(Pg. 35) The key comparison is the condition of the workingmen; as cold, efficient machinery assimilates them, a blind fate swallows them up. A few of the men are even swallowed up literally when they would fall into huge vats and emerges as "Durham’s Pure Leaf Lard". (Pg. 99) "The Jungle" also shows precisely how wounded, diseased, and pregnant animals are turned in to food under just the same unhealthy conditions that soon leave healthy men wounded and diseased; "There was no heat upon the killing beds; the men might as well have worked out of doors all winter†¦. On the killing beds you were apt to be covered with blood, and it would freeze solid; if you leaned against a pillar, you would freeze to that, and if you put your hand upon the blade of your knife, you would run a chance of leaving your skin on i... ...e for him. There had to be something to show him the meaning of his sacrifices. It is then that he happens upon a Socialist political meeting. At this point, Jurgis truly is a beaten man. However, when he listens to the political speaker, he finds that he expresses the essence of all his pain and frustration. He takes Socialism to his heart, believing that it is the only political philosophy that can save his kind. "They were so innocent, they came so very trustingly; and they were so very human in their protests-and so perfectly within their rights!"(Pg. 35) This is exactly how each of the immigrant families came over to America just like the hogs, cattle, sheep and many other animals that came into to the stockyards of Chicago only to find that a shadow of a deadly fate was awaiting their arrival. Each family arrived with hopes and dreams of succeeding in this free country were they could work for honest wages and live peacefully, but with each dream and hope came death and despair. It was a huge rat race, in which it was every man for himself, but not even the strongest could survive in this urban jungle for only the wealthy and corrupt were the ones who made it to the top.

Saturday, August 3, 2019

The Designer Drug: Ecstasy :: MDMA Drugs Essays

The Designer Drug: Ecstasy MDMA, otherwise known as the designer drug ecstasy, X, XTC, Adam (MDMA), Eve (MDEA), E rolls and many others generic terms, is a street drug that most people associate with a feeling of physical stimulation. This drug has a normal dose of about 50 to 300mg and can vary in color and shape depending on the maker. Most bootleg drug producers like to put a trademark stamp on the pill, which consists of many different designs. MDMA is administered orally and is absorbed through the gastrointestinal track where it travels up to the brain, which results in a high within about an hour. The high from one pill can last up to six hours. After administration of the drug is when the brain begins the release of the neurotransmitters serotonin and dopamine. A pill of ecstasy can also include other substances like amphetamine, ephedrine, caffeine, ketamine and sometimes substances that are unidentifiable to chemists. This can cause side effects that are beyond the scope of this research. What we do know is that MDMA is an organic molecule, which enables the molecules of MDMA to inhibit some of the neurotransmitters in the brain. Let us take a deeper look into that chemistry. The chemistry of ecstasy, which we will refer to as MDMA, has been researched, by scientists, since the late sixties and what they have uncovered is very interesting. Scientists have found that, overall; MDMA begins with an organic root and ends up being a potentially dangerous drug, 3,4-methylenedioxy-n- methylamphetamine. MDMA is based from an oil called safrole, which is derived from the sassafras root. Many pharmacologists and illegal manufacturers have used safrole as a starting material for many medicines and drugs because it is easily accessible and inexpensive. Therefore, it is not surprising that this is the base for MDMA. As for most organic molecules MDMA consists of H (hydrogen), N (nitrogen), CH3 (a methyl group) and oxygen atoms, which ends up making C11H15NO2. All of these molecules, including the base of the safrole, are organic which makes MDMA an organic molecule. When combined to make MDMA they act like an amphetamine (look almost identical to methamphetamine in there chemical brake down) to the body with its psychedelic reaction, which is why MDMA is usually classified as an amphetamine. When examining the MDMA molecules scientists found that the MDMA has two types of molecules that

Friday, August 2, 2019

Mans Need For Woman in the Works of Edgar Allen Poe Essay -- Biograph

Man's Need For Woman in the Works of Edgar Allen Poe      Ã‚   In the beginning, there was Adam.   Adam felt incomplete in the Garden of Eden and needed a companion.   Eve was created and Adam had his woman.   Edgar Allen Poe experimented with man's eternal necessity and drew his final conclusion near the end of his literary career.   With the publication of Eureka, Poe made his final realization that tied every one of his love driven short stories together and triumphantly proclaimed: "I have no desire to live since I have done Eureka.   I could accomplish nothing more" (n. pag.).   Kenneth Graham puts it best:   "For Poe, the most notable glimpse of eternity available to man is in the beauty of woman, always ephemeral, always melancholic" (2760).   With this idea in mind, Poe shows the consequences of losing the love of one's life through his short stories and his poetry, and also tries to bring reason to his own troubled life.   In the works of Poe, a man without his love becomes a man without the most vital part of his spirit and collapses in a horrifying manner.   "For Poe, the most notable glimpse of eternity available to man is in the beauty of woman, always ephemeral, always melancholic" (Graham 2760).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Poe's obsession with dying women stems from his own life.   His mother died when he was only three.   His first love, Elmira Royster was forbidden from associating with him by her father.   His child-wife, Virginia, who was also his cousin, died at the age of 24.   Just when he found Elmira once again, who was by this time a widow, he died of his own health problems.   These stinging losses, especially that of his mother, left a subconscious scar in his already convoluted psyche.   Poe's personal history compelled him... ...r': an Allegory of the Artist." Poe, Poe, Poe, Poe, Poe, Poe, Poe.   New York: Marlowe, 1972. Rpt. in Literary Companion. San Diego: Greenhaven, 1998. Huxley, Aldous.   "Vulgarity in Literature" Music at Night and Other Essays.   New York: Harper & Row, 1930. Rpt. in Poe: A Collection of Critical Essays. Englewood Cliffs: Prentice-Hall, 1967. James, Henry.   Dustjacket.   Regan, Robert ed.   Poe: A Collection of Critical Essays.   Englewood Cliffs:   Prentice-Hall, 1967. Lawrence, D.H.   " 'Ligeia': Analyzing Poe's Love Stories."   Studies in Classic American Literature. New York: Seltzer, 1923.   Rpt. in Literary Companion. San Diego: Greenhaven, 1998. Poe, Edgar Allan.   Selected Tales.   Oxford: Oxford UP, 1988 ______.The Complete Online Reference Manual. 1999 ______.Philosophy of Composition.   Rpt. in Literary Companion. San Diego: Greenhaven, 1998.

