Thursday, January 30, 2020
Telecommunications sector Essay Example for Free
Telecommunications sector Essay Belize Telemedia Limited is the new name of Belize Telecommunications Limited in Belize which was instituted in 1972 as the telecommunication authority. The Belizean telecom market was formally and authoritatively reformed and became less strict in January 2003; however Belize Telecommunications still has the control in the telecommunication market (Mansell 56, 2007). With limited rivalry and unproductive regulatory control, it has fixed very expensive charges for its services. VoIP is the case study which reveals a controversy in the Belize telecommunication industry. Although the government and the regulatory body collaboratively confirmed to promote competition in the telecom sector, in reality BTL was successful in conspiring against VoIP to remove competition. However, BTL has to face competition in the mobile sector where SpeedNet has successfully covered 18 percent of the market. At present, BTL prides on 335000 fixed landlines, 130000 cellular consumers and 8000 internet customers. BTL has more than 475 expert and capable workers with 15 branch offices spread countrywide (Mansell 56, 2007). The aims and objectives of BTL is to develop, engineer and install high tech network and technologies and to offer best communication services and facilities. The company is dedicated to increase its existing wire line, mobile and internet services by getting on-stream a broad range of matchless, unsurpassed services and facilities to the consumers. Additionally, its dynamic, quick and efficient network provides its consumers consistent, efficient, trusty and finest service accessed in the vicinity, all over the country, regionally and globally. BTL headquarters are in Belize City. It has 15 customer service centers installed countrywide. Telemedia is concentrated on increasing further than the national boundaries so that there is increase in investor value, development and promotion of new opportunities for workers and assistance in the economic development, progress and increase of the nation of Belize. Telemedia offers HomeFone Service which is a fixed telephone line service. It provides three latest and reasonably priced plans to residential customers. These plans offer distinctive alternatives which includes limitless night and weekend minutes, unlimited, unrestrained monthly usage, etc. Each package offer services such as caller id, voicemail, 24 hours contact to Operator, telephone directory, etc. Telemediaââ¬â¢s wireless service offers its consumers the basic telephone service (Calabrese 225, 2007). The consumer can avail other suitable features that will improve communication requirement for residential or commercial purpose. It offers the users to receive calls locally, countrywide and globally. Econo-Phone is another service which gives full access to Telemedia Prepaid telephone service at affordable rates. The user can keep an eye on the amount of time he or she spends on the phone and can make calls all over the world. Econo-Phone works as a prepaid cellular phone. The user can also enjoy facilities such as voice mail notifications, caller id, internet services, etc. DigiCell is cellular service that uses GSM. It is operational at GSM 1900 and offers advanced, improved superiority, improved voice clearness and wide-ranging safety measures (Calabrese 225, 2007). It is considered to be Belizeââ¬â¢s most highly developed and ground-breaking mobile service. It offers increased collection of voice and multimedia services. DigiCell encrypts all voice and data, thus making it more secure. DigiCell also offers innovative solutions for business and residential consumers by means of DigiCell Prepaid services. It offers short message service, data and international roaming service, call hold, call waiting, caller id, voicemail, etc. Telemediaââ¬â¢s Once Card can be used to avail all the Prepaid Services that are offered. When the consumer buys a Prepaid card, e-PIN or Fone TopUp, he or she is no longer requires to select between regular or DigiCell prepaid card. Further, this card can be used as a recharge or calling card. Fone TopUp is electronic recharge arrangement that permits representatives and distributors to supply electronic pins or immediately top up a prepaid number with any value. Belize Telemedia Limited has successfully increased its wireless coverage nationwide, covering most of the rural communities in Belize by deploying Nortel wireless technology (Cronin 29, 2007). This technology has completely replaced the old Belize Telemedia existing GSM structure given by Nortel competitor; as well deploy a new CDMA 450 MHz network to hold up Telemediaââ¬â¢s emergent subscriber demand in Belize and the requirement for more superior, high-tech products and facilities countrywide. .Telemediaââ¬â¢s