Wednesday, December 25, 2019
Americ Essential American Document - 1356 Words
Essential American Document American independence has advanced from the time this country began to now. Many men and women of significance to the country, have passed between then and now. All have left their mark in history whether it be physical and verbal. Three stand out to me: Abraham Lincoln, Franklin D Roosevelt, and Susan B Anthony. Franklin D Roosevelt s ââ¬Å"Four Freedomsâ⬠speech and ââ¬Å"Request for Declaration of War on Japanâ⬠, Abraham Lincolnââ¬â¢s ââ¬Å"Gettysburg Addressâ⬠and ââ¬Å"Second Inaugural Addressâ⬠, and Susan B Anthonyââ¬â¢s ââ¬Å"Womenââ¬â¢s Right to the Suffrageâ⬠. These five speeches changed America at the time to what we have and live by today. The first, of the five, is Franklin Delano Roosevelt s ââ¬Å"Four Freedomsâ⬠speech. ââ¬Å"In the future days, which we seek to make secure, we look forward to a world founded upon four essential human freedoms.â⬠- Franklin D. Roosevelt. These four freedoms are; the freedom of speech, the freedom of worship, the freedom from want, and the freedom from fear. They symbolized America s war aims and gave hope in the following years to a war-wearied people. President Rooseveltââ¬â¢s vision for an international organization soon became the United Nations just after his death. The Universal Declaration of Human Rights was adopted by the United Nations in 1948. The Universal Declaration of Human Rights set out fundamental human rights to be universally protected. This speech from F.D.R provided a voice to the people and freedom to be their own person. TheShow MoreRelatedAmeric Essential American Document1356 Words à |à 6 PagesEssential American Document American independence has advanced from the time this country began to now. Many men and women of significance to the country, have passed between then and now. All have left their mark in history whether it be physical and verbal. Three stand out to me: Abraham Lincoln, Franklin D Roosevelt, and Susan B Anthony. Franklin D Roosevelt s ââ¬Å"Four Freedomsâ⬠speech and ââ¬Å"Request for Declaration of War on Japanâ⬠, Abraham Lincolnââ¬â¢s ââ¬Å"Gettysburg Addressâ⬠and ââ¬Å"Second Inaugural Addressâ⬠Americ Essential American Document - 1356 Words Essential American Document American independence has advanced from the time this country began to now. Many men and women of significance to the country, have passed between then and now. All have left their mark in history whether it be physical and verbal. Three stand out to me: Abraham Lincoln, Franklin D Roosevelt, and Susan B Anthony. Franklin D Roosevelt s ââ¬Å"Four Freedomsâ⬠speech and ââ¬Å"Request for Declaration of War on Japanâ⬠, Abraham Lincolnââ¬â¢s ââ¬Å"Gettysburg Addressâ⬠and ââ¬Å"Second Inaugural Addressâ⬠, and Susan B Anthonyââ¬â¢s ââ¬Å"Womenââ¬â¢s Right to the Suffrageâ⬠. These five speeches changed America at the time to what we have and live by today. The first, of the five, is Franklin Delano Roosevelt s ââ¬Å"Four Freedomsâ⬠speech. ââ¬Å"In the future days,â⬠¦show more contentâ⬠¦Furthermore, in Abraham Lincolnââ¬â¢s ââ¬Å"Gettysburg Addressâ⬠speech, he begins with the famous, ââ¬Å"Four score and seven years ago our fathers brought forth, upon this continent, a new nation, conceived in Liberty, and dedicated to the proposition that ââ¬Ëall men are created equalââ¬â¢.â⬠A well known passage by Abraham Lincoln but holds a quote from the Declaration of Independence. ââ¬Å"All men are created equalâ⬠. Now to give some background to the speech. Take note that Lincoln is speaking during the dedication of the Gettysburg Cemetery. The final resting place for more than 3,500 Union soldiers killed in the Battle of Gettysburg. On into the speech, Lincoln touches on the survival of the nation. ââ¬Å"Now we are engaged in a great civil war, testing whether that nation, or any nation so conceived and so dedicated, can long endure.â⬠Heââ¬â¢s not only speaking to just the Union side of the war, but to both the Union and the Confederacy. Hoping that both see where the war is headed to. Gettysburg was a major turning point in the Civil War. Abraham Lincoln provides key notes to the peo ple just in the time they needed them. Next, is, oddly enough, Susan B Anthonyââ¬â¢s ââ¬Å"Womenââ¬â¢s Right to the Suffrageâ⬠speech. This speech provides confidence to her audience (women) and gives them a point of hope for their freedom. In the opening of her speech she outright tells the audience that sheââ¬â¢s committed a crime. ââ¬Å" I stand
Monday, December 16, 2019
Damping Effects Of The Passive Control Devices On...
