Tuesday, December 31, 2019

Child Labor Caused The Children - 1395 Words

Damon Randazzo Ms. Wilkerson F Period 14 October 2014 Research paper In the early 1800’s education was only available to certain people. The people who could not go to school had no choice but to work for very low pay. Child labor started when factors were mostly ran by machines and not by man power. Some of the jobs include mines, glass factories, agriculture, home industries, newsboys, messengers, bootblacks, and peddlers. The owners of the factors would pay children to run the machines because it was cheaper than paying adults. Child labor caused the children to have a very bad childhood. They could be like normal children because they had to work all day and could not go play outside with the neighborhood kids. In the early 1800’s only the wealthy children could go to school and the poor children would have to work in factories. There were many different types of jobs during the early 1800’s. Some of the jobs include mines, glass factories, agriculture, home industries, newsboys, messengers, bootblacks, and peddlers. A job in a factor may consist of 12 to 18 hour days, six days a week. Children could start working in factors as early as 7 years old. The working conditions in the factors were often dark, damp, and dirty which made the children ill. The children did not just work in factors they also worked in coal mines where it was very dirty and the children often became ill. The children who worked as newsboys they brought all the paper, so t cost of any thatShow MoreRelatedChild Labor766 Words   |  4 PagesThe History of Child Labor In AmericaTopic: The History Of Child LaborQuestion: In what ways was child labor cruel to children?Thesis: Child labor in America has been very cruel and unfair to children as their jobs were not paid a decent amount of money, were working under terrible conditions , and they led to diseases. Starting in about the 1700s, hand labor was replaced by power driven machines to make jobs easier.1 The industrial revolution had begun, and families needed a job and money to be ableRead MoreThe Most Dangerous Industry Of The United States957 Words   |  4 PagesIn the year 1870, 739,164 children between the ages of 10 and 15 were employed in the United falling just short of 20 percent of the workforce. Thirty years later in the 1900 census, two million children were working in mills, mines, fields, factories, stores, and on city streets across the United States. But with increasing numbers of children being put into the workforce, the conditions in which they worked rapidly declined. Such rapidly declining conditions were due to â€Å"compulsory educationRead MoreEffects Of Child Labor During The Industrial Revolution Versus Modern Europe1713 Words   |  7 PagesEffects of Child Labor in the Industrial Revolution versus Modern Europe By: Lariah Thiel â€Æ' Child labor has been a very big problem since the Industrial Revolution. As the world began to industrialize, the demand for labor increased greatly. During the Industrial Revolution child labor became a very important aspect of everyday life because the demand for laborers had grown so much. Families were not only dependent on adults for money, but they were also dependent of their children. Some childrenRead MoreThe Production of Child Labor Essay1111 Words   |  5 Pagesearly 1800’s. As a result of needing works, the production of child labor occurred. Child labor was a major problem due to several aspects of cruelty. There was no need for adult strength when one can hire children, while they work for continuous hours and barely paying them a dollar per week. On average children whom worked in a factory worked about twelve to eighteen hours a day, six days a week, to earn all but one dollar. Several children from poor families were either forced to work in factoriesR ead MoreIkea’s Global Sourcing Challenge: Indian Rugs and Child Labor1548 Words   |  7 PagesIKEA’s Global Sourcing Challenge: Indian Rugs and Child Labor Ethics in Business and Society Professor Stephen Griffith Otis West Tuesday, November 6, 2012 IKEA is the world’s largest furniture store that offers well-designed, functional home furnishing products at low prices. The store offers home furnishings to meet the needs of everyone. The company vision is to create a better everyday life for the many people. Ikea is able to back their vision with their products and prices. In additionalRead MoreChild Labor in America773 Words   |  4 PagesAlzatia Wilson Western Civilization 1 Mrs. S. Melton November 30, 2009 Child Labor in America Our child labor issue an ongoing world wide effect, currently among America’s society. Researchers even today and our up and down crisis we face economically, leave us with the understanding that poverty is a main cause of child labor. Still in America poor families depend heavenly upon their children working in order to improve their chances of attaining basic necessities. American history goesRead MoreChild Labor During The Late 1900 S Essay1502 Words   |  7 Pagesnon imposing. In the late 1800’s and beginning to mid 1900’s, child labor caused several children to have an inimical life rather than a preeminent life. When people read what these children had gone through, they fail to remember to put themselves in the children’s situation; therefore, they don’t understand, nor cease how horrendous life was for the children. Numerous factual documents state how deplorable life was for the children during this era. Furthermore, these documents inc lude the Union-madeRead MoreEngland was a society dominated by children. During the reign of Queen Victoria one out of three of1300 Words   |  6 PagesEngland was a society dominated by children. During the reign of Queen Victoria one out of three of her servants were under the age of fifteen. Child labor was a prominent issue, because there were no systems to ensure the safety of children. During the start of the industrial revolution, there was a â€Å"high demand† for labor (Robson 53). Many families moved from rural areas to new, industrialized cities. After a while things weren’t looking as â€Å"promising† as they did before (Boone 23). In order toRead More Child Labor Essay1039 Words   |  5 Pages Child Labor nbsp;nbsp;nbsp;nbsp;nbsp;Child Labor, refers to the economically active population under the age of fifteen years old, who are employed in various industries (Grootaert, 2). Recently, child labor has become a large topic of debate; however, in most cases, it is very unfavorable. The perception that globalization is leading towards the exploitation of children, is becoming an important problem for international business. In my opinion, child labor should be eradicated. It is notRead More Child Labor in the Third World Essay1195 Words   |  5 PagesChild Labor in the Third World The problem of child labor has become an ever-increasing concern among many nations. Many of the worst child labor offenses take place in Third World countries. Throughout these nations, children are being forced to work long hours in terrible conditions for little or no money. To fully understand child labor, one needs to address the reasons for supporting and opposing child labor, its effect on underdeveloped countries’ economies and the child laborers, and what

Sunday, December 22, 2019

Supply Chain Management and Fresh Connections - 1350 Words

Suggested Assignment Questions ï‚ § Industrie Pininfarina - What are the advantages and disadvantages of being a niche manufacturer? How has the competitive environment of niche auto manufacturers been changing over the past few years? What factors are affecting the competitiveness of niche manufacturers such as Pininfarina compared to the volume manufacturers? - As Renato Bertrandi, what do you see as the most significant challenges facing Pininfarina over the next five years? What are Pininfarina’s options for the future? - Should Bertrandi accept the Mitsubishi business? If yes, what are the changes Pininfarina has to go through? If no, what can he do? How should Pininfarina position itself to compete in the future? †¢ Virginia†¦show more content†¦- In your opinion what are the most important aspects of Zara’s approach to IT as an enabler for effective supply chain management? Are there approaches applicable and appropriate anywhere? - What benefits does Inditex/Zara get from its supply chain infrastructure? How difficult would it be for a competitor to acquire these same benefits? - What current/potential weakness (if any) do you see in Zara’s infrastructure, supply chain and IT strategy? ï‚ § Vandelay Industries Inc. - Why has R/3 been so successful in the US? Why does it appear to be so far ahead of its competitors? - Why have so many re-engineering efforts been failures? Will ‘ technology-enabled’ change management help improve the success rate? - Why are consultants so often a part of ERP implementations? - Is the total budget for the project reasonable? - What are the major drawbacks that you see from implementing an ERP implementation? - If you were Elaine Kramer, what would your greatest worries be as you started this implementation? What about if you were the Vandelay CEO? - What competititve requirement does R/3 fulfill for Vandelay? †¢ Toyota Demand Chain Management - How does the Toyota demand chain operate? How is it different than its competitors’ demand chains? - What types of systems (IT and/or operational) allow Toyota to manage its operations and supply and demand chains so efficiently? - WhatShow MoreRelatedManagement Team At The Fresh Connection1330 Words   |  6 PagesIntroduction Over the last several years our management team at The Fresh Connection has been working diligently to turn around a fledgling company and improving its position in the global market and with the stakeholders. When we inherited this task our company had an ROI of almost -13%, and there was an extensive list of outstanding issues. From less than optimal capacity utilization to product obsolescence, there were issues in every aspect of the supply chain that were combining to drive the overallRead MoreSeven Eleven1705 Words   |  7 PagesSupply chain management assignment 1 Seven Eleven In this essay I will analyze and describe the Seven Eleven supply chain in relation to its strategic fit. First I will explain the Seven eleven supply chain and how achieving strategic fit. The role of a supply chain is to maximize surface. The decisions made in the phases of the supply chain have a large impact on Seven Eleven. You want to manage the flow of products and the flow of information very well, all this in order to minimizeRead MoreReducing The Bull Whip Effect1373 Words   |  6 Pagesaddressing any short coming giving attain benefits in accessibility in point of sale data. Capturing data will provide valuable information which escapes up and down the supply chain unannounced the demand that is required in satisfying the customers. Combining all aspects in every characteristic collected at the lower level of the supply chain internally joins the common pieces and companies to share each and every demanding data. Stifling commodity that are forecasted prior to the actually event will deemRead MoreTarget Corporations Supply Chain Management1456 Words   |  6 PagesTarget Corporation Supply Chain Assignment Target’s Supply Chain Unit 2 Assignment GB570 Managing the Value Chain Dr. Rita Gunzelman Kaplan University December 12, 2011 Target’s Supply Chain The purpose of this paper is to show evidence of cohesive knowledge of the supply chain and how it works by the exploration of Target Corporation’s supply chain. Target, one of the nations largest retail chains, first opened in 1962 in Minnesota as key leadership were looking for new ways to move fromRead MoreA Report On Woolworths Company1322 Words   |  6 PagesAustralia for their supermarket’s and retail chains. Woolworths run several high profile Australian stores such as BWS, Dan Murphys, Big W and the highly publicized Masters. The reason for my choice of Woolworths was that as they are one of the biggest companies and employers in Australia, and have recently been in the media spotlight for the closing of one of the recent projects Masters. Another major reason as to my choice of Woolworths is that there supply-chain would be as interesting and extensiveRead MoreWalmarts Vision And Strategies1542 Words   |  7 PagesUnited Kingdom, India, and others. In order to adequately serve the expanding demand for quality goods at reasonable prices – Walmart has to ensure that its supply-chain functions efficiently on a regular basis. To this end, in what follows, the author explores the manner in which Walmart manages its supply-chain, the impact of the management of the same, and the organisational theory of the company – in the successful pursuit of Walmart s vision and strategies. To commence this examination, it isRead MoreInternet Based Marketing And Ordinary Marketing Essay1425 Words   |  6 PagesThe use of as a channel of promotion management in the developed world had gained rapid growth in the past two decades. Since the introduction of the World Wide Web (WWW) and development of browsers, the internet has become a popular platform for commercial transactions. The business world has become extremely competitive and there is a need for businesses to adopt new technologies in order to be competitive. The main difference be tween internet based marketing and ordinary marketing is that theRead MoreCoping With The India Skill Paradox Essay1567 Words   |  7 Pagesused to highlight our growth prospects. India is expected to become the largest contributor to the global workforce, with the working-age population likely to swell from 749 million to a whopping 962 million over 2010 to 2030. Given this massive supply of potential workforce, should Indian organizations feel contented? Unfortunately, there lies a dangerous paradox. Extrapolating current trends of labour participation and unemployment, a staggering 423 million of the working-age population willRead MoreStarbucks Coffee Operation Management1661 Words   |  7 PagesTransformation Role of Operations Management: 3 Starbucks Coffee Hiratage: 3 Starbucks Coffee Mission: 4 Starbucks Supply Chain Objectives 5 Product quality, service reliability and management of operations at Starbucks 6 Introduction: Every business is managed through multiple business functions each responsible for managing certain aspects of the business. Operations management (OM) is the business function responsibleRead MoreThe Russian Marketing Environment1350 Words   |  5 Pageseconomical, social (culture), political, legal and institutional market environment factors have to be taken in to consideration when deciding to move in to other countries with venture. For TESCO to enter into new country market with decision to start fresh, build their own stores with new brand or by takeover where they will have staff, stores and suppliers, is an important factor and takeover would be easier for TESCO with an immediate availability of infrastructure. 1 Russia Marketing Environment:

Saturday, December 14, 2019

The Raven vs Lenore Free Essays

Raven vs. Lenore when the writer talks about Lenore he makes her seem like a god like person. She is like untouchable almost. We will write a custom essay sample on The Raven vs Lenore or any similar topic only for you Order Now The writer seems to have had a bond with Lenore, almost as if she was his wife. Lenore in the poem is portrayed as a person who couldn’t do any wrong and was perfect. The writer never talks bad about Lenore. All he talks about when talking about her is her memory and how she was so perfect. The way the writer talks about the raven is a complete 180. The writer goes from talking about the raven as good luck in the beginning to being a bad omen and being the devil. What makes me think this is line â€Å"prophet! said I â€Å"thing of evil! Prophet still if bird or devil†. This makes me think that the writer doesn’t like the bird and wants him gone. The thing that makes the writer think that the bird is a bad omen is when the bird flies on the statue. The writer says that he can smell the smell of incense like if he’s at some ones funeral. Overall the raven and Lenore are talked about the same at the beginning of the poem. As the poem goes on the writer realizes that the bird is the devil and is bad. The writer talks about the raven he makes him seem like a bad spirit that is bringing bad spirits into his house. In my opinion Lenore is talked about the total opposite of the raven. Overall the Lenore is good and pure and the raven is bad and evil. Dominic Maldonado What is a Raven? In the Inuit (Eskimo) religion the raven made the world. The raven is considered a bird and god with a man inside of him. They believe that after the raven made the earth he wanted to stay on earth. They also thought that even though he made the world he didn’t know everything about it. They also believe that the raven liked to paddle his boat into the ocean. They believed that the raven would always stay on earth as long as we cared for one another, and understood that everything lives and dies, and has a sole. www. healingstory. org/raven page 1 story 1 an Inuit (Eskimo) story Retold by Laura Simms In Greek mythology the raven symbolizes death or evil. Coronis aka raven the daughter of the king of the lapiths was one of Apollo’s lovers. Pregnant with Asclepius, Coronis fell in love with Ischys the son of Elatus. A raven informed Apollo of the affair and he sent his sister Artemis to kill Coronis. Her body was burned on a funeral pyre, staining the white feathers of the ravens permanently black. And making the raven stand for death and evil in Greek mythology. www. greekmythology. org/coronis In many native American tribes the raven is thought to be a trickster. Often stealing food from other animals or people without them even knowing. The raven’s element is believed to be the air. The raven is believed to be a messenger spirit. The raven is also believed to be the guardian of both ceremonial magic and healing magic. The black of the raven’s feathers is what makes the natives to think that the raven is magic. Because the color black represent magic in there tribe. How to cite The Raven vs Lenore, Essay examples

Friday, December 6, 2019

Theory and Investment Analysis-Free-Samples-Myassignmenthelp.com

Question: We have seen over long periods of time, Stock Investments have tended to substantially outperform bond investments. However, it is not at all uncommon to observe investors with long horizons holding entirely bonds. Are such Investors Irrational? Answer: It is true that the investment in shares have increased substantially in the recent past years. The investors are now switching the conventional investment options such as bonds and fixed deposits. The share market provides variety of investment options with high returns which attracts the investors more. However, there are investors which still prefer the conventional investment options such as bond and fixed deposits. These investors are risk averse investors and they hesitate in taking high risk. The share market provides high return but at the same time it also exposes the investor to high risk (Elton et al., 2009). Conversely, the investment in bond provides lower returns but it also reduces the risk. Further, the investment in bond adds to the stability to the income of investor as it provides periodical returns in the form of interest. Therefore, it could be inferred that the investors who still prefer investment in the bonds are not irrational rather they are risk averse. Reference Elton, E.E., Gruber, M.J., Brown, S.J., Goetzmann, W.N. 2009. Modern Portfolio Theory and Investment Analysis. John Wiley Sons.

Friday, November 29, 2019

Hawthorne and Symbolism Essay Sample free essay sample

Symbolism in literature can convey a much deeper significance than what we interpret at the first reading of a narrative. This is one ground it is ever a good thought to travel back and read a transition or narrative more than one time for analysis intents. Our sentiments can change greatly from one reading to another. even after reading a piece several times. We may stop up with five different versions of what the narrative conveys to us. Nathaniel Hawthorne was a maestro at utilizing symbolism in his Hagiographas. Moral duty and symbolism go manus in manus in most of his plants. Allegory. in which characters or events represent thoughts. is besides platitude in the Hagiographas of Hawthorne. Many of the narratives of Nathaniel Hawthorne usage fable and symbolism as the suggestion that wickedness and immoralities are among the most built-in qualities of worlds. Nathaniel Hawthorne was born in Salem. Massachusetts on July 4. We will write a custom essay sample on Hawthorne and Symbolism Essay Sample or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page 1804. His paternal gramps. John Hathorne. was the lone justice from the Salem enchantress tests that neer repented from his unlawful accusals of guiltless victims. In order to distance himself from his dealingss. Nathaniel decided he would add a â€Å"w† to his last name. This was the best method he could happen to dissociate himself from the awful repute of his relations for such rough sentencing of those presumed to be wicked. Hawthorne’s male parent died in 1808 while on a trip during his occupation as a boat captain. This left Elizabeth Hawthorne with the undertaking of raising her immature boy and girls with the aid of her parents for the following 10 old ages. It is understood by critics that his rigorous Puritan background and upbringing greatly affected the thematic elements that Hawthorne used when composing his narratives. C-Span’s brief on-line life of this great writer explicate his Hagiographas in this manner. â€Å"Hawthorne’s dark. incubat ion. richly symbolic plants. reflecting his Puritan heritage and contrasting aggressively with the optimism of his Transcendentalist neighbours. accomplish a deepness and power that make them one of the greatest bequests in American literature† ( American Writers ) . In writer Robert Milder’s article about Hawthorne and his issues with life in New England. he states merely that â€Å"To suggest that Hawthorne understood these things is non to state that he escaped their hold† ( Milder ) . In other words. are we as worlds able to separate between right and incorrect and systematically do sound moral determinations sing our decision? Some would state yes. some would reply no when confronted with this argument. Others would yet be stuck someplace in between depending on the peculiar fortunes. Nathaniel Hawthorne tackles the chance of good versus immorality in a big per centum of his narratives. Among the most popular of his narratives incorporating allegorical and symbolic content is â€Å"Young Goodman Brown. † In this really celebrated short work. we find that the events unfolding display a sense of something more sinister than what the diction of the narrative relays as two work forces taking an eventide amble down a wooded l ane. The underlying feeling is one that puts the reader on border. Faced at the terminal of the lane with what appears to be a â€Å"Witches Sabbath. † the Young Goodman and his comrade appear to portion ways. Upon a 2nd reading of the transition. we realize that possibly the comrade has assumed the function of the dark figure that beckons to the enchantresss that have gathered for their Communion. In the terminal. we are left to inquire. as is Young Goodman Brown. was this happening a dream or a world? Near the terminal of the narrative. we find the dark figure citing to his perceivers. â€Å"By the understanding of your human Black Marias for wickedness ye shall odorize out all the places-whether in church. bedroom. street. field. or forest-where offense has been committed. and shall walk on air to lay eyes on the whole Earth one discoloration of guilt. one mighty blood spot† ( Meyer 409 ) . Interpreting this citation. we can see that the Satan is assuring to give Young Go odman Brown a new mentality on life. He is a success in making so. In the beginning of the narrative. the immature adult male possessed a positive and slightly naive point of view when it came to his fellow adult male. In the terminal. he is left with the new ability to see the dark side in all worlds. The wickednesss of his friends. familiarities. and household affected Young Goodman Brown in such a negative manner that he was presumptively neer able to retrieve the idealistic perceptual experience of them that he one time had. The balance of his life was to be dark and glooming. In his most celebrated novel. â€Å"The Scarlet Letter. † we find symbolism that is representative of wickedness as good. However. in this novel. the vermilion â€Å"A† that chief character Hester Prynne is forced to have on after being found guilty of criminal conversation alterations from a iniquitous symbol to one of grace and pride. By making such a beautiful occupation of embroidering the missive upon the bosom of her frock. Hester is showcasing her endowments. This. in bend. gives her the chance to do a life as a individual parent. Populating in Puritan Boston. this was virtually unheard of. unless there was a decease of one of the parents of a kid. Even in those cases. the widow or widowman frequently remarried rapidly. as to hold aid with the responsibilities of raising their kids. It has besides been suggested in reviews of â€Å"The Scarlet Letter. † that this was a semi-autobiographical narrative of Hawthorne or possibly his female parent. His novel was written after losing his occupation at a local â€Å"Custom House. † which was an constitution that processed paperwork for the import and export trades. In Nina Baym’s critical penetration article sing the narrative. she is of the sentiment that â€Å"to compose a narrative which favored the castaway so to a great extent against the constitution might hold been an act of sweet retaliation on the author’s powerful enemies† ( Baym ) . Possibly Hawthorne was showing his ain choler and humiliation at losing his occupation by utilizing such a noncompliant heroine in his novel. The psychological effects of losing his occupation and the recent loss of his female parent played an of import function in the subjects that unfolded in this celebrated novel. Hawthorne’s narrative. â€Å"The House of the Seven Gables. † is a narrative of how past wickednesss can impact future coevalss of a household for centuries. In this darkly romantic narrative. we find that Colonel Pyncheon. the household patriarch. was rumored to be responsible for the hanging of Matthew Maule. Maule was accused of witchery and hanged for his offenses. But. before his decease. Maule placed a expletive upon Pyncheon from the scaffold upon which he went to his decease. Colonel Pyncheon had coveted Matthew Maule’s belongings for some clip and it is believed that he knew the result of his accusals would take to his ability to obtain the land as his ain. For old ages to come. several members of the Pyncheon household would endure from stroke. a type of encephalon bleeding. All the piece. a portrayal of the Colonel looms over the household members in the great room of the place. While a renter in the Pyncheon place. a immature adult male by the name of Holgrave. acquires a fancy for Phoebe Pyncheon. one of the posterities of the Colonel. Unbeknownst to the household. Holgrave is really a descendent of Matthew Maule. During a conversation with Phoebe in the latter portion of this novel. Holgrave goes into a harangue about how households should make away with their past history. He states. â€Å" [ I ] t will galvanize you to see what slaves we are to by-gone times—to Death. if we give the affair the right word! . . . We read in Dead Men’s books! We laugh at Dead Men’s gags. and call at Dead Men’s poignancy! . . . Whatever we seek to make. of our ain free gesture. a Dead Man’s icy manus obstructs us! † ( Hawthorne ) . His statement is that the bequests of places such as the Pyncheon house should be overthrown. bury about. and reconstruct in hopes of a better hereafter. The house and its bad repute for the strong belief of the full Pyncheon household are the chief symbols that show us how the lingering effects of past wickednesss can make for coevalss. The looming symbol of the portrayal of the Colonel is a changeless reminder to household members of the expletive that has been bestowed upon them. Upon a closer scrutiny of the narrative. we see that it is non really the expletive that Hawthorne is seeking to demo that caused the ruin of the Pyncheons. Rather. it is the greed and grasping for inordinate wealth and power that causes the ruin of the household. We can see by most of his Hagiographas that Nathaniel Hawthorne was really good at the reading of the wickednesss of worlds. His rigorous upbringing most decidedly would hold played a major function in how guilt. lip service. wickedness. and evil played out within his narratives. Hawthorne could hold rather perchance been caught between the Puritan beliefs and the freshly founded Transcendentalist positions of his clip. Transcendentalism was the founded on the belief that all people were inherently good. The Puritan position was rather the antonym. One celebrated Transcendentalist was the author Ralph Waldo Emerson. who became a close friend of Hawthorne. This could hold had a important impact on the manner Hawthorne now viewed the universe. By going friends with person that had wholly opposing positions than what he was used to. he may hold perchance opened up his literary calling to a new motion. In his narrative. â€Å"The Minister’s Black Veil. † he seemed to be directing a message to people about how to populate your life by being unfastened and non concealing your wickednesss. This narrative was written after Hawthorne and Emerson became friends and get downing sharing their spiritual positions with one another. The usage of symbols in his plants gave Hawthorne an border over many authors of his clip. He seemed to take clasp of human qualities and put them into a symbol with much deeper significance that what merely appeared on the surface. This gives the advantage of heightening his narratives to prosecute even readers with merely a mild wonder about his authorship. Plants Cited American Writers: A Journey Through History. World Wide Web. americanwriters. org/writers/hawthorne. asp.C-Span. 2012. Web. 7 November 2012Baym. Nina. â€Å"Critical Readings: Nathaniel Hawthorne and His Mother: A BiographicalGuess. † American Literature 54. March 1982: 242-271. Print. Hawthorne. Nathaniel. House of the Seven Gables. 16 May 2012. Kindle e-book file. Meyer. Michael. The Bedford Introduction to Literature. Boston: Bedford/St. Martin’s. 2011. 395-441. Print.Milder. Robert. † Hawthorne and the Problem of New England. † American Literary History.Volume 21 Issue 3 ( 2009 ) : 464-491. Print.

