Monday, September 30, 2019

Case Study Of Hypertension Health And Social Care Essay

A 55 twelvemonth old male named Nicholas Manners, is admitted to the ward for direction of his high blood pressure. Upon reaching, he appears rather ruddy in the face. He was referred to the exigency section by his GP as he was kicking of a concern and giddiness. He was stabilised and has been transferred to the ward for farther direction. He tells the nurse, he has had a concern for the last three yearss and has had really small slumber. Mr Manners is a Chief executive officer of an advertisement bureau and works long hours. Nicholas has two boies aged 15 & A ; 17 and his married woman Lucy, who is really supportive. Lucy tells the nurse that Nick chows on the tally due to his busy agenda and frequently chows at eating houses when entertaining clients. Nick smokes 10-15 cigarettes/day and has had multiple efforts at discontinuing. He has a household history of coronary arteria disease, his male parent died of a bosom onslaught 5 old ages ago at the age of 75. Observations on admitta nce ; BP 160/90, SaO2 97 % on room air, Temp. 37.1, Pulse 95, RR 19 beats per minute, wt 90 kilogram, ht 170 centimeter, Nil Known Allergies ( Jennings, 2010 ) . Blood force per unit area refers to the measuring of force that is applied to the walls of the arterias as the bosom pumps blood through the organic structure. The force per unit area is determined by the force and the sum of blood pumped, and the size and flexibleness of the arterias. High blood force per unit area, besides known as Hypertension, is considered as above 120/80 mmHg ( PubMed Health, 2011 )PathophysiologyArterial blood force per unit area is a merchandise of cardiac end product and systemic vascular opposition. A alteration in the vascular wall thickness affects the elaboration of peripheral vascular opposition in hypertensive patients. This consequences in the contemplation of moving ridges back to the aorta and hence increasing the systolic blood force per unit area ( Medscape, 2011 ) . Although 90 % of high blood pressure instances, the cause is non truly known ( Moser, p.11 ) , harmonizing to the Australian Institute of Health and Welfare ( AIHW ) , the causes of h igh blood force per unit area are both biomedical and lifestyle oriented. Major causes include ; being overweight, dietetic salt consumption, and nutrition forms which involve low consumption of fruit and veggies and an high consumption of saturated fat ( Australian Institue of Health and Welfare,2010 ) . Although most of the clip there are no marks and symptoms, such may happen ; confusion, ear noise or buzzing, weariness, concern, irregular pulse, epistaxis, vision alterations. These marks are known as marks of complication or perilously high blood force per unit area called malignant high blood pressureNursing AppraisalAs a patient is admitted to the infirmary, it is critical to execute a nursing appraisal on admittance to garner baseline readings of the patient. The Systems Approach Framework was used to buttockss Mr Nicholas Manners from caput to toe in a mode of subjective and nonsubjective informations. The classs used are as follows ; Central Nervous System, Cardiovascular S ystem, Respiratory System, Gastrointestinal Tract, Renal System, Integumentary System and Metabolic System. CNS – patient is able to communicate-states he has a concern, assess motion of limbs, esthesis to fringes and trouble if any. CVS – HR 95, BP 160/90, assess capillary refill, patient is red in the face – assess circulation of the remainder of the organic structure including warmth and coloring material. RESP. – RR 19 beats per minute, SaO2 97 % on room air, auscultate his chest- listen for abnormalcies in the lungs as he is a tobacco user, measure his work of external respiration. GIT – farther buttocks appetency and eating wonts, auscultate for intestine sounds, buttocks and record intestine direction. RENAL – buttocks input and end product and record observations if needed, utilizing a unstable balance chart. INTEGUMENTARY – buttocks tegument for cicatrixs, waterlessness, integral and skin turgor. METABOLIC – buttocks Hb, BGL and liver map through a blood trial.Education and Psychosocial supportEducation and support that can be offered to Nicholas to help him in deriving more information and support for his Hypertension include: Dieticians which Nicholas can be referred to during his stay in infirmary, to educate him about a healthy diet and besides supply support. Social worker to supply support for Nicholas and his household if needed. Information brochures can be retreived from the infirmary, to educate Nicholas on Hypertension. Web sites such as Better Health Channel, Hypertension Education Foundation and the Heart Foundation, all provide instruction and information about support for patients about high blood pressure.Nursing DiagnosisGoalsInterventionsRationaleEvaluationIneffective wellness care related to incapableness to change life style Short term: Introduce low-sodium and low fat nutrients into Nicholas ‘ diet Refer Nicholas to a dietitian for instruction of low-sodium and low-fat nutrients. To cut down the sum of high-fat nutrients Nicholas is devouring. Nicholas ‘ diet presently consists of less high-fat nutrients. Short term: Aim to cut down blood force per unit area readings to less than 150/80 by the following GP visit in a hebdomad. Teach Nicholas to take Nicholas ain blood force per unit area daily at place and record it. To brace Nicholas ‘ blood force per unit area at a lower degree. Nicholas ‘ blood force per unit area readings have now stabilised to a lower degree. Long term: Develop a regular exercising program for Nicholas to follow. Promote Nicholas to walk for an hr each twenty-four hours. To promote Nicholas to prosecute in a healthy life style. Nicholas participates in an hr of physical activity each twenty-four hours. Long term: Aim to discontinue smoke in the following 8-12 months. Refer Nicholas to back up plans such as ‘QUIT ‘ to back up and help Nicholas in discontinuing smoke. To cut down Nicholas ‘ hazard of holding blocked arterias and therefore increasing Nicholas blood force per unit area Nicholas has now quit smokeNursing DiagnosisGoalsInterventionsRationaleEvaluationFatigue related to the effects of high blood pressure and the day-to-day life stressors. Short term: Aim to command side effects such as weariness. Educate Nicholas on the side effects, to help him in commanding them. To help Nicholas in deriving cognition of the side effects and how to command them in instance they are experienced after discharge. Nicholas is able to command his small if any side effects experienced. Short term: Aim to keep a stable degree of fluids in the organic structure. Ensure Nicholas drinks plentifulness of H2O throughout the twenty-four hours. To maintain Nicholas hydrous and cut down weariness. Record amounts utilizing a unstable balance chart if needed Nicholas ‘ weariness degrees have decreased as he is imbibing plentifulness of H2O throughout the twenty-four hours. Long term: Reduce the emphasis degrees experienced throughout the twenty-four hours. Discuss emphasis cut downing methods applicable to Nicholas. To cut down the hazard of increasing Nicholas ‘ blood force per unit area. Nicholas has reduced his emphasis degrees utilizing the methods discussed Long term: Develop a healthy feeding program to utilize one time Nicholas is discharged Refer Nicholas to a dietician to help in educating him in the importance of a healthy diet and developing a program. To cut down weariness related to an unhealthy diet. Nicholas has continued his healthy feeding program and does non endure from weariness.Nursing DiagnosisGoalsInterventionsRationaleEvaluationImbalanced nutrition related to deficient cognition of the relationship between diet and the disease Short term: Brace the instabilities of nutrition Provide Nicholas with a scope of fruits and veggies To supply Nicholas with a assortment of foods from a scope of nutrients. Nicholas ‘ diet now chiefly consists of fruit and veggies Short term: To do Nicholas ‘ cognition on the disease Provide Nicholas with information such as booklets about high blood pressure To guarantee Nicholas has a good cognition of high blood pressure Nicholas is now good educated on his disease Long term: To brace Nicholas ‘ weight within 6-8 months of discharge Refer to dietician to measure and supervise his diet and aid with his weight loss To guarantee Nicholas has the support required to run into his end Nicholas is now within a healthy weight scope for his gender, tallness and age Long term: Derive more cognition on the effects of smoke Educate Nicholas on the effects of smoking to his organic structure To guarantee he is cognizant of the harm smoke is making to his organic structure Nicholas is good informed on the effects of smokeNursing DiagnosisGoalsInterventionsRationaleEvaluationNon-compliance related to the side effects of the intervention ( Ackley & A ; Ladwig, p.315 ) Short term: Maintain stableness of side effects Monitor Nicholas and supply advice when non following instructions of intervention To guarantee Nicholas ‘ intervention continues on the right way. Nicholas ‘ side effects have decreased. Short term: Long term: Long term: Maintain conformity of intervention Educate Nicholas on hazards if intervention non followed as required To guarantee Nicholas ‘ wellness does non deteriorate Nicholas is compliant with his interventionDiagnostic TrialsDiagnostic trials that will help with the appraisal and direction of Nicholas include: Electrocardiogram ( ECG ) – This trial determines if the bosom has sustained nay harm due to untreated high blood pressure ( Cardio Connection, n.d ) . This trial assists with the direction of Nicholas ‘ high blood pressure by supplying moving ridges of the electrical current of the bosom. Urinalysis – This trial is used to test the causes of high blood pressure and expression for any harm to the kidneys as a consequence of untreated high blood pressure ( Cardio Connection, n.d ) . The trial assists with the direction to derive information about the wellness of Nicholas ‘ kidneys. Blood Glucose – This trial determines the sugar degrees in the blood and screens for secondary causes of high blood pressure and the hazard factors involved with more accelerated diseases such as diabetes. Both diabetes and high blood pressure are associated with the rapid patterned advance of arterial sclerosis and harm to the kidneys ( Cardio Connection, n.d ) . This assists in keeping a stabile sugar degree of the blood to cut down the hazard of harm to the kidneys. Serum K – This trial looks for a treatable cause of high blood force per unit area and finding the baseline degree prior to utilizing medical specialty for intervention ( Cardio Connection, n.d ) . This assists in finding a baseline to compare to if it were to promote.Hazard AppraisalUpon admittance, a hazard appraisal must be completed to find the patient ‘s hazard of holding a autumn. This appraisal besides assists the nurses in guaranting the patient has their properties or AIDSs within range to guarantee the patient ‘s safety and to diminish their hazard of hurt. The appropriate appraisal tool for Nicholas would be a Falls Risk Assessment Tool ( FRAT ) . This relates to Nicholas as he complained of giddiness and deficiency of slumber. This is needed to measure his hazard of hurt. Mention to Appendix 1 for a Falls Risk Assessment Tool.MedicinesNifedipine – Antihypertensive agent – as stated by Tiziani, 2006 Action: Besides known as Ca adversaries, these agents impede the inflow of Ca ions during depolarization of cardiac and vascular smooth musculus, doing betterment in the myocardial O supply and cardiac end product, and a decrease in myocardial work by cut downing afterload ( Tiziani, 2006 ) Use: Angina pectoris Mild to chair high blood pressure Nicholas has been prescribed this medicine to help with bracing his blood force per unit area. Interactions: Contraindicated with rifampicin May do bosom failure if used with beta-adrenoceptor-blocking agents Serum concentrations may be increased if given with Tagamet, Quinidex or Cardizem. Excessive cardiovascular depression may happen if given with inspiration anesthetics. Adverse effects: Headache, giddiness, dizziness, flushing, weariness, dizziness. Anorexia, sickness, irregularity, abdominal hurting, dry oral cavity. Muscle spasms. Nursing points/precautions: Note and study thorax hurting because thie requires stoping the drug. Patient should be advised to avoid drive or operating machinery if giddiness or dizziness is a job. Caution if used in those with aortal stricture, bosom failure, liver damage, discrepancy or Prinzmental angina, unstable angina, or recent myocardial infarction. Atorvastatin – lipid-regulating agent – as stated by Tiziani, 2006 Action: Reduce cholesterin significantly in patients with type II lipemia and hence besides significantly cut down the hazard of coronary arteria disease Use: Hypercholesterolaemia Nicholas has been prescribed this medicine to take down the entire cholesterin and low-density lipoproteins ( LDL ) Interactions: May addition plasma concentration of Lanoxin, increasing the hazard of toxicity. Caution if used with Tagamet, Aldactone or ketoconazole. Adverse effects: Headache, insomnia. Constipation, flatulency, abdominal hurting, sickness, diarrhea. Back hurting Nursing points/precautions: Liver map trial should be performed before get downing therapy and at 6 and 2 hebdomads, so twice annually. Advise patient to describe any musculus hurting, spasms, tenderness or failing, unease or febrility. Should be withheld if any status occurs that predisposes the patient to rhabdomyolysis, such as injury, sepsis, uncontrolled epilepsy or metabolic, or endocrinal instabilities.