â⬠¢ Damping Effects of the Passive Control Devices on Structural Vibration Control: TMD, TLC and TLCD for Varying Total Masses Three passive vibration control devices that consist of Tuned Mass Damper, Tuned Liquid Damper and Tuned Liquid Column Damper are experimentally investigated in this study. A scaled three-story steel building structure coupled with each device is employed to evaluate the damping effect of each controller. This research experimentally presents that the mass and damping of passive devices are the key factors in structural vibration suppressing. Fast Fourier Transform, frequency modes and the total mass of devices are used to calculate the Power Spectral Density values. As a benchmark, a rigid mass has been attached inâ⬠¦show more contentâ⬠¦The initial time estimated to complete this project is four years. 2. Usage of sugarcane bagasse ash as a replacement to Portland cement in concrete The target economic sectors of the proposed research are the sugar industry and the construction industry. The sugar industry will be directly affected, since the main goal of this research project is to develop a sugarcane bagasse ash-based product that can be used as an additive for concrete mixes. Due to the known properties and chemical composition of sugarcane bagasse, it is expected that this new product will be competitive with fly ash in terms of improving the properties of concrete mixes. The newly added economic value of bagasse ash may also make it economically advantageous to burning the entire stock of bagasse fiber for electricity production beyond the needs of the sugar mills. The local construction industry will be indirectly affected by the availability of an additive for concrete production with a lower cost and similar properties to fly ash. This new bagasse ash-based product is expected to reduce the construction costs of projects requiring large amounts of concre te (e.g., foundations, concrete bridges), thus, leading to a potential increase in the number of construction projects per year. The results of this research will have a significant impact on the economic development of US regions where the sugar industry is present, such as Florida, Texas, and HawaiiShow MoreRelatedAn Introduction To Tuned Vibration Absorbers?1044 Words à |à 5 Pageshave highly structural damping properties, is faced with great difficulty due to the fact that the decreased weight results in low rigidity and reacts with vibration characteristics. Vibration must be effectively controlled, otherwise it could be uncomfortable for humans, increase fatigue, cause instability and could result in damage to the entire system (Sharma et al., 2011). Tuned Vibration Absorbers (TVAs) are important engineering tools for vibration suppression. They can be passive, semi-activeRead MoreIntroduction to Noise and Vibration Damping2431 Words à |à 10 PagesNOISE AND VIBRATION DAM PING Vibrations are undesirable for structures, due to the need for structural stability, position control, durability, performance, and noise reduction. Vibrations are concern to large structures such as aircraft and small structures such as electronics. Reduction of Vibration can be attained by increasing damping capacity and increasing the stiffness. The loss modulus is the product of these two quantities and thus can be considered a figure of merit for the vibration reductionRead MoreEddy Current Braking System4987 Words à |à 20 Pageselectromagnetic induction which create resistance, and in turn either heat or electricity. In this paper, linear Halfback magnetized mover is applied to eddy current braking system for high speed. For such a breaker, we give analytical formulas considering end effects for its magnetic field, eddy current distribution, forces according to the secondary relative permeability, and conductivity. The results given here are purely analytic applicable. INTRODUCTION The term ââ¬Å"EDDYâ⬠Focault Bae J. S.(2004) found thatRead MoreStudy of Tractor Vibration and Ergonomic Design of Tractor Seat for Operators Comfort14489 Words à |à 58 PagesA Report on STUDY OF TRACTOR VIBRATION AND ERGONOMIC DESIGN OF TRACTOR SEAT FOR OPERATORS COMFORT INDEX |Sr. No. |Content |Page No. | |1 |Objectives |1 | |2 |Introduction |2-4 Read MoreHydrogen Super Highway9917 Words à |à 40 Pagesa snowplow and a rotating broom to clear the path. Q. How does Maglev collect its power? A. Just as a light rail vehicle uses a Z-shaped pantograph to collect electricity from overhead wires and transfer it to the car, Maglev will use an arm like device to collect power from a small power rail incorporated into guideway construction. Lower voltage power used for car doors, lights, heating, ventilating and air conditioning is created through the use of transformers. Q. What impact will the low-speed
Sunday, December 8, 2019
Work Motivation in Organizational Behavior â⬠MyAssignmenthelp.com
