Monday, September 30, 2019
Are We Progressing? Essay
Are we really progressing ? India unfortunately is lacking leaders. There was a time when we had real heroes those who fought selflessly for our freedom and sacrificed their lives. Now a days ââ¬Ëleadersââ¬â¢ are replaced by diplomats and politicians , who are hardly concerned with the development or progress of our country ? They are not at all bothered by the grievances of common man. 40 percent population is living below poverty line but the rich are getting richer. The difference is growing between rich and the poor with a great speed. They have tall claims that India has developed a lot but the truth is that we have lost our grip on many significant fronts? With this type of ineffective leadership India will lead nowhere. We Indians copy the Western culture on silly counts like fashion , openness and homosexuality but unfortunately we do not follow the British way of tackling the awful mess . The journalism their is admirable. They do not hesitate or fear in criticizing, exposing or taking names of their politicians. Their efforts are determined and meticulous in contrast to our media where they are reluctant to question or expose their colleagues , as it happened in Radiaââ¬â¢s case. Worst part is when our media dares to question the PM , he is either unavailable or protected by his advisers, unlike Cameron who made himself available to face all the criticism in west . Majority of countries are victim of terrorism but the selfish politicians of India have developed the habit of consoling themselves and fooling the general lot by saying ââ¬â ââ¬Å"Spirit of Mumbaiâ⬠. Rest of the world have learnt their lessons from terror attack and have improved their law and order except India where our leaders have mastered the art of making tall claims and sympathizing with the victims for a brief period. Mumbaikars are living in fear of bomb attacks for past two decades but our government seems reluctant to take any effective measure. There is no improvement in the facilities at a grass root level even . The current political dissonance and institutional attitude do not inspire confidence. Indian media needs to stop sensationalizing everything and should cover issues with sincerity and due diligence . It should be a strong corruption free crusader against injustice. India is not keeping pace with its development needs? We need to delink politics from reform processes and improve our regulatory framework to reach our global leadership goals. We must not tie ourselves with allies which adversely affects our autonomy. We need to be more strategic in developing relationship with neighboring countries. Government needs to confer ââ¬Ëinfrastructureââ¬â¢ status on all fronts ? Brain drain should be checked and measures should be taken for reverse brain drain . We need to look into the reasons for people reluctant to serve their own country . The lack of innovation and quality research and development is putting our country at lower graph. Growth in jobs are needed . There should be major expansion in all spheres , be it health , education , science or security . Our products are not making any remarkable impact in global market . For our country to progress we need to have thoughtful leaders who do not ignore the demands of one billion population and resonate well with the common lot.
Sunday, September 29, 2019
Trade Unions and the Industrial Revolution
Trade Unions had struggled to achieve the freedom to exist in the early stages of the industrial revolution. Provide a critical account of their early developments, noting some of the major changes in their formation and character. A trade union can be described as an organization of workers who have banded together to achieve common goals in key areas and working conditions. They were established around the early eighteenth century and membership was low and most were from within crafting industries but as the success of trade unions became apparent, workers in other industries began to see the benefits of unions to allow them to go from strength to strength and establish themselves in a wider variety of sectors. However, up until the late eighteenth century trade unions were mainly illegal, ââ¬Å"unions were forbidden by special statutes, and they could be proceeded against at common law, for ââ¬Ëconspiracy in restraint of tradeââ¬â¢. â⬠(Derry and Jarman, XXXX, p. 41). Since then, memberships levels, mergers, formations, dissolutions and breakaways, have all had an impact resulting in changes in union formation and character, these can be seen largely through the parliamentary acts that have been passed in relation to it. By examining the various historic triumphs of workers over their employers such as the Match-girls and the London Docker s, it is possible to establish the changes in formation and character and how trade unions managed to pull through the industrial revolution to become such an influential part of society today. One of the first noteable changes was an increase in membership levels because as the employment sector grew with the industrial revolution, workers began to see the opportunities available to them, to improve the quality of their working life by joining trade unions and thus made the effort to form specialized organisations that would protect their interest against exploitive employers. However, in 1799 and 1800 William Pitt, the Prime Minister, passed Combination Laws which made it illegal for workers to join together to pressure their employers for shorter hours and more pay or prevent employers from choosing whom they wish to employ selectively. This made it increasingly difficult for trade unions to even form and as a result they were effectively made illegal. One could say that towards the end of the eighteenth century, tat the journeymen's societies had developed into trade unions. The Combinations Acts were used infrequently and combinations continued to spread across a variety of occupations and the Acts were repealed in 1824, however, this was followed by an outbreak of strikes and as a result the 1825 Combination Act was passed which again imposed limitations on the right to strike. As a result of this, trade unions were forced to use debate and other more cerebal methods to achieve their goals rather than immediately resorting to violent strikes. Another noteable change in formation amongst trade unions became apparent in 1834 when there was an attempt to establish a Grand National Consolidated Trades' Union bringing together all the unions but it never attracted general support. From 1830 onwards, attempts were made to set up national general unions to try and widen the movement and increase awareness and involvement, most notably Robert Owen's Grand National Consolidated Trades Union (GNCTU) in 1834, which gained 250,000 members. Unfortunately it collapsed due to internal strife and lack of funds. Around the same time there was the case of the Tolpuddle Martyrs from one of the GNCTUââ¬â¢s sub divisions, the Friendly Society of Agricultural Labourers who were sentenced to seven years transportation but a campaign launched for their release had their sentence remitted in 1836. This was the first of its kind and now people were beginning to see a real change and workers interests were being represented more in society and now a large majority of employees belonged to trade unions. More permanent trade unions were established from the 1850s, based on ââ¬Å"new aims and a better organization for the new Unions of better-paid workers. â⬠(Derry and Jarman, XXXX, p. 146). In 1851 the Amalgamated Society of Engineers was formed after sever local and sectional engineering unions merged together (Blackboard, 2008). This society formed a new organisation of trade unionism which was followed by Carpenters and Joiners and other trade unions. These unions were ââ¬Å"respected by employers because they hand money in the bank and prudence as their first principleâ⬠. They had a cautious industrial policy and used strikes as a last resort. (Derry and Jarman, XXXX, p. 146). The new Liberal government headed by William Gladstone saw The Trade Union Congress campaigning for the Minority Report, the campaign was successful and the 1871 Trade Union Act was based largely on the Minority Report. This act secured the legal status of trade unions. As a result of this legislation no trade union could be regarded as criminal because ââ¬Å"in restraint of tradeâ⬠; trade union funds were protected. Although trade unions were pleased with this act, they were less happy with the Criminal Law Amendment Act passed the same day that made picketing illegal. Trade unions also went through many amalgamations and legal changes, for example, until 1850, unions had been involved primarily in local affairs (with the exception of