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University Admission Essay

College Admission Essay College Admission Essay Privileged insights of University Admission Essay Writing College confirmation pape...

Tuesday, August 25, 2020

University Admission Essay

College Admission Essay College Admission Essay Privileged insights of University Admission Essay Writing College confirmation paper composing is a genuine task as you need to consider various parts of your life and afterward press all that data into a two-three page exposition. Not a simple undertaking, right? Besides, your college confirmation article must be nothing not exactly splendid; something else, youll never get acknowledged into college you had always wanted. One of our senior authors was an individual from entrance advisory board at one of the trustworthy American colleges. We requested that he share his feeling on winning college confirmation expositions. Here are a few suggestions:http://.com/blog/composing confirmation exposition Awful University Admission Essays Over 90% of utilizations are ineffectively composed. Those college affirmation papers never get a solitary opportunity to be acknowledged. Terrible college affirmation papers are five-passage papers which are just a gathering of irrelevant and unsupported sentences. There are no mix-ups or language structure issues, yet they are exhausting to peruse and don't get any consideration. Terrible affirmation expositions open with the general explanation which gives quick response to the expressed inquiry. Such openings deny entrance advisory boards of a chance to be keen on perusing till the last sentence. Indeed, you should keep the consideration of the peruser from the absolute first lines. In generally, there is nothing amiss with the exhausting college confirmation papers. Notwithstanding, such an article will never add to your affirmation, except if you have the best grades in the city. Great University Admission Essays Great college confirmation expositions are not the ones which are written in untraditional manner. Great college confirmation articles are incredible in light of their voice. It implies that great exposition shows your character as opposed to tells about it. By appearing, I imply that you should speak to the entirety of the faculties. Regardless of whether you feel that the subject isn't important (obviously, you ought not go into portrayal of the totally unessential issues), the manner in which you present it decides if you get conceded or not. Moreover, you should demonstrate regard to the knowledge of the peruser. Your great college affirmation paper should concentrate on thoughts which come behind the subtleties. At long last, remember that accuracy is a force in your college affirmation exposition. Exceptionally Written University Essays On the off chance that you need to get the best composed college confirmation articles, you may certainly approach our expert exposition essayists for help. We can compose great college confirmation articles since we know about all the insider facts of affirmation process. In addition, our scholars are experienced and have just helped numerous understudies! Try not to postpone your fruitful college affirmation paper composing! Peruse too: Basic Essay Outline Papers on Patriotism Assignments available to be purchased Maths Coursework

