15 Quick and Easy College Breakfast Ideas

15 Quick and Easy College Breakfast Ideas If youre one of the rare college students who actually eat breakfast, chances are youre rushed for time and short on ideas. And if youre one of the many college students who skip breakfast, chances are youre hungry for most of the day. Eating breakfast- even during your crazy-busy college years- is, as your mom told you, highly important. That little morning meal can help you focus, maintain your energy, prevent you from overeating throughout the day, and generally help kick-start your day. So what kinds of things can you eat that wont break the bank- or your waistline? 15 College Breakfast Ideas Muffins. You can buy pre-packaged muffins or you can make them yourself. Either way, they wont go stale for a while and they are easy to grab (and eat!) as youre running out the door.Toasted English muffin and peanut butter. Its easy. Its cheap. And its full of protein to help you power through your day.Peanut butter and jelly. Even the busiest of students can find 30 seconds to put together this classic sandwich.A piece of fresh fruit. Consider an apple or a banana- theyre natures original to-go foods and theyre good for you, too.Granola or energy bars. Keep an eye on the calories, but these little bars can pack a big dose of protein to help you make it through your morning.Veggies. Who says you can only have fruit for breakfast? Grab a bag of baby carrots and munch all the way to class. Added bonus: You can keep the snack bag with you throughout the day and munch as needed.Yogurt. You can get yogurt in a cup, in a smoothie, or even in a frozen pop. And yogurt is a healthy breakfast that often tastes like dessert. Whats not to like? Cereal and milk. Its a classic for a reason. Consider buying cereal in bulk, too; you can split it with your friends and save some serious cash.Dry cereal in a baggie. Dont have time to eat a nice bowl of your favorite cereal with milk? Pour some cereal in a Ziploc bag for an instant, on-the-go snack.Trail mix. The stuff can last for weeks and is a great way to power up without losing too much time- or cash. Just make sure the mix you choose isnt candy in disguise.Breakfast burritos. You can buy frozen ones you can heat up in the microwave, or make your own ahead of time for maximum convenience and savings. Tortillas scrambled eggs cheese other tasty items an awesome breakfast you can eat on the run. Consider adding leftovers from last nights dinner (veggies, rice, beans, and meat) for variety and extra flavor.Frozen waffles or pancakes. You can buy these frozen or make them yourself and then freeze them. Either way, a quick drop in the toaster or microwave leads to a great hot b reakfast with little to no effort. Pop Tarts or their equivalent. Consider buying a generic brand; youll save money but still get a little morning treat.Cheese and crackers. Cut a few slices of cheese, grab some crackers, and throw everything in a small Ziploc bag. Youll have a tasty breakfast ready in under a minute.Dried fruit. A small baggie of dried apricots, pineapples, apples, or other fruits you enjoy is an easy way to get a healthy, fruit-based breakfast- without having to worry about the fruit going bad. Consider buying in bulk to save money.

buy custom Identifying a Patient essay

buy custom Identifying a Patient essay Establishing whether a patient is new or established is proving to be a very controversial issue. Every practitioner has his/her way of identifying a patient thus making it difficult for there to be a standard way of determining patients. While new policies define a new patient differently, practitioners who follow the old policies find themselves in a mix not knowing which policies to exactly follow. While the definitions are almost self explanatory, it is not clear to everyone what they precisely mean. A new patient can be defined as one who has never received any medical or other professional care from either the same or a different practitioner but serving in the same capacity or in the same professional group as the initial practitioner for a period of three years (Anderson, 2004, p. 3). An established patient on the other hand is one who has at one point received medical and other specialized services from the same practitioner or any other practitioner who serves in the same area of expertise or in the same group as the initial practitioner. A patient however qualifies to be called an established patient if his/her consecutive visits fall within three year. If this period exceeds three years, then the patient is treated like a new patient (Anderson, 2004, p. 21). Like any other aspect of healthcare service delivery, the distinction between an established and a new patient and providing appropriate coding for them has been complex in the past few years. This distinction is very important in billing and coding in that it helps the practitioners in giving the appropriate codes for established and new patients. One major difference between their codes is that established patients codes require the satisfaction of only two key components, exam and medical decisions while the codes for new patients require three components, the two mentioned above plus their medical history since it is not with the physician (Anderson, 2004, p. 3). Established patients codes range between 99211 and 99215 while new patients codes range between 99201 and 99205 (Abbey, 2008, p. 157). Appropriate coding therefore enables the patients to achieve accurate compensation and get better healthcare. Correct coding and billing also increases the standards of compliance for both the patients and their physicians (Abbey, 2008, p. 164). Buy custom Identifying a Patient essay