Monday, November 25, 2019

Consciousness and Unconsciousness essays

Consciousness and Unconsciousness essays Consciousness and Unconsciousness Descartes using the method of doubt, tries to create a firm foundation for new sciences. This method should be based on something that is not susceptible to doubt. When Descartes applies the method of doubt, he doubts everything that are derived from senses. Descartes adopted the strategy of withholding his belief from anything that was not entirely certain and in dubitable. He decides that he cannot be deceived about his own existence, because if he did not exist, he would not be around to worry about it. If he did not exist, he would not be thinking; so if he is thinking, he must exist. This is the Cogito ergo sum, I think therefore I am. Thinking comes first, and for Descartes that is a real priority. The mind is better known than the body, and the cogito ergo sum makes Descartes believe, not just that he has proven his existence as a thinking substance, a mind, leaving the body as some foreign thing to worry about later. Descartes takes I as his first principle and thu s I think is qualitatively different from our physical body. Thinking causes awareness and when we think we are conscious. Consciousness is very complete in itself for Descartes and it is unbroken, has no gaps. Freud challenges Descartes and says consciousness is less reliable than we think. Human beings cannot learn everything from consciousness. The essence for soul to Descartes, the attribute that makes a soul what is it, is thinking. But what then am I? A thing that thinks. What is that? Athing that doubts, understands, affrims, denies, is willing, is unwilling, and also imagines and has sensory perceptions.(Descartes Medidation #2). Descartes main concern is the mind-body problem. He claimed that human beings are composites of two kinds of substances, mind and body. A mind is a conscious thinking being, that is, it understa...

Thursday, November 21, 2019

The role of motivation in management Essay Example | Topics and Well Written Essays - 1750 words

The role of motivation in management - Essay Example Post WWII, the concepts of mass production, economy and scale, and uniform production methods brought businesses to leadership in their respective fields. During these years the labor pool was made up most significantly of men who learned to be successful by following orders and following through until they were told differently. This is a mindset which created an effective military machine, and brought economic success back to their home country. However, today's labor pool is significantly different. The workers are educated, and have been taught to think as well as work. Today's workers want to know, and to some extent feel connected to the 'why' behind their tasks as well as the 'what' of their daily tasks. To a great extent, these workers no longer hold to the ideals of the previous generation, and are no longer motivated to work for a secure paycheck, and a 30 year career path. Today's workers are looking for an emotional connection, or what researchers call a psychological contract (Clair et. al, 2001) between themselves and their employers in order to feel personally connected to their position. Hence, business a usual, expecting workers to be satisfied by following orders and completing tasks, is no longer a corporate culture which will build a successful organization. CF&F may not yet realize the problems for which it is headed. Surrounded by a corporate culture which has successfully built the organization, the CEO, board and other top executives may not yet be aware of the extent to which the employee dissatisfaction can undermine the organization. We could say that the organization must tame the unruly beast of employee unrest before it begins to negatively affect production, quality, and profits. The company needs to tame the problem before the organization begins to suffer profit decay due to increased costs associated with increased turnover. The following recommendations will use the acronym T.A.M.E. to form a recommendation for change. For the duration of this recommendation, T.A.M.E. stands for: Transformation of the company culture by training upper and middle management in transformational leadership. Authority disbursement from the hands of the upper management to the department heads and workers. Mentoring transformational leaders at every level. They will learn within a measured level of accountability how to lead and transform those under them Empowerment of each department to control their immediate environment and business variables in order to maximize efficiency, and employee moral. Basis for the recommendation Tom Peters and Robert Waterman published Mc Kinney's 7-S Model in their article "Structure Is Not Organization" (1980) and in "In Search of Excellence" (1982). The model starts on the premise that an organization is not just structure, but consists of seven elements: Those seven elements are differentiated into so called hard S's and soft S's. The hard elements (green circles) are feasible and easy to identify. They can typically be found in strategy statements, corporate plans, and organizational charts. The four soft S's however, are less

Wednesday, November 20, 2019

Emergence of Modern Europe Essay Example | Topics and Well Written Essays - 1500 words

Emergence of Modern Europe - Essay Example The age of enlightenment, also known as age of reason refers to the period of intellectual awakening known as enlightenment (Lindberg 2008 p. 18). It was a time of scientific awakening largely dominant in Europe. From the viewpoint of socio-political phenomena, enlightenment period is believed to have started close with the thirty years of wars and came to an end after the French revolution. This period called for use of reason as a means of developing and establishing an authoritative system of ethic, government, religion, and aesthetics, which will give human beings an opportunity to attain objective truth about reality of this world. The enlightenment thinkers believed that reason would salvage man from religious authoritarianism and superstition that had brought suffering, misery, and death to many people in religious wars. In addition, knowledge was made available to the masses through encyclopedias, which led to enlightenment cause of educating human beings. The age of enlighte nment just like the renaissance and protestant reformation, had a profound impact on society. The European States turned towards science between 1700s, which led to focus of life as experience of human being. By doing so, the enlightenment period influenced greatly on modern western European States. There were developments in mathematics, physics, astronomy, and anatomy during that time that were successfully applied to medicine, astronomy, and mechanics. The usage of these ideas motivated a sense of western emergence into contemporary or modern time that had real and precise technological knowledge of this world. The philosophers at that time argued that science provided scientific method as general view of life. Popularization of science During enlightenment period, popularization of science led to growth and change in society in that individuals in the 18th century adhered to new codes of sociability and enjoyed equitability in society. Women who took part in the enlightenment de bate were seen as enhancing and promoting enlightenment ideas in the public arena. In addition, they were viewed as civilizing force determined to overthrow the old totalitarian regime (Bowler 2009, p. 89). The spread of enlightenment ideas across Europe was enhanced by production of cheap books by renowned philosophers such as Diderot and Voltaire. Scientific inventions like works of Isaac Newton and Copernicus changed mathematical philosophy of Europe in that people realized the need of creating new and orderly world and the need for integrating philosophy of science that would help in transformation of secular and religious life. People argued that if Newton was able to order the cosmos using his natural philosophy, it would also be possible to order the politics using political philosophy. During this, time people adopted new ways of ordering things based on divine right and natural law. Using divine rights, it led to creation of absolutist ideas while natural law would enhance liberty to human race. Some people argued that the universe was ordered by rational God and therefore, his representatives on this world had powers of God. This according to such thinking meant that Gods’ power translated to the powers of the monarchy. Natural law rose to react against such thinking of divinity with the aim of creating new order in society. They argued that God did not govern

Monday, November 18, 2019

Build a Computer Essay Example | Topics and Well Written Essays - 750 words

Build a Computer - Essay Example Both systems have their individual advantages, but the popularity and diversity in the PC is much more. Hardware as well as software can be chosen in order to suit one’s individual needs. With the advent of internet and the usage of computers spreading all over the world, the PC has emerged as the undisputed leader as the most commonly used computer system. A personal computer based on the ‘Microsoft Windows’ operating system is therefore an ideal selection for our school which can have all the essential components and software within a budget of $ 2000. The first and foremost component essential for building a PC is the motherboard and the central processing unit (CPU) (tomshardware.com). A power supply and the computer casing are the other startup essentials in which all components are installed. However, it is better to buy the above components in a preassembled unit which is offered by prestigious brands in all sorts of shapes and specifications. Hewlett Packard, Dell, Gateway, Acer are some of the popular brand names offering such preassembled units with a variety of specifications. The popular motherboards in the market are capable of handling complex computer hardware and software issues and are engineered to handle either the ‘Intel’ or the ‘AMD’ CPU’s. A CPU is the heart of the computer and its speed and processing power influence the overall performance of the computer system. The sound, video and network support come inbuilt in the modern motherboards. The motherboards have slots and compo nents which can take on other hardware needed to enhance the overall performance depending upon the requirement, such as enhanced video capability or coupling ability with other electronic devices dependent of computers for their functioning. Hard disks are the storage media which contain all the data and software needed to run the computer and are