Saturday, August 22, 2020

Impact of E-Commerce technologies on Supply Chain Management

Question: 1.Discuss the Impact of E-Commerce advances on Supply Chain Management on: 1.1.Impact on procurement1.2.Impact on creation, arranging and control.1.3.Impact on dispersion. Answer: Presentation Web based business has been one of the most significant methods of business in the current worldwide exchange. The business associations are getting upper hands in the serious world and internet business happens to be the most moderate vehicle of making a business exchange. The business exchange is done through the web and it requires some investment to do the exchange. The job of internet business in the gracefully chain the executives has been helpful (idea.gov.uk, 2017). The web based business has decreased the time and cost and can do the business procedure effectively. The task contemplates the job of internet business in the acquisition, creation, arranging and control exercises of the association. The task likewise talks about how the web based business has been the snappiest method of circulation and how it affected the business arrangement of the organization. The task will examine the example of overcoming adversity off Dell that exploited email request and effectively won the upper hand by providing the clients different arrangements through online mode. This was conceivable because of coordinated flexibly the board chain applied by the organization. Characterizing flexibly chain the board Flexibly tie the executives alludes to the arranging the executives of the considerable number of exercises that include in sourcing, acquisition, change the administration of the coordinations. It is the efficient, vital coordination of the business elements of the conventional methodology the strategies across of these business capacities inside the gracefully chain for the improvement of the presentation of the organization the flexibly chain in general (UCSF, 2017). It is the efficient perspective on the availability in the chains so as to make fulfillment of the clients at the hour of the conveyance of the items. The flexibly chain the board has been significant for the worldwide business and for the improvement of the activities of the business. It improves the rivalries and helps the association for the stock administration. This adds to the expansion of web based business. Effect of web based business advancements on the gracefully chain the executives Web based business has offered all the partners of the business to make a simple access to the data to settle on a decision dependent on the worldwide reach. The clients, providers, produces sellers can get the data and the decisions made by them will be gotten to and checked by the business association over the globe. The innovation of internet business has acquired improvement the correspondence between clients firm and it has diminished the time required to get the data. The buy procedure has been enormously affected and the exchange cost has been decreased. The reaction time of the gracefully chain is diminished by the innovation and the correspondence and data stream become quick over the chain. The web based business has been useful for the disintermediation and has decreased the effect of bullwhip impact (Heng, 2015). The online business has been significant for acquirement, creation, arranging control of the matter of the association. The web based business has additionally a more noteworthy effect on the flexibly chain the board and on the dissemination. 1.1.Impact on acquirement The procedure of the acquirement of a gracefully chain the board is about the dealing with a proper arrangement of providers the individuals who can bolster the necessities of the procedure of the creation through fats and stream of crude materials. The present worldwide world offers an extension to the business association to discover the providers or the crude materials at the ideal time allotment with a fitting expense. The procedure of the acquirement builds up shared associations with the providers. This will contributes for the obtainment of the necessary sum the quality materials in the assigned time (Heaton, 2017). This has been feasible for the web based business. The online business has diminished the process duration the creation cost. The system availability has built up the procedure of the acquirement. The customarily based exercises like choosing the thing, order of the buy on the paper, conveyance of materials, receipt the installment have been supplanted. The sending of the Electronic Data Interchange framework empowers the providers and getting association to have fast correspondence. The electronic medium will offer Business to Business model for the online business. This assists with social occasion required merchandise legitimately on the trade. The web based business has improved Business to Business procedure and offers direct access to know the value, quality, amount, accessibility data that is significant for the business correspondence (Krishnamurthy, 2007). 