the miners) but from the middle of the century, the growth of railways meant that communications were easier and amalgamations began to take place. The engineering industry was in the lead and the Amalgamated Society of Engineers (ASE) was established in 1850. It modelled itself on the friendly society, providing unemployment, sickness and disablement benefits and a funeral allowance. Certain other merging unions ââ¬â for example in woodworking and tailoring ââ¬â followed the ASE's model but others kept their friendly society and trade sections separate. And many local societies remained; even the national unions still gave much autonomy to branches and districts and there was a constant danger of breakaways. The model was still predominantly about the protection of craft status, with the aim of limiting entry and even when technological change took place, of preserving jobs for their members and although women were entering the labour market in increasing numbers, there was hostility to women penetrating new areas of work and unions were exclusively male. Alongside the growth of national unions came the development of trades councils from around 1858 in major towns and cities. Bringing together unions locally, their aim was to co-ordinate support in disputes and to help create a climate of opinion more favourable to the unions. In 1868, the Manchester and Salford Trades Council called what is usually taken as the first meeting of what was to become the Trades Union Congress (TUC), an annual meeting to encourage collaboration between unions and put pressure on the government. By the 1870s, the TUC had a full-time general secretary and by 1895 representation at the TUC was restricted to unions, and trades councils were excluded altogether to avoid dual representation. The TUC's Parliamentary Committee took a growing role in representing the union view to government. Industrial disputes continued, unsurprising at a time of rapid change when new working practices and technologies were being introduced. The major strikes were almost always about how work should be carried out and who could be employed on particular tasks; entry and preservation of craft status (which implied having served an apprenticeship) remained predominant aims. Most strikes began as unofficial affairs, later ratified by a sometimes reluctant national leadership; this feature was still evident a century later. But most union leaders had an interest in stability; apart from other considerations, strikes were a threat to their funds, and unions have never been well-funded. From the late eighteen hundreds, trade unions began to grow steadily, by the beginning of the 1880s, the number of trade unionists has been estimated at around three-quarters of a million, most in skilled trades although the majority of the workforce was unskilled. In the 1880s, led by seamen, dockers and gas workers who held notably successful strikes, serious organisation of the unskilled and semi-skilled began. Women too formed separate trade unions. The predominant ideology behind the craft unions had been Non-Conformism and self-help. During the period of the growth of new unions, socialism began to play a part and many young activists were inspired by it. But the climate tended towards the anarchic: these so-called ââ¬Ënew unions' competed with each other, often with intense inter-union rivalry. This was not confined to the new unions: new processes were blurring traditional patterns of working, and in engineering and shipbuilding there were demarcation disputes between the craft unions, refusals to support semi-skilled workmates in disputes, and even industrial action against them. There were growing demands for closed shops, in which only union members could be permitted to be employed, and blacklisting of employers not recognising unions increased. The result was a spate of legal actions in the 1890s, culminating in the Taff Vale Judgment of 1901 which held that trade unions could be held liable for wrongful acts committed by their officials. A further judgment, Quinn v Leathem, ruled that a strike could be regarded as a conspiracy to injure, and once again unions could be held liable for the damages. These judgments had the further effect of making the leadership of unions realise that a voice in Parliament was needed to protect their funds, and by 1904 over half the unions affiliated to the TUC were also affiliated to the Labour Representation Committee, the forerunner of the Labour Party. Legal developments aside, from the 1880s and up to the First World War, unions were increasingly recognised as having a legitimate place in society. Governments generally wanted social stability, which meant seeking to reinforce moderate union leaders against more militant elements. Many employers had concluded that seeking to exclude unions would be counter-productive, and employers' associations like the Engineering Employers' Federation developed to deal with unions and to provide assistance to their members in national and local bargaining. (Some employers, like those on the railways, did resist however and it is probably no coincidence that both the Taff Vale and Osborne Judgments involved railway companies. ) The terms ââ¬Å"industrial relationsâ⬠and ââ¬Å"collective bargainingâ⬠entered the language, although it is difficult to say precisely when. Amalgamations of unions continued and membership grew rapidly: there were 4. 1 million trade unionists in 1914, as against 1. 5 million in 1894. By the 1860s the main industrial towns and cities of Britain were establishing many small Trade Councils. In 1886 trade unionists in Sheffield were accused of using arson and murder to intimidate non-unionists and this spurred the 34 leaders of these Councils to meet together in Manchester to consider forming a single large organisation that would provide a united voice in the defence of all Trade Unions and hence the Trade Union Congress (TUC) came to be. It was agreed an annual meeting would be held to discuss issues of importance to the labour movement. The legal status of trade unions in the United Kingdom was established by a Royal Commission in 1867, which agreed that the establishment of the organizations was to the advantage of both employers and employees. Unions were legalized in 1871. In 1871 Trade Unions were no longer considered to be unlawful and full legal protection was given to union funds and the year when the Criminal Law Amendment Act was passed which prohibited picketing and placed restrictions on the right to strike. Anybody who sought representation or felt they were subjected to poor working conditions, now knew where to go and who to go to. The Bryant & May dispute was the first strike by unorganized workers to gain national publicity with 1400 women at Bryant and May going on strike, gaining support from many significant people in society. It was also successful as it helped inspire the formation of unions all over the country. However it is important not to over exaggerate the success of trade unions as by 1888 only 5% of the labour force were members of trade unions. Another turning point in history for trade unionism was the London Dockers Strike, where workers wanted better pay and shorter working hours and even gained financial support from trade unions in Australia which led them to a victory over their employers. Over the next few years a large number of unskilled workers joined trade unions. Between 1892 and 1899 membership of trade unions increased from 1,500,000 to over 2,000,000 as explained by McArthy (XXXX) Throughout the century, trade unionism went through many significant changes that widened its membership and allowed the movement to flourish. It is because of these changes and development within individual movements that more and more of societyââ¬â¢s needs were being represented via trade unions. It was difficult though for unions to be largely representative at any one given point though due to big political movements that were also going on at the time and also because there still wasnââ¬â¢t quite the feeling of collectiveness amongst workers and unions werenââ¬â¢t largely representative of the majority of society until workers began to realise that grouping together against tyrannical employers could lead to change. For the most part, people have belonged to trade unions because they offer protection ââ¬â in the early days to provide help in the absence of a welfare state, and then to counteract the greater economic strength of employers, to provide legal and other support to members who believe they suffer injustices, and to campaign for reform. They are products of their times, and like other institutions reflect the political and social atmosphere of their day, as well as their own histories. No doubt this will continue to be so in the future.