Question: Discuss about the Work Motivation in Organizational Behavior. Answer: The case study illustrates the problem that is related to the policies and practices of human resource department of the consulting firm. The two theoretical frameworks that are used in the problem identification of the reward management of the firm to the employees are Maslows hierarchy needs and equity theory. These two theories of motivation are required for identifying the problems of the company in the reward management system. This is related to the lack of motivation in terms of psychology. Maslows theory points out that the workplace satisfaction comes under belonging level of the theory. Equity theory will help us to know about the different types of unequal distribution of resources i.e. the recognition and reward of the company which does not satisfy Matt in his field of work (Locke and Latham 2013). Generation and Evaluation of Alternative Solutions The case study illustrates that the employees of the management consulting firm is facing issues in terms of lesser employee satisfaction and reward management system. The theories that will be implemented in order to select the alternative solutions to the problem are ERG theory and Herzbergs motivator hygiene theory. ERG theory is related to Existence, Relatedness and growth. Existence is the presence of basic requirements of the job. Relatedness is the desire of maintaining relationships for the different types of employees present in the organization. Growth of the career development of the employees in terms of personal development is an essential aspect of the company. As per the Herzbergs theory, the motivation from the work actually comes from the job responsibilities of the employees (Pinder 2014). Recommendations It is to be pointed out that since Jack earns more that results to more profit to the company, whereas Matt works on projects that lead to customer satisfaction more. According to him, work satisfaction matters more as well as customer satisfaction. Money is the secondary factor for motivation of Matt in his field of work. It is to be recommended that goal setting theory or expectancy theory is the option for the company to motivate Matt in order to motivate him in the field of work. Matt initially does not believe in the different types of reward systems available However, goal setting theory is considered as most perfect theory that the management consultant can implement in the different types of operations of the company (Miner 2015). The goal setting theory in the perspective of the increase of motivation of employees, especially Matt in order to raise the incentives along with increase of customer satisfaction of the projects for completing the work in a quick and effective manner. The goal setting of the company will focus on goal setting of the employees in order to improve their morale as well as the efficiency of work by providing the feedback to the employees. It will give a proper direction to the employee in order to boost the motivation of Matt in the company policy of reward system (Scott and Davis 2015). References Locke, E.A. and Latham, G.P. eds., 2013.New developments in goal setting and task performance. Routledge. Miner, J.B., 2015.Organizational behavior 1: Essential theories of motivation and leadership. Routledge. Pinder, C.C., 2014.Work motivation in organizational behavior. Psychology Press. Scott, W.R. and Davis, G.F., 2015.Organizations and organizing: Rational, natural and open systems perspectives. Routledge.
Sunday, December 1, 2019
Mr Essays (2196 words) - Buffet, Restaurant, Kitchen, Hotel Rating
Mr . 3, . . 058/ 65 56 22, 058/ 60 57 60 PROJECT CAREER IN TOURISM START WITH A STUDENT TRAINING PRACTICE REPORT of student training practice at Melia Grand Hermitage Hotel, Golden Sands resort from Boyan Antonov, student in HMA I, fac. 09054 Dobrich October 2009 The practice took place in hotel Melia Grand Hermitage from 31st August to 12th October. The hotel is 5 star rated and is the biggest 5 star in the Balkans. It is part of the Spanish chain Sol Melia. The chain has more than 300 hotels in 30 countries. The hotel is located in Golden sands resort and it is near to Varna city. The hotel has 728 rooms which are spread over nine floors and are suited with bath/WC, terrace, air-conditioning, cable TV and minibar, some with sea view and some with park view. The hotel had more than 90% occupancy during the initial period of work. The hotel offers 5 star facilities, amenities and services. It is located on a quiet hillside and is surrounded by lush green terraces leading down to the promenade and the beach. The hotel offers a big range of services like: SPA centre, Turkish bath, 2 swimming pools, different kinds of water sports and many others. It has many restaurants and bars that provide all-inclusive service. The Hermitage restaurant prov ides a buffet for both all inclusive and non-inclusive guests. It is the largest restaurant in the hotel and can occupy more than 300 seats, while being able to manage over 800 guests. The Hermitage restaurant. The restaurant serves international food for breakfast, lunch and dinner. The Level is part from the big restaurant where VIP guests can relax without the surrounding noise. Main departments in the hotel are: Front Office, Housekeeping, Food There is a General Manager that is responsible for all of the staff to do their work accurately. There are managers in every department that correspond to him. On the reception, part of the Front Office department, the staff work with Opera software which is their Property Management System (PMS). Reception Our practice involved working in 3 of the hotels departments: Food & Beverage, Kitchen and Housekeeping. Kitchen In the kitchen there is around 30 staff, the head Chef, 2 assistant head chefs, 5 cooks, and the remaining are assistants. Also in the pastry area, 5 people perform duties in a separate area, away from the main kitchen. The kitchen contains many parts. Cold kitchen, warm