1.2.Impact of internet business on creation, arranging, and control The assembling procedure of the organization relies upon the need of the clients. The organization produces to fulfill the need of the end-clients. There are various exercises led by the organization for giving items administrations to the purchasers. These exercises are from the guaging, acquirement, stock data the executives, confirmation of value, booking, creating, circulation, conveyance and client support (Anon., 2017). The internet business encourages the developments of the merchandise by causing cradle loading of the things in the stockroom close to the area of the purchasers with the goal that they to can make quick conveyance. The flexibly chain development helps in three significant manners. The merchandise are moved towards the course of the shoppers. The online business helps moves data from shoppers to providers and from providers to customers. The developments of the accounts are produced using the shoppers to the providers. (Derek, 2017) The Business to Business trade the advances are utilized to address the interest detecting issues identified with the reactions. The assembling needs are appropriately overseen. The web based business has assisted with meeting the accompanying targets. It improves accomplice joint effort, limits the expense, and aides for detecting the gracefully and it is utilized for coordination. 1.3.Impact on the appropriation The significance of the appropriation arrange is enormous in an association. The intensity of the appropriation system of an association encourages it to arrive at the clients over the globe. The items are handily conveyed to the clients without any problem. The conveyance arrange encourages the association to rival different associations, to upgrade the degrees of the stock and to keep up the stockrooms effectively so as to fulfill the need of the end-clients of the items (entrepreneur.com, 2017). The web based business assumes a job of the delegate and gathers the data according to the inclination of the purchasers, on the patterns of the interest and detecting the interest. In this manner the online business assists with dispersing accessible data on value, quality, and elements of the items to the clients (Khadar, 2016). Accordingly the online business underpins then calculated frameworks, helps the development of the physical products from the makers to the end-clients and offer s the dangers identified with the administration of the stock. The online business has been exceptionally valuable for the abuse of the economies of scale during the time spent the transportation dispersion of the items. The web based business has helped the purchasers by offering great types of assistance. Therefore it builds up a connection between the makers and the wholesalers Accordingly online business makes a situation where computerized merchandise are made and afterward it is reached to the buyers toward the end. The internet business stage has assisted with advancing dispersion framework with elevated level of normalization, brand picture and affirmation of value and valuation turns out to be low in intricacy. Consequently the online business has assisted the end clients with getting the items legitimately from the producers (Chowdhury, 2008). Effect of internet business of Dell and its effect on creation, arranging, and control and on obtainment and on dispersion The interest patterns assist Dell With companying to compose its assembling to create the items that are modified. For fulfilling the need of the clients the organization utilized a system of providing top notch PC segments subassemblies. The organization utilized a flexibly arrange called virtual incorporation. The organization had flexibly accomplices who are given interest patterns. The organization centers around propelling new items. The gracefully accomplices were coordinated. The arranging of the activities could assist with incorporating with accomplices of the gracefully to make an arrangement for the tasks so the expense of the inventories will be decreased. This has permitted Dell to work low-stock or Just in time activities in stock (americanexpress.com, 2011). The clients of the dell are presently ready to make a tweaked request and that is put away in the database. The organization gets benefits sourcing the information for speedy shipment from the closest assembling unit. The organization has interconnected all the procedures and the frameworks (Geva, 2013). The office server of the organization makes a picture according to the request for the clients. It takes two hours to arrangement the assembling plan framework The Build to Order process demands for the required materials and it is conveyed by the providers and it is refreshed properly. The organization isn't requiring distribution center and the stock tasks become extremely less. This has made the Dell Company keep up conveyance point at the separations that can be conveyed in a short time. The web based business has added to conveying between the assembling to the clients straightforwardly. End Online business has added to upgrading the quality of the flexibly the executives framework. The gracefully the executives framework has been extremely viable. The web based business has given degree to the purchasers, providers, makers and sellers to get to the web and get the data effectively and rapidly. The purchaser cho