Saturday, September 28, 2019
Army Soap Note
A: (assessment) ââ¬â Your interpretation of the patients condition. P: (plan) ââ¬â Includes the following: 1. Medical treatment: includes use of meds, use of bandages, etc. 2. Additional diagnostics: which if any test which still might be needed. X-ray MRI ect.. 3. Special instructions, handouts, use of medications, side effects, etc. 4. Return to clinic: when and under what circumstances to return. Components of the SOAP note. . Medical History ââ¬â Which gives you an idea of the patients problem before you start the physical exam of the patient. a. Patient data b. chief complaint 1. This is the reason for the patients visit. 2. Use direct quotes from patient. 3. Avoid using medical terms. c. Observations begin as soon as the patient walks through the door. d. Open ended questions will help you to get more complete and accurate information. e. Provider obstacles which are your attitude towards the individual or pre diagnosis of sick call ranger may prevent you from makin g an accurate judgment. . History of present illness/injury (HPI) f. Duration: when the illness/injury started. g. Type of pain: use the patients words to describe the type of pain. h. Location: have the patient explain, then have them point it out. i. : what makes it better or worse and is it constant or does it vary in intensity. j. Pain in different positions: does the pain vary with the change of the patients position. k. Medications/allergies: note any medications whether over the counter or not. Do the medications relate to the problem? Take note of the patients allergies. l. Supplements: note any supplements the patient is taking along with vitamins so you are aware of the possible interactions with the medication that may be given to the patient. m. Pertinent facts: facts which lead you to your diagnosis. Usually consist of classical signs and/or symptoms. I have found that the best way to get a personââ¬â¢s medical history is to using the SAMPLE and OPQRST. Itââ¬â¢s a fast and easy way to recall the information that you need to provide to the PA or NCOIC. S: Symptoms A: Allergies M: Medicine taken P: Past history of similar events L: Last meal E: Events leading up to illness or injury O: Onset ââ¬â What caused the illness or injury, or what were you doing at the time P: Provocation/Position ââ¬â what brought symptoms on, where is pain located. Q: Quality ââ¬â sharp, dull, crushing etcâ⬠¦ R: Radiation ââ¬â does pain travel S: Severity/Symptoms Associated with or on a scale of 1 to 10, what other symptoms occur T: Timing/Triggers ââ¬â occasional, constant, intermittent, only when I do this. Lastly you need to provide a name(first, last and middle initial) phone number, date of birth, FULL social security number, sex, and rank/grade. All this information is provided in order to file the note into the patients medical records. It can also be used to contact the patient regarding an appointment or information we may further need to assist the patient in his medical needs. All notes must be signed by the individual that screened the patient. There are 2 reason for this one is to insure that nothing is added to the note, this protects both yourself and the patient. It also allows the PA or NCOIC to speak with the individual that screened the patient for additional information regarding the patient or having them correct a deficiency with the note itself before being placed in the patients medical history. Signing under the last portion of the note lets people know that the note has ended however do not mark any open space out, the PA may want to add additional information which he will then stamp verifying that he was the one who in fact added the information. Spc Singleton 68W10 Army Soap Note A: (assessment) ââ¬â Your interpretation of the patients condition. P: (plan) ââ¬â Includes the following: 1. Medical treatment: includes use of meds, use of bandages, etc. 2. Additional diagnostics: which if any test which still might be needed. X-ray MRI ect.. 3. Special instructions, handouts, use of medications, side effects, etc. 4. Return to clinic: when and under what circumstances to return. Components of the SOAP note. . Medical History ââ¬â Which gives you an idea of the patients problem before you start the physical exam of the patient. a. Patient data b. chief complaint 1. This is the reason for the patients visit. 2. Use direct quotes from patient. 3. Avoid using medical terms. c. Observations begin as soon as the patient walks through the door. d. Open ended questions will help you to get more complete and accurate information. e. Provider obstacles which are your attitude towards the individual or pre diagnosis of sick call ranger may prevent you from makin g an accurate judgment. . History of present illness/injury (HPI) f. Duration: when the illness/injury started. g. Type of pain: use the patients words to describe the type of pain. h. Location: have the patient explain, then have them point it out. i. : what makes it better or worse and is it constant or does it vary in intensity. j. Pain in different positions: does the pain vary with the change of the patients position. k. Medications/allergies: note any medications whether over the counter or not. Do the medications relate to the problem? Take note of the patients allergies. l. Supplements: note any supplements the patient is taking along with vitamins so you are aware of the possible interactions with the medication that may be given to the patient. m. Pertinent facts: facts which lead you to your diagnosis. Usually consist of classical signs and/or symptoms. I have found that the best way to get a personââ¬â¢s medical history is to using the SAMPLE and OPQRST. Itââ¬â¢s a fast and easy way to recall the information that you need to provide to the PA or NCOIC. S: Symptoms A: Allergies M: Medicine taken P: Past history of similar events L: Last meal E: Events leading up to illness or injury O: Onset ââ¬â What caused the illness or injury, or what were you doing at the time P: Provocation/Position ââ¬â what brought symptoms on, where is pain located. Q: Quality ââ¬â sharp, dull, crushing etcâ⬠¦ R: Radiation ââ¬â does pain travel S: Severity/Symptoms Associated with or on a scale of 1 to 10, what other symptoms occur T: Timing/Triggers ââ¬â occasional, constant, intermittent, only when I do this. Lastly you need to provide a name(first, last and middle initial) phone number, date of birth, FULL social security number, sex, and rank/grade. All this information is provided in order to file the note into the patients medical records. It can also be used to contact the patient regarding an appointment or information we may further need to assist the patient in his medical needs. All notes must be signed by the individual that screened the patient. There are 2 reason for this one is to insure that nothing is added to the note, this protects both yourself and the patient. It also allows the PA or NCOIC to speak with the individual that screened the patient for additional information regarding the patient or having them correct a deficiency with the note itself before being placed in the patients medical history. Signing under the last portion of the note lets people know that the note has ended however do not mark any open space out, the PA may want to add additional information which he will then stamp verifying that he was the one who in fact added the information. Spc Singleton 68W10