kitchen, wash area, breakfast area, pastry and store places. In cold kitchen the staff prepares the fruits, vegetables, different kinds of meat and many other kinds of food to be ready for the warm kitchen where the cooking of the food takes place. Cold kitchen is separated to several parts: pork meat preparations, chicken meat, vegetables, fruits and eggs. The meat preparations are separated because of the differences between the types of food, in order to not mix and contaminate. In the warm kitchen area the already prepared food from the initial preparation areas, is cooked and served on plates ready to be sent to the buffet. There are employees that are working in the buffet/restaurant area, who are responsible assist guests but also restock or remove unnecessary items. Also there are normally 2 or more employees who are on the show-cooking area on the buffet. There, preparation of food for breakfast and dinner, for example eggs (omelets), fish, meat including sausages, traditional items for Bulgaria- kebapcheta and meatballs. Also prepared or served are hamburgers, doner kebab, pork, chicken and lamb. On show-cooking area. The pastry area prepares the sweet dishes and the bread. There are several kinds of buns that are baked in the pastry: garlic, Italian with and without olives, regular white and black, corn and French bread. Also the area prepares and bakes pastries for coffee brakes in for conferences. When the buns are baked they are put in baskets and are served on the buffet. There should be at least 6 kinds of buns and 3 kinds of traditional bread on the buffet. In the
Tuesday, November 26, 2019
The ghost of Christmas present Essays
The ghost of Christmas present Essays The ghost of Christmas present Paper The ghost of Christmas present Paper Essay Topic: A Christmas Carol In Stave 3, which presents the second of the three spirits, The ghost of Christmas present, Scrooge tells the spirit that he has learnt from the last ghost. I went forth last night on compulsion and I learnt a lesson. Scrooge wants to be taught from this ghost as well. He wants to change his ways. Tonight if you ought to reach me, let me profit by it. Scrooge wants to learn and he shows signs that he wants to change. Notably in this stave, Scrooge questions the spirit about the health of tiny Tim. Scrooge asks the spirit this question with an interest he had never felt before. The reply to Scrooge is negative and Scrooge pleads to the ghost to spare his life. He feels that he does not pay Bob Cratchit enough money. The spirit uses Scrooges words If he be like to die he had better do it, and decrease the surplus population. This suggests that tiny Tim will soon die. Scrooge is then overcome with penitence and grief. Dickens then presents a poor familys Christmas to his readers. The Cratchit family do not have a lot, but what they do have they make the most of. The food they have at the table for Christmas dinner is not nearly enough to feed them all properly. The goose was cheap, which indicates it was small. Mrs Cratchit is wearing a twice turned gown but brave in ribbons which are cheap. All these are examples of how poor the Cratchits are, but they are generous and loving to each other and Bob Cratchit even tries to thank his harsh employer for the holiday in a toast to Mr Scrooge. Scrooge has been visited by two of the three spirits now. The reader senses that he has learnt a lot and his personality is beginning to change for good. Stave 4 The final spirit the ghost of Christmas yet to come appears in stave 4. He is described as a phantom and was shrouded in a deep black garment, much like the Grim Reaper. The atmosphere in this stave is extremely dark, especially at the beginning. The ghost is also mysterious and unlike the other ghosts. This one doesnt speak which adds mystery. Also much like Scrooge, it spreads coldness. This spirit is dark in contrast to the first two, who were bright. We sense that Scrooge is on the road to repentance, but he has not yet transformed himself. Scrooge wants to know if he can change his future, or whether he has already made the chains he will carry in his afterlife. Some businessmen talk about Scrooges death for a short time with no real care. They soon change the subject. This shows that nobody cares if Scrooge is alive or dead. Dickens makes it clear that it is Scrooges death they are discussing, but until the end of the stave, Scrooge is shown as not realising that he is witnessing the events after his own death. Later, the spirit shows Scrooge that people were stealing his belongings while he was lying on his bed, dead. One woman stole his best shirt when he was lying dead and another stole his curtains. When they sell these items Scrooges reactions show how much he is affected. The spirit then takes Scrooge to a dead body and a graveyard. Scrooge is then faced with his dead body and his gravestone. Scrooge takes to this very badly and starts to plead with the ghost, I am not the man I was. I will not be the man I must have been but for this intercourse. Why show me this if I am past all hope? This shows that Scrooges personality has changed a lot and is continuing to change. He knows he must keep this personality or he will die with a chain. I will not shut out the lessons they teach. He will not forget what the spirits have taught him. Stave 5 starts with Scrooge waking up in his bed. He is very jolly and merry. He then opens his window and cries out to the world, A merry