Monday, August 10, 2020

British English vs. American English

British English vs. American English Playwright George Bernard Shaw once claimed, England and America are two countries divided by a common language. Since the Americas were colonized over 400 years ago, the form of English used in the United States has deviated from that used in the United Kingdom. Therefore, the form of English used in the United Kingdom is called British English, and the form of English used in the United States is called American English.During the course of writing, you may be asked to write in your non-native format. For example, some academic journals require articles to be formatted in a particular style. Therefore, it is important to be aware of the ways in which the two forms differ. It is also important to point out that the differences in style extend beyond what your spell check may highlight. This article will address the differences between the two forms, including spelling, punctuation, grammar, vocabulary, idioms, and formatting of dates and numbers.SpellingFor spelling issues, the safe st option is to consult a dictionary. Use the Oxford Dictionary for British English and the Merriam Webster Dictionary for American English. A few common differences are listed below.American English or vs. British English our:Examples include color/colour and favorite/favourite.American English ze vs. British English se:Examples include analyze/analyse and criticize/criticise.American English ll vs. British English l:Examples include enrollment/enrolment and skillful/skillful.American English er vs. British English re:Examples include center/centre and meter/metre.American English e vs. British English oe or ae:Examples include encyclopedia/encyclopaedia and maneuver/manoeuvre.PunctuationThe most important difference involves the use of quotation marks. Double quotation marks are used as primary quotes in American English, whereas single quotation marks are used in British English.For quotes within quotes, single quotation marks are used in American English, and double quotations m arks are used in British English.To add to the confusion, periods and commas are generally placed inside closing quotes in American English and placed outside closing quotes in British English. In both styles, question marks and exclamation points are placed inside the quotation marks if they belong to the quotation and outside otherwise.The following sentences highlight the key differences.My father always said, Be careful what you wish for. (American English)My father always said, Be careful what you wish for. (British English)Another difference appears in letter writing. In American English, a comma follows the salutation in an informal letter (Dear John,), and a colon follows the salutation in a business letter (Dear John:). In British English, a comma follows the salutation in all letters.Writers should also be careful when using the term i.e. as the punctuation that follows also differs. In American English, a comma follows i.e. or e.g. No comma is used in British English.Abbr eviations may also be expressed differently. In American English, a period is typically used with abbreviations (Ph.D and Mr.), but in British English, no period is used (PhD and Mr).Finally, it is also worthwhile to note that ( ) marks are referred to as brackets in British English. In American English, ( ) marks are referred to as parentheses (singular parenthesis), whereas [ ] are called brackets.GrammarWill/ShallIn British English, it is fairly common to use shall with the first person to talk about the future. Americans rarely use shall.I will never forget this favour. (American English)I shall/will never forget this favour. (British English)Collective NounsCollective nouns like jury, team, family, and government can take both singular and plural verbs in British English. In American English, they normally take a singular verb.The committee meets tomorrow. (American English)The committee meets/meet tomorrow. (British English)VocabularyThe greatest difference between the two for ms may be in vocabulary. Some differences in usage and/or meaning can cause confusion or embarrassment:Apartment vs. FlatArea code vs. Dialing codeATM vs. CashpointBaby carriage vs. PramBathroom vs. Loo/water closetCookie vs. BiscuitElevator vs. LifePeriod vs. Full stopThere are also a few differences in preposition use, including the following:American English on the weekend vs. British English at the weekendAmerican English on a team vs. British English in a teamIdiomsThere are a number of English idioms that have essentially the same meaning but show lexical differences between the American and British version, for instance:Knock on wood vs. Touch woodA drop in the bucket vs. A drop in the oceanBeating a dead horse vs. Flogging a dead horseLay of the land vs. Lie of the landDates and numbersIn American English, the date is expressed as April 17, 1978. Conversely, in British English, the date is expressed as 17 April 1978.The time may also be expressed differently in British Engli sh since the 24-hour clock (18:00 or 1800) is routinely used in the UK and Europe in applications including air, rail, and bus timetables; however, it is largely unused in the US outside of military, police, and medical applications.Finally, in most cases, British English and American English can be used interchangeably. However, in formal writing, it is important to know the distinctions and apply them appropriately.