Sunday, September 29, 2019

Psychopathology And Traumas Essay

Abstract   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   This paper is a literature review of studies and discussions of the effect of various stressors to children, such as violence, sexual abuse, and trauma. There are also some articles that explain how the human brain processes and adapts to these various factors. The goal of all these articles is to understand and explain the relationships between different stressors in the way that a child’s brain develops. They presume that the brain is the organ responsible for causing different children from reacting differently to the various stressors in their childhood. There is also a discussion analyzing the relationship between the size of the hippocampus and exposure to stress. These articles provide valuable insight into a very important aspect of human life, specifically, coping with trauma.            The article of Friedrich, Fisher, Broughton, Houston and Shafran discussed sexual behavior in children, with the goal of understanding the relationship between sexual behavior and sexual abuse. The authors of this article believed that the existing literature had gathered limited knowledge on the topic of normative sexual behavior among children (Friedrich, Fisher, Broughton, Houston & Shafran, 1998).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In order to achieve an understanding of normative childhood sexual behavior, the authors conducted a study of children between the ages two and twelve, whose sexual behaviors were rated by primary female caregivers, such as their parents and day care providers. The children were screened on whether they were sexually abused. The authors likewise used a 38-item scale called the Child Sexual Behavior Inventory, Third Version, to assess the children’s sexual behavior, the diversity of which could cover a wide range (Friedrich, Fisher, Broughton, Houston & Shafran, 1998).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   After the study, the authors found that the children exhibited a broad range of sexual behaviors, such as such as exhibitionistic behavior or excessive modesty. Sexual behaviors also had different frequencies, and these are influenced by the age groups of the children, as well as other factors, like maternal education, family stress and violence, and number of hours spent in day care (Friedrich, Fisher, Broughton, Houston & Shafran, 1998).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Specifically, the authors noted that â€Å"a review of the reported endorsement frequencies indicated that for each age and gender group, there are 1  to 5  items that at least 20% of the parents endorsed.† This led the authors to conclude that the behavior of the children could be considered development-related sexual behaviors, and not too far removed from the mean (Friedrich, Fisher, Broughton, Houston & Shafran, 1998, p. 3).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   On the other hand, the article by Ford and Kidd on Early Childhood Trauma and Disorders of Extreme Stress as Predictors of Treatment Outcome with Chronic Posttraumatic Stress Disorder (PTSD) sought to determine whether early childhood trauma could be considered as a predictor of the outcome of treatment for people with chronic posttraumatic stress disorder. This goal is influenced by studies showing the prevalence of early childhood trauma in cases of people with recurring PTSD (Ford & Kidd).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   A study with participants from patients in a PTSD live-in rehabilitation facility, who were exposed to trauma, was conducted. Most participants were classified as trauma-exposed since they came from war zone military duty. Others who did not show â€Å"pervasive avoidance and emotional numbing symptomatology† were considered people who had to trauma-related experience. Structured interviews were conducted to classify patients to determine their classification as a person with PTSD or Disorders of Extreme Stress Not Otherwise Specified (DESNOS). Participants were asked in interviews whether they were exposed to certain traumatic events, such as witnessing the death of a family member or experiencing sexual abuse. On the other hand, DESNOS was a good empirical basis for treatment planning of PTSD. DESNOS is considered a good instrument in assessing trauma and treatment planning for PSTD because it has been observed in previous studies that most war veterans with PTSD also had histories of DESNOS symptoms (Ford & Kidd).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   On a different aspect of trauma and its effect on children, Gilbertson, Shenton, Ciszewski, Kasai, Lasko, Orr and Pitman (2002), investigated the validity of the hypothesis that Smaller Hippocampal Volume Predicts Pathologic Vulnerability to Psychological Trauma and conducted a study to determine the relationship between the volume of the hippocampus and the tendency of a person to develop PTSD. The researchers’ hypothesis focused on the hippocampus of animals that the hippocampus gets damaged by severe stress and that humans with stress-related psychiatric conditions have smaller hippocampal volume. Hence, the researchers investigated whether the smaller hippocampal volume comes before or after a severely stressful event. If smaller hippocampal volume comes before the event, then it would mean that it is a preexisting condition of the person and not influenced by trauma, violence or stress. On the other hand, if the smaller hippocampal volume comes after the event, then it means that it is a result of the trauma caused by the experience (Gilbertson, Shenton, Ciszewski, Kasai, Lasko, Orr,   & Pitman, 2002).    Using a â€Å"case-control† design, Gilbertson, et al. conducted a study to analyze the the hippocampi volume of monozygotic twins. The twins have the same genetic makeup, which the researchers theorized any difference in the volumes of their hippocampi may be caused by external factors, such as stress. Thus, the study involved twins, where one is exposed to a traumatic event such as combat, and the other one is not exposed (Gilbertson et al, 2002). After comparison of images taken through magnetic resonance imaging (MRI), the researchers concluded that the volumes of the hippocampi of the twin subjects are preexisting vulnerability factors. This means that smaller hippocampal volumes are not caused by mere exposure to stress. There conclusion was based on the finding that there was no significant difference between the hippocampal volumes of twins who were and were not exposed to traumatic events (Gilbertson et al., 2002).      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In the next article however, no case study was conducted, but Perry (1997) explained the workings of the human brain in relation to exposure to violence. In Incubated in Terror: Neurodevelopmental Factors in the ‘Cycle of Violence’ In: Children, Youth and Violence: The Search for Solutions introduced the concept of a person’s adaptability to experience through a brief discussion of the process of development that began centuries ago. Perry traced the development of the human brain through a process called sociocultural evolution. Perry pointed out the human existence had long been pervaded by violence, which began from interspecies violence to interspecies violence, from prehistoric times. Perry believed that up to the present, different forms of violence, such as physical abuse, victimize of children. Thus, Perry sought answers on matters relating to the effect of violence on parents and children, particularly in the c ontext of neurodevelopment (Perry, 1997).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Perry discussed how violence affects children. This effect depends on various factors, such as the pattern and type of violence and the presence of support systems or caretakers for the child. Furthermore, Perry considered the age of the child an important factor that affects the child, considering that the human brain develops in a linear fashion, and certain developments only occur when a child reaches a specific age. Perry also believed that humans are capable of adapting to violence or trauma (Perry, 1997).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Perry also discussed the organization and function of the human brain. The brain has a hierarchical organization that functions to promote a person’s survival. Perry described that the brain matures throughout the life of a person. In relation to this development, Perry explained that there are factors affecting the process that lead to a child’s predisposition to violence. For Perry, violence is rooted in neurobiology, and factors that affect activity in different parts of the brain would affect a person’s propensity toward violence. Specifically, Perry explains that changes in the activity in the brainstem, such as stress, would increase a person’s propensity for violence (Perry, 1997).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Furthermore, Perry discussed different pathways to violence to which children may be exposed. Perry suggested that it is most dangerous when all different negative experiences, such as lack of care in childhood and physical abuse, combine and affect a child. Another important part of Perry’s observations are his discussion on the implications of the theory to the formulation of public policy. He purports that ultimately, the solution to problems of violence lie within primary prevention, through the transformation of violence (Perry, 1997).      In another article written by Perry (2001b), in â€Å"The neurodevelopmental impact of violence in childhood, in Schetky D & Benedek, E. (Eds.) Textbook of child and adolescent forensic   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   psychiatry, he discussed how violence affects the development of a child’s brain. Perry noted that violence pervades American society despite its many technological advances. Thus, while violence is abhorred by many, there are a few solutions presented for its avoidance (Perry, 2001b).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Perry noted that violence is multidimensional and complex. It has different effects, both on adults and children. In particular, Perry pointed out that violence causes fear in children, which has negative consequences on the neurodevelopmental changes of a child, such as causing a child to become more susceptible to being violent (Perry, 2001b).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Perry further noted that violence could be seen in various situations, such as in the home, community, school, and media. It seems that violence is everywhere. Most especially in the United States, violence can be seen in the home, as shown by statistics (Perry, 2001b).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Perry then discussed how the brain works and develops in general. He stated that the brain grows more complex with age. Such development may cause some areas of the brain, such as the higher, sub-cortical and cortical areas, to become less impulsive. In turn, this may cause the brain to have lower excitatory activity. These tendencies may lead to increased tendencies of an individual to become aggressive and violent   (Perry, 2001b).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Perry then noted the growing body of evidence supporting the position that the neurodevelopment processes of an individual’s developing brain is hindered or altered by exposure to violence. Thus, exposure to violence leads to the stimulation of responses from a child’s brain, causing alterations in the brain’s development and consequences as related to the brain’s function   (Perry, 2001b).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   A similar discussion on the effect of trauma on the development of the brain is provided by Perry, Pollard, Blakley, Baker and Vigilante (1996). In an article entitled â€Å"Childhood Trauma, the Neurobiology of Adaptation & Use-dependent Development of the Brain: How States become Traits,† the authors provided observations on childhood trauma and its effect on the essential functioning of affected children. The researchers theorized that a mature brain is born out of developmental experiences. Therefore, neurodevelopment is important, and this occurs in a very critical point in a human’s life, which is his childhood. However, neurodevelopment is disturbed by experiences that disrupt the brain’s processes of organizing information, such as traumatic experiences (Perry, Pollard, Blakley, Baker & Vigilante, 1996).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The researchers believed that given an understanding of the effect of traumatic experiences on a child’s neurodevelopment, that modifications in public policy and societal perspectives may occur. Therefore, more research should be undertaken to explore this field of study (Perry, Pollard, Blakley, Baker & Vigilante, 1996). Conclusion.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   All the articles provide insight on the relationship of various factors with children’s mental development. In particular, the articles endeavored and succeeded in analyzing data on the relationship between children’s brain development and traumatic events. There were detailed accounts on the specific brain areas that were affected by exposure to stress, such as the hippocampus and the brainstem. The time of exposure to trauma was also investigated to determine whether the size of a person’s hippocampus is predetermined prior or consequent to the exposure to stress. However, some of the articles did not discuss specific studies conducted that established the conclusions, but only discussed theories based on other studies. Therefore, more studies should be conducted, or more research made, to provide basis for some of the given conclusions. References Friedrich, W. N., Fisher, J., Broughton, D., Houston, M. & Shafran, C. R. (1998).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Normative Sexual Behavior in Children: A Contemporary Sample. Pediatrics    101(4). Retrieved February 23, 2008, from   Ã‚   http://pediatrics.aappublications.org/cgi/content/full/101/4/e9.  Ford, J. D. & Kidd, P. Early Childhood Trauma and Disorders of Extreme Stress as   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Predictors of Treatment Outcome with Chronic Posttraumatic Stress Disorder.  Gilbertson, M. W., Shenton, M. E., Ciszewski, A., Kasai, K., Lasko, N. B., Orr, S. P.,   Ã‚  Ã‚   Pitman, R. K. (2002). Smaller Hippocampal Volume Predicts Pathologic   Ã‚   Vulnerability to Psychological Trauma. Nature Neuroscience 5(11), 1242-1247.  Perry, B. D. (1997).   Incubated in Terror: Neurodevelopmental Factors in the ‘Cycle of Violence’ In: Children, Youth and Violence: The Search for Solutions (J Osofsky,   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Ed.). New York: Guilford Press,   124-148, Perry, B.D. (2001b). The neurodevelopmental impact of violence in childhood. In   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Schetky D & Benedek, E. (Eds.) Textbook of child and adolescent forensic   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   psychiatry. Washington, D.C.: American Psychiatric Press, Inc. (221-238) Perry, B. D., Pollard, R. A., Blakley, T. L., Baker, W. L. & Vigilante, D. (1996). Childhood   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Trauma, the Neurobiology of Adaptation & Use-dependent Development of the Brain: How States become Traits. Infant Mental Health Journal.      