Christmas to everybody! A happy new year to all the world! This is a big contrast compared with stave 1 where Scrooges nephew says Merry Christmas to him and Scrooge replied bah humbug. This shows a complete change in Scrooges personality. Scrooge starts his new ways by buying the biggest turkey he can and sending it to Bob Cratchit and his family. This is a big change from when Scrooge argued with Bob about having a day off on Christmas day. The boy who Scrooge asked to buy the turkey for him was the carol singer that came to Scrooges door in stave 1 and Scrooge scared him off with a ruler, but in stave 5 he gave the boy at least a shilling extra to keep. Later that day he met the portly gentlemen who asked him for a donation to charity in stave 1. This time Scrooge gave them a very generous donation. This shows that Scrooges happiness isnt based on wealth anymore and he is much more sharing and giving. Scrooge then remembers his nephews invitation for Christmas dinner. He is quite nervous, which is a feeling that we havent seen Scrooge have before. He then had to pluck up his courage to go and knock on the door. He went into the room where Fred was and asked permission to come in. Fred jumped up and shook his hand. This shows that even the worst person can be forgiven. Scrooge is at home in a matter of minutes. This is a remarkable change in Scrooge he now appreciates Christmas. The next morning Scrooge is working and Bob Cratchit comes in late. Scrooge growls, hallo Bob then starts apologising. Scrooge then makes it seem like he is going to fire Bob but instead he raises his salary. This also shows that Scrooges happiness doesnt revolve around wealth anymore. It also says in the book that tiny Tim did not die and Scrooge became a second father to him. Scrooge helps other people and charities. He talks to people in the street and becomes a cheerful man. This is a change from stave 1 where people avoided him in the street and even a blind mans dog stayed away from him. Conclusion In conclusion, the novel carries a powerful message both to Dickenss original Victorian readers and to us today. It shows us that Christmas is not just about opening presents, but is about being with family and friends who love us and having a jolly time with them. Whereas today people only seem to worry about what they get for Christmas. Perhaps Dickens A Christmas Carol still has a valuable message for us all. It is about our responsibility towards those who are less fortunate. Dickens wanted Victorian society to be transformed not just his character Scrooge. There is a clear resemblance between the deformed children ignorance and want and the starving children we see in ages of today. Overall this novel clearly has relevance to todays society
Friday, November 22, 2019
Syllabus - Tells You Everything You Need To Know About Your College Class
Syllabus - Tells You Everything You Need To Know About Your College Class When I first started college I had no idea what my professor meant when she said she was about to distribute the syllabus. Over the rest of that first day I came to understand that a syllabus is a guide to the course. Many students dont take advantage of the information provided in the syllabus to plan their semester. The syllabus contains all of the information you need to know regarding what is expected of you and what you need to do to prepare for each class. Heres what you will find on the syllabus distributed on the first day of class: Information about the Course Course name, number, meeting times, number of credits Contact Information The professor lists the location of his or her office, office hours (times that he or she is in the office and available for meeting with students), phone number, email, and website, if relevant. Plan to use a professors office hours to get the most out of class. Required Readings Textbook, supplemental books, and articles are listed. Books generally are available in the campus bookstore and sometimes are on reserve in library. Articles are sometimes offered for purchase in the book store, other times are on reserve in the library, and increasingly common, are available on a course or library webpage. Read before class to get the most out of class. Course Components Most syllabi list the items that compose your grade, for example, midterm, paper, and final, as well as the percent each item is worth. Additional sections often discuss each course component. You might find a section on exams, for example, that lists information about when they occur, what form they take, as well as the professors policy on making up exams. Pay particular attention to sections discussing papers and other written assignments. Look for information about the assignment. What are you expected to do? When is the final assignment due? Are you expected to consult the professor prior to beginning your paper or project? Is a first draft required? If so, when? Participation Many professors count participation as part of the grade. Often they will include a section in the syllabus describing what they mean by participation and how they assess it. If not, ask. Professors sometimes say that they simply record it and provide few details on how. If thats the case you might consider visiting during office hours in a few weeks to inquire about your participation, whether it is satisfactory, and whether the professor has any suggestions. Many times participation is used as a synonym for attendance