Thursday, August 1, 2019

Airbus V Boeing

Airbus v. Boeing Unit 8 Case Study MT330-01 International Marketing Kaplan University Christina Olson November 14, 2011 Airline manufacturers must compete with one another to be successful, and have the most birds in the sky. Boeing and Airbus are the two largest manufacturers for commercial aircraft, especially those used for long flights. Iberia Airlines wanted to purchase up to 12 brand new jumbo jets from one of these manufacturers. Enrique Dupuy, Iberia’s CFO, set a price that he wanted the company to pay for the aircraft and then started a bidding war between the two super jumbo jet manufacturers. Negotiation between two major companies like Airbus and Boeing can make a marketing strategy very strong or the complete opposite, it can cause a strategy to crumble to pieces in an instant. Airbus and Boeing both have dedicated sales representatives, Bight of Boeing and Leahy to their jobs very serious and developed a marketing plan like none other. These two gentlemen understood one important thing when it comes to marketing, plans must be able to adapt to change at any given moment. Prior to the beginning of the negotiation Airbus had an advantage of Boeing. Iberia Airline were currently using the manufacturers largest plane (Michaels, 2003). Airbus had already established a solid reputation with the airline company. Dupuy was familiar with Airbus’s resale guarantee, which was hard to beat by any other company (Michaels, 2003). Although Airbus had previous history with the airline company, Dupuy wanted to look at other manufacturers to get the best competitive price. Bright was personally contacted by Iberia Airlines to begin a negotiation process in hopes that he would be able to meet the predetermined price set by Dupuy (Michaels, 2003). Bright’s marketing strategy was geared to the fact that these planes could save more money in the long run while earning more revenue. He not only explained to Dupuy Boeing 777 could hold 24 more seats than Airbus which generated more revenue per flight (Michael, 2003). These aircrafts also used less fuel, allowing for expense to be dispersed to areas other than fuel (Michaels, 2003). Leahy did not let the extra seats and lower fuel usage discourage him during negotiations. During the meeting with Dupuy, Leahy reminded Dupuy that Airbus guarantees resale value of all aircraft plus the lower initial cost of purchasing the aircraft (Michaels, 2003). He provided numbers of how much the company would save by keeping Airbus, the price of extra parts and pilot training (Michaels, 2003). All of these costs were expense that would save the airline company millions of dollars upfront. Despite the good marketing and negotiation strategies by both manufacturing companies, Dupuy was not happy. Dupuy set a price that he wanted the two corporations to meet, or he would look into purchasing used aircraft (Michaels, 2003). This made both men return to their home company and refigure the marketing strategies. Each company offered perks such as financing, maintenance discounts, and sufficient amount of parts. Negotiation between the aircraft manufacturer and the airline company was not an easy task. Each time Bright or Dupuy offered a new contract; Dupuy rejected it asking for more discounts in price. He would also contact the other manufacturer, causing uproar to try to beat the prior suggested contract. The negotiation between Iberia Airlines and the manufacturing companies went on for over a year. Bright and Leahy were constantly adjusting their marketing strategy to fit the need of the airline company. These two men had to not only negotiate with the airline company but with the finance company and the company that makes the parts and engines (Michaels, 2003). It was a never ending task until Dupuy finally decided on which company enter into contract with. During the end of the negotiations, Dupuy stood firm in his set price; he refused to settle. Boeing and Airbus had very strong marketing strategies that had to change constantly in order to not only meet the expectations of the buyer but to overcome the bid of the competitor. Even though Boeing had strong factors, such as the decreased fuel expense and increased income from more passengers, Airbus won the negotiation. Leahy was able to meet all of the expectations set by Dupuy, better financing, decreased price but most of all the guarantee return on sale of the aircraft for 20 years (Michaels, 2003). During the negotiation process both aircraft manufacturers were focused mainly on numbers. Another aspect of a marketing strategy should have been safety and consumer choice. Airbus was noted to have a system that not all pilots trust â€Å"Fly-by-the-wire,† causing planes to malfunction and plunge 100s of feet in seconds (Bland, 2009). Both of these factors can play a major role in how many passengers choose to fly with one airline company over another because of the aircraft used. Had either of the manufacturers used these two simple areas in their marketing strategy the negotiation outcome could have been different. Reference Bland, A. (July 1, 2009). The Big Question: Why was another Airbus crashed, and is flying Becoming more risky?. The Independent, Retrieved from http://www. independent. co. uk/news/world/africa/ the-big-question-why-has-another -airbus-crashed-and-is-flying-becoming-more-risky-1726056. html Michaels, D. (March 10, 2003). Boeing and Airbus in the Dogfight to Meet Stringent Terms of Iberia’s Executives. The Wall Street Journal Europe, Dow Jones & Co. –