Saturday, September 28, 2019

Report Essay Example | Topics and Well Written Essays - 1250 words - 3

Report - Essay Example GSK also owns and markets Aquafresh range of toothpastes, which may help smokers quit smoking. GSK’s principal pharmaceutical products include medicines in the therapeutic areas, such as respiratory, central nervous system, anti-virals, anti-bacterials, metabolic, vaccines, cardiovascular and urogenital. GSK has operated its business in 114 countries and sold products over 150 countries. The GSK operates in two segments: Pharmaceuticals and Consumer Healthcare. On June 5, 2008, GSK acquired Sirtris Pharmaceuticals Inc., a biopharmaceutical company. On October 14, 2008, group also acquired the Egyptian mature products business of Bristol Myers Squibb (BMS). Reuters reported that on Tuesday, 31 Mar 2009, Shire plc has entered into a joint promotional agreement with GlaxoSmithKline plc for VYVANSE (lisdexamfetamine dimesylate) capsules. The aim behind this promotional agreement is to improve recognition and treatment of ADHD in adults. (Reuters, 2009) On Wednesday, 25 Mar 2009 Reuters reported that GSK plans to take a significant stake in Aspen Pharmacare Holdings Limited. The reason behind this stake is to cement its current relationship into a long term bond which really makes a significant impression on the equity of both the companies. (Reuters, 2009) Issues related to the Environment, health and safety are subject to the primary and core issue because the business in which GSK deals is very much sensitive due to its attachment with the humanitarian side of the picture. So GSK’s needs to ensure that their products are neither injurious for health and nor for the environment. Lawsuits filed by patients, can be a result of adverse after-effects of any drug, which may bring a bad name and reputation for the firm, hence they need to ensure that no such window of risk is left open. The directors and senior management should give keen emphasis on practicing the corporate

Friday, September 27, 2019

Is Radical Enhancement of the Human Species Ethically Justified Term Paper

Is Radical Enhancement of the Human Species Ethically Justified - Term Paper Example To discuss on this topic, this essay shall compare and contrast two texts; ‘Humanity’s end’ by Nicholas Agar and ‘Better than human’ by Allen Buchanan. Arguments for this paper get based on the works of the two authors who get to provide a little more insight into bioethics. In ‘humanity’s end’, Agar argues against radical enhancement of the human species. He explains the destructive consequences that may arise out of radical enhancement of the human species. In his book, Agar argues against the ideas proposed by four radical enhancement thinkers (Agar 11). He explains that the results of radical advancement may have more negative outcomes than positives proposed by the four thinkers. Agar argues that some radical enhancements, especially germline engineering, may end the human species. In ‘better than human’ Allen Buchanan argues for radical enhancement. He proposes that human beings should become open to the idea of getting better than they already are since the human body design does contain flaws. He argues that radical enhancements could make the human species smarter, stronger, have more stamina, live longer and have better memories. Buchanan argues that people reject biomedical enhancements due to a poor understanding, misleading information or false assumptions (Buchanan 19). In his book, Agar argues against radical enhancement by claiming it has the potential to destroy human species. Agar argues that radical enhancement technology may re-speciate human beings (Agar 46). He claims the advances made by technology can define a new breed of human species. This species will pose a threat or endanger the already existing human species that belongs to Homo sapiens. Agar argues that there is no evidence that creation of post humans through radical enhancement will share values, relationships or culture with humans. There is the possibility that gene mutations may occur later and significantly a ffect the enhanced species. Meanwhile in his book, Buchanan arguing for radical enhancement postulates that making small changes to the structure of humans does not mean that the entire human structure gets changed. He also argues that alterations to the human species do not entirely mean that it would have a negative effect to the species. He states that these alterations become simply targeted at creating and improving the performances of current human capacities (Buchanan 65). He views enhancements as a means of relieving pain and suffering from human lives and not species endangerment. Enhancements according to Buchanan will be a way of improving the quality of human life. According to Buchanan, radical enhancement makes human life to be easier. He argues that through radical enhancement, human beings get to be able to improve their operation capacities. He argues that radical enhancement will increase human intelligence, physical strength, and lifespan (Buchanan 139). Buchanan questions why humans should be against these advances when they are only going to improve their life. He argues that radical enhancement will make life become more convenient for humans. Arguing against these advances, Agar pinpoints that human beings may in the process loose a valuable human experience. By increasing human intelligence levels and lifespan there is the possibility that human beings will delete experiences of great value from their lives (Agar 140). Increasing human in

Thursday, September 26, 2019

Internet makes ratio analysis for two Qatari Companies (Dlala and Research Paper

Internet makes ratio analysis for two Qatari Companies (Dlala and Qatar Telecom) - Research Paper Example The most commonly used ratios are the liquidity, profitability, efficiency and financial stability ratios. . These ratios are critical to the success of the bank in terms of profitability. The main source of information will be the Annual reports for the respective companies which are available from the internet. Internet is highly reliable and reduces time and costs that could have been used in accessing libraries or buying books for reference purposes. It can be accessed at anytime and anywhere so long as there is a computer and internet connectivity. In addition, internet has highly contributed to e-learning a mode that is common today. This is a finding given by different companies, trying to analyze the business transaction prior to profit posted for a given annual report. This helps the investors within these companies to lay down proper strategies in regards to the company’s growth. However, an analysis help various companies in line to business to provide enough money for its bills, to establish if whether the wages paid to employees are high or low, whether the company is paying its tax to revenue authority, whether the company assets are being used efficiently and finally whether the prevailing problem issues are geared by the stake holders (Carr, 2011). From the above observation we found that the performance trend of the Qatar telecom has been growing tremendously. Considering the minority interests of the company, profit and losses have been diminishing ever within the year 2008 as compared to the financial year 2007. The number of property, plant and equipment has increased with a margin of 144, 692, 278, for the financial years of 2007 and 2008. Meanwhile, the intangible assets, and the differed tax asset have increased from the one in the year 2007 to the one in the year 2008. This is however, showing that the financial analysis of the Qatar Company has been increasing due to the