Data Project Essay Example | Topics and Well Written Essays - 1000 words

Data Project - Essay Example The Figure 2 shows the outliers of the mean is 180390 as it falls away from the normal curve as shown in Figure one; this is determined by 1.5*IQR on the whisker plot. The mean annual salary in the US is $97486. Table 1 shows that the arithmetic mean of annual wage is $97486 with a sample population size N =61, the measure of dispersion of the data SD = 23362; the variation indicates the dispersion figure from the mean. The Range = 123270 shows the difference in salaries scales between the maximum or the highest earning manager and the minimum or the lowest earning manager. The Skewness = 1.04 shows that the data is skewed to the right with Leptokurtic distribution as Kurtosis = 3.75, this shows that the values are concentrated to the mean. Table 2 shows the minimum wage of 57120 and a max of 180390, the values shows a measure of viability of IQR = 26270 and a range of 123270. The measure of central tendency is well measured using median = 99660. I preferred the use of 5-number summary because it gives me an easier way to visualize the central tendency of the data. The US salaries in top senior management of C-Level and top managers has a great variation between the lowest paid and the highest paid. The Average wage is 97 $97000 with most managers earning approximately the same figure with measure of central tendency indicating the same. There is a outliers earnings that are way above the normal earnings. The statistical package Minitab made me learn how to manipulate the data more easily with more capabilities of giving us more accurate answers, clear graphs and

Economic developments in Germany and their impact on the EU economy Essay

Economic developments in Germany and their impact on the EU economy - Essay Example This paper demonstrates the main two economic pillars behind the unification were the theories of ‘Regional Trading Block’ and ‘Optimum Currency Area’. The former deals with a free trade area with a two-tier tariff system i.e. zero tariffs within the union members and some positive rate of tariff for the non union-members. (Robson 1999: 109-110) The latter deals with the introduction of a unique currency; it would enable the member states to enjoy the benefit of a fixed exchange rate system with the facility of full currency convertibility. (Krugman and Obstfeld, 1997: 631-33) The simultaneous functioning of a trading block and the optimum currency area was the main theoretical standpoint of the European Union and economic integration was the result of that. Economic integration is desired for the transfer of the benefit of economic development of one country to another. (Czinkota, Rivoli, Ronkainen 1989: 14-16) Let us consider the economic development of Germany and its influence on the European Union. Here our analysis would be concentrated on the economic development of Germany after the establishment of EU. German economy marks itself as a social market economy as the government undertakes a wide array of social services. As German economy is highly export oriented it advocated for European economic integration. After unification German commercial policies have been highly centred towards union. The social reform policies adopted by Germany for the welfare of the society and the structural industrial reform enhanced the performance of the economy and its global competitiveness. (US Dept of State 2008)

Black Art Movement and the Harlem Renaissance Essay

Black Art Movement and the Harlem Renaissance - Essay Example At this period, there was also an interest being formed for jazz music with many white Americans that enjoyed the new sounds of lyrical black expression. One notable writer from this Harlem Renaissance period was Henry Dumas, who wrote a collection of short stories that described the efforts of different civil rights activists to describing the â€Å"lethal strength of a sax solo†, in order to celebrate the African-American spirit and movement toward liberation as a culture. Another novelist, Amiri Baraka, helped to build Black Dialogue, a publication facility that supported black arts. In his poetry, which was considered very risquà © during the Harlem Renaissance, he spoke of â€Å"fists beating niggers out of jocks or setting fire and death to whities ass† as a means to show African-American defiance against racial intolerance. It is poetry like this that often caused social uprising in different black social groups and reminded them that they were still an oppresse d people, therefore inspiring the next generation of blacks to explore artistry as a means to help in the cause for civil rights. The black arts movement involved many different African-American artists that often used their creative expression and poetry to influence others to reconsider their role in broader, White society. It is likely that without these historical figures, prominent leaders like Martin Luther King, Jr. and Malcolm X would not have been inspired to use peaceful protest that marks the current state of liberation.