Saturday, November 16, 2019

Long Bone Fractures in Children: IN Fentanyl Treatment

Long Bone Fractures in Children: IN Fentanyl Treatment Introduction The clichà © that states children are just small adults is certainly not true in the case of long bone fractures. A childs experience of long bone fractures is dramatically different from that of an adult on account of their rapidly developing physiology (Wood et al 2003). This rapid development results in biochemical and physiological differences between a childs and an adults skeleton, the mechanisms of fracture and healing, are an important component of their treatment needs and consequently crucial part of emergency care management (Bonadio et al 2001). In addition, children, from infancy through to adolescence, have common fracture patterns related to their stage of development. The structural differences between the bones of a child and an adult enable childrens bones to endure greater forces and to heal quicker a childs remodeling potential supports full recovery with limited or no long term side effects from long bone fractures (Lane et al 1998). Injuries of all types are the second leading cause of hospitalization among children younger than 15 years (Landin 1997). Musculoskeletal trauma, although rarely fatal, accounts for 10% to 25% of all childhood injuries (McDonnell 1997, Landin 1997, Lane et al 1998). Boys have a 40% risk and girls a 25% risk of incurring a fracture before the age of 16 years (Landin 1997, Ritsema et al 2007). The most common site of fracture is the distal forearm which accounts for 50% of paediatric fractures. The rates of fracture increases with age as children grow; peaking in early adolescence. Fortunately, most fractures in children are minor greenstick and torus fractures constitute approximately 50% of all fractures in children (Landin 1997, Lane et al 1998, Gasc Depalokos1999, Richards et al 2006) and only 20% require reduction. Thus, the management of paediatric fractures is often straightforward. Without exception children will experience pain at the time of injury, attending the accident and emergency department and during recovery. The most common pain management strategies involve a multi-modal approach that includes both pharmacological and non-pharmacological components delivered via the least invasive technique (Worlock et al 2000). In practice this includes oral medication, such as oramorph, paracetamol, and NSAIDs, inhaled entonox, intranasal diamorphine (IND) or intravenous opioid where necessary and distraction with age appropriate devices, such as interactive books, bubbles, music and computer games in older children. Notably, IND is currently embraced as the key route of opioid delivery for children attending AED with fracture pain in the UK British Association for Accident and Emergency Medicine (BAAM E 2002). Parents and guardians of children frequently seek care in AED for the relief of pain from traumatic injuries and as a result the field of emergency medicine has assumed a leadership role in paediatric pain management. However, despite this the literature suggests the provision of pain relief for children attending AED remains suboptimal when compared to adults with the same injuries. Further discrepancies are reported between paediatric accident and emergency departments (PAED) and district general accident and emergency departments (DGAED) (Emergency Triage 2004). One reason suggested for these differences is the geographic distribution of specialised services, which are predominantly located in large cities where they are affiliated with universities. However, a recent audit by the British Association for Emergency Medicine (BAAEM 2005) of their guideline for the management of pain in children shows inconsistencies in provision of analgesia particularly for fracture pain throughout the country with no measurable difference between PAED and DGAED. A key feature of this guideline is the algorithm which advocates the use of IN diamorphine for acute moderate to severe pain in children over the age of one year (see appendix 1). The whole topic of analgesia in the paediatric population is complex and still imperfect especially in acute moderate to severe pain requiring urgent treatment in the emergency department (Schechter et al 2002). The road to pain free suffering is still paved with impediments such as failure of pain recognition and methods of delivery of analgesia (Murat et al 2003). Oral administration can be inadequate in an emergency situation with particular limitations in potential choice of drug and delay in gastric absorption and gastric emptying. Intramuscular (IM) and intravenous (IV) administration can be distressing to children and have been shown to influence future response to painful procedures (Gidron et al 1995, McGrath et al 2000, Fitzgerald et al 2005, Walker et al 2007). Rectal administration has limited acceptability given unpredictability of onset together with occasional problems of consent (Mitchell et al. 1995). By contrast, the efficacy and safety of the IN route has been well documented for desmopression acetate (DDAVP), insulin, antihistamines, midazolam and calcitonin (Jewkes et al 2004, Loryman et al 2006). In contrast, intranasal administration has a number of advantages. It is technically straightforward, socially acceptable and demonstrably effective. The nasal mucosa is richly vascular and administration by this route avoids the first-pass metabolism phenomenon Summary Studies in the 1990s such as Yearly Ellis (1992) have also demonstrated the efficacy of administration of intranasal medication via a nasal spray rather than drops in adults, although the efficacy of this application in the paediatric population remains to be proven. Intranasal administration is possibly the ideal route of analgesic administration in children. Currently, within the accident and emergency department (AED) of Bristol Royal Hospital for Children (BRHC) intranasal diamorphine is used as the first rescue analgesia in the paediatric population presenting with acute moderate to severe pain, most frequently in patients with long bone fractures who do not require intravenous access for resuscitation. Diamorphine is a semi synthetic derivative of morphine with a number of properties that render it a desirable analgesic agent for administration via the nasal route. It is a weak base with a pKa of 7.83 and is water soluble allowing high concentration to be administered in small volume (Rook et al 2006). Unfortunately the legal use of diamorphine is limited to two European countries i.e. United Kingdom (UK) and Sweden. Furthermore periodic problems with its availability during the past few years (with further shortfalls in availability predicted by the NHS purchasing and supply agency) have resulted in an alternative efficacious analgesia being sought for this population. Fentanyl, however, is a short rapidly acting opiate has several qualities that render it useful as an IN analgesia and a potential candidate to replace IN diamorphine in the AED for acute facture pain management in children. It has a very high lipid solubility, potency and diffusion fraction, and unlike diamorphine it is not a prodrug and does not cause histamine release (Reynolds et al 1999). Assessment of a patients pain experience is not directly accessible to others, collecting and analyzing information about the processes of pain relief and pain prevention is not straightforward and presents significant challenges to health care professionals. In children, this task is further complicated by their varied stages of physical and cognitive development. Recent research by Bruce Frank (2004) however, has shown that the ability to measure pain in the paediatric population has improved dramatically and that today there now exists a plethora of age appropriate pain assessment tools for acute pain in children ranging from pre-term infants to adolescents, the majority claiming validity (strength and robustness) and reliability (consistency). However, most clinical research into pain management strategies continue to rely on the gold standard self report and visual analogy score tools (mostly 0-10) (Chalkiadis 2001, Walker et al 2007). Although these tools are reliable they are not always adapted appropriately for a childs stage of development. Childrens understanding of pain and their ability to describe pain change with increasing age in a developmental pattern consistent with the characteristics of Piagets preoperational, concrete operational and formal operational stages in cognitive development (Smith et al 2003). The quality or int ensity of the pain can be difficult to determine in children, as most tools rely upon a patients relative judgment between the intensity of present pain versus a patients worst pain experience (Murray et al 1996). These tools can therefore be unreliable where a childs age of development means they have limited or no memory of pain experience. Stevens et al (2002) recently described a conflict of understanding that resulted in a study bias and an insignificant reported power of (p=0.6). In the study an 8 year old boy had chosen the VAS (0-10) but frequently reported his score as 10, although he understood the increasing value of the scoring system further questioning identified he perceived 10 of 10 to be a good score and 0 of 10 to be poor. The boy was at a stage of development that limited his understanding of less is more. This case highlights the importance of utilizing a pain assessment technique that reliably accounts for a childs age of development. A preliminary search of literature suggests there is currently exists limited research to support for the use of intranasal diamorphine or intranasal fentanyl for the management of acute pain in long bone fracture in children as evidenced based medicine. Despite this lack of evidence it remains a key strategy within paediatric AED for the pain management of long bone fractures and is anecdotally reported as a gold standard for paediatric pain management. Therefore; its lack of availability could profoundly compromise pain management for this population. Thus, this extended literature review will examine the efficacy of intranasal fentanyl as an alternative to intranasal diamorphine for traumatic fracture pain in children attending accident and emergency departments. However, in these days of evidence based medicine, it clearly needs to be established beyond all reasonable doubt. In view of that only research into paediatrics will be included increasing the credibility of its applicat ion to practice. SEARCH STRATEGY A range of complimentary search techniques were used to capture key research including a systematic electronic literature search of the Cochrane library, Embase, CINAHL, Proquest, Medline, PubMed since 1990 up to 2009 (this has to be to year of submission). The scope of the search was extended beyond the recognised five years of current research so as to include the empirical work into the development of IN analgesia in children. Key words used included the following: pain, acute pain management, intranasal diamorphine, intranasal fentanyl, procedural, accident and emergency, emergency department, child, pediatric, paediatric, child and fracture pain, as well as various combinations. In addition, in order to ensure the completeness of the search, an internet search was completed using the Google search engine, IASP, Pain Journal, Paediatric Nursing, BAAEM, NICE, Medline, EBM; the RCN was also utilised. Backward chaining of references found was also performed to ensure all relevant papers were identified. Although this review identified twenty seven citations it should be noted that historically there are fewer Randomised Controlled Trials (RCT) in children compared to adults possibly due to problems gaining ethical approval and consent. Additionally even experienced researchers will be unable to find all relevant papers and much research is not submitted for publication. The studies identified were divided into the three modalities of IN route, IN diamorphine and IN fentanyl with the majority presenting evidence for the IN route. All papers were critiqued using a tool published by the Learning and Development Department within the Public Health Resource Unit of the NHS (www.phru.nhs.uk/casp). The tool facilitated critiquing different forms of quantitative research and is based on work by Sackett (1986), Sackett et al (1996) and Phillips et al (2008) (see appendix 2). The results of the critique process for each paper and level of evidence applied in line with the modalities they address informed understanding of current practice and development of a research proposal. STRUCTURE OF THE LITERATURE REVIEW This literature review will focus on determining whether IN fentanyl is an effective alternative to IN diamorphine for the management of long bone fracture pain in children attending an AED. The scope of the literature review considers literature from 1990 onwards although occasionally earlier research has been referenced. Given the limited available evidence on the topic the following review structure has been selected. Chapters 1, 2 3 will present the evidence sourced on each theme intranasal route, intranasal diamorphine and intranasal fentanyl with a short summary to conclude each chapter. Chapter 4 will present an in-depth discussion and conclusion on the utility of the evidence, its application to practice and the requirement for a multi-centred comparative randomised control trial to improve the credibility of the evidence base for this field of treatment. Finally chapter 5 will present a research proposal for a comparative study of these modalities. Intranasal (IN) route of medication delivery in children. Nasal administration of drugs has been reported as having several significant advantages over current practice which are predominately oral, IM, IV and rectal (Williams Rowbotham 1998). It is emerging as a low-tech, inexpensive and non-invasive first line method for managing either pain or other medical problems (Wolf et al 2006). Nasal medication delivery takes a middle path between slow onset oral medications and invasive, highly skilled delivery of intravenous medications. The nose has a very rich vascular supply, IN facilitates direct absorption to the systemic blood supply due to increased bio-availability of the drug by missing first pass metabolism, It avoids the potentially technically difficult of sterile intravenous access, is essentially painless and is considered acceptable to children when compared to other routes of administration (Shelly Paech 2006) (see table 1). a theory which will be considered when reviewing the studies within this chapter Therefore suggesting th e IN route will result in therapeutic drug levels, effective treatment of seizures and pain without the need to give an injection or a pill, furthermore; it is quite inexpensive, an advantage in this era of increasingly expensive medical technology (Shelly Paech 2006). Additionally given the complexity of the developing child and the known consequence of poorly managed pain on the future responses to pain the IN route does, if it is as efficacious and as safe as suggested offer one of the most acceptable, definitive forms of analgesia delivery in children. The degree of accuracy of the previous statements will be established within this chapter by critically reviewing the 16 studies identified on IN medications other than intranasal diamorphine or intranasal fentanyl in the paediatric population (see table 2) as these agents are considered individually