Wednesday, September 25, 2019

Autism as a Learning Disability in the School System Research Paper

Autism as a Learning Disability in the School System - Research Paper Example To increase the learning experience of children with ASD in special school, it is important to maintain a small group of students in each class, provide autistic children with intensive intervention of at least 25 hours per week and 12 months per years, document each child’s learning development, and accurately identify the specific needs of the students in order for them to effectively remove the students’ learning barriers. As a life-long non-curable disease, autism spectrum disorder (ASD) is a neural developmental disorder that is often characterized by having impaired verbal or non-verbal communication and social interaction aside from showing repetitive behavior such as the act of arranging objects in stacks or lines, continuous hand flapping or making unusual sounds, body rocking, and ritualistic behavior like eating the same food each day or performing a ritual when dressing (Geschwind, 2008; Lam & Aman, 2007). In most cases, autism is four times more prevalent among male as compared to female individuals. As reported by the Autism Society, at least 1 percent of the entire U.S. populations of children between the ages of 3 – 17 years old was diagnosed with ASD (Autism Society, 2010). As reported by the Centers for Disease Control and Prevention (2007), between 1 to 1.5 million Americans today are suffering from the health and learning consequences of ASD (ibid). Autism can lead to a learning disorder. Based on the report of the National Institute of Mental Health, ASD can include a number of other disorders including Asperger's disorder, childhood disintegrative disorder, Rett’s disorder, Pervasive developmental disorder, and autistic disorder  

Tuesday, September 24, 2019

Consumer medicine information ( CMI ) in pharmacy Essay

Consumer medicine information ( CMI ) in pharmacy - Essay Example Complementary medicine also includes herbal medicines, traditional medicines, vitamins, minerals, nutritional supplements, homeopathic remedies, and aromatherapy products. Complementary medicines are under the regulation of non-prescription drugs; they also include both registered and listed therapeutic goods. Complementary medicines are different from (OTC) drugs in terms of their use. Complementary drugs often do not rely on evidence of efficacy, and one of these complementary drugs – herbal medicines are based on traditional knowledge. Under the Therapeutic Goods Administration (TGA), complementary medicines must be scientifically evaluated to become listed or registered as therapeutic goods (Australia Government, 2007). And in order to be listed as complementary medicines, they must be essentially safe in the form they are presented. Efficacy of the medicines may or may not also be established through clinical trials. The dose and form of the active ingredients may vary and the sponsor may then provide an effective dose for therapeutic purposes. An â€Å"AUST L† number is assigned by the TGA and is later indicated in the label. This would mean that it is a listed product. Careful reading is essential for the imposition of effective doses especially considering the range of plant parts used and the method of processing of the drug. If the product indicates increased reports for treatment of serious illnesses, it must then be approved as a registered product and be given an â€Å"AUS R† number on the label. Evidence for safety and efficacy will rely on the possible adverse effects of the drug during its use. All products must be labelled in English and indicate the active ingredients, recommended dosage, indication and such other information (Australian Government, 2007). This is because â€Å"the quality standards for therapeutic goods in Australia are delivered through good manufacturing practice (GMP).

Monday, September 23, 2019

US Airline Industry Essay Example | Topics and Well Written Essays - 2250 words

US Airline Industry - Essay Example In this paper, the proponent tries to critically evaluate the US Airline Industry using the key frameworks of International business. PESTLE Analysis The US Airline Industry substantially needs a macro-environmental analysis from time to time. The PESTLE analysis could sufficiently provide macro-environmental understanding of the business environment of this industry. As a macro-environmental analysis, the PESTLE analysis is composed of important factors such as politics, economic, social, technological, legal and environmental which have the capacity to affect and alter business at a significant level (Haberberg and Rieple, 2008). Politics The US Airline Industry belongs to a highly political scenario. The very proof was the revolution from regulation to deregulation scenario in the industry. It is highly political in the sense that competitors are trying to influence the government’s decision in order to come up with their competitive advantage in the industry. Competition was a central focus in this case because the industry is substantially composed of varying investors who would want to try to reach specific level of competitive advantage. However, the government’s political power also has important implication on the prevailing US Airline Industry. ... and price-sensitive customers, based on the case, poor economic condition of the country substantially affects the prevailing status of the US Airline Industry. This resulted to poor achievement of profit within the industry. Deregulation resulted to the formation of many airlines which also finally end up with overcapacity and eventually net losses for the industry (Vasigh et al., 2008). However, economic downturns have proven effective contributing factor that substantially affect the profitability of the US Airline Industry. In 1990s the US experienced downturn and this was further aggravated by political uncertainty due to the Gulf War and surging fuel costs (Vasigh et al., 2008). This resulted to poor economic performance within the US Airline Industry. In 2008 to 2009, passenger volumes around the globe dropped as an upshot of the economic crisis associated in these years (Rosenberg, 2010). This substantially proves that the US Airline Industry could be highly affected by the p revailing economic condition of the country and it could be severely hurt at some point for as long as the financial stability of passengers is concerned. Social Another important factor affecting poor profitability within the US Airline Industry is the existence of price-sensitive customers. However, this can only be just among of the major drawbacks of other important factors such as economic in particular. It is also important to understand profitability within the context of social understanding and the prevailing status of the US Airline Industry within individual organization. The US Airline Industry is one of the highly unionized industries in the US with more than 70% eligible employees of major airlines belonging to union (Belobaba et al., 2009). This has substantial implication

Sunday, September 22, 2019

What the Popes could have done differently to avoid the reformation Term Paper

What the Popes could have done differently to avoid the reformation - Term Paper Example Europe ultimately separated into two: The Protestant in the north and the Catholic in the south (Saint-Clair, 7). The Protestant renovation was a Christian progress that took place in Europe in the 16th century. This reformation rooted out of antagonism to apparent illegal behavior and corruption inside the Roman Catholic Church. The reformation is generally alleged to have begun in 1517. Martin Luther posted his 95 Theses on the door of Castle Church in this year, which had the truth that shook the world and drastically renewed the church of Christ (Engelsma, 3). Historians argue that the Protestant Reformation ended in 1648 with the Treaty of Westphalia. The treaty ended the blood-spattered war of the Reformation period. In western history, the Reformation is considered as one of the most significant events. This is due to its radical switchover of thoughts and political reformation (Brady, 1). Luthers discrepancy with the principles of the Roman Catholic Church set out a series of proceedings that in a few decades shattered Germanys religious harmony. Luther is considered as the inventor of the Protestant Reformation due to the influence of his thoughts and the vast authority of his writings. Among many who were appalled by unconvinced mechanistic religious services and widespread church dishonesty, Luther speedily acquired a huge fraction of them. Many who followed him were lured by his argument that religion must be simplified into a secure connection of human beings with God, devoid of the broad intercession of the Roman Catholic Church and its accumulation of custom (Snell, 3). Luther did not aim to establish the Reformation when he posted his 95 Theses on the door of the church. He had no plan whatsoever of disjointing from the church whose head was the Pope and whose head office was Rome. His intention with the Theses was the modification of certain behaviors and the teachings that fashioned

Saturday, September 21, 2019

Chapter 16 Summary Essay Example for Free

Chapter 16 Summary Essay In this chapter we are going to learn about therapy, treating psychological disorders, evaluating psychotherapies, the biomedical therapies, and preventing psychological disorders. You have three ways on how to treat disorders. They are psychotherapy, biomedical therapy, and eclectic approach. Psychotherapy is treatment involving psychological techniques consisting of interactions between some seeking to overcome difficulties and a trained therapist. Biomedical therapy is prescribed medicine that acts differently on every persons physiology. Lastly eclectic approach is an approach on the clients problems which uses various forms of therapy. Sigmund Freuds psychoanalysis was the first of the therapies to be formed. The techniques that we have are resistance, interpretation, and transferring. Interpretation is noting supposed dream meanings and other significant behaviors and events in order to promote insight. We have psychodynamic therapies which is a tradition that views on individuals when they respond to unconscious forces and childhood experiences. There are three psychotherapy skeptics which are people often need therapy when they are in crisis, clients need to believe that doing therapy will eventually help them with their problems, and clients need to speak kindly to their therapist and to respect what they have to say. Many studies are digested by what they call meta-analysis. Various therapies which have three benefits. These benefits are hope for demoralized people, a new perspective of the way we look at things, and a trusting, caring, empathetic relationship. The emotion between the client and his/her thera pist is called therapeutic alliance which is a key concept to being a therapist. In our world we have antipsychotic drugs, antidepressant drugs, and mod-stabilizing medications. Antipsychotic drugs are drugs used to schizophrenia and other severe disorders. While antidepressant drugs are used to treat depression and anxiety disorders. Electroconvulsive therapy is a therapy for severely depressed patients which is a brief electric current sent through the brain.