Best Practice of Suturing Wounds Within Pre-Hospital Setting

Best Practice of Suturing Wounds Within Pre-Hospital Setting Title: Review of best practice of suturing wounds within the pre-hospital and emergency department setting. Essay Suturing as a treatment for cutaneous wounds has been known to mankind for millennia. The Indian Surgeon Susruta (AD c380-c450) described techniques for skin closure using flax, hemp, and hair. Jaws of the common black ant were also known to be used at about this time. Galen recommended silk and catgut in about 150 AD. A Roman, Avicenna, is credited with describing the first monofilament suture in the form of pig bristles for infected wounds. (Moy R L et al. 2002) Suture material may have evolved from the first recorded human hair and fibrous vegetable material to highly sophisticated sterile materials with integral needles, but the basic optimum technique of â€Å"closing dead space, supporting and strengthening wounds until healing increases their tensile strength, approximating skin edges for an aesthetically pleasing and functional result, and minimizing the risks of bleeding and infection.† are largely unchanged. (Scott M 1993) In consideration of this subject, this essay will consider suturing in the context of the suturing of wounds in an Accident and Emergency Dept. or the pre-hospital setting as opposed to other considerations of suturing that are possible. The different ways of suturing. There are a great many different ways to suture a wound. The method employed will depend on factors such as the site and nature of the wound as much as it depends upon the training and experience of the operator In the general context, wounds may be closed by either primary or secondary suturing. Primary suturing takes place shortly after the injury and requires minimal cleaning and preparation. Secondary closure takes place when a delay of more than 24 hrs has occurred and requires a surgical â€Å"freshening† of the wound to remove and infection and granulation tissue. The presence of reddening or oedema of the wound margins, discharge of pus, persistent fever, or systemic toxicity are indications that primary closure should not be attempted as any infection in the wound must be controlled before closure takes place. If the decision to suture is taken, this should ideally (with very few emergency exceptions) take place in controlled sterile surroundings with proper suturing equipment. In terms of different ways of suturing, one can note that the textbooks suggest many different varieties of mechanisms with varying degrees of sophistication for closing skin in different circumstances. In broad terms however, sutures can be interrupted (single) or continuous (running suture), transcutaneous or subcuticular. Associated Infection risks to suturing in the pre hospital setting and the emergency department There is a considerable literature relating to bite wounds and the rationale underpinning the decision whether or not to suture in the pre-hospital setting. The authoritative papers in this area have identified Staphylococcus, Streptococcus, Eikenella, Pasturella, Proteus, Klebsiella, Hemophilus, Enterobacter, Capnocytophaga carnivorous (DF-2) and Bacteroides species as being frequent contaminants of animal bite wounds and such wounds must receive careful antiseptic treatment prior to suturing. (Morgan M et al. 2007) One definitive study on the subject of whether prophylactic antibiotics are important over and above standard wound cleaning and debridement found that a greater number of patients developed wound infections if they did not receive prophylactic antibiotics with deeper wounds being more likely to develop infection than superficial ones.( Dire D J 2001). In broad terms, suturing must be carried out with rigorous aseptic technique. By definition, this refers to the absence of pathogenic organisms. It may well be that the wound to be treated is already infected by its nature (viz. an animal bite or a dirty wound) but the aseptic technique is central to ensuring that no further infection is introduced into the wound. The main principles of an aseptic technique include: Keeping the exposure of susceptible sites to a minimum Ensuring appropriate hand decontamination prior to the procedure Using gloves (sterile or non-sterile, depending on the nature of the susceptible site) Ensuring that all fluids and materials used are sterile Checking that all packs used are sterile and show no evidence of damage Ensuring that contaminated and non-sterile items are not placed in the sterile field Not reusing single-use items Reducing staff and/or bystander activity (wherever possible) in the immediate vicinity of the area in which the procedure is to be performed. (HCAI 2008) In any discussion of infection risks, one must not overlook the possibility of the reverse infection of healthcare professionals becoming infected by coming into contact with tissue fluids from the patient. Scrupulous attention to the Health Dept’s published guidance on protection against infection with blood-borne viruses for healthcare professionals in 1998 (UKHD 1998) should help to minimise the risk of blood-borne virus transmission to health care workers from patients. Suturing always carries the attendant risk of a needle prick injury even in the most experienced hands. An unexpected move from the patient, a sudden thread break of even inattention, can easily have major repercussions if it results in a stick wound to the operator. (Bosch X 2003) Pros and cons of suturing. The purpose of a suture is to hold the edges of a wound together in good stable apposition until the natural healing processes are sufficiently well established to make the support provided by the suture material unnecessary and redundant. There is a distinct difference however, between the results from good and bad suturing. For example, if sutures are made excessively tight, the tissue becomes ischaemic from the pressure. This encourages persistence of infection and tissue necrosis. Too many sutures will also make a wound ischaemic. Materials which are multifilament or braided can allow bacteria to enter the wound (by wick action) but can exclude phagocytes. It is therefore appropriate to draw distinctions between the results obtained from optimal suturing and poor suturing. Sutures are not the only mechanism available for achieving wound closure. Synthetic and natural tissue glues, surgical staples and flexible non-tensile tapes all have their place in maintaining wound edge apposition. Choice of technique is dependent on the anatomy of the area to be closed, whether it is going to be exposed to movement stresses, as well as the type and depth of the wound itself. Criteria for the choice of closure is a vast subject and beyond the scope of a modest essay, but