in later chapters. The rigour of the studies will be addressed within this chapter and reflect the level of evidence applied according to Sackett (1986) criteria (see appendix 3). Most studies reviewed were randomised clinical trials and in some cases compared against a placebo Conversely, this does not concur with the trials discussed earlier (Lahat et al 1998, Al-rakaf et al 2001, Fisgin et al 2002, Mahmoudian and Zadeh 2004 and Holsti et al 2007) where significant dosing was applied or in Wilson et al (2004) who retrospectively studied 30 children age 2-16 years receiving 0.3mg/kg at 5mg/1ml INM and 13 patients receiving rectal 0.2mg/kg diazepam for seizures. The authors report equal efficacy for both routes. Success of these agents was considered on cessation of seizures, no reported complication and not needing to attend A+E. A total of 27/30 families who had used INM found it effective and easy to use. Although 20/24 (83%) who had previously used rectal diazepam still preferred it mostly due to the coughing and the volume of liquid administered via the IN route. Given it is generally considered that the optimum IN dose as stated above is 0.1- 0.2 ml per nostril, all but the studies discussed so far were using drug concentration and dosing regimes whic h resulted in large volumes of liquid being dripped in to the nasal cavity. This is particularly poignant in Wilson et al (2003) who compared buccal to IN midazolam in 53 children aged 3-12 years experiencing seizures lasting > 5 minutes attending AED. A key feature of this study is the mean age of the children (age 9 years), mean weight (24kg) the study drug concentration as with previous studies was of 5mg /ml. IN dosing was at a dose of 0.3mg/kg. Given these figure the average dose would have been 7.2mg = a volume of 1.4ml being administered. Since the comparative route of administration for this study was buccal there is a possibility that part of the IN dose was buccally absorbed therefore creating a flaw in this study methodology, raising questions over why this comparative route was chosen and suggesting the only real conclusion to be taken from this particular study is buccal midazolam is effective and safe in children. Furthermore although this is described as a blind RCT and the authors claim the time to cessation of seizure was quicker for the INM group 2.43 (SD 1.67) to 3.52 (SD 2.14) for buccal route there is little detail on the blinding process or data collection procedure suggesting the rigour of the study maybe flawed therefore the efficacy and safety claimed for the IN route should not be embraced without further study. On the other hand Fisgin et al (2002) and Hardord et al (2004) compared the INM with rectal diazepam. In Fisgin et al (2002) in an unblinded RCT equivalence study the authors compared INM with rectal Diazepam to ascertain the safety and efficacy of INM for the development of a clinical protocol in the management of prolonged seizure in children attending the AED. Forty five infants and children age 1 month -13years experiencing prolonged seizures > 10 minutes were either given INM 0.2mg/kg or rectal diazepam 0.3mg/kg. The authors report proven efficacy (p Intranasal Diamorphine (IND) The delivery of opioids via the IN route is perhaps one of the most valuable indications for IN medication delivery. Acute pain is a frequent experience for children whether attending an AED, hospital and hospice setting (Hamer et al 1997). Furthermore it is not unusual for them to experience frequent episodes of breakthrough pain which requires additional support from fast acting analgesic agents. Owing to the developmental and physiological difference in the paediatric population there is a need for a variety of effective treatment option from which to select and individualise the patients therapy to meet their needs. IN opioid is simply one such option available which may be useful in children. It has been suggested that the delivery of medications via the IN route results in rapid absorption with medication levels within the cerebral spinal fluid (CSF) being comparable with (IV) administration (Chien and Chang 1997). Diamorphine hydrochloride is a semi-synthetic derivative of morphine. It is extremely hydrophilic, which makes it ideal to use when preparing in high concentrations in solution, thus allowing high doses to be administered in smaller volumes via the intranasal route (Kendall Latter 2003). However, this route of administration can be a painful process as reported by adults (Henry et al 1998). Despite this the intranasal route is considered more acceptable to children and their parents and is thought to lessen the opioid side effect profile seen in IV administration (Stoker et al 2008). This concept has been well recognised throughout the UK and many centres already use intranasal diamorphine for acute pain in children, following the guidelines by the British Association for Accident and Emergency Medicine Clinical Effectiveness Committee (2002) (BAAEM). Although the administration of intranasal diamorphine is now a first line choice for moderate to severe acute pain for children atten ding AED, as is the case within our institution, there is very limited research to substantiate this practice although as noted above it has been readily accepted by the BAAEM for acute pain management in children and very successfully used within our institution A recent shortage of diamorphine evoked the search for an equally effective and acceptable alternative. Early research in animals and adults reported pharmacokinetics of nebulised inhalation and intranasal administration of diamorphine as detected morphine in plasma at six minutes (Masters et al 1988, Kendall 2001). Despite the age of this research and the fact that the later study was in adults, it is still quoted as creditable evidence to support this practice in paediatrics. However the legitimacy of this should be questioned, due to children not being just small adults but have physiological differences intrinsic to their age and stage of development which may affect the bodys absorption and level of toxicity in different ways to adults. The extensive literature search highlighted four randomized controlled trials (RCT) that demonstrate IND to be clinically superior to intramuscular morphine and inferior to IV morphine particularly in the management of acute pain in children, a case study of an 8 year old boy and clinical audit of IND for pain relief in children attending AED (see table 3). The key methodology in the RCTs by Wilson et al (1997), Kendall et al (2001), Brennan et al (2004) and Brennan et al (2005) suggest these are superiority studies where the authors hypothesised improved pain management with the IND when compared to a variety of routes. The rigour of the studies will be discussed later in the chapter. Although while the critiquing process takes place it is fundamentally accepted that RCT are considered level 1 or 2 evidence as opposed to case study or audits at Level 3b and therefore generally sourced to Latest published clinical evidence to support the use IND in the paediatric population is presented in an audit by Gahir Ranson (2006) of 54 children whose care was managed by the use of an integrated care pathway for acute pain management while attending the local AED. This integrated care pathway focused strongly on the use of IND. Data collection was on a one page performa and included consent, date, patient demographic, pain score and side effect profile. Data collection was retrospective and data analysis illustrated limited recording of side effect profile but improved pain scores. However only 60% of patients have this information documented so data collection was difficult. Despite this lack of hard evidence no clinical incident, including the side effect profiles, were reported. Thus suggesting the practice of IND for acute fracture pain management in children could be safe, effective and more acceptable to children than the more painful alternative of IM or IV administration. However there is limited strength in an audit, other than a review of practice (Bowling Ebrahim 2005) and in this case a key feature for review should be the documentation process in the department as there were facets in the care pathway administration documentation missing. Therefore this audit suggests that IND is safe and effective pain management for children, but this conclusion can not be categorically drawn from the limited data available. The potential outcome of this audit could be education on documentation, to do a more rigours prospective audit of practice. Unfortunately at this point it only offers an insight to their clinical practice which is favourable for this agent and route. Albeit as noted before IND has improved childrens pain management and over all experience of acute care in our PAED additionally as with the results of the audit we have experienced no side effects or complications, further highlighting the importance of seeking an alternative to IND which offers equally efficacy. Intranasal Fentanyl (INF) Monitoring of the usual observations and pain scoring in the child was recorded prior to the administration of fentanyl (20 micrograms for 3-7 year olds and 40 micrograms for 8-16 yrs) and continued at 5 minute intervals for the 30 minute period. Additional doses of fentanyl (20  µg) were available if required at 5 minute intervals. Pain assessment was achieved with two validated pain assessment tools, the visual analogue scale (VAS) in older children and the Wong-Baker Faces (WBF) for younger children. Both are reliable and known to support consistency in pain assessment. Though there was no mention of training for those assessing this primary end point using these tools in the paper therefore this should be considered in the overview of the standard of evidence produced by this study. Additionally although forty five patients were randomized following consent unfortunately no details on the randomization process was disclosed in the paper either. This may not be significant, but when reviewing the credibility of the authors claims these obvious omissions could be responsible for a flaw in this study and remains to be established. On the other hand, the methodology that has been disclosed in the paper appears sound as it addresses key areas of sample calculation (power of the study) as a superiority study with the sub groups size adequate to detect a significant difference (Greenhalgh 2004); demographics, blinding of the drugs, assessors and appropriate statistical analysis of the data therefore supporting the validity of the results claimed and the application of the results to the age of patient targeted that this literature review is aiming to find an analgesic alternative to IND for. The results concluded by Borland et al (2002), are a reduction in pain score at 10 minutes to 44.6 mm (95% confidence interval) 36.2-53.1 mm from 62.3 mm 53.2-69.4 mm (95% confidence interval) at assessment using the VAS and 2.2 (95% confidence interval 1.3-3.1) at 10 minutes from 4.0 (95% confidence interval 3.3-4.7) at assessment in 16 children using WBS. Visual analogue pain scores demonstrated clinically significant reductions in pain scores by 5 minutes that persisted throughout the entire study (up to 30 minutes) for both INF and IV morphine. The second primary end point of this study (side effect profile) showed no significant change in physiological parameter of the childrens pulse or respiratory rate, blood pressure or oxygen saturations, interestingly the side affect profile chosen for monitoring such as pulse and blood pressure are not considered to be one of the primary side affects of morphine, however nausea and vomiting which are was not assessed. Ultimately, there wer e no negative side-effects and the sizeable reduction in pain scores (compared to baseline assessments) was accomplished in children using INF by 10 minutes and maintained throughout the 30 minute period with the mean INF dose at 1.5 µg/kg and ranging from 0.5-3.4  µg/kg. Interestingly 35.5% of children in the INF group only required one dose. Given the clinical equivalency of these two agents and routes the authors conclusion that INF offers the benefits of a simple painless technique for treating acute pain is substantiated. These benefits suggest that the IN route could be a valuable technique not only in an AED but also for breakthrough pain by offering a fast onset of pain control in moderate to severe painful conditions. It could also provide pain relief and allow topical anaesthetics to take effect on the skin prior to IV establishment. Therefore this may be a suitable alternative to IND. A similar and more recent double blinded RCT trial by Saunders et al (2007) claimed efficacy of a larger dosing regimen with a mean dose of 2 µg/kg INF (50 µg/ml) for pain reductions in paediatric orthopaedic trauma compared with IVM at 0.1mg/kg in 60 3-12 year old children. This study reports positive outcome for INF following both patients and carers reporting very effective pain management and satisfaction using this treatment method. However there is little information in the paper of methodology and results are given in percentages rather than a P value or NTT which should be expected in a rigorous creditable RCT of two agents (Bowling Ebrahim 2005) reducing the level of evidence applied to the paper to L3. Even supposing the results are an accurate reflection of the efficacy and safety of INF, particularly the fact that no significant difference in pain score or side effect profile and INF is a way forward, the lack of detail the randomisation process and analysis of data in the study methodology merely implies that these results maybe flawed. Interestingly given the concentration of fentanyl 50 µg/ ml a dosing volume for a 25kg child would have required one ml = 0.5ml per-nostril therefore suggesting some of the administration may have been oral rather than IN and present the issues of bad taste which is put forward as a possible study limitation by the authors. Then again there are no complications or reports on taste presented in the results and the authors conclusion on the efficacy of INF for acute pain management in children may be founded. However, without sourcing more details from the authors it cannot be considered evidence to inform this dissertations aims but merely an ex ample of poor research or appropriate omission by publishers. Further suggesting there remains a requirement for more research on the topic within double blind, equivalence, RCT focused on INF efficacy and dosing with sound methodology that is transparent in publication to answer the dissertation question. Conversely an older and more rigorous study which also looked at dose related analgesic effect between routes of administration is by Manjushree et al (2002). The authors demonstrated the clinical efficacy of INF in a cohort of 32 children (aged 4-8 yrs) in a postoperative situation and with a double blind level 1 RCT. The study design gives the impression of sound methodology as blinding, assessment and analysis of data was appropriate and available for scrutiny in the paper, particularly the analysis of both nonparametric and nominal data. The only weakness is possibly the sample size of 32 patients. Although the authors performed a power calculation which identified 40 patients to show a significant affect, they only recruited 32 patients, furthermore, this appears to be an equivalency study where the authors hypothesised INF would be equal to and not inferior to IVF therefore would have needed a larger sample to de