and professors may list it in simply order to address students who do not show up for class. Class Rules/Guidelines/Policies Many professors provide guidelines for class behavior, often in the form of what not to do. Common items address the use of cell phones and laptops, tardiness, respecting others, talking in class, and attention. Sometimes guidelines for class discussions are included. In this section or sometimes a separate section, professors often will list their policies regarding late assignments and their make-up polices. Pay particular attention to these policies and use them to guide your behavior. Also recognize that you can shape professors impressions of you with appropriate class behavior. Attendance Policy Pay particular attention to the professors attendance policies. Is attendance required? How is it recorded? How many absences are permitted? Must absences be documented? What is the penalty for unexcused absences? Students who dont pay attention to attendance policies can be unexpectedly disappointed with their final grades. Course Schedule Most syllabi include a schedule listing due dates for reading and other assignments. Reading List Reading lists are particularly common in graduate classes. Professors list additional readings that are pertinent to the topic. Usually the list is exhaustive. Understand that this list is for reference. Professors likely will not tell you this, but they dont expect you to read the items on the reading list. If you have a paper assignment, however, consult these items to determine if any are of use. One of the simplest and best pieces of advice I can offer you as a student is to read the syllabus and make note of policies and deadlines. Most policy, assignment, and deadline questions I receive can be answered by, Read the syllabus - its in there. Professors dont always remind you of upcoming assignments and due dates. Its your responsibility to be aware of them and to manage your time accordingly. Take advantage of the course syllabus, an important guide to your semester.
Thursday, November 21, 2019
Hospital Administartion Essay Example | Topics and Well Written Essays - 750 words
Hospital Administartion - Essay Example Within the context of what was previously mentioned, Sentara offers a variety of services, for patients ranging from newborn to elderly, and in almost every field. Sentara has also focused on providing first aid, as it pioneered the first air ambulance service in the region called Nightingale, as well as implementing new protocols in 2000 that dramatically improved the survival rate and lowered the effects of stroke. Also, in 2006, it implemented the 12-Lead EKG system that enabled doctors in Sentara hospitals to receive EKG's from paramedics on route to the hospital. While providing both inpatient and outpatient services, it should be mentioned that Sentara has focused the past years on several fields, improving their methods and technology. These fields include oncology, cardiology and urology. Oncology is an ever developing field, and Sentara managed to develop their methods and expand the scope of their treatments to provide the best care for its customers. In 2000, it implemented a computer-aided detection system for breast cancer, revealing cancers earlier, and therefore improving the effectiveness of treatments. It also implemented several systems in 2002 for a better effectiveness of radiation treatments, such as stereotactic radio surgery, Intensity Modulated Radiation Therapy and brain wafers, all with the purpose of effectively delivering chemotherapy and radiation treatments to tumors without damaging surrounding tissue. In addition, in 2005 it is the first healthcare network in the region to use the recently approved FDA chemotherapy ViaCirqO method for treating abdominal cancers. Sentara also implemented certain revolutionary surgical techniques in treating cancers. In 2002, the Zeus surgical robot was used to treat prostate cancer, making small incisions and m inimizing scars. From 2004-2007 has been implementing the Da Vinci surgical robotic system that has been implemented in several aspects of thoracic, urinary and oncologic surgery, reaching the number of 500 surgeries performed in 2007 since its implementation. As cardiovascular diseases are the leading cause of death in the United States, Sentara has also focused on perfecting the procedures and machinery involved in treatment of such diseases. Procedures like transmyocardial revacscularization that increases the blood flow to the heart is beating-heart bypass surgery is one of the many techniques utilized by the physicians. In 2002, Sentara performed the first adult congenital atrial septal defect interventional repair. In 2004, this procedure was improved even further, by pioneering a new transcatheter technique, reducing patient's recovery time from 6 weeks to 2-3 days. It also pioneered several new devices in the region, such as the HeartMate II, which is a device assisting in transplants in 2005, and a latest in CT and MRI technology in 2007 in order to better detect cardiac tumors, septal defects and the percent of damage after a heart attack. Urology is also one of the more prominent areas of healthcare that Sentara focuses on. They provide the InterStim therapy, which is a rare procedure throughout the hospitals in US, and just recently made available for patients. It is also the healthcare
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