Friday, September 27, 2019
10-1 Case Study Example | Topics and Well Written Essays - 250 words
10-1 - Case Study Example Legally, Mark Levitt should have been informed transparently about the reason for his removal. His removal from the position by three members of the company indicates that they were driven by self interest rather than the betterment of the company in the long term. Additionally no fiduciary duties towards the LLC were violated since being a manager also entails management of all company assets; unless Mark Levitt intended to sell off the real estate for personal interests over the company interests (Fitzpatrick, 2014). The company should have had confidence in Mark Levitt for managing the real estate for the best interest of the company. Yet there are still loopholes in the case and additional information is required in order to proceed with the case. Firstly, the previous managerââ¬â¢s purpose and motive behind selling off the real estate property. Secondly, the clear reasons for Mark Levittââ¬â¢s removal from his position. Further information regarding the ownership of the property is needed to clarify the position of Lauren Bivins. Full information needs to be known as to the reason for Mark Levittââ¬â¢s decision to sell of the companyââ¬â¢s main real estate in order to be visualize the whole
Thursday, September 26, 2019
How Hersheys company emerged to a multibillion-dollar organization Research Paper
How Hersheys company emerged to a multibillion-dollar organization - Research Paper Example This research will begin with the statement that Hershey Company that was known as the Hershey Foods Corporation until April 2005 and is commonly known as Hersheyââ¬â¢s now is the largest manufacturer of chocolate operating from North America.à It is headquartered in Hershey, Pennsylvania. It was founded by Mr. Milton S. Hershey in the year 1894 and was named the Hershey Chocolate Company that was also a subsidiary unit of the Lancaster Caramel Company. It is especially known for its milk bar chocolates, chocolate bars, candies and baking products. Apart from its chocolate products, the company is also well known for its philanthropic activities. The internal analysis of a company provides information about its core competencies, as well as functional analysis; in order to establish the firmââ¬â¢s core competencies, Porterââ¬â¢s value chain model can be used. à Core Competencies and Unique Resources - The core competencies should possess four traits. They should be valu able to the customer, the competencies need to be unique, the competencies should be durable and difficult to imitate and the competencies need to be developed in a way that they cannot be substituted by any other means. The core competencies of Hersheyââ¬â¢s lie in the fact that the company is a well-known organization in the chocolate and confectionery industry. It is hugely popular because of its chocolate bars, particularly the S'more. The second competency of Hershey is the quality of the product.... The company also takes care of its perishable products by keeping it in clod storages. The unique resources for the company range from its farmers who supply it with the raw materials to the consumers who buy its products (Hersheyââ¬â¢s, n.d). These leverage the output and revenue of the company. 2.2 Porter's Value Chain of Hersheyââ¬â¢s ââ¬â according to Porterââ¬â¢s value chain model, the primary activities and the supporting activities are described as follows: Primary activities Hershey maintains a strong control over its suppliers and pioneers in its inbound logistics operations. Along with the implementation of cold storage, the company highly stresses on the application of organizational theory. Recently, it has implemented the stylized statistical technique of Six Sigma for improving its products. Six Sigma is an extravagant technology applied in manufacturing sector for identifying defects of the products and help improving the products. Sig Sigma technology red uces the error to around 3.4 defects per million. The benefits of Six Sigma for logistics operation include that of improvement in process, reduction in cost as well as increase in operational efficiency. By applying this technique, the companies can determine the root causes of problems and also find out the mechanism of process improvement. Hersheyââ¬â¢s company in partnership with GENCO also underwent an implementation of Six Sigma to make a root cause analysis for an optimal sales level. It has implemented Six Sigma in its Lebanon manufacturing unit and planning to implement in other areas as well (Partridge, 2006). The company also provides a sound operational system by offering rigorous training to its
Leadership Styles Essay Example | Topics and Well Written Essays - 500 words
Leadership Styles - Essay Example Today most of the Fortune 500 are from USA, not because of the human capital, diversification, creativity, (although they too contribute in business success) but due to the leaders they have such as Bill Gates, Warren Buffet, Jack Welch and so on. We know that these people have inspired millions through their big ideas, inspirations, their timely decision making processes etc. When Jack Welch took charge of General Electric, the total worth of company was US$ nine billion and at the time when he left General Electric, after almost twenty years, the company's financial worth was US$ 500 billion. This figure itself speaks about the leadership skills Jack Welsh possesses. He is a man who has a lot of energy. During his stay in General Electric he acquired a lot of new businesses, streamlined plenty of strategic business units and plenty of mergers and acquisitions which needed loads of enthusiasm, courage and timely decision making. From day first in the General Electric, Jack always came up with new ideas and notions, which reaped fruitful results for his company. He is a man of change, he believed that keep changing positively will leave the competitors far behind, because while changing you grow according to the needs and wants of the customer.