Wednesday, November 13, 2019

Creating Tension in An Inspector Calls Essay -- An Inspector Calls J,B

Creating Tension in An Inspector Calls An inspector calls is a play written by the author J.B. Priestley. The play is set in the industrial city of Brumley in the North Midlands, in the year of 1912. Act one begins in the family home of the Birling's, at the celebration of the engagement of Mr Birling's daughter. The Birling family at first impression are seen to the audience as a wonderful, prosperous family who live in luxury life style in a big lavish home with a high social status. Arthur Birling is the father of the family; he is a heavy looking, rather portentous man in his middle fifties, with fairly easy manners. He is shown to be self-centred, arrogant and someone who believes that he is always right, he also has a lot to say - thought by many as too much. He is portrayed to the audience as being a selfish man, this is shown in many ways through out the play, but the main factor shown is that he was Lord Mayor of the town a few years back and takes this as an advantage to gain self respect from others by using his former community stature to increase his present stature of the manufacturer of the Birling family business. His wife Sybil is about fifty, she is a rather cold woman and her husband's social superior. She has been for the past few years and currently still is the chairwoman, for the town's unemployment charity, it is she who decides which women will receive the unemployment benefit and if their reasons are applicable. She takes this job very seriously and believes it gives her a warrant to be a superior of the town, a woman who classes herself as a very high class in the hierarchy above anyone else. The daughter of the family is the very attractive and pretty Sheila, .. ... challenges the characters in the play. The big question from the author is are we morally blind to the suffering of the poor and are we aware that much of the pleasure we get from life comes from the exploitation of the poor. At the end of the play things turn out to become very eerie as of the call to Mr Birling, which confuses absolutely all of the characters. J.B. Priestley uses inspector Goole as a catalyst towards the Birling family, he is meant as a dramatic device deliberately used by the author to explore his ideas. This is meant to make the family come to a realisation of that poorer people than themselves are actually people with true feelings, and the telephone call at the end warning them that a inspector is about to arrive with questions as to a suicide will reveal weather they have learnt anything about the poorer than themselves.

Monday, November 11, 2019

Edgar Allan Poe and his Romanticism Essay

According to Thompson (1970), â€Å"romanticism is a far-reaching but crucial modern period applied to the philosophical shift within Western mind-set to human and art creativity that conquered much of the American culture during the initial part of the 19th century, and that has fashioned most ensuing progress in literature, even those against it† (Thompson, 1970, p. 31). Romanticism illustrates strong, intense and wondrous deal of emotions which demonstrate an attraction for nature, mankind and supernatural that fuels extreme consequences on human minds while classical and neo-classical exemplify a serene type of art that flaunts tranquility in every detail of its artistic idea. Values taken from people’s view about life is the great source of audience excitement that manifest a freedom form of expressing emotional intensity. Edgar Allan Poe, one of the most well-known romantic writers, is commonly remembered as a gothic, romantic and melancholic writer yet a well made, dynamic, and graceful person. Declining the ordered consistency of the Enlightenment as impersonal, mechanical, and artificial, Poe eventually turned to the emotional truthfulness of personal understanding and to the boundlessness of personality ambition and imagination. More and more independent of the deteriorating system of aristocratic benefaction, Poe viewed his self as a â€Å"free spirit† conveying creative truths; some aficionados glorified the artist as a mastermind or diviner. When Poe’s foster father passed away, he received nothing. He started writing the Southern Literary Messenger and soon after, he edited Gentleman’s Magazine for William Burton, then his first detective story, â€Å"Murders in the Rue Morgue† was featured in Graham’s Magazine. Then he went out of Graham’s; he struggled from hopelessness followed by alcoholism. His well-known poem â€Å"The Raven† in 1845 appeared in Evening Mirror with enormous commendation, but paid little for it. Thompson (1970) noted that â€Å"Poe was stimulated by the romantic way of life – the yearning to be free of principle and dictatorship, and the new highlighting on the rights as well as solemnity of a human being. Just as the persistence on formal, rational, and conservative subject matter that had characterized neoclassicism was actually upturned, the totalitarian regimes that had persuaded and even sustained neo-classicism in the arts were unavoidably subjected to accepted insurrections† (Thompson, 1970, p. 33). Social and political causes turned out to be dominant themes in romanticism throughout the Western world, manufacturing many fundamental human documents that are still momentous. Poe was an excellent French academic. Thus far, with his superiorities, Poe was not a character or even a favorite in his school. Poe was determined, unpredictable, tending to be authoritative; though of liberal inclinations, not gradually kind, or good-natured. Poe’s expressively breathtaking tales probing pits of human mind earned him prominence throughout his existence and subsequent to his death. His verve was disfigured by catastrophe and within his works we can distinguish his enigmatically fervent emotional responses – a beleaguered and at times irrational fascination with fatality and sadism and general admiration for what is beautiful yet heartbreaking inscrutabilities of our life. His arts of short story and poems include â€Å"Philosophy of Composition† and â€Å"Poetic Principal†. There are many anthologies about his works that were published and a lot of them were motivations for popular TV and movie adaptations counting â€Å"The Black Cat†, â€Å"The Tell-Tale Heart†, and even â€Å"The Raven†. Nature was also fundamental to such sentiments was a concentration essential to Poe’s romanticism – the concern with nature as well as natural surroundings. Enchantment in well-preserved scenery and in the guiltless life of countryside dwellers in all probability is conceivably first recognizable as a literary theme in Poe’s masterpieces. His works are frequently cited as a determining power on later English romantic poetries and other works of art and on the nature convention represented in English literature, art and music. Frequently combined with this sentiment for rural life is a widespread romantic misery – wisdom that transformation is looming and that a lifestyle is being endangered. In the strength of new freedom, Edgar Allan Poe expanded his fantasy horizons chronologically and spatially. His anthologies of old English ballads are considered influential works; all his masterpieces exerted a noteworthy influence on the structure and substance of Gothic form fused with the gloomy and produced a keenness for graveyards, ruins, and supernatural as major themes. The Fall of the House of Usher establishes Gothic features that involves heart-pounding, gruesome and suspenseful scenes. Poe wants to influence the spectators’ mental capacity and he is more confident to prove that human mind is far more prevalent than physical strength and power. Character in the short story was given a psychological wrecking experience that drives paranoia and fear. Poe believes that when a person was attacked by his own apprehension and anxiety then he will be most likely resort into self and fatal-destruction. Furthermore, the female characters in most of Poe’s works frequently meet an inopportune death. In Ligeia, Ligeia passed away because her spouse qualms that she has cleverness. Poe’s speaker calls Ligeia as a mysterious, conceivably beyond understanding, whose existence recalls a sequence of multifaceted analogies. Reasonably, Poe is not recognized for his comedy, although in fact, he wrote comedies and satires. The Angel of the Odd is one of his entertaining stories; it gave new perceptions on the event of freak catastrophes, or about bad lucks a person could have. All throughout, Poe’s images of the house and the lifeless objects inside give a supernatural ambiance to the story. By means of giving lifeless objects almost realistic characteristics, he is providing his works a supernatural feature. Work Cited Thompson, G. R. (1970). Poe and French Romanticism in Poe Studies / Dark Romanticism. Washington State University.

Friday, November 8, 2019

State Gemstones and Dates They Were Adopted

State Gemstones and Dates They Were Adopted Thirty-five of the 50 states have designated an official state gem or gemstone. Montana and Nevada have both named two (one precious and one semiprecious), while Texas has named a state gem and gemstone cut.   Most of the gem names are linked to the picture gallery of state gemstones. The Adoption Date link goes to the best existing material from the respective state government or science institution. More detail below the table.   State Gemstone Adoption Date Alabama Star blue quartz 1990 Alaska Jade 1968 Arizona Turquoise 1974 Arkansas Diamond 1967 California Benitoite 1985 Colorado Aquamarine 1971 Florida Moonstone 1970 Georgia Quartz 1976 Hawaii Black coral 1987 Idaho Star garnet 1967 Kentucky Freshwater pearl 1986 Louisiana Cabochon cut oyster shell 2011 Maine Tourmaline 1971 Maryland Patuxent River stone 2004 Massachusetts Rhodonite 1979 Michigan Chlorastrolite (pumpellyite) 1973 Minnesota Lake Superior agate 1969 Montana SapphireMontana agate 19691969 Nebraska Blue agate 1967 Nevada Nevada turquoiseVirgin Valley black fire opal 19871987 New Hampshire Smoky quartz 1985 New Mexico Turquoise 1967 New York Almandine garnet 1969 North Carolina Emerald 1973 Ohio Ohio flint 1965 Oregon Oregon sunstone 1987 South Carolina Amethyst 1969 South Dakota Fairburn agate 1966 Tennessee Freshwater pearls 1979 Texas Texas Blue topazLone Star Cut (gemstone cut) 19691977 Utah Topaz 1969 Vermont Grossular garnet 1991 Washington Petrified wood 1975 West Virginia Fossil coral Lithostrotionella 1990 Wyoming Nephrite jade 1967 A gemstone is not necessarily a sparkling crystal- the majority of state gemstones are not crystalline minerals, but rather colorful rocks that look their best as flat, polished cabochons (perhaps in a bolo tie, belt buckle or ring). Most are unpretentious, inexpensive stones with democratic appeal.   Above all else, the gems are unique to or represent their state in some fashion.  Arkansas adoption of diamond as their state gem, for example, is due to the state having the only public diamond deposit in the USA. On the other hand, Floridas state gem (moonstone) is not actually found in Florida. Instead, its adoption  is a tribute to the role that the state played in the  1969 moon landing. Of course, state legislators do not follow the same guidelines as geologists for how they classify a gem. In many cases, states have named rocks, minerals or even fossils  as their gem or gemstone.   Helpful Links Many gems have both a gemstone name and a mineral name, cross-listed in  this pair of tables.  My favorite and most easily navigable site for all state symbols is  statesymbolsusa.org.   Be sure to check out my list of state fossils, state minerals and state rocks. You might find that the lawmakers did not necessarily follow the geologic rule book for those classifications, either.   Edited by Brooks Mitchell