Saturday, May 23, 2020

The Internet And Social Media - 946 Words

Internet and Social Media The advent of the Information Age linked people to one another, across vast expanses of geographic space through a simple home computer. While early home users paid per minute of access, the service providers quickly offered a set, monthly fee for access and continuously growing bandwidth availability to remain competitive as users started streaming videos, music, and live broadcasts. Along with entertainment and communication between people, the internet also offers never before seen access to the primary sources of historical narrative formation and a place for multiple voices to engage in shaping these narratives. As I earlier stated, when offering an example of television versus newspapers, the capabilities of the discursive medium shapes both what is communicated and how it may do so. With the internet, audiences are no longer constrained by their passive role as the recipients of the information, limited by what the producers and editors decide to offer. Instead, the multim edia nature of websites allows audiences to read interpretive commentary, view source materials and documents from global sources, watch video of events and speeches, and engage in interactive dialogue through message boards and chat rooms. As new sources become available and contributors add interpretations and responses, the website continues to evolve, reshaping the narrative it tells. While some of this transformation occurs in a collaborative effort with theShow MoreRelatedSocial Media And The Internet1564 Words   |  7 Pagesassociated with social media and the Internet. Many years ago, before phones and computers were invented, simply going outside to play was a great way to spend time with friends and be entertained. Technology has evolved greatly since these days. Teens can communicate, post pictures, and search anything on the Internet nowadays. Although social media is a very big hit in this century, the real question is, is it safe? What does the use of social media and the Internet lead teens to do? Social media and theRead MoreThe Internet And Social Media927 Words   |  4 PagesThe internet and social media instantly connects individuals anywhere in the world with each other. This instant connection can be beneficial to nurses in the workplace. It enables quicker communication between staff and is an unlimited resource of information for nurses and patients. The downside is that nurses have to be careful of what they put online. Social media can be a great tool to improve patient care when used appropriately. An article titled To Tweet or not to Tweet? Nurses, Social MediaRead MoreSocial Media And The Internet Essay1362 Words   |  6 PagesSocial media and the internet have changed the way people in the music industry do business, along with how people in society receive music. People in the music industry have had to reevaluate everything that they have done in the past, in order to adapt to how things are now. Artists are now taking control of their own careers; because of that major labels are not making as much money as they did before. Through the internet and social media artists have been releasing there own music on sitesRead MoreThe Internet And Social Media1437 Words   |  6 Pagescontinues. The internet and various social media have been changing the arena in which people communicate with each other. People use the internet to interact with various individuals all over the world. The internet has bridged the gap between communicating with individuals as they connect with family, friends and other individuals in society. As individuals embraces the evolution of technology, there are multiple ways individuals can communicate with each other. Social media has been theRead MoreThe Internet and Social Media1212 Words   |  5 Pagesthe Internet, technology has vastly changed the way we live and communicate. This technological revolution we have gone through has brought about many new things into our daily lives. The birth of social media has completely changed technology, and they way we use it. We can now communicate with each other from anywhere around the world. We can update people on our current location. We can have a conversation over text. We can inform people exactly what we are doing at any given time. Social mediaRead MoreThe Internet And Social Media Essay2046 Words   |  9 Pagesconnection where a person’s access to the internet is limited only by whether they have an internet ready device. The internet has allowed users to freely and effortlessly communicate with each other across the globe. This has opened up new and exciting prospects including forming friends aboard, creating a personal blog and competing in online games with people from other countries. It is estimated that around 2.95 billion people around the world use social media web-sites. In the United States (US)Read MoreSocial Media And The Internet1866 Words   |  8 Pagestelevisions, and in the past few decades, the internet. According to History.com, in 1965, the first connection between two computers was made, and many advances occurred until the web we know today was birthed in 1991 by a swiss man named Tim Berners-Lee. This is when the world wide web, that WWW that appears on almost every URL, began to take shape, and where people could access an array of information. The internet seems to be the culmination of all these social media communication inventions. There areRead MoreInternet Usage Of Social Media1144 Words   |  5 PagesOVERVIEW: Internet usage has become a heavily integrated and important characteristic of current and contemporary society. It would be rare to meet anyone who has not yet used any aspect of the Internet. In fact, according to the article, Social Media Update 2016 written by Shannon Greenwood, Andrew Perrin, and Maeve Duggun of the Pew Research center, â€Å"86% of Americans are currently internet users† (Greenwood et al.) This percentage includes teenagers, emerging adults, and adults. Below are observationsRead MoreThe Rise Of The Internet And Social Media974 Words   |  4 Pagesheart of marketing, the core function is to create and deliver value to the consumer. The rise of the internet has seen the rise of the global consumer. Meaning businesses are not restricted by geographical location, increasing the speed and amount of potential customers within markets, presenting both a challenge and an opportunity for marketers. However since the rise of the internet and soc ial media, Poiesz and van Raaij (2007) state that in increasingly crowded markets, and increasingly sophisticatedRead MoreThe Emergence Of The Internet And Social Media1079 Words   |  5 PagesThe emergence of the Internet and social media has had a tremendous impact on the theory and practice of advertising, public relations and marketing disciplines. Advertising spending on the Internet has outpaced all other traditional media (Center for Media Research, 2004). In the last two years, the number of social networking tools and the number of people using those tools have exploded, thus the rules are constantly changing and there is considerable uncertainty on how to employ these tools from