Wednesday, September 25, 2019
Issues on Down Syndrome Essay Example | Topics and Well Written Essays - 750 words
Issues on Down Syndrome - Essay Example It is usual that open language skills to ageing adults with Down syndrome, are affected significantly compared to expressive skills (Carter Young & Kramer, 1991). Expressive language may remain intact over a long period, thus acting as a measure of overall ability. Studies have extensively examined adults with Down syndrome on their communication and language. Predictors such as school tutorials, how the person with the disorder grows up in the family, and enrichment therapies influence their academic performance (Bird &Thomas, 2002). Age, language and related skills in adults with downs syndrome Studies based on downs syndrome are increasing rapidly. Most of these studies seek to establish the connection among ageing, language and correlated skills in adults. According to Iacono, Torr, &Wongââ¬â¢s inferences, the measures of relationship between language and ageing fail to investigate linguistic domains but rather sensitivity to change. It is evident that expressive language tend s to decline with age among adults with downs syndrome compared to receptive language. Studies show that, receptive vocabulary is stronger with age than auditory sentence structure (Cooper & Collacott, 1995). In this case, the expressive language is weak, the speech delays or slows among ageing adults. According to Rasmussen & Sobsey 1994, longitudinal studies conducted on forty (40) years old adults with downs syndrome shows much loss in communication skills in particular receptive language. The study also indicated that dyspraxia sets in, a central nervous system condition affecting speech production. In addiction, this disorder affects the accuracy in gesture use. The ability to respond to auditory stimuli weakens with age meaning that the affected may not respond to when addressed verbally. There are difficulties in comprehending vocals, in this case the person with downs syndrome is poor in understanding spoken language and word discrimination. Scholars questions whether the la nguage decline was as a result of loss of memory, or part of adult-ageing process related to downs syndrome. Receptive language in downs syndrome individuals (40-49 years) shown to be low in comparison to the younger individuals (Dalton and Crapper-McLachlan, 1986). Predictors of intellectual attainments of young people with Downââ¬â¢s syndrome According to Turner, S., Alborz, A., & Gayle, V. 2008, most people think that academic achievement is anchored on the type and quality of education. Moreover, they lack knowledge on how parents can offer incredible support. In cases where children have a disability, people lack confidence on intellectual attainment of the child at home and school. However, school and guardians play a salient role in education. Stephen turner and his colleagues reported findings on a research they conducted. These findings identify school and parents as factors that influence academic achievements of young people with Down syndrome. The children in the long itudinal research were born between 1973 to 1980. The children under study varied in cognitive behavior, this was mainly to represent different abilities in downs syndrome. The researchers also choose families based on occupation and education backgrounds. Research indicated that young people with Down syndrome predict progress. Young people who attended mainstream school had impressive academic attainment in writing, reading and numbering even in their adulthood. Turner and Gayle points
Tuesday, September 24, 2019
Types of Terrorism Case Study Example | Topics and Well Written Essays - 750 words
Types of Terrorism - Case Study Example Terrorism is characterised by use of violence indiscriminatively against civilians with intensions of gaining publicity of cause for individuals or groups. Bioterrorism is a kind of terrorism that involves the dessemination of any bioplogical agent, in its natural or modified human form and that agent has anadverse effect on the health of individuals. The biological agents here may include but not limited to bacteria, bacterial toxins, fungal toxins and viruses. This are sometimeds descrinbed as biological weapons and have been used in warefare in manay nations incliuding the United States of America. Bioterrorism is one of the most attractive weapon for terrorism because it consist mainly of the biological agents and hence less expensive dispite the fact that it causes wide spread panic and fear as well as the actual physical damages that they cause to the body. Bioterrorism has a wider and undiscriminatory impact if applied in millitary or warfare. Because of these reasons therefor e the use of biological agents may only be useful in terrorism. As observed by Guillemin (2001), the use of biological agents have wide range of limitations for their use in war since it effectsis experienced passsed the target groups and individuals. It is not possible to dissminate the biological agents such that only the enemy is affected and in most instances, even the friendly forces are affected by the biolofgical agent (Guillemin, 2001). It is therefore useful for the terrorits due to the ease of creating mass panicx as well as disrupting the society and their activities. As warned by Fong & Alibek (2009), there is potential power that the results and advanccements in genetic engineering is palcing on the hands of the terrorists in the future. In his study he has also indicated that the genetic technology would benefit the terrorists more thn it would benefit its intensions in the future. Bioterrorism also includes also those aspects of the use of bioloical agents to disriupt a wider range of the society and the peole living in the society. This does not mean that it must result into the deaths of the peole but it may result into wider impact on the economy in terms of economic losses and other impacts. For example, in the year 2001 and the year 2007, the United kingdom witnessed the a wide outbreak and spread of the foot and mouth disease. While this did not infect the humans, it resulted into serious econnomic damages as well as public concerns and panic. Bioterrorism therefore includes both the aspects economy as well as the health of individual populations and the impacts such as panic, infections or deaths. Bioterrorism is also different from natural outbreak. This is because the natural outbreaks are not engineered by anybody but occur naturally while bioterrorism includes the use of biological gagents that are directed towards an individual or poipulation. Anthrax oubreak is one of the impacts of the biological agents used in bioterrorism in many nations. Anthrax is caused by a spore forming bacterium known as Bacillus anthracis. It is non contagious and hence transmissiom from one individual to the other through contacts is not very easy. Bacillus anthracis was first use in biological warfare in in germana when the German working stafs were supplied with the anthrax bacterium and used it against the Russian Army in Finland (Guillemin, 2010). The most recent attack and outbreak
Monday, September 23, 2019
Martha Stewart's Case Analysis Essay Example | Topics and Well Written Essays - 1250 words