Friday, September 20, 2019

Understanding Business Concepts

Understanding Business Concepts Unit Number Title: U35 Business and Entrepreneurship Assignment 1 Sit 1: Understanding Business Concepts Table of Contents Task A: Answer 1 Answer 1.1 Answer 2 Answer 2.1 Answer 3 Answer 3.1 Answer 3.2 Answer 4 Task B: Answer 1. Answer 2 Answer 3 References List of Figures Figure 1 SWOT Diagram Task A: Answer 1 Opportunity cost is the next highest valued alternative to one’s decision. It is the loss of potential gain from the second best alternative, once a business decision is taken. Answer 1.1 A Motor vehicle company has taken a decision to start a new production line for its vehicles with the aim of green technology. It has two options, option one is to start producing a fully electric vehicle while option two is to start producing a hybrid vehicle. If the company decides to start producing a fully electric vehicle then the opportunity cost will be the cost of producing a hybrid vehicle. A utility company supplying electricity is going to build a new power plant. It has two options, first option building a power plant using nuclear power while the second option building a power plant using natural gas. If the utility company decides to build the new power plant using natural gas, then its opportunity cost will be the cost of building a power plant using nuclear power. (Henderson, n.d.) Answer 2 Double entry system delineate that every transaction will be registered at least into two separate accounts in a companys accounting system. A simple example is shown in table below: (Averkamp, n.d.) Answer 2.1 There is more than one advantage for using a double entry system. Some of these are: There is an arithmetic check on the companys bookkeeping records as for every debit amount there is always a corresponding credit amount. This means that the total debit entries must be matched with the same amount of credit entries. Better understanding of a companys financial situation. It shows the true profit or loss of the company more clearly at any given time. Financial statements will be prepared much easier when double entry system is in place. Examples of these statements are: balance sheet, income statement and cash flow. This system also helps in detecting and reducing accounting errors. (Advantages and disadvantages of double entry book-keeping, n.d.) Answer 3 The balance sheet is one of the most important financial statements within a company. The balance sheet is a snapshot at a single point in time, (usually at the end of month or year), which gives investors an accurate and reliable picture of a companys financial position, what it actually owns and owes. The following formula is followed in a balance sheet: Assets = Liabilities + Capital (Shareholders Equity) (Balance Sheet, n.d.) Answer 3.1 The main purpose of the balance sheet is that it figures up the companys economic resources, obligations and shareholders equities at any point in time. It displays how the resources contributed by the shareholders and money lenders are used in the business. The term balance sheet is derived from the fact that at any given time, assets must be equal to liabilities plus capital hence the two sides of the balance sheet must balance out each other. On the other hand the balance has some drawbacks too. One of which is that the true value of the assets are not reflected on the balance sheet. Historical costs of the assets will not reflect the true market value since these assets may have increased or depreciated in value. Another drawback is that certain assets value are estimated thus does not reflect the true economic situation of the business. (Balance Sheet, n.d.) Answer 3.2 Two important financial statements complimenting the balance sheet are the Cash Flow statement and the Profit Loss statement. Cash flow is comprised of three components which displays the cash generated and used by the company for any given period of time. These components are operations, investing and financing activities. Operation activities measure the income and expenditure caused by the core business operations of a company. It reflects how much profit is generated from the companys products and services. Investing activities reflect the investment in purchasing of new assets such as property, land and equipment. Financing activities reflect changes in debts, loans and dividends paid. These include issue of shares and/or bonds, re-purchase of shares and/or bonds, interest paid to bond-holders. (What is a Cash Flow Statement, n.d.) The Profit Loss statement displays a companys income, costs and expenditure for a particular period of time. Normally this statement is issues quarterly or yearly depending on the companys size and directors preference. The purpose of this statement is to show investors whether the company has made or lost money during the specific period indicated in the statement. The Profit Loss statement gives a good account of the companys capabilities to increase profits and reduce costs. (Profit Loss Statement, n.d.) Answer 4 The following is an abstract from the regulations of the Malta Financial Services Authority: A private company is a company that must, by its memorandum or articles: restrict the right to transfer its shares; prohibit any invitation to the public to subscribe for any shares or debentures of the company; The minimum authorised share capital is â‚ ¬1,164.69. The maximum number of shareholders is fifty Must have at least one director A public company is a company which does not qualify as a private company. A public company may offer shares or debentures to the public but it may not issue any form of application for its shares or debentures unless the company is registered and the issue is accompanied by a prospectus. The minimum authorised share capital of a public company is EUR 46,587.47.There is no maximum number of shareholders in the case of a public company. Must have at least 2 directors In the case of a public company not less than 25%, and in the case of a private company not less than 20%, of the nominal value of each share taken up shall be paid up on the signing of the memorandum. Every Company must have a company secretary and hold an Annual General Meeting. (A Guide to the Registration of Companies, n.d.) Task B: Answer 1. The acronyms of PEST and SWOT analysis are as follows: PEST analysis Political, Economic, Social and Technological analysis. SWOT analysis Strengths, Weaknesses, Opportunities and Threats analysis. Answer 2 PEST is a business measuring tool to understand the business environment growth or decline before setting up a new business or expanding an established business. It is an investigation for reviewing the external environment factors for political, economic, social and technological influences. Political Environment These are all those factors related to and executed by a government. A change in government can bring a change in laws, regulations, policies and taxes which can have an impact on the business environment. Since Malta is part of the European Union, EU regulations and new member states can have an impact on the business environment. Economic Environment This is mainly the financial system fluctuations that occur from time to time with general booms and slumps in the economy activity. A change in unemployment, interest rates and customer purchasing power can cause these fluctuations. Social Environment This is the influence on the business environment which its effects depend on religious, cultural and social trends. These effects can be either positive or negative. Education, lifestyles, career trends and demographics have influence on the social environment. If a decision from a business company have a huge impact which goes against the societal norms, it may face negative publicity and protests. Technological Environment This gathers all the technical aspects of the business environment such as automation, technology awareness, progress, research and development. Technical environment aspects can have an impact on the cost and quality of the business production. (External Environment Theory PEST Analysis, n.d.) SWOT analysis is a matrix analysis of the internal strengths and weaknesses of a company against identification of external opportunities and threats. It helps a company to uncover and exploit opportunities while understanding the weaknesses to eliminate threats. Workshop sessions and brainstorming sessions are two useful ways of completing the SWOT analysis while involving personnel from your own company. A sample table of the SWOT Matrix is shown in figure 1 below. Figure 1 SWOT Diagram Strengths are the resources and capabilities of a business or a project within a company which are used to gain a competitive advantage over other competitors. Examples of strengths are: Reputation, Superior product performance, Unique selling points, Strong brand names. Weaknesses are the absence of certain strengths on which your competitor may take an advantage. Examples of weaknesses are: Weak brand name, Limited budget, Limited personnel, Opportunities are external elements that can uncover new opportunities where a company can exploit its advantages for profit and growth. Examples of opportunities are: Changes in technology, Change in government policies on a particular area, Unfulfilled customer needs, Local events. Threats are changes in external environment and opportunities taken by other companies which can have a competitive advantage over your business. Examples of threats are: Appearance of alternative products, New legislations, Retention of key staff, Negative publicity. (SWOT Analysis, n.d.) Answer 3 SWOT analysis for Bank of Valletta plc. Task C References A Guide to the Registration of Companies. (n.d.). Retrieved 01 15, 2014, from MFSA: https://registry.mfsa.com.mt/otherPDFs/ROCGuide.pdf Advantages and disadvantages of double entry book-keeping. (n.d.). Retrieved 01 12, 2012, from Figurate Ltd Chartered Management Accounts: http://www.figurate.co.uk/2007/07/03/advantages-and-disadvantages-of-double-entry-bookkeeping/ Averkamp, H. (n.d.). Accounting Basics (Explanation). Retrieved 1 12, 2014, from Accounting Coach: http://www.accountingcoach.com/accounting-basics/explanation/5 Balance Sheet. (n.d.). Retrieved 01 14, 2014, from Investopedia: http://www.investopedia.com/terms/b/balancesheet.asp External Environment Theory PEST Analysis. (n.d.). Retrieved 01 16, 2014, from The Times 100 Business Case Studies: http://businesscasestudies.co.uk/business-theory/external-environment/pest-analysis.html#axzz2qb3hjMJw Henderson, D. R. (n.d.). Library of Economics and Liberty. Retrieved January 10, 2014, from http://www.econlib.org/library/Enc/OpportunityCost.html Profit Loss Statement. (n.d.). Retrieved 01 14, 2014, from Investopedia: http://www.investopedia.com/terms/p/plstatement.asp SWOT Analysis. (n.d.). Retrieved 01 18, 2014, from Businessballs: http://www.businessballs.com/swotanalysisfreetemplate.htm What is a Cash Flow Statement. (n.d.). Retrieved 01 14, 2014, from Investopedia: www.investopedia.com/articles/04/033104.asp

Thursday, September 19, 2019

Country Club Blues :: Essays Papers

ï » ¿Country Club Blues My first job is definitely the one I remember most, although I did not always enjoy what I did. Many times during the eight months I worked at Fauquier County Country Club I hated my job one day and loved it the next, thus resulting in a very memorable and exciting time of work. Working at a golf course may not have been the most enjoyable job I have had, but it gave me new experiences to interact with people and gain a sense of responsibility. I applied for a job at the Country Club on my 16th birthday not having the slightest idea what I wanted to do for myself. I simply recall having my first interview on the spot. During this interview I was asked questions to the effect of my work ethic, availability, and â€Å"Do you know how to say ‘yes, sir’ and ‘yes, ma’am?’† Apparently I did fairly well, and was given a job as a golf cart care specialist. â€Å"Cart dog† was a rhetorical name given to the pro shop maintenance crew by a highly-disliked boss. As a cart dog I was given the duty of cleaning, storing, and preparing used carts for their next use and picking the driving range clean of golf balls. At times range picking became very annoying considering this was all done on foot with a small bagger rather than a cart-pulled cage. Although it did not take quite as long, cart cleaning was much more annoying of a task. After thorough washing, carts had to be arranged by color for the day they were to be used. Colors used were red, yellow, blue, and green for Tuesday through Friday, respectively. Though these were time-consuming tasks, the cart dogs found other ways to have fun while working. In addition to picking the driving range clean and cleaning dirty golf carts, I was also required to ask to clean the golf clubs of members who had finished playing for the day. This being the only opportunity for tips in my minimum wage job, I took this as a golden opportunity. I earned some extra money and learned to speak in a professional manner to elders. Club members would often leave extra equipment such as tees and both day and glow-in-the-dark balls. Occasionally, I would also find a few beers left in the carts’ coolers.

Wednesday, September 18, 2019

Othello’s Female Roles Essay -- Othello essays

Othello’s Female Roles  Ã‚        Ã‚  Ã‚   Let’s look at the roles of the three lady-characters in the Shakespearean drama Othello. Their roles are not marginal, but are rather vital to the tragedy.    In the Introduction to Shakespeare’s Othello: The Harbrace Theatre Edition, John Russell Brown summarizes the role of the heroine of the play:    When considered functionally, Desdemona’s role may be seen to be every bit as demanding as those of the principals. The fact that she has far fewer words to speak and is on-stage for a much shorter time detracts nothing from the scope of the role, but rather shows that the actress herself can move the audience with the quiet authority of her stage presence and her realization of this girl’s courage and openness of mind and heart. (xviii)    For the women in Othello, life as they would have it was an uphill battle. Susan Snyder in â€Å"Othello: A Modern Perspective† reveals some of the hurdles which women had to face in finding a suitable role in society:    The pervasive notion of woman as property, prized indeed but more as object than as person, indicates one aspect of a deep-seated sexual pathology in Venice. [. . .] Iago fans to flames the coals of socially induced unease in Othello, fantasizes on his own about being cuckolded by Othello and Cassio. In an ideology that can value only cloistered, desireless women, any woman who departs from this passivity will cause intense anxiety. (295)      One key role for the heroine of the drama, Desdemona, is to support the general. David Bevington in William Shakespeare: Four Tragedies states that the hero equates the young woman he so deeply depends on for happiness, with his mother (226). A different role for the her... ...h, Inc., 1973.    Kernan, Alvin. â€Å"Othello: and Introduction.† Shakespeare: The Tragedies. Ed. Alfred Harbage. Englewood Cliffs, NJ: Prentice-Hall Inc., 1964.    Shakespeare, William. Othello. In The Electric Shakespeare. Princeton University. 1996. http://www.eiu.edu/~multilit/studyabroad/othello/othello_all.html No line nos.    Snyder, Susan. â€Å"Othello: A Modern Perspective.† Shakespeare: Othello. Eds. Barbara A. Mowat and Paul Werstine. New York: Washington Square Press, 1993.    Wayne, Valerie. â€Å"Historical Differences: Misogyny and Othello.† The Matter of Difference: Materialist Feminist Criticism of Shakespeare. Ed Valerie Wayne. Ithaca, NY: Cornell University Press, 1991.    Snyder, Susan. â€Å"Othello: A Modern Perspective.† Shakespeare: Othello. Eds. Barbara A. Mowat and Paul Werstine. New York: Washington Square Press, 1993.   