decisions for optimum means of wound closure have great implications for successful healing and good aesthetic results. (Spotnitz W D et al. 1997) Training involved to enable medical staff to perform suturing. Training staff to suture requires a combination of a knowledge of the physiology of the healing processes, anatomy and clinical experience. There are a number of teaching aids commercially available for suture training. It is not simply a matter of learning how to suture, but the motor skills are also capable of considerable enhancement once the basic techniques are acquired. (Judkins T N et al. 2008) Suturing v non suturing of wounds. Are there benefits to these alternative methods? Suturing has been tried and tested with modern materials for many years. It does have the downside that, in inexperienced hands it can have sub-optimal effects with poor aesthetic and functional results, wound ischaemia if done too tightly and raises the possibility of pathogens entering the wound along the suture line. Alternative methods of skin closure have been developed over the last 40 years including various glues and sealants. The majority are fibrin / thrombin based. The current commercially available glues are bacteriologically and virally sterile (which contrasts to the biologically derived early varieties). Glues have the downside that they are not good in sites that are under considerable tensile stress. Full thickness wounds, particularly those that involve the deeper structures need deep sutures to minimise stresses in the skin. Glues are best for minor skin wounds. (Mintz P D et al. 2001) Adhesive strips are used for minor wounds and have the advantages that they have less of an inflammatory reaction than sutures, lower infection rates and no risk of abscess development at suture locations. They also have greater tensile strength when used late in the healing process and are cheap. Staples are used for wound closure primarily in surgical situations. They require considerable practice and expertise in use for optimal results. Some authorities advocate their use in the pre-hospital setting (particularly on the sports field) to minimise blood contamination and to allow suturing at a later stage. (Orchard J W 2004) Paramedics suturing skills within pre hospital setting. There are a number of studies which have been done which demonstrate that, within the hospital setting, to use paramedics for suturing duties can reduce the number of patients who are waiting to see a medical practitioner by up to 25%. This study also noted a patient satisfaction rate that was superior to having to wait to see a doctor or nurse. There was no difference in the morbidity rates after one month. Those who object in principle to this use of a paramedic on the grounds that it would require training beyond the expertise of the practitioner would find the argument hard to support when one considers that paramedics are currently trained in more sophisticated skills such as intubation, cardiac resuscitation and critical patient assessment. Hale presented a prospective double blind trial to determine if Paramedics could determine which wounds could be safely repaired in the pre-hospital situation and found a very high correlation (almost 100%) between emergency specialists and paramedics in the wounds that were excluded from pre- hospital repair. The paramedics tended to be slightly more cautions than the emergency specialists in identifying which wounds should be brought into the hospital setting. (Hale D et al. 2000) Different types of sutures and there pros and cons, number of days that sutures should be in situ for. Even a brief overview of available suture materials would extend to many pages. In general terms therefore one has to consider the two major categories of Absorbable and Non-absorbable suture material. In general terms, absorbable sutures are to be preferred unless there is a need to fixate an anatomical structure. These two categories can be further subdivided into the braided group (which have properties of tissue drag and a capillary filling effect but handle well) and the monofilament group which slide easily but can be more difficult to retain a knot. Of the absorbable varieties, the modern synthetic types undergo hydrolysis in the tissues, produce minimal tissue reaction and their degradation products are CO 2 and H2O. Examples are Polyglycolic acid, Polydioxanon and Polylactate Studies show that all three retain their tensile strength until clinical tissue healing is complete with Polyglycolic acid being 60% absorbed within 21 days and Polylactates being 75% absorbed in 14 days. (Hsiao W C et al. 2000) Non-absorbable suture materials include silk, linen and cotton with synthetic varieties including nylon and Dacron and wire. References Bosch X. Second case of doctor-to-patient HIV transmission. The Lancet Infectious Diseases 2003; 3: 261. Dire D J (2001) Cat bite wounds : risk factors for infection. Ann Emerg Med 2001 Sep; 20 (9) : 973 9. Hale D, Sipprell K (2000) Ability Of Paramedics to determine which wounds can be repaired in the field. Pre-Hospital Emergency Care. Volume 4, Number 3, July September 2000 , pp. 245 249 (5) HCAI and Cleanliness Division Ambulance staff . Reducing infection through effective practice in the pre-hospital environment. Dept. of Health Publication HMSO : London 18th June 2008 Hsiao W C, Young K C, Wang S T, Lin P W. (2000) Incisional hernia after laparotomy : randomised comparison between early-absorbable and late-absorbable suture materials. World J Surg 2000; 24 : 747 751. Judkins T N, Oleynikov D, Stergiou N. et al. (2008) Enhanced Robotic Surgical Training Using Augmented Visual Feedback. Surgical Innovation, Vol. 15, No. 1, 59 68 (2008) Mintz P D, Mayers L, Avery N, Flanagan H L, Burks S G, Spotnitz W D.(2001) Fibrin Sealant : Clinical Use and the Development of the University of Virginia Tissue Adhesive Center. Annals of Clinical Laboratory Science 31 : 108 118 (2001) Morgan M, Palmer J. (2007) Dog bites. BMJ. 2007 Feb 24; 334 (7590) : 413 7. Moy R L, Waldman B, Hein D W. (2002) A review of sutures and suturing techniques. J Dermatol Surg Oncol. Sep 2002; 18 (9) : 785 95 Orchard J W (2004) Video illustration of staple gun use to rapidly repair on-field head laceration. Br J Sports Med 2004; 38 : e 7 Scott M. (1993) 32,000 years of sutures. N Engl J Med. . May 1993; 20 ( 5) : 15 27. Spotnitz W D, Falstrom J K, Rodeheaver G T. (1997) The role of sutures and fibrin sealant in wound healing. Surg Clin North Am. Jun 1997; 77 (3) : 651 69. UKHD (1998) UK Health Departments. Guidance for clinical health care workers: protection against blood-borne viruses. London : Department of Health, 1998. ################################################################ 12.12.2008 Word count 2,259 PDG