Martha Stewart's Case Analysis - Essay Example The companyââ¬â¢s stated market is ââ¬Ëas big as everyone who has a house.ââ¬â¢ The company is shown to have four segments which are divided into three platforms in order to leverage investments. There is the Omnimedia platform which is divided into publishing (focusing on the Martha Stewart Living (MSL) magazine, Martha Stewart Weddings as well as a selection of special interest magazines and books and a New York Times column) and television (focusing on the Martha Stewart Living television series, From Marthaââ¬â¢s Kitchen, prime time specials and Christmas events). There is also the OmniMerchandising platform (focusing on Martha Stewart branded lines ranging from the Martha Stewart Everyday line to the Martha Stewart Home line, distributed principally through Kmart and Sears respectively) and the Internet/Direct Commerce platform (focusing on Martha by Mail catalog and the marthastewart.com website). Stewart herself is the driving force behind the company, maintaining control over the company following privatization with 60% control of shares and 96% control of votes. She maintains close relationships with her female dominated board of directors while her family also play an important role in the business. The root problem of the report is that it is difficult to assess the value and long term future of a company which is based around a personality. This is because the company could be seriously adversely affected by a change in public opinion with regards to Martha Stewart herself. This problem exists because the company has become a personality led brand. It is therefore extremely difficult to predict how public opinion will react to the personality in the future if their perceived strengths are threatened. Examples in the case study include criticisms of Stewart as being difficult to work with, as setting unreasonably
Sunday, September 22, 2019
Nike vs Adidas Essay Example for Free
Nike vs Adidas Essay My area of study for this project would be more on comparing the performances for Nike and Adidas for the past 5 years. In this project I would explain the performance such as growth in profits, revenues, market share, the company employers and employees, size of the market share, steps for increasing the social performance, products performance, dividends per share, assets and the company investment. Nike and Adidas and have been the top two leading sport companies in the sport industry over the past few decades. These two companies sell and offer wide range of products for the customers and their products offered is mainly on sports wear for men and women and caters to consumers from different age groups. Their products consist on clothing such as jerseys, shirts, t-shirts, shorts and pants. These companies also provide the customers varieties of footwear such as sports shoes, casual shoes, boots, sandals and stockings. Besides that, fashion accessories are also offered from these three companies such as bags, watch, bracelets, wallets and purse. And lastly they also offer a wide range of sport gears for their customers. Nike and Adidas have also been the top sponsors in the sport industry. Sponsoring their products is important for the companies to get brand recognition, building their brand image and to promote their latest products. Nike and Adidas have been sponsoring equipments, clothing and accessories for athletes and coaches in sport tournaments and events. For instance, these three companies sponsor their products for football, soccer, basketball, baseball and many more. These companies also include slogan and motto for their company. Nikeââ¬â¢s motto is ââ¬Å"Just Do Itââ¬â¢ which is the signature of the brand which makes their products and the company recognizable to consumers. As for Adidas, their current motto is ââ¬Å"Impossible is Nothingâ⬠which serves as an encouragement to athletes for their sports. Origins and History of Nike and Adidas Nike, originally known as Blue Ribbon Sports was founded by University of Oregeon track athlete Philip Knight and his coach Bill Bowerman in January 1964. The company initially operated as a distributor for Japanese shoe maker Onitsuka Tiger, making most sales at track meets out of Knights automobile. The companys profits grew quickly, and in 1966, Blue Ribbon Sports opened its first retail store, located on Pico Boulevard in Santa Monica, California. By 1971, the relationship between Blue Ribbon Sports and Onitsuka Tiger was nearing an end. BRS prepared to launch its own line of footwear, which would bear the newly designed Swoosh by Carolyn Davidson. The Swoosh was first used by Nike in June 1971, and was registered with the U. S. Patent and Trademark Office on January 22, 1974. Adidas was founded in 1948 by Adolf Adi Dassler, following the split of Gebruder Dassler Schuhfabrik between him and his older brother, Rudolf. Rudolf would later establish Puma, which was the early rival of Adidas. Registered in 1949, Adidas is currently based in Herzogenaurach, Germany. The companys clothing and shoe designs typically feature three parallel bars, and the same motif is incorporated into Adidass current official logo. The Three Stripes were bought from the Finnish sport company Karhu Sports in the 1950s. Objective The objective of the project is to measure and compare the marketing strategies of the top two sport fashion companies which are Nike and Adidas. So this project would be mainly conducted to resolute the similarities and differences of the two sport companies marketing strategies. Besides that, this project will compare on the performance of Nike and Adidas which include the companyââ¬â¢s growth in revenues, profits or net income, dividends per share, size of company in the market, performances of employees, steps for increasing the social responsibility performance, products performance, stock performance and the company performances in investment. Problem Statement Firstly, the sport industry is becoming ever more competitive, with new brands competing for a share of consumers for the products in the market. Building a relationship with customers is a challenge facing for Nike and Adidas. This is because the companies need to be followed up with new trends and styles in the industry for their customers in order for them to build their products brand and image. Secondly, there was a case happened in China where a local Chinese domestic sports goods manufacturer company called Li Ning opened 6917 stores in mainland China by December 31,2008 aking it 1241 more than the year of 2007. During the year 2008, Li Ning has published its financial report which states that due to the Beijing Olympic Games, the company made total revenues of CNY 669(million) a year on-year-increase of 53. 8% compared to the year 2007. Not only that, Li Ning made an overall entry into the market of Southeast Asia. Now they have stores in Singapore, Malaysia, Indonesia and other Southeast Asia countries. This became a problem for Nike and Adidas where the two international giants see recession in their performance in China. According to the financial report of Adidas, the companyââ¬â¢s net profit decreased by 95% to â⠬ 130 million in the first half of the year. As for the sales revenue, it decreased by 2% to â⠬ 5. 03 billion. As for Nike numbers of distributors were reduced in the year 2008 due with the bad performance. Thirdly, the problem that attracted me to do this project is because I would like to know why Nike had low growth in revenue in the year of 2009. Nike had only increased 3% of its revenue to $ 19176. (million), with net income falling 21% to $ 1486. 7(million). As for Adidas, they also had the same problem. But the problem for Adidas was worst compared to Nike because at the year of 2009, the company net income is â⠬ 10381(million) which decreased compared to the year 2008 which is â⠬ 10799(million). These two companies had their difficulties is the year of 2009. So I would eager to find out about the problems they faced during that year. Significance of Study The importance of doing this project would be very important to other parties and companies. In this case, small and medium enterprise (SME) would get the advantages and benefits because they would know how the bigger companies such as Nike and Adidas operates their businesses, how they sell their products and services to their customers, what kind of marketing strategies they use, how the companies measure their performances and the most important reason is how Nike and Adidas continues to become a big market player in the sports industry. As part of that, this project will comprise mainly of small to medium-sized companies to engage in a diversity of activities which includes manufacturing of sport goods, sport tourism, media, and construction of venues. For example, small and medium enterprise (SME) in Malaysia can take the opportunity to get involved with sport products, services, sponsorships, hosting up international sport tournaments and events. And