Tuesday, September 17, 2019

What Factors Explain the Golden Age of the Dutch Republic? :: World History

This essay will discuss Dutch excellence in trade, art and literature individually to discern the factors which explain the high standards of distinction these fields achieved during the Golden Age of the Dutch Republic. Although the smallest of the European powers in terms of territory, population, and natural resources, for 150 years the Dutch Republic dominated European trade with approximately half of the world’s total stock of seagoing ships at the zenith of its power.# How did such an insignificant state rise so rapidly, becoming according to contemporary observer Sir William Temple: â€Å"the envy of some, the fear of others and the wonder of all their neighbours†?# Shifting commercial patterns since the 16th century had seen the rise of a truly global economy. As the quality of ships improved, skippers travelled further distances with cargo, making arrival times and availability of goods unpredictable. A centrally located market where goods could be bought and sold at constant prices was needed.# Geographical factors made the Dutch Republic ideal for this role, situated at the intersection of Northern waterways connecting the Atlantic, Baltic and the Rhine. This position had g rown in significance since the Mediterranean’s function as pivot of international trade had diminished.# Within the country, the Republic’s extensive waterways, river fleets and timber depots were well suited to a boom.# The Republic had already established a leadership in bulk transportation, a firm foundation which could be built upon. Since the 1590’s, the moedernegotie or mother trade moved huge quantities of goods such as lumber, fish and grain in large volume in cheap, simple ships.# However, real wealth lay in the â€Å"rich trades† of spices, silver and other luxury goods imported from the East Indies, Africa and the Americas. This trade was previously dominated by the Hanseatic states and England, but the Dutch Republic’s ease of access to the Iberian market and colonial goods enabled it to overtake the England Muscovy trade by 1600.# In 1602, the Dutch East Indies Company or VOC was founded, followed by the Dutch West Indies Company nine teen years later. Throughout the 1630’s, training posts were established in Sri Lanka and New Guinea. Several important external factors allowed the establishment of this formidable trade empire at the dawn of the seventeenth century. The first of these was the inflow of immigrants from the Southern Netherlands and other European states in the late 16th and seventeenth centuries. Within the Dutch Republic, between 100,000 and 15,0000 refugees fled from the Spanish forces, settling mainly in Holland or Zeeland’s towns.

Monday, September 16, 2019

A Journal of Woe Essay

The pain was excruciating as I struggled to fight for my life under the pillow that my beloved husband had forced upon me. I remember how much it hurts as I tried to gasp for air beneath Othello’s powerful arms. I can recall those murderous eyes driven mad by jealousy and hate. For an instant, I failed to recognize the man I have fought to love. I cannot recognize that man I secretly married despite my father’s objections. For a moment, I failed to see the man who promised to love me for the rest of our lives. It all started that fateful night when Othello fired Michael Cassio from his lieutenant position. He accused me of sleeping with Cassio. The jealousy was probably most triggered when he felt that I was being too concerned with Cassio’s situation. He must have thought that my acts in favor of Cassio’s defense were signs of affection for him. He accused me of giving Cassio the handkerchief which was a gift from him. There is no way I would have given such a valuable gift to someone else! My love and affection is undividedly offered for Othello. It does not seek other men aside from him. My fidelity to my marriage and to my husband is pure and untainted. How could he even dare think of me with such immorality! However, it was too late to defend myself further, for the fire in his eyes was already consumed with too much evil to pay any heed to my cries. Yet, before death consumed what was left of my body, the image of the man I love came before my eyes. I forgive him. He is a victim and not a murderer. I know in his heart that he loves me still, and once this madness brought about by his jealousy ends, he would repent and ask for forgiveness. Or, he might end his life as well to follow me, so he can make it up to me personally—and I will be waiting on the other side.

Sunday, September 15, 2019

Cola Wars †The Carbonated Soft Drink Industry Essay

Threat of New Entry The existing players in the soft drink industry have much advantage relative to new entrants. First, supply-side economy discourages new entrants by forcing them to enter the market in large scale. CSD’s demand side benefits of scale also makes it difficult for new entrants to be accepted by the public. In 2002, a survey found that 37% of respondents chose a CSD because it is their favorite brand, while only 10% said so about bottled water. This demonstrates CSD customers’ high brand loyalty and their lack of desire to buy from new entrants. In terms of capital requirement, concentrate manufacturers only requires $25~$50 million to set up a plant that can serve the entire United States of America. Yet, new entrants may have difficulties competing with major players’ well-established brands and their large scale unrecoverable (therefore, hard to finance) spending on advertising. There is also unequal access to bottlers and retail channels for newcomers. Most bottlers are in long-term contracts with major CSD brands; also, the largest distribution channel, supermarkets, consider CSD a â€Å"big traffic draw†, thus provide little to no shelf space for newcomers. In addition, strong fear of retaliation from major players also makes newcomers hesitate to enter. Bargaining Power of Suppliers Required inputs for CSD are mostly raw materials such as caramel coloring, phosphoric or citric acid, natural flavors, caffeine, and fructose. Almost all suppliers of the CSD industry provide undifferentiated commodities and thus have little bargaining power and almost no strength to integrate forward. Bargaining Power of Buyers End consumers and retail channels can both be considered as buyers in the CSD industry. End consumers are likely to have brand loyalty to their CSD as analyzed in threat of new entry. Thus, consumers are expected to continue purchasing a brand unless there is a significant price increase or substantial change in flavor. Consequently, end consumers have little bargaining power. Retail channels, on the other hand, have more bargaining leverage since they buy CSDs in much larger quantities than end consumers. Yet, for retail channels such as supermarkets (making up almost one third of all retail volume), CSDs are considered a â€Å"big traffic draw†, thus reducing its bargaining power. In addition, fountain outlets (making up another 23.4% of retail channel) also have insignificant bargaining power since they rely on CSD companies’ heavy investment in dispensers, cups, point-of-sale advertising, and many other types of equipment. Threat of Substitutes CSDs are unique in terms of taste and properties. When a consumer craves CSD, it is difficult to find a replacement that can equally satisfy his or her desire. Even after CSD was identified as the â€Å"largest source of obesity-causing sugars in the American diet† in 2005, CSDs still â€Å"accounted for 73.1% of U.S. non-alcoholic refreshment beverage volume (down from 80.8% in 2000)† at around the same time. It is true that consumers are moving towards alternatives that have more natural flavors such as several tea-based drinks and bottled water; yet, CSD firms have quickly adapted to this shift and largely dominated the market of these alternatives. Rivalry Among Existing Competitors Even though rivalry among existing competitors – Coke, Pepsi, and Cadbury Schweppes seem intense, the profitability has not been weakened. This is largely because of the high concentration of competition and their focus on promotion, advertising, and other forms of branding instead of waging large-scale price wars. In a way, the success of Coke and Pepsi required the heavy competition on these dimensions. â€Å"Without Coke, Pepsi would have a tough time being an original and lively competitor. The more successful they (Coke) are, the sharper we (Pepsi) have to be.† says Roger Enrico, former CEO of Pepsi. The CSD industry profitability lies within the Cola War itself that forces major players to improve continuously. Through Porter’s five forces analysis, it becomes clear that CSD is so profitable because of the way its industry competition is shaped: high entry barriers due to newcomers’ unfavorable supply-side economies of scale, demand-side benefits of scale, and unrecoverable advertising spending; low bargaining power of suppliers and buyers since CSD requires mainly homogeneous commodities, buyers have high brand loyalty, and retailers rely heavily on CSD firms’ investments; well handled threat of substitutes; and healthy internal rivalry that is vital to continuous improvement.