Wednesday, November 6, 2019

Wealth and Want in the United States essays

Wealth and Want in the United States essays In Democracy for the Few, Parenti illustrates how our society is primarily divided into two categories: the owning class and the working class. He explains those who are considered the owning class, are the extremely well-to-do people; those who are independently wealthy and mostly live on profits from their investments. This class consists of wealthy stockholders of large corporations, but also includes the struggling small business owners. Parenti compares these giant corporations and small businesses to elephants and squirrels, in order to give a better perspective as to who is better able to bully their way around the markets. The other class mentioned by Parenti is the working class, who primarily live on wages, salaries, and pensions. This class ranges widely from blue collar workers and includes anyone who is not independently wealthy. Parenti goes on to explain how seldom the hard work of someone in this class can ever make them rich. As a matter of fact, the ones who become wealthy or maintain their wealth are the stock holders of the giant corporations. The majority of stockholding owners who are collecting a substantially large income from the labor of others have yet to step foot into the corporations factories or offices. Parenti notes that a workers wages stand for a diminutive part of the capital produced by their labor. The profit, or unpaid portion, goes straight to the owner. Parenti reports that a private sector employee works maybe two hours for themselves(wages), and the remaining six or more hours they work are for the owners(profit after expenses). Parenti illustrates how when capitalists say theyre putting their money to work, what they mean is that they demand more labor from their employees, to produce larger quantities in a shorter amount of time at less pay. He also advises that the purpose of large corporati...

Monday, November 4, 2019

Systems Design and Management Strategy Essay Example | Topics and Well Written Essays - 2000 words

Systems Design and Management Strategy - Essay Example Global business can penetrate the remotest areas of the countryside. We can communicate to anyone whose location maybe in any part of the globe because of technology, mobile communications, the internet, Information Technology, and so on. Technological changes have brought about further innovations and inequalities because of the digital divide in the community setting where there is lack of technological attention from the government. But organizations with their advanced technology and availability of manpower are more benefitted. Global organizations have their websites and most of them conduct business online. People sell and buy products and services through the internet. There is also the emergence of the knowledge economy, a new innovation in business which is performed, conducted and enhanced through the knowledge, talents and capabilities of employees. In this set up, knowledge is both a product and resource. The organization is more concerned with the people and the knowled ge they possess. Firms value people-embodied knowhow. They invest much on labor capital. Organizations like this produce ‘stars’ in the industry. According to Groysberg et al. (2008), stars are among the best in the industry and are far superior than colleagues in performance. They usually do â€Å"estimates, accessibility and responsiveness, service quality, stock selection, industry knowledge and written reports† (Groysberg et al., 2008, p. 5). The knowledge that stars acquire include the knowledge and experience they have inside the organization, and it is not good to hire or pirate stars from other companies because they usually perform not quite well in the new organization. Their expertise was attained in the organization they blossomed and therefore it matches with the organization. In the new environment, the so-called star won’t perform well. 1.1 Trends in management A management trend in the age of globalization is clustering or team working. Thi s requires some skill and talent, and cannot be simply taken for granted. It requires determination to put individual talents into a single force to work for change or introduce ideas that can provide further innovations for the organization. By having clusters and groups, talents and capabilities of members are maximized. The ways in which the workforce gets direct orders from top management – the deeply centralized order – is seldom done any longer. With globalization, the technique is to manage the organization horizontally. The internet can do wonders. Mobile communications also are valuable tools. Communication is fast and effective. Team formation is considered a special feature for improved organizational performance. Introducing the principles of team formation in the workplace is like implementing total quality management. They present a strong foundation for global organizations in the present system, and can be an effective way of providing work and life bal ance for the workforce. (Knights and Willmott, 2007, p. 125) Through team building members become flexible and respond to new challenges or solve problems within (or beyond) their reach. Members are more motivated to work because of the responsibility and power bestowed upon them by management. Allowing individual members to hold responsibilities of problem-solving – even decision-making which is traditionally done by top management –

Saturday, November 2, 2019

Should Women be allowed in combat Research Paper

Should Women be allowed in combat - Research Paper Example with, the skeletal system of the women is less dense and is more prone to fracture (Journal of the American College of Nutrition Journal of the American College of Nutrition, 2011). According to Center for Military Readiness, most of the female soldiers are shorter and smaller than men. Their upper body strength is less than 45-50% compared to males, and their aerobic capacity is lesser of 25-30%. (Center for Military Readiness, 2004) Physiological Concern. It is nature to women about their menstruation that happens monthly. At this state, they are believe to be incapacitated during that period as they are prone to accidents due to their limited action. This was observed during World War II. However, there are some sectors who refute the claim with certain evidences and studies that women do perform equally even during their menstrual period. (Poulos, 1996) Psychological Concern. Relationship could develop between a man and a woman soldiers. This projection could put the unit at risk in an actual combat. Thus, women are banned in the front-line combat situations. The fear to be in the front-line of combat might drive women to get impregnated so as to avoid being in it, which is far very critical for the combat attack plan. (Center for Military Readiness, 2004) Female soldiers could also be objects of capturing, torture, and sexual assailment that will make the combat unit vulnerable. Males on the other hand have no record of sexual assailment but high percentage on physical abuse. Females have the highest percentage of sexual assailment in units. (Louise Slaughter, 2011) Conclusion. With physical, physiological, and psychological concerns that are based on facts reveals that women should not be allowed in a combat. Their presence in the combat will put at risk the combat units and make them

Thursday, October 31, 2019

Risk management for small and medium transit agencies Assignment

Risk management for small and medium transit agencies - Assignment Example Elimination / minimization of hazards The mentioned Act merits that all the hurdles in the way of smooth working are to be addressed properly to take concrete steps to eliminate or minimize it. Potential hazards which may cause irreparable damage to life and assets should be taken seriously for removal. In case elimination is not possible then two options are left to address this issue, either to separate it or minimize it. By applying mentioned tactics, we may put to the hazard at its lowest ebb. The chain of control meant for ongoing monitoring and to analyze the risk that are in the way (Health and Safety in Employment Act). Initially, the business sector showed its anger on the inclusion of Health & Safety cover for the employees in the Employment Act 1992 with a view that they have to bear unnecessary burden of expenses that relates to health and safety measures for the employees within their area of operations of small to medium sized business concern (Health and Safety in Empl oyment Act). On the public side, it was applauded by the workers and treated this act of government, a step in the right direction. The effectiveness of this act can be gauged with this fact that it proves its lasting and positive impact. It definitely reduced the incident that took place in the past within the premises of working place in New Zealand prior to promulgation of this act (Health and Safety in Employment Act). Example Take the example of Ruth who  engages himself for the sewing of fashion garments that enables  Lavina to sell it from her apparel outlet called Lavina Modes. He does the job for Lavina on piece rates who, according to the broader term of the Act is the employer of Ruth. Therefore, where she works may be considered as place of work. In case Ruth does the job independently where the role of Lavina is an independent contractor. By all means as per the terms of the Act, he may be treated as self employed. It is a case of multiple factors, inclusive of reso urcing, economic dependence and the control of Lavina over Ruth. Employment Relations Act (ERA) The New Zealand Employment Relations Act 2000 came into being to safeguard the interest of human resources. Later on it was amended by the Parliament to meet the requirement. Courts and Authorities Under the mentioned Act, numbers of courts have been established to deal with the issues of Employment, Employers, Employees and the Self employed. The judges of the Competent Courts are appointed on the advice of Attorney General and the members of Employment Relations Authority are appointed by the Attorney General on the advice of the concerned ministry. The mediation service is the prerogative of labor department. These courts are empowered by the section 187 of ERA on the matter that relates employment disputes. The employment court in question has the status of the High Court of New Zealand (Rudman, 2009). According to Section 157, Employment Relations Authority has to carry out the inves tigation of the matter handed over to find out the factual status of the case and to resolve the issue between the employer and the employee. As per Section 144, Mediation Service is being provided by the Labor Department. However, section 164(b) empowers parties involved in disputes to resolve the issues themselves before knocking at the door of Employment Rel

Tuesday, October 29, 2019

Evolution of Human Skin Colour Essay Example for Free

Evolution of Human Skin Colour Essay Skin cancer can be caused by many things; the first is getting too much exposure to sun. The UV rays come in contact with your skin and reaction occurs which makes your skin tan or burn. The UV rays from just one sunburn can damage your skin and cause you to become more at risk of getting skin cancer. Another cause of skin cancer could be genetics, if your someone in your family had skin cancer the mutated gene could possibly get passed down to you and you could have a higher risk of developing skin cancer. One last cause of skin cancer is if someone has a lot of moles. If there are many moles some could be abnormal which means it is more likely that one mole could be or could turn cancerous. 2. Caucasians are more at risk of skin cancer than other populations because Caucasians have fair skin. Fair skinned people don’t have much pigment/melanin in their skin which means they’re less protected by the suns UV radiation. Other populations such as African-Americans would be less at risk of getting skin cancer because they have lots of melanin in their skin to block the UV rays. 3. A lifetime of sun exposure will obviously increase a person’s chances in developing skin cancer so as you get older the risk increases. Most diagnoses are made when people are over the age of 50 but if someone is highly exposed to the sun frequently the cancer could occur earlier than 50. The incidence of skin cancer is greater in old age because someone who is older would have accumulated all the sun exposure over the years and someone who is younger would not have been exposed to as much sun which lowers their chances of developing skin cancer at their age.