not to forget, the involvement of (SME) would also helps our country in the tourism sector because many athletes and participants will get to travel and visit our country and this will relatively build the countries economic performances. Corporate social responsibilities (CSR) also play a role for every sport companies in responsibility to act in a way that positively contributes to their stakeholders and the communities in which they exist. In this case, it is increasingly important for the social and economic issues such as rapid technological change, a diverse and aging population, environmental changes and mounting concerns regarding the countryââ¬â¢s growing social divide have resulted in focusing on the responsibility of firms to the communities in which they operate. (Margolis Walsh 2003; Sagawa Segal 2000) Justification The reason I chose this topic is because the project is interesting as sports is an important part of todays society and plays a large role in many peoples lives. From a social standpoint, sport plays a positive role in uniting people from different social backgrounds. This can aid peoples understanding and tolerance of each other. As far as education is concerned, sport is an important part of every childs schooling, as it plays a big role in both their physical and mental development. It teaches children how to work as a part of a team and cooperate with others, while at the same time improving physical condition. The second reason I chose sports industry because this industry is growing rapidly in Malaysia. There are continuous demands from customers, sports athletes, and models for these sport products. The Malaysian sport industry is considered as a young industry comprising of small and medium-sized businesses. The Malaysian sports industry comprises of companies engaging in a diversity of activities, from the manufacturing of sport goods, sport tourism, media, to the construction of sport facilities. The third why I chose these two companies is because Nike and Adidas has been the biggest market share player in the sports industry. Nike controls 31% of athletic sportswear which is the highest market share compared to other sport companies in the year 2007. As for Adidas, they control the second highest share of athletic sportswear which is 16% of the market in 2007. As for other companies Puma controls 7%, Reebok 6%, New Balance 6%, and Converse 4%. Expected Outcomes The expected outcome which I can conclude is Nike would have the better performance for this year 2010 because their net income/profit for the past few years have been stable. Ever since the year of 2006, Nikeââ¬â¢s net income/profit stands at $ 1392. (million). As for the year 2007, it increased to $ 1491. 5(million). At the year 2008, Nikeââ¬â¢s net income/profit increased with huge and outstanding amount of $ 1883. 4(million). But by the year of 2009, their company had a decreased in their net income/profit which is $ 1486. 7(million). As for Adidas, the company would not have a better performance compared to Nike because in the year 2009, their net income was only â⠬ 245(million). Their net income decreased with a huge margin compared to the year 2008 which is â⠬ 642(million). So the key impact from the financial statement of year 2009. The net income of Adidas reduced more than 60% in 2009. But Nike was capable of stabilizing the results with a minor reduction of only 20% in 2009. As for the performance of dividend development, Nike has shown increases in its number. For the year 2006, Nikeââ¬â¢s dividends declared per common share stands at $ 0. 59. Their company dividend increased to $ 0. 98 in the year 2009. But as for Adidas, they showed a decline from the year 2006 to 2009. In the year 2006, Adidas dividends declared per common share stands at â⠬ 0. 42. While in the year 2009, Adidas dividends declared per common share felt to â⠬ 0. 5. As for the expected outcome for the year 2010, Nike would be expected to increase their dividends successfully because their dividend declared per common share has been rising steadily. As for the companyââ¬â¢s asset assessment, I can expect that Nike would do better in the assets performance in the year 2010 because their total assets have been increasing from the year 2006-2009. The total of assets that Nike had in the year 2006 was $ 9,869(million), in the year of 2007, Nikeââ¬â¢s assets increased to $ 10,688. 3(million). Last year, Nike had a total of assets of $ 13,250(million). This shows that Nikeââ¬â¢s assets have been increasing and it is expected to rise in the year 2010. As for Adidas, their companyââ¬â¢s total asset is not stable from the year shown in 2006-2009. In 2006, Adidas totals assets stands at â⠬ 8379(million). It decreased on the following year to 8325(million). As for the year 2008, their total assets were increased to â⠬ 9533(million). As for 2009, their total assets decreased to a total of â⠬ 8875(million). Ever since Adidas total of assets is not stable, I can expect that Nike would do better in the assets performance. References http://condor.depaul.edu/~aalmaney/StrategicAnalysisofNike.htm http://www.lotsofessays.com/viewpaper/1693768.html http://en.wikipedia.org/wiki/Nike,_Inc http://en.wikipedia.org/wiki/Adidas http://en.wikipedia.org/wiki/Reebok
Friday, September 20, 2019
Preventing Musculoskeletal Disorders in Nurses
Preventing Musculoskeletal Disorders in Nurses Appendices APPENDIX C SECTION 1: ERGONOMIC FOR PREVENTION OF MUSCULOSKELETAL DISORDER Introduction Nurses provide care to physically demanding patient and assist them in mobilization and other activities like bath, feeding etc. Patient handling tasks such as lifting, transferring or repositioning are contributing factors for MSP among nurses particularly the back being most prevalent. These tasks can entail high physical strains due to different body size involved, leaning over a bed or working in cramped postures, supporting patient during gait activities, and many other factors. The risk factors that health care workers face include: Force: the amount of physical effort required to lift or to maintain control of heavy equipment or tools; Repetition: performing same task over and over continually or frequently; and Awkward postures assuming positions that put strain on the body, such as working above shoulder height, kneeling, squatting, leaning over a bed, or twisting the back while lifting. Identifying Problems and Implementing Solutions for patient Lifting and Repositioning Manual handling tasks such as lifting and repositioning can be variable, dynamic, and unpredictable in nature. In addition, factors such as patient self-esteem, safety, and medical contraindications should be taken into consideration. The analysis of any handling task involves an assessment of the requirements and capacities of the patient. The patient assessment should include an analysis of the following factors: The level of cooperation from the patient; The body size and weight of the patient; Any health anomalies that may influence the choice of lifting or repositioning techniques. Repositioning in Chair Description: Variable position Geri chairs When to Use: Repositioning partial- or non-weight-bearing patients who are cooperative. Points to Remember: One caregiver can assist if patient has strength in both upper extremities of arms. If patient cannot assist in self-repositioning on chair, help from at least 2 caregivers and friction reducing device may be required. Ensure that chair is easily adjustable; wheels are freely movable flexible and steer. Lock wheels on chair before repositioning. Remove trays, footrests, and seat belts where appropriate. Ensure device correspond with patient weight. Various Activities of Daily Living and Bedside Assistance Description: Work practices for feeding, dressing and grooming. When to Use: During feeding, dressing, personal hygiene tasks, vital sign assessment, and other bedside assistance. Bedside Assistance: Lower side rails, position patient as close as possible to edge for safety purposes. Sit or stand in front and near to side of patient. Adjust height of tables and electric beds to waist level and