existing wireless setup has been improved and enhanced to Nortel GSM GPRS/EDGE 850/1900 MHz wireless network which offers superior network coverage and connectivity for the consumers. In addition, the operator has launched a completely new network laid on Nortel CDMA xRTT and 1xEV-DO technologies in the 450 MHz range, to expand services and assist to seal the means of communication space in rural society (Cronin 29, 2007). According to Dean Boyce who is the chairperson of the executive committee at Belize Telemedia, the Nortel technologies has successfully enhanced the reputation of Belize Telemedia and also given wide-ranging services which has strengthen Telemediaââ¬â¢s network. The execution of CDMA/EVDO platform and the utilization of 450 MHz frequency have successfully provided voice and high speed internet services to consumers present in rural areas which has accelerated Belize economy. Belize Telemediaââ¬â¢s network substitute and improvement also includes Nortel all-IP products such as Advanced Telecommunications Computing Architecture, Mobile Switching Center and Home Location Register, allowing operators to back up numerous services and applications on the unchanged, consistent platform. The Belize government welcomed the 2004 sale of the nationwide telephone corporate to a U.S-Caribbean organization as a moment of guarantee and affiliation. The main highlight was the $90 million deal (Fox 103, 2007). However, the agreement was tattered and became a story of officially permitted and oral clash. The clash started when Musa management took full authority of Belize Telecommunication Ltd from Prosser and his company after the failure to pay $57 million to the government for the phone company. Prosser filed a case in which he demanded the court to give out a command that would invalidate the boardroom occupation and put him back in charge. Prosserââ¬â¢s attorney was Lanny Davis who criticized the Belize government by calling it lawless after the assembly approved a law allowing the occupation of specified telephone company shares after Prosserââ¬â¢s non-payment. In the initial stages of the case, U. S District Judge Ursula Ungaro-Benages instructed Belize to invalidate its conflict against ICC, and then hit the government with a disrespect, scorn allegation for refusal to comply, signifying that Belize authorities gave the impression to want to be hit over the head by a 2-by-4. UngaroBenages passed the verdict which favored the Belize government. The liberalization of the telecommunication market at various phases, from Guatemala to Costa Rica remains government owned. Costa Ricaââ¬â¢s fixed-line tele-density is the highest in South America while that in Guatemala is 40 percent less than the complete South American average, which shows that fixed line privatization and competition are no assurance of the development there. The study reveals that low fixed line tele-density causes leapfrogged unswervingly into mobile communications. Mobile competition is intense and diffusion is far away that would be anticipated bearing in mind their other macroeconomic pointers (Fox 103, 2007). Belize is the only exemption since it has national owned mobile company. Broadband services also vary greatly among these seven countries. Efforts are being made to liberalize Belizeââ¬â¢s telecommunication market. Belize stands out from its neighboring countries as a financial leader, having already commenced the internet trend that would hit its neighbors in the entire South American Region. The interests of foreign companies to chase the liberalization of the Belize telecommunication market set up in the country and use that country as a launch pad to launch its rising information technology business throughout the area. The initiation of foreign competitors in the Belize telecommunication market needs a legitimate alteration and adjustment to suspend the current government utility companyââ¬â¢s domination in the market.
Wednesday, January 22, 2020
How To Write A Great Report :: Report Writing
How To Write A Great Report 1. Plan the report. ï ± Select an idea or topic for your report. ï ± Gather information for your report. ï ± Identify the information you want to include in your report. Remember you should have at least three ways to support the main idea of your report. Include details and specific information that will help you make your point. ï ± Write a draft. ï ± Review what you have written. Try reading the report out loud. It can help you catch mistakes. ï ± Check spelling and punctuation. Each sentence should begin with a capital letter and end with a period, question mark, or exclamation mark. ï ± Create the final report. 2. Add interest. ï ± Use graphs and charts to illustrate an idea. ï ± Include a picture, photo, drawing, or map. ï ± Find a quotation, and use it to make your point. 3. Make every word count.