Tuesday, May 12, 2020

Sexism And Gender Roles Throughout America - 2417 Words

In recent months few topics have gripped the nation quite like the idea of sexism and gender roles. While in the last few decades many strong leaders have stepped forth to reconcile the differences, American still has a long way to go. While we present ourselves as a model for other countries, doing so is unjust considering the misbalance of power, representation, perceived value and respect. While many continue to deny it, sexism is still a major problem in modern American society. Division of the genders through gender roles has been the norm of society since the beginning of man. In order to evaluate the current state of sexism in America, one must first study our history. From the earliest of human evolution men were valued as the hunter, the protector, the leader. Gallantly, spears in hand, they would leave mates and children behind in search of meat for the clan. The whole of his family’s survival resided on his shoulders, and any miss step on his fault was seen as immense failure. Women were left behind to mend the camps, cook the meals, and watch the children. Viewed as the weaker sex, the were left at home with the â€Å"gentler† work, only leaving the home for simpler tasks as gathers of berries and roots. As these society grew more seditentary and complex, the introduction of organized societies only perpetuated these gender roles. Although these roles were clearly defined and strictly followed, both were seen as equal and necessary for survival. (CITE) As differentShow MoreRelatedSexism And Racism : Racism And Prejudice Essay1348 Words   |  6 PagesSexism vs Racism Discrimination and prejudice have both been a major problem in our society since the idea of gender and race contacted our brains. Everyone hopes that humankind will change and treat everyone equally and fairly, but this still has yet to happen. Mankind is still treating people as minorities without a second thought. Women are still stereotyped as being too feminine for a â€Å"man’s job†, such as construction or military forces. As well as, men being considered to manly to be ableRead MoreMovies Control: Sex and Violence1436 Words   |  6 Pagespublic believes and accepts. Research shows that the amount and realism of violence and sex in movies has skyrocketed, influencing the views of our generation. However, little to no attention is placed on the effects of movies on our views of racism, sexism, classism, and heteronormativity. Before watching a movie, you can get a general idea of how much sex and violence it will contain, in order to decide if it is appropr iate for you. However, how can one tell if a movie is too racist, sexist, classistRead MoreTheme Of Sexism In The Joy Luck Club779 Words   |  4 Pagesand two dedicated to daughters. Tan’s approach to structure allows the interlocking stories between mother and daughter to place emphasis on the issue of sexism. The purpose of Tan’s novel is to highlight that, even though American and Chinese societies drastically differ, there still remains a recurring theme of chauvinism. Erica Jong says, â€Å"Sexism kind of predisposes us to see mens work as more important than womens, and it is a problem, I guess, as writers, we have to change.† Through her purposeRead MoreBlack Feminist1005 Words   |  5 PagesOxford English Dictionary, Black Feminist can be defined as a movement consisting of African American women advocating social, political, legal, and economic rights for women equal to those of men (Oxford English Press). Black feminism argues that sexism, social class oppression, and racism are inseparably bound together (Collins). The feminist movement has been around since the 1880s when the word â€Å"Feminism† appeared in the French language (Collins). The word found traction in Britain in the 1890sRead MoreWomen Are Not The Only Victims Of The Patriarchal Society1255 Words   |  6 Pagesembodiment of the complex roles facing modern women† (Anderson, 109). Millions of women in Middle and Southern America judged her for her persona, instead of ignoring her differences and creating a larger community of strong women. Hillary Clinton goes against the basis of what many women were raised upon, the conception of a submissive housewife. Obviously not all female Trump voters voted for the Republican candidate due to their ignorance of the positivity of a woman’s role in politics, but sixtyRead MoreOne Unaccounted For Factor That Is Impacting The Level1445 Words   |  6 Pagesintersection of race and gender, or rather t he dominance that patriarchal and racialized norms have on influencing American’s perceptions of poverty. The majority of the current literature on the subject of American’s support/opposition to economic redistribution tends to focus on identities such as race, class, and gender as separate entities. Applying the theories of hostile/benevolent sexism and racism, I argue that analyzing intersections of identities such as race and gender in conjunction, and asRead More Gender Inequality Still Exists Essay1281 Words   |  6 Pages Gender Inequality still exists quot;Is there any difference between the education acquired by men and women in college?quot; My answer to that question would be that although the quot;brick wallquot; ( Forum 1) in education has been broken, we still have another, invisible barrier called the quot;glass ceiling.quot; ( Forum 1) Most people would say that education has changed a great deal since women began to attend institutions of higher learning. Is this completely true? Women have undoubtedlyRead MoreThe Roles Of Sexism And Dreams1377 Words   |  6 Pages2 Due: November 16, 2015 The Roles of Sexism and Dreams â€Å"Who the hell told you you had to be a doctor? If you so crazy ‘bout messing around with sick people- then go be a nurse like other women- or just get married and be quiet...† (38). Walter Younger, one of the protagonists of the play, makes this sexist comment towards his sister, Beneatha, and her desire to become a doctor. Walter belittles Beneatha’s dream by implying that women are only fit for supporting roles just like their mother, MamaRead MoreHow Does Sexism Affect Society?1185 Words   |  5 Pages Sexism is defined as the discrimination or hatred against people based on their gender rather than who they are as an individual. This has been going on all throughout history, even as far back as the Bible, with Adam and Eve. Eve’s role was to be considered that of a servant rather than a human being. And it continues into modern day. Girls cannot play certain sports at school because of their gender. This type of behavior isn’t j ust found in day to day life, but in the media we as humansRead MoreFeminism: Womens Status in Higher Education1448 Words   |  6 PagesThroughout human history, customs derived from mythical and religious social traditions have provided cultural explanations regarding the evolution of the roles of men and women and the variations between the structures of the lives of the sexes (Sapiro 28). Although many see America as a country of equal opportunities for all, including women, most forget the struggle and hardship thousands faced to earn this God-given right. Professor Barry Bull of Indiana University speculates on the current infrastructure