The Necklace :: Character analysis, Loisel

In the short story â€Å"The Necklace†, the main character, Loisel, is a woman who dreams of greater things in her life. She is married to a poor clerk who tries his best to make her happy no matter what. In an attempt to try to bring happiness to his wife, he manages to get two invitations to a very classy ball, but even in light of this Loisel is still unhappy. Even when she gets a new dress she is still unhappy. This lasts until her husband suggests she borrows some jewelry from a friend, and upon doing so she is finally happy. Once the ball is over, and they reach home, Loisel has the horrible realization that she has lost the necklace, and after ten years of hard labor and suffering, they pay off debts incurred to get a replacement. The central idea of this story is how something small can have a life changing effect on our and others life’s. This idea is presented through internal and external conflicts, third person omniscient point of view, and the round-dynamic character of Loisel. The third person limited omniscient point-of-view is prevalent throughout this short story in the way that the author lets the reader only see into the main character’s thoughts. Loisel is revealed to the reader as being unhappy with her life and wishing for fancier things. â€Å"She suffered ceaselessly, feeling herself born for all the delicacies and all the luxuries.† (de Maupassant 887) When her husband tries to fancy things up, â€Å"she thought of dainty dinners, of shining silverware, of tapestry which peopled the walls†¦Ã¢â‚¬  (de Maupassant 887) As the story goes on her point of view changes, as she â€Å"now knew the horrible existence of the needy. She took her part, moreover all of a sudden, with heroism.† (de Maupassant 891) Having the accountability to know that the â€Å"dreadful debt must be paid.† (de Maupassant 891 ) This point-of-view is used to help the reader gain more insight to how Loisel’s whole mindset is changed throughout her struggle to pay off their debts. Maupassant only reveals the thoughts and feelings of these this main character leaving all the others as flat characters. Loisel is a round-dynamic character in that Maupassant shows how she thought she was born in the wrong â€Å"station†. â€Å"She dressed plainly because she could not dress well, but she was as unhappy as though she had really fallen from her proper station.