Tuesday, January 14, 2020
Nursing Study Guide Block 4 Final
Study Guide for the Final Exam Here are the rules: please do not call me or email me questions about the study guide. I will answer questions about the study guide during the brief review before the exam itself. You cannot memorize the answers to the questions and do well on the exam- the questions are meant to stimulate thinking, not to be answers. Please remember to review the chapters on shock and MODS as there are questions on this content. 1.There are several ABG questions; remember these also include oxygen numbers so be prepared to determine oxygenation in addition to acid base PH: 7. 35- 7. 45 PCO2: 35-45 HCO3: 22-26 O2: 94-100 2. Review the care of the patient with pneumonia, including applicable nursing diagnoses and measureable outcomes Restrictive respiratory disorder: decreased lung expansion- low PaO2, decreased lung compliance, normal to low P/Q ration, shunt, respiratory alkalosis (blowing off co2, more bicarbonate) increased RR, TV smaller.SOB/cough, dyspnea=how many words can they say in one breath chest pain, fatigue, wt. loss, lung crackles, care: HOB 30deg, fluids to clear secretions, tidal volumeââ¬ânormal breathing 500mL Nursing dx: impaired gas exchange, ineffective breathing pattern, acute pain Outcomes: maintains adequate alveolar oxygen-carbon dioxide exchange, clears lungs of fluids and exudates. Demonstrates effective RR, rhythm, and depth of respirations. Reports control of pain following relief measures. . Review the treatment for TB (look in Lewis), including medications, length of treatment, evaluation of treatment plan, who is most likely to get TB infection, and side effects of the medications Medications: aggressive TB treatment: four drugs for 6 months, (INH, rifampin [Rifadin], pyrazinamide [PZA], and ethambutol) Newer: rifamycins, rifubin, rifapentine, first line for special situations Length of treatment: 6 months- 1 YearEvaluation of treatment plan: resolution of the disease, normal pulmonary function, absence of any complication, no transmission of TB, Most likely to contract: Asians have the highest TB rate, followed by Hawaiians and pacific islanders. African Americans are the highest rate inside the US. (45%) Higher rates of TB infections with patients with HIV infections Side effects of meds: alcohol increases hepatotoxicity of INH, monitor liver function.PZA may not be included in initial phase (due to liver disease or pregnancy) 4. Review the care of a patient with lung surgery, including chest tube management To keep lung inflated & Drain fluid from interpleural space How do you know if collapsed lung: Blood gases, Chest X-ray, Vital signs, Color Air leaks ââ¬â bubbling in water chamber: check your tubes for air leak & make sure theyââ¬â¢re always free of kinks. Donââ¬â¢t milk the chest tube (unless ordered).Continued bubbling = pneumothorax not resolved yet, Constant vigorous bubbling = air leak in system Should see tidaling if not attached to suction >100cc/hr. of drainage = call doc Determine if working correctly by: Monitor output, pain, breath sounds, assess patient breathing, auscultate, ABG, pulse ox (SPO2), skin/mucous membrane coloring, and respiratory effort Chest tube pain is common- give pain meds >7/10 5.Review heart failure: right-sided (acute and chronic), left- sided (acute and chronic), pulmonary edema, cardiomyopathy and management of the patients; remember to review the hemodynamic changes (and values) associated with right and left sided failure RIGHT SIDED HF: (FLUID RETENTION): Corpulmonale, systemic edema, neck vein distention, weight gain, fluid retention, Risk: COPD, hypoxia (pulmonary HTN), causes pulmonary vasoconstriction.CVP = increased; PVR = increased; SVR = increased; wedge = increased; contractility = decreased medication: nitroglycerine to decrease venous return, fix preload LEFT SIDED HF: (RESPIRATORY) DYSPNEA ON EXERTION, back up in lungs, pink frothy sputum, decreased O2 stat, increase RR. CVP = increased; PVR = incre ased; SVR = increased; wedge = increased; contractility = decreased HEART FAILURE: Usually starts out with one ventricle.Nitroglycerine, aspirin, O2, pericardial thump, Lasix, ACE, + inotrope, Class 4, transplant, symptomatic. ACUTE HF: Dig, Lasix, ACE, ARBS, Betas, Calcium Channel, Nitro, and Aspirin, compensatory mechanism is ok. CHRONIC HF: both ventricles can fail (left to right), Dig, Lasix, ACE, BETA, ARBS (if cough), calcium channel blocker, Primacore, compensatory mechanism makes it worse. 2 CLASSIFICATIONS OF HF: 1. Systolic: problems pushing volume out problem with too much afterload: HTN. TX: decrease SVR with dig, Lasix (diuretics), ACE. 2.Diastolic: problem with filling and getting blood in (Hypertrophic cardio) less room for blood TX: Beta blockers to reduce contraction or calcium channel then ACE. If you give them DIG it will kill them (will increase heart working too hard). PULMONARY EDEMA: hallmark: pink frothy sputum, Left- sided heart failure. Decreased albumin, d ecreased oncotic pressure, increased hydrostatic pressure. Dilated: Left vent is dilated (stretched out of shape) decreasing the ejection fraction. Vent is overstretched from CHF or chronic hypertension.Diagnose with chest X-ray: heart is BIG. TX: Dig, Lasix, Ace. Arrhythmias will increase mortality rate HYPERTROPHIC: L vent hypertrophy decreases the ability of the chamber to relax, decrease contractility (athlete, hereditary. ) TX: BB, CCB Constricted/restricted: normal size heart with decreased cardiac muscle compliance. Scarred= fibrosis, radiation, infection (rheumatic fever) control of volume overload is AGGRESSIVE: Ace, Diuretic, Dobutamine, Nitroglycerin/Nitropresside, exercise restriction . Review patho and management of COPD, especially related to acute respiratory failure. COPD: obstructive, exhalation problem, air flows in but then becomes trapped, teach pursed lipped breathing to improve FRC. Clinical manifestations: increased lung expansion, normal to increased TLC, dec reased forces expiratory volume, increased functional residual capacity, decreased vital capacity, increased CO2, O2 sat-80-100, PaO2- 60 Best mask to use is vent mask, most precise O2 is delivered.Barrel chest- chronic hyperinflation of torso Corpulmonale, > expiratory time, wheezing or rhonchi, A fib from chronic overuse of right ventricle TX: beta agonist/beta stimulant=dilates airway (epinephrine, albuterol) Anticholinergic bronchodilators, corticosteroids, mucolytic=thin out secretions, Mucinex or SVN mucomist, pulmonary vasodilators not common, prostaglandin E2, supposed to dilate pulmonary vessels but BP can plummet too.Nitrous oxide can temporarily improve pulmonary HTN but doesnââ¬â¢t improve outcomes Respiratory Failure: ALOC- confusion, restless. Nasal flaring, increased HR, increased BP, increased RR, increased depth, PVCs, Pulmonary Embolism=blue very fast, otherwise cyanosis is a late sign 7. Review management of patients on ventilators, including process of weaning and recognition of weaning failure AC ââ¬â assist control: doing all the breathing for the patient. Itââ¬â¢s providing Tidal volume and oxygen.For your unstable patient NO pressure support needed SIMV ââ¬â synchronized intermittent mandatory ventilation: For weaning: Makes it easier for patient to take their own spontaneous breath. Tidal volume off and O2 on. Pressure support adjunct PEEP ââ¬â positive end expiratory pressure, Keeps alveoli open by use of positive pressure. Increases FRC ââ¬â air left in after exhalation. ARDS patient. Little bit of positive pressure at the end of exhalation. Use with SIMV or AC. Keep between 5-10, and not over
Monday, January 6, 2020
The Haunting Truth Behind The Lake by Edgar Allan Poe
Poe first published ââ¬Å"The Lakeâ⬠in his 1827 collection Tamerlane and Other Poems, but it appeared again two years later in the collection Al Aaraaf, Tamerlane, and Minor Poems with a mysterious dedication added to the title: ââ¬Å"The Lake. Toââ¬â.â⬠The subject of Poes dedication remains unidentified to this day. Historians have suggestedà Poe wrote the poem about Lake Drummondââ¬âand that he might have visited Lake Drummond with his foster mother, but the poem was published after her death. The lake outside Norfolk, Virginia, also known as the Great Dismal Swamp, was said to have been haunted by two past lovers. The supposed ghosts were not thought of as malicious or evil, but tragicââ¬âthe boy had gone mad in the belief the girl had died. A Haunted Lake Lake Drummond was said to be haunted by the spirits of a young Native American couple who lost their lives on the lake. The young woman reportedly died on their wedding day, and the young man, driven mad by visions of her paddling on the lake, drowned in his attempts to reach her. According to one report, local legend says that if you go into the Great Dismal Swamp late at night youll see the image of a woman paddling a white canoe on a lake with a lamp. This woman became known locally as the Lady of the Lake, which has given inspiration to a slew of famous writers over the years. Robert Frost was said to have visited the central Lake Drummond in 1894 after suffering a heartbreak from splitting up with a longtime lover, and he later told a biographer that he had hoped to get lost in the wilderness of the swamp, never to return. Although the haunting stories may be fictional, the beautiful scenery and lush wildlife of this Virginia lake and surrounding swamp draw many visitors every year. Poes Use of Contrast One of the things that stands out in the poem is the way Poe contrasts the dark imagery and danger of the lake with a feeling of contentment and even pleasure in the thrill of his surroundings. He refers to the loneliness as lovely, and later describes his delight at waking to the terror on the lone lake. Poe draws on the legend of the lake to tap into its inherent dangers, but at the same time he revels in the beauty of the nature surrounding him. The poem closes with Poes exploration of the circle of life. Though he refers to death in a poisonous wave, he describes its location as Eden, an obvious symbol for the emergence of life. Full Text of The Lake. To In spring of youth, it was my lotTo haunt of the wide world a spotThe which I could not love the lessââ¬âSo lovely was the lonelinessOf a wild lake, with black rock bound,And the tall pines that towered around.But when the Night had thrown her pallUpon that spot, as upon all,And the mystic wind went byMurmuring in melodyââ¬âThenââ¬âah then I would awakeTo the terror of the lone lake.Yet that terror was not fright,But a tremulous delightââ¬âA feeling not the jewelled mineCould teach or bribe me to defineââ¬âNor Loveââ¬âalthough the Love were thine.Death was in that poisonous wave,And in its gulf a fitting graveFor him who thence could solace bringTo his lone imaginingââ¬âWhose solitary soul could makeAn Eden of that dim lake.
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