Saturday, October 26, 2019

Change Management And Leadership

Change Management And Leadership INTRODUCTION The present age of business is extremely competitive and the only tool for survival is adaptability which comes through constant change. Vested deeply in leadership styles, culture and communication, successful change is vital and yet hard to describe. The role of human resource as an active partner, focusing on the companys vision and ensuring open communication channels is fundamental for change in the organization. Change in any organization may be a result of a combination of elements; social, cultural, economic and/or environmental (Beer, 2002). Also, a lot of companies indulge in the change process to improve their overall efficiency. It is quite established that any kind of change in the organization, triggers emotions as the employees face the effects and end results of the transformation. The way and extent to which employees may experience emotions is largely shaped and influenced by the culture of the organization (Beer, 2002). Research suggests that when the employees val ues were consistent with the organization, they embrace the changes more easily (Beardwell, 2004). However, the emotional response to cultural change is usually of a severe nature. It is known that when emotions were taken into account and respected the employees positively adapt to the change. SCOPE OF THE PAPER The paper is an effort to understand organizational change in the global economy. In this paper I shall attempt to explain the importance of mission command as a driving agent for change. Furthermore, I shall also discuss the roles of leaders in order to bring about successful change and lastly, the role model of a successful organization for the global age. DEFINING CHANGE MANAGEMENT Change management, which is the recognized method for bringing about any change in the organization, is defined as the procedural manner and implementation of skills and knowledge, resources and tools to control the outcomes of change (Beer, 2002). It implies defining and embracing corporate plans, procedures, technologies and configurations to handle the change which results from both internal and external events. More and more, change management is perceived as a vital part of every business to boost productivity and maximize profits by ensuring that the organization remains at par with the changes in the surroundings (Beer, 2002). Nonetheless, to bring about an all-encompassing and manageable change, there are usually few barriers that have to be overcome. Usually, these barriers surface because of the organizations failure to address the vital elements of change management, which includes intelligent planning, proper communication and cooperation, often on many lines and varying cultures (Beer, 2002). To carry out the responsibility of a strategic business partner, human resources must be incorporated in the change management process from the very first step. After a thorough understanding of change, from employee perspective to novel tools and techniques, human resources play a very significant role to bring about change in any organization successfully. DISCUSSION Sudden shifts, authentic and drastic revolutions are the forces that are changing the nature and environment of businesses in the current age of globalization. The business arena is getting tougher and the competitors too resourceful as organizations are liberated from the traditional ways of operating (Machin, 2003). The old notions for conducting business no longer hold true in the era of globalization. Globalization is a term with no specific definition and is often used interchangeably with the term internationalization. As mission command explains, global leaders are those who have the potential to steer through the intricacies of the transactional business world. (Kanter, 2003) They express the vision and plan in a multi-environment from a multiple functionality perspective so that they are able to pull along the entire team. This requires setting up examples thorough determined leadership and sharing the views of the team members. This implies fast paced development for individuals with potential along with a multi-cultural exposure, performance appraisals and developmental opportunities to keep them motivated. The teams led by global managers need a vision and a global fellow feeling (Kanter, 2003). This means that high performance global organizations should create an all-encompassing culture where people feel that their interests match with those of the organization and hence they remain self-challenged in accordance with the mission dashboard. In such an environment, a sense of belonging preva ils and motivation stems from common values and ideals, being involved in work that is both challenging and has meaning too. (Millward, 2007) Such organizations are not distracted by inward issues. They have a clear agenda and focus on competition, consumers and communities. Both the commercial and the large-firm divisions of the financial structure are experiencing a transformation in UK, stemming from a system which was egalitarian, had low affinity between work endeavor and incentive to more market-driven preparations. This development creates a necessity for management methods that twist the relation linking an individual employees efforts and the monetary outcomes associated with it (London, 2001) Nonetheless, the speed with which the change occurs is very different for both segments. Influenced by political factors, local groups exercising control or even due to links with the government, a lot of big organizations enjoy better and protected positions. It is not rare to come across companies which are inefficient but have been given favors due to their connections. In such scenarios, mission leadership provides the missing link between the desired strategies and the processes required for their implementation and execution. However, with mission le adership things have become more transparent. An inefficient favor may acquire undue favors but when it comes to success, only real potential wins the show in the tough competitive global arena (Coram, Burnes, 2006). When managing changes in organizations, the role of a leader is extremely crucial. It draws on one of the key notions of leadership literature, on interpersonal influences and also as the significant role that managers assume in the business as change agents. Their influence is reflected in the change process as they catalyze it. Leaders today must make decisions in highly complex, competitive and dynamic environments (Gilbert, 2007). This makes effective decision-making more difficult as well as more critical than in the past. Research has found that managers frequently plan, solve problems and make decisions based upon incomplete and sometimes inaccurate information. At worst, this may result in dire consequences for their organization. At best, this can cause less than optimal decisions to be made, placing the organization in a less effective and competitive position than it would otherwise be. Ineffective use of information is often due to the following factors: Managers may make incorrect assumptions about or lack knowledge of, available information. They may lack the comfort, ability or inclination to access critical information because of chain of command or networking issues. Staff may be unequipped to adequately interpret existing information. Critical internal and external information and the abilit y to access it may be absent. Communication promotes changes and broadens support for the companys goals. Communication has been emphasized throughout research as a key to successful leadership roles. Effective leaders understand the importance of communicating the company values and making sure that these values connects with followers and their needs. The management of change process also depends upon the type of organization under review. Different change management procedures are successful in different settings. In other words, success can be determined in terms of the organizations capacity to fit and adjust well in its changing environment. (Kotter, 2005) An innovative organization is one in which forces of change such as learning is truly reflected, whereas the force of direction results from its environment, In order to keep up to date with the fast paced global business environment, it has now become a necessity to properly manage employees in the workplace. In efforts to excel in the global economy, organizations have evolved from personnel to human resource to finally human capital management (Pettigrew, 2000). Efficient organizations are those who strive to formulate productive and positive relations with employees globally. This ultimately becomes visible in the policies that demand full cooperation of the employees through using better proper performance and organizational change strategies (Kouzes et al, 2005). As technology continues to invade every aspect of our personal and business lives, it is predicted that the economic pressures will increase and will raise a demand for custom-tailored services transformations. It is therefore important for employee relations to stress on knowledge management and individuals at a personal level to gain competitive advantage (Burnes, 2000). The evolving model of industrial relations therefore, acknowledges that companies will be successful in any competitive situation only if they are able to raise the employees skills through a structured method which ensures sustainable benefit and as a result, establishes a safe future for all the employees. When translated, it broadly means that efficient, mutually consented functioning and a basic understanding of workers ambitions should be kept in mind. Overall, it emphasizes on recognizing employees voice (Knights, 2002). Employee voice is described in various manners and is expressed through diverse paths. Another very frequently used way for employee voice is attitude surveys, which provide a flexible but not an interactive route. A few categories of employee voice encompass direct contribution in the organization and structuring of work and an indirect affect on major decisions which have an influence on the organization in the wider perspective via mutual committees or job c ouncils. Like the work environment, leadership style and culture all have a huge impact on the performance and efficiency output of any organization, in the same manner; employee relations too, greatly affect the performance of any organization (Kouzes et al, 2005). One way of leadership is transformational leadership where the leaders act beyond their agendas as emotions steer them to and another is transactional leadership where the leaders map efforts with proper rewards. Nonetheless, the basic constituents that make up good practice are proper skill training and development, job design, continuing consultation and guidance and involvement (Kotter, 2005). Along with this approach is the practice of fair and good management which promotes a positive self worth based on unbiased decisions and mutual trust incorporated into the organizations culture. The outcome of this approach is directly connected to companys performance as it affects the dedication level of employees, besides their motiva tion to perform and excel. For all these reasons it is very significant to maintain healthy employee relations. In UK, in any organization, from the employees viewpoint of their agreement, their individual evaluations of success at work are influenced by a range of elements which encompasses the type of wok assigned, social incorporation in the work environment, involvement in decisions and most of all job security (Burnes, 2000). All these collectively make the understanding of any given job. Even though the contract is for individuals, it has aspects involved that are important to the entire workgroup, at the department level or even throughout the organization. One can say that the nature of employee relations in UK has undergone a lot of significant changes in idea as well as in procedure, leaving widespread impacts. Once, what were considered just unions grew to a level of social participation with constituents of unitarist and pluralist models combined to create a mediatory third approach? (Taylor, 2003)The rebirth of the role of union involvement as partners in organizations, along with the widening of the previously strict concept of voluntarism, to entail an extensive and general approach which had the tendency to embrace economic facts, has depicted that voluntarism in the UK work environment still remains a founding standard in employee relations. (Taylor, 2003) Moreover, the paradigm shift promoting employee involvement has added a new meaning to the employee-manager relationship which has caused a deep change of culture in many business organizations. This also means that the paternalistic and technical beliefs that were prevalent have to be abandoned. With time the reality and presence of the change is felt throughout the organization and the manager should be prepared to deal with any resistance to the change. Employees who continue to resist, remain agitated are often categorized as difficult ones (Pettigrew, 2000). But the truth remains that they feel more vulnerable and may need individual counseling or assurance from the manager to discuss the change and how it affects his performance expectations. It is also important to realize that change can be triggered from both internal and external elements. External triggers encompass developments in materials or technology, shift in consumer needs and demands, actions and innovations from the competitors, new regulations and laws, shifting local or global trade scenarios, political changes and/or changes in cultural and social values. Internal triggers can be innovations in service/product design, ideas to boost performance and morale, job restructuring, change in senior management, insufficient knowledge base, innovations due to training workshops, business relocation, identification of issues, better process of manufacturing and/or improved ideas for service delivery to the customers. Usually the actions of the top management are a reaction to some external agent; tougher competition, shifting market trends or better technology (Pettigrew, 2000). It is vital to realize the importance of change as the key to survival and growth in todays fast paced global economy. Reluctance to change poses the threat of becoming stale and unresponsive. The main challenge is to remain alive and move swiftly and easily. Organizations that are able to embrace and adjust successfully to the change process are the ones who involve their people in it. It is an undeniable fact that the employees of the organization have to face and adhere to the change process and they are crucial in bringing about change. Proper management of the human aspect of change has multifold benefits. Not only does it guarantee successful execution and proper utilization of the technical solutions, it also sets the perfect ground for implementation of future solutions. (Burnes, 2000) CONCLUSION The rate of organizational change has not declined in the past years and with the current pace of economy, it not likely to decline in the near future also. This leaves the organizations with only one option; to adapt and embrace change as efficiently as possible. The swift and continuous developments in technology are leading organizations to change their systems and procedures. (Stickland, 2005) A lot of organizations take a lot of time to embrace and adjust to new economic trends while some implement them without difficulty. New trade ways require new ways for organizations to conduct business (Kotter, 2005). Globalization has shrunk distances and has eliminated the former obstacles in the market. In such a situation, unremitting change has become the soul of organizational life. The irony is that in most of the organizations, despite the ever changing economic scenario and the thrift competition, the operational plans and structures still reflect upon the previous ideals and real ities, making the inertia of the organization the most critical barrier to change (Beardwell, 2004). This failure is a result of a variety of factors, like the absence of a change custodian or the fact that the person trying to initiate change is at a junior position, poor support from the management, lack of appropriate project management skills, all hopes pinned to one solution, lamely or loosely defined objectives and/or the focus of the change unit on a lot of projects instead of the key project. (Knights, 2002)