Wednesday, May 6, 2020

Time I Learned a Lesson Free Essays

While living in a state as hot as Arizona, not only do the football players have to drink a lot of water, but everyone else as well. The day I didn’t taught me a lesson: Actions, good or bad, are followed with consequences. I thought my body would be perfectly fine without some water for the day but boy was I wrong. We will write a custom essay sample on Time I Learned a Lesson or any similar topic only for you Order Now Just minutes before the incident, the only Item on my mind was how fun the rap concert would be the following night. Little did I know, I would not be attending. A late night trip to Albertson Isn’t rare for my family as we forget things tie easily (and when I say we I mean I). I entered Albertson with a mental list of Ethylene, snacks, and Storage. Yet, I still made my way to the ice cream aisle as I seem to always be gravitated towards it. Him, what flavor sounds good? Ben and Jerry Peach Cobbler gets me every time! I reach out to grab that perfect concoction and smack! My body now lays lifeless on the floor as I blackout. Seconds, minutes, maybe hours later I become conscious. I make an effort to move my limbs but there’s no use. My heavy eyelids have a arid time opening, I force them open and find myself in a hospital bed wearing one of those dresses I promised myself I’d never wear. My eyes find their way to the side of my bed where my motherly sits, pale skinned, and mouthing my name. Her voice finally registers Into my head as it translates from terrified to joyful. My very own nurse rushes In once I’m awake. She tries her hardest to talk slowly and uses hand gestures to explain why I’m here, why I’m lifeless, and why I’m wasn’t eating my ice cream in the comfort of my own home. I had blacked out for several hours. Well that was an unexpected nap, I thought to myself. My nurse says the word dehydrated and it clicks my mental grocery list. There was Ethylene for my headache, snacks for nauseates, and Storage for extreme thirst. How could I be so stupid? The next day my life carried on normally: I woke up, ate, went to school, ate, napped, ate, did my homework, ate, and slept. Of course there was a lot more water in my system compared to the day before, but drinking more water wasn’t the lesson learned. I could have been testing and driving, or not completing a homework assignment but the point was the same; there were consequences to my every move. I could’ve been In a car accident or simply slotting In SAD with a bunch of kids I TLD know. It’s your own choices that make you or break you In this life, what will you choose? And will you be prepared for the consequences that follow? BY excellencies English II- Period 3 A typical sight in the halls of Hamilton High School are the