place supplies close by to prevent back flexion and bending. Collect supplies in advance and place them on a table that is located perpendicular to the patient. Avoid leaning across patient; rather, move to other side. Carry items close to the body. Provide adaptive equipment that offer independence to patients and reduce assistance from caregiver. Feeding: Chop food into pieces before placing it in front of patient. Dressing and grooming: Ensure that patients feet lie flat on the ground or a stool for stability when sitting. Place feebler limb in pant or sleeve first. Use suitable adaptive equipment for dressing, grooming and oral hygiene. Activities of Daily Living Activity: Administrating medications Description: Low profile medication cart and cartridge pill dispenser When to Use: Dispensing medications. The cart increases precision and lessens time required to perform task. Medications cart: Classify medications according to day and time. Low profile carts with easy side opening drawer are recommended to accommodate hand height of shorter nurses. Cartridge dispenser: Use cartridges with a ââ¬Å"flip topâ⬠for drug storage until administered rather than wrapping the doses individually in foil of paper or small container that require more finger forces and a sharp object to break the seal. Bathtub, Shower, and Toileting activities Description: Long-handled extension tools on hand-held showerheads wash or scrub brushes. When to Use: When bathing or showering patients. Points to Remember: These equipments limit the extent of bending, reaching, and twisting required when cleaning feet, legs, and trunk of patients. Patients who are autonomous can also use these devices to facilitate personal hygiene care. Guiding and Slowing Falls Description: Method for guiding and slowing falls. When to Use: When patient is falling. Points to Remember: Utilization of transfer or gait belts may aid nurses in guiding the fall. Grip onto the belt/handles and slowly lower the patient to the floor using proper body mechanics. Reviewing patient assessments and monitoring for signs of weakness are effective strategies of preventing falls. Stand with back straight, tighten stomach muscles, bend legs, and stay adjacent to patient if it practical to do so. Donââ¬â¢t try to stop the fall abruptly as this may increase the risk of injury among nurses. Lifting from the Floor Description: Methods to lift patients from floor When to Use: After a patient fall. Points to Remember: Assess patient for injury prior to lifting and use a powered portable or ceiling-mounted lift device to move patient with minimal assistance. If patient can maintain standing position with minimal assistance, use gait or transfer belt with handles to support patient. If manual assistance is required ensure a team lift are s are available to provide assistance as needed. Use 2 or more caregivers when assisting heavy patients. Stand with back straight, bend legs, and stay near to patient as possible. Ambulation Description: Ambulation assist device When to Use: For patients, who are able to support their body weight, cooperative, need extra security and assistance when ambulating. Increases patient safety and reduces risk of falls during ambulation Points to Remember: Typically needs one caregiver. The device provides assistance to patients as they walk and pushes it along during ambulation. Ensure device is in good working condition with height adjusted correctly before use and rated for the load weight to be lifted. Apply brakes before positioning patient in or releasing patient from device. Implementing solutions for patient lifting and repositioning Ergonomics is the science of designing equipment and work tasks to conform to the capability of the worker and provides a means of adaptation to work environment and work practices to prevent injuries. Ergonomic solutions are proposed to reduce musculoskeletal disorders among the staff nurses. The recommended solutions brought forward are not intended to be an exhaustive list, nor do all of them will be used in any given set up. The material signifies a variety of options available that a facility can consider using. Many of the solutions are simple to implement and do not require substantial time or resources such as modification in procedures or equipment. Others may require more significant efforts. The integration of various solutions into hospital management, can lead to beneficial outcome in the long run. Patient and Equipment handling solutions Lateral Transfer Description: Ceiling-mounted device with horizontal frame system or litter When to Use: Moving patients who are totally helpless, non-weight bearing, has other physical impairment, or are very big in size and cannot be safely shifted by staff between 2 horizontal surfaces, such as from bed to stretcher or gurney in supine position. Points to Remember: Motors can be fixed or portable (lightweight). Device can be functioned by hand-held control attached to unit or by infrared remote control. Always ensure lifting device is in good working condition before use and is assessed for the load weight to be lifted. Lateral Transfer Description: Gurneys with transfer devices When to Use: Transferring a partial- or non-weight-bearing patient between 2 horizontal sides, such as from bed to stretcher or gurney in supine position. Points to Remember: Two nurses are required to achieve this type of transfer. Additional assistance may be required depending on patient status, e.g., for heavier or uncooperative patients. Motorized height-adjustable gurneys with built-in slide boards are preferred to those adjusted by crank mechanism to lessen physical effort required by caregiver. Always ensure that lifting device is in good working condition before use and is evaluated for the load weight to be shifted. Ensure wheels on equipment are locked and transfer surfaces are same level to at waist level of caregivers in order to avoid over reached and back flexion Lateral Transfer; Repositioning Description: Air-assist lateral sliding aid; flexible mattress inflated by portable air supply When to Use: Transporting a partial- or non-weight bearing resident between two horizontal sides such as from bed to stretcher or gurney in supine position. It can also be used for repositioning a patient in bed, increase patient well-being and reduces risk of tissue injury during transfer. Points to Remember: Two caregivers are needed to achieve this type of transfer. Additional assistance may be required depending on patient ability, e.g., for heavier or uncooperative patients. Ensure wheels on equipment are locked and transfer surfaces are at level and height that permits nurses to work at waist level to avoid over reach and back flexion. Count down and coordinate the transfer motion between caregivers. Patient Lifting Description: Ceiling-mounted lift device When to Use: Lifting patients who are totally helpless, are partial- or non-weight bearing, very heavy, or have other physical impairment. Transfers from bed to chair (wheel chair, Geri or cardiac chair), chair or floor to bed, or for bathing and toileting. Points to Remember: May need 2 or more nurses. Some patients can use the device quicker than portable device without assistance. Motors can be fixed or portable (lightweight). Device can be activated by hand-held control attached to unit or by infrared remote control. Ensure lifting device is in good working condition before use and is assessed for the load weight to be lifted. Transfer from Sitting to Standing Position Description: Stand-assist devices; can be fixed to bed or chair or be free-standing When to Use: Transferring patients who are able to support their weight and cooperative and can pull themselves up from sitting to standing position. It can be used for independent patients who need extra lift to stand and aid patient independence. Points to Remember: Check that device is constant before use and is evaluated for patient weight to be held. Ensure frame is firmly attached to bed, or if depend on mattress support that mattress is big enough to support the frame. 1
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