A Friend in Need Is a Friend Indeed

A friend in need is a friend indeed. A man who stands by his friend in adversity is a true friend. Selfless love is the base of true friendship. True friends share each other's joy and sorrow, pain and pleasure. They do not fall off in adversity. They have full confidence in each other. They never betray each other. Prosperity makes friends, adversity tries them. A selfless friend is a blessing; a selfish friend is a curse. The first is an angel and the second is a devil. One makes your career while the other mars it. True friendship means great self-sacrifice on the part of both. A true friend foregoes pleasure and convenience.He goes out of his way and faces difficulties in his way with joy and even with pride. The friendship between Krishna and Sudama is a classic example of genuine friendship. Joy and sorrow, success and failure, good fortune and misfortune, are equally shared by a pair of true friends. They shoulder the burden of life equally for they feel that they sail in the same boat and that they have to sink and swim together. A selfish friend is rich in words and poor in deeds. He talks tall but when you are in trouble, he leaves you in the lurch. A selfish friend is always after grinding his own axe.He does not love you, he only loves your riches. You give him a loan of money; you will lose not only the loan but also your friendship into the bargain. A friend in need is the medicine of life. He stands by us through thick and thin, in weal and woe. He is a source of joy and inspiration. A friend in need is a true guide. He is always loyal and faithful. He is never a victim of misunderstanding. He is not a flatterer and a yes man. He is open and plain. If his friend goes wrong, he will openly tell him that he should desist from such a course. Lucky is the man who has a true friend-a friend in need and adversi A Friend in Need Is a Friend Indeed A friend in need is a friend indeed. A man who stands by his friend in adversity is a true friend. Selfless love is the base of true friendship. True friends share each other's joy and sorrow, pain and pleasure. They do not fall off in adversity. They have full confidence in each other. They never betray each other. Prosperity makes friends, adversity tries them. A selfless friend is a blessing; a selfish friend is a curse. The first is an angel and the second is a devil. One makes your career while the other mars it. True friendship means great self-sacrifice on the part of both. A true friend foregoes pleasure and convenience.He goes out of his way and faces difficulties in his way with joy and even with pride. The friendship between Krishna and Sudama is a classic example of genuine friendship. Joy and sorrow, success and failure, good fortune and misfortune, are equally shared by a pair of true friends. They shoulder the burden of life equally for they feel that they sail in the same boat and that they have to sink and swim together. A selfish friend is rich in words and poor in deeds. He talks tall but when you are in trouble, he leaves you in the lurch. A selfish friend is always after grinding his own axe.He does not love you, he only loves your riches. You give him a loan of money; you will lose not only the loan but also your friendship into the bargain. A friend in need is the medicine of life. He stands by us through thick and thin, in weal and woe. He is a source of joy and inspiration. A friend in need is a true guide. He is always loyal and faithful. He is never a victim of misunderstanding. He is not a flatterer and a yes man. He is open and plain. If his friend goes wrong, he will openly tell him that he should desist from such a course. Lucky is the man who has a true friend-a friend in need and adversi

Saturday, September 14, 2019

Best Dining Experience Essay

Although my favorite Mexican food to eat here is from my grandmother’s kitchen; there are a few restaurants my friends and I enjoy eating at. A few of my girlfriends and I have made Margarita Wednesdays a tradition in the summer time at La Casa. My brother, sister and I go to Los Cabos at least once a month in West Des Moines, which is an amazing delicious Mexican restaurant. I also like Monterrey in Altoona because it’s so close to my house, but no restaurant can compare to Tiki Tok in Mexico. My best friend and I were feeling spontaneous so we took a week off work and went on a cruise. We both found it difficult to eat on the ship because we were continually getting sea sick. I’ll never forget the fishy, chewy, and crunchy taste of the little shrimp and cocktail sauce going down my throat, or the unpleasant feeling I had when it was coming up. The only bad memory of my trip was praying that my legs would stop shaking and that my journey would hopefully reach an end so I could stand on solid ground. Other than being sea sick for the first day; I had a blast on the cruise! I got the opportunity to see many things and visit quite a few places. One of the ports of call was Cozumel, Mexico, and my friend Alexandra and I decided we wanted to try some real Mexican food. Of course, we were a little concerned about getting sick, but I’m glad to say that didn’t happen. We asked on the ship where the best place for Mexican food was, but they said that anywhere along the main shopping strip would be good. We then found a place called the Tiki Tok. The place was on the second level of a building. We sat out on the little balcony that they had. They had covered it with sand. The view from the restaurant was amazing. I was hypnotized by the vibrant colors and the employees’ of the restaurants equally vibrant lifestyles. I remember feeling jealous of the workers because they would get to go back to Tiki Tok tomorrow and the day after that, but I wouldn’t. The walls were an explosion of colorful textiles and every color of paint one could think of that was as bold as can be. Vases were on every table with burnt orange and deep yellow dried peppers inside. The chairs at the dining tables were made of a Mexican Serape material. The colors, the fringe, and the feel of it gave the restaurant even a stronger Mexican energy. My favorite part of the restaurants decor was the little cactus lights that strung amongst all the walls connecting each bulb to the wrought iron chandelier in the middle of the room. When one first enters the restaurant the Mariachi band is one of the most noticeable features. Three men were dressed in black with button up shirts and decorative sombreros all standing in the corner of the room. Two men had violins and the third was handling a guitar. As we took our seats the band started playing lively music and a few older couples got up and danced fearlessly. Everything in the restaurant was bold excluding my bashful personality; otherwise I would have danced too. I was in a trance watching the people dance with one another until the Mariachi band shouted in sync, â€Å"AY! † causing me to be brought back to the present. It was then that I had realized how hungry I was. The menu prices were in pesos, so it looked like everything was really expensive, but it wasn’t. We ordered the hot and spicy red enchiladas which were about 60 pesos, and they also brought us chips and salsa. The chips were a little bit thicker than you would get here in the US, and there were three different types of salsas. There was a regular pico de gallo, then there was one made with tomatillos, and the last was a pineapple cilantro salsa that was actually really tasteful. Lexi and I have never had pineapple cilantro salsa before, so we weren’t sure whether it was going to be appetizing or not. After stuffing myself with chips our food finally arrived. It was just about the yummiest thing I’ve ever had. The red sauce for the enchiladas was a little bit different than what I’ve had here, but I can’t tell you how. It was more delicious over there though. There was chicken inside the enchiladas and a touch of sour cream on top. We took the extra salsa we hadn’t demolished with the chips and smothered our enchiladas with it. I ate every last bite of it and was so full afterwards! The amazing food I had in Mexico was the best Mexican food I have ever had. I remember the smell of the ocean and sweet salsa at the same time. The bright colored sombreros and the ocean front view was an amazing sight to see while enjoying the food as well. Anytime I think about Mexico I think about the short beach chairs, sand between my toes, all the smells of the restaurant, laughing with my best friend and delicious enchiladas. This will be a memory that would be difficult to forget because we took so many pictures of the restaurant and it was the best eating experience I’ve had yet. I’m really glad that my friend and I were able to have this dining experience together. Alexandra and I enjoyed it very much!

Friday, September 13, 2019

This is a research-based essay. Using at least 3 organizations in Research Paper

This is a -based essay. Using at least 3 organizations in hospitality industry, analyse staff tunrover, its cost and effects on the business and develop strategies to improve retention - Research Paper Example It should be noted that hospitality industry is struggling to find enough skilled personnel to cater to its employee needs. Under such circumstances, excessive amount of employee dropouts or turnover rate may not be desirable to the growth prospects of an organization. Many organizations in hospitality industry are spending too much money for the training, development and empowerment of its employees since the success and failures of an organization in hospitality industry rest in the hands of its employees. On the other hand, after getting enough training, employees usually look for better options outside their organization. All the organizations in the hospitality industry are looking for trained professionals to meet their employee needs. Thus, employees working in the hospitality industry are always getting better chances outside their organization. The words of Pinnacle’s managing director Wendy Mead are relevant here: â€Å"We are training up all these fantastic people to be so customer-centric and other industries are just coming and plucking them away from us† (Ryan, 2006). Organizations which lose employees may struggle to fill the vacancies because of the absence of enough skilled manpower in the hospitality industry. In America and European region manpower shortage is creating immense problems in all sectors. Shortage of manpower increases demand for employee in these countries and hence, the bargaining power of the employees in these countries is extremely high. This paper analyses the staff turnover, its cost and effects on the hospitality business and strategies to improve retention, taking Accor Hotels, Subway franchise organization, and Ritz Carlton as the examples. Accor Hotels is one of the leading companies in Australian hospitality industry. It is operating in all the major cities in Australia. Accor Hotels is looking for opportunities in overseas countries at present and they have already signed a contract with Dubai based EMAAR

Thursday, September 12, 2019

Discussion board Assignment Example | Topics and Well Written Essays - 250 words - 15

Discussion board - Assignment Example Indiana could make better use of the land available to replace the money that is lost as export money. For example industrialize the areas or open animal farms. Better utilization of land could also result in emigration and growth of economy. Therefore, I do not think that it would have a sveere impact on the economy as stated in the article. In this article, the main focus was on the economy. However, I basically think that without farming the lands would be free from chemical pesticides. This would not only safeguard the environment but also make the land available for industrialization and establishment for other sources of state income. It is said in the article, that in dearth of crop products there are chances that more and more people would try and grow them in the garden and sell them for very high prices. However, I do not think most people would like to invest in such time consuming thing. Moreover, since these people would try and utilize their small gardens to the maximum such practice would also increase the usage of chemical fertilizers and harm the environment as well. I also think that the lands now free from harmful agricultural practices, could be sued for growth of economy. The state may open other industries such as dairy, meat etc. which would fetch far more money than basic crop

Wednesday, September 11, 2019

Strategic and Financial Analysis of P&G Research Paper

Strategic and Financial Analysis of P&G - Research Paper Example P&G offers more than 250 brands to its customers. The net sales of the company were recorded to be more than $1 billion in 2011. The product portfolio of P&G can be segregated into divisions based on the usage of the products. It offers washing or laundry products, hair care and grooming products, health care products, and personal care products. In the hair care product category, P&G holds the maximum market share of 34.6 percent, as can be seen in Figure 1. The competitors such as L’Oreal, Unilever, Alberto Culvert, and John Frieda are some of the popular market players in the hair care segment holding lesser market share than P&G. The top hair care brands of P&G are Pantene, Head & Shoulders, Aussie and Silvikrin.   In the washing and laundry category too, P&G is the market leader. As can be seen in Figure 3, P&G rules on 46 percent of, the detergent market. The most famous laundry brands of P&G are Ariel, Tide, Bold, Fairy, Lenor, etc. In the household cleaning category, P&G has 11.6 percent market share. The best brands of P&G in this segment is Flash. Lastly, in the personal care, skin care or grooming segment, P&G has around 1.4 percent market share among the other companies. The Product Life Cycle determines the position of the products or brands of a company in the market. In case of P&G, most of the brands sold under its product portfolio are in their maturity and growth stage, as P&G’s products are generating huge profits for the company in most of the segments and are among the market leaders (P&G, 2012d). In order to validate the position of most of the P&G’s products in the PLC, the revenue and profit figures for the last 5 years have been considered.

Tuesday, September 10, 2019

Discussion Essay Example | Topics and Well Written Essays - 250 words - 143

Discussion - Essay Example However, this is where the influence ends. Contrary to conventional logic, man is neither inherently superior to other beings nor the custodian of nature (Huxley, 1936). In fact, even from an intuitive standpoint, some animals complement nature better than man. Ecologically, man exists in nature, not vice-versa. For example, children are born in environments in which the elements necessary for survival (water, breathable air, sunlight, etc.) already abound. As such, man along with other beings, forms part of the mostly passive occupants of the natural world. Nature affects man more than man affects it, and the relationship between the two entities relies on man’s responsibility towards nature (Huxley, 1936). The universality of nature means that through individual responsibility, everybody has a right to make decisions concerning nature. Nature is everywhere, whether in the hinterland or 21st-century cities. When many people make bad decisions about their respective ecosystems, a diffusive effect is created that puts the universe in jeopardy (Dillard, 2011). This implies that individual responsibility is the best way to coexist (not govern) nature. In summary, although resources can be controlled via legal avenues, nature itself can not be controlled by a designated

Monday, September 9, 2019

Personality Assessment Essay Example | Topics and Well Written Essays - 500 words

Personality Assessment - Essay Example Idiographic method, which is person-focussed, is more in use among psychologists (Weiner and Greene, 2008, pp.12). The tools used for personality assessment can be categorized into two major groups, namely, â€Å"self-report instruments† and â€Å"performance-based measures† (Weiner and Greene, 2008, pp.14). The process of assessment involves, clarifying the referral, selecting the test battery, obtaining informed consent, fostering comfort and cooperation, and obtaining interpretable data (Weiner and Greene, 2008, pp.20-30). Personality examiners have used Rorshach Inkblot Test since 1960s. This test has been devised on the realization that â€Å"individuals frequently report idiosyncratic or unique personal meanings when viewing inkblot stimuli† (Kaplan and Saccusso, 2008, pp.376). It is this phenomenon that is used in assessing individuals. By dropping ink onto a piece of paper and folding it, a Rorshach stimulus card can be made (Kaplan and Saccusso, 2008, pp .377). Rorshach had experimented with many such cards and finalized 20 of them as standard stimulus cards that can be used for psychological assessment (Kaplan and Saccusso, 2008, pp.377).

Sunday, September 8, 2019

Five year report for the JD sports Coursework Example | Topics and Well Written Essays - 3250 words

Five year report for the JD sports - Coursework Example The company’s business model involves significant reliance on acquisition and organic growth. Cash flow from investing and financing activities properly reflect the strategies adopted. The company has recently broadened its services to Spain, France and Ireland by acquiring fully and partially owned subsidiaries. The business model may be practically supported by 2012 results which show that 67% of cash used in investing activities relate to acquisition of brands. The regular losses in re-measurements, revaluation and impairment of assets raise certain questions on the viability of the company’s depreciation and asset management policies. The exceptional items are seen at almost steady amounts throughout the 5 years period under review. The possible reason for such losses seem to be acquired assets which need to be revalued and losses recognized. The cost controls at JD Sports seem managed and properly monitored. The 2008 growth of cost of sales at 8% was lower than the growth in sales of 12%. This shows, apparently, a strong cost controlling mechanism working at JD Sports. The cost growth of 2009-2023 seems to be in line with the growth in revenue showing a direct relationship between cost and revenue. This further illuminates the tight direct cost control system of JD sports which maintains the levels of earnings and expenses as much as possible. The gross margin growth is relatively steady due to a linear increase in sales and cost of sales. The company’s performance, however, can be appreciated in keeping the costs stable and hence the gross profit. The operating margin in 2011 is 9% as compared to the competitor, Marks & Spencer, at 8.6%. Moreover, the operating margin in 2012 is 7.2% as compared to the Marks & Spencer’s operating margin at 7.5%1. This shows that comparing to the competitor; no significant fluctuations have been observed in the trend. In aggregate, the operating margin before exceptional items seems quite stable and

Saturday, September 7, 2019

Vaccinations Research Paper Example | Topics and Well Written Essays - 250 words

Vaccinations - Research Paper Example Also, disease-causing bacteria and viruses usually occur in different forms referred to as different strains (Miller, 2008). In most cases, vaccines are designed to handle certain strains. For instance most flu shots available presently are designed to work against the common strains of flu virus which has been in existence for quite a while. Thus, such vaccine cannot prevent against new strains of flu. This explains why vaccines do not give a lifetime protection against diseases. As explained above, vaccines are usually designed to work against certain strains. Yet, every now and then, new strains emerge which are often stronger than the previous ones. This therefore renders the incumbent vaccination ineffective. Usually, vaccines do not guarantee full protection from a disease. Their strength fizzles out with time. Thus, one has to have another shot of vaccine so as to continue strengthening their immune system. Health care workers should be subjected to regular and extensive training so as to acquaint them with the new occurrences with regards to diseases. This enables them to keep abreast with the new strains that emerge. Such information is important as it enables the m to update their vaccines so as to stay effective. Equipped with knowledge about the new merging diseases, health workers get to know what to use and when to use so as to guarantee effectiveness in the fight against outbreaks. As stated, new strains of disease-causing bacteria and viruses develop from time to time. Regular training and updating of information regarding such strains is essential l as it enables the health workers to discard old vaccines that have been rendered obsolete, and develop new effective ones. This enhances effectiveness of vaccines and accelerates the fight against various

Friday, September 6, 2019

Youngs Modulus of Nylon Essay Example for Free

Youngs Modulus of Nylon Essay Introduction This investigation aims to find the value of Youngs Modulus for a specific material, in this case nylon fishing line. Youngs Modulus (E) is a measure of a materials stiffness, determined by the formula: The standard unit of measure for Youngs Modulus is the pascal (Pa). 1 pascal is the same measure as 1 Nm-2 (Nm being Newton Metre). A material always retains the same Youngs Modulus value regardless of how much it is stretched or strained, and this should be revealed in this investigation by gathering a definite value of the modulus for nylon. Hypothesis Through research that I conducted before starting the investigation, I have determined that the correct Youngs Modulus value of Nylon lies in the range 1-7GPa (the large range being due to different make-ups of Nylon with it being a compound). I should therefore be looking at achieving a final result within or very close to this range. Since stress is proportionate to strain in the Youngs Modulus formula, and the modulus value remains the same, I would expect the value of stress and strain to proportionally increase with each other. Experiment Plan In order to carry out this investigation into the value of Youngs Modulus of nylon, I will conduct an experiment to gather the values of stress and strain when increasing force is added to the material, and will take readings as weight increases until the breaking point of the nylon is reached. In order to calculate stress and strain, I will need to record each of the following variables throughout the experiment: Force applied to the material [F] (Newtons/N) Area of a cross-section of the material [A] (Metres-squared/m2) Original length of the material [Lo] (Metres/m) Amount of extension when the force is applied [L] (Metres/m) These variables will then allow the values of stress and strain to be calculated using the following formulas: This leads to a final Youngs Modulus calculation formula of: The set-up I will be using to carry out this experiment consists of the nylon fishing line suspended from a stand using a clamp, and another clamp to ensure there is no movement in the stand itself. I will create a suitable loop at the bottom of the hanging material so that weights can be added but will need to ensure this loop does not weaken any area of the material and cause a drop in the breaking point value, as this would compromise the reliability of my experiment and result in premature breakage of the length of nylon. At each stage of the experiment I will take readings of length using a standard 1m ruler, and will measure the area of a cross section by gathering the diameter value using a micrometer, halving this value to gather radius and then use the formula Before any weights are added, I will need to take a control measurement of the length and area of the nylon before any stress or strain is applied. Once this is done I will proceed to apply weight in intervals of 100g (0.981 N) and record the values of each variable stated at bottom of the previous page after each 100g weight is added, with the exception of original length which is a constant value and only needs to be recorded at the beginning of the experiment. I will continue to add weights until the material reaches its elastic limit and snaps, at which point I will record the force applied to break the object. In order to achieve an adequate number of results from each experiment to make a fair analysis and conclusion to the investigation, I will need to take a minimum of eight readings (i.e the nylon should withstand at least 800g/7.849N). If this fails in the actual experiment then I will need to re-evaluate my plan and decide on a new method of conducting the experiment to me et this criteria. To increase reliability, accuracy and to eliminate possible anomalous results, I will aim to repeat the entire experiment three times to gather average readings. If all three of these experiments were to be perfect then the final Youngs Modulus value would be the same in each, so this will be a good test of how much my investigation has suffered from error when I examine the range in the three values. N.B In my actual practical experiments, I have decided to measure Engineering Stress, as opposed to True Stress. As Engineering Stress does not take into account cross-sectional area changes, this will prevent me from damaging the nylon with repeated micrometer readings, and hence my values for area will always remain the same. Technical List of Apparatus * Nylon Fishing Line * Manual Micrometer (accurate to 0.01mm with a range of 25mm) * Standard Wooden 1m Ruler (accurate to 1mm) * Clamp stand with clamp * Set of Weights with hanging hook (in 100g/0.981N intervals) * G-Clamp Variables In this investigation the variable I intend to be changed is the amount of extension of the piece of nylon, required to calculate the value for strain. Other unintentional variables will also be present in the experiment, notably the cross-sectional area of the nylon wire, which will decrease as more strain is applied and the material stretched. By calculating engineering stress, the effect of this variable can be negated. Safety Whilst the practical side of this investigation does not include any particularly dangerous apparatus or methods, there are still some safety considerations to be taken. Eye protection will have to be worn whilst the nylon has stress and strain applied to it, as the material will be taken to breaking point, which could result in the material whipping back very quickly at this point, posing an eye damage hazard. It is also worth noting that at this point a substantial amount of weight will be dropping so arms and feet should be kept back from below the experiment and all persons in the vicinity should be on their feet to allow them to move back quickly if required. Error Reduction The practical side of this investigation is prone to errors through a number of factors. In order to attempt to reduce the number of errors that will affect the results of the investigation during the implementation of the practical, the following steps will be taken, in addition to the experiment being repeated three times as already mentioned above: * Micrometer should be checked before each use to make sure it lies on the zero value when fully closed. * Double-check all readings to be taken from the micrometer and ruler, and double-check the calculations for area on calculator. * Nylon should not be interfered with once set-up on the clamp, in order to reduce added stress or weakening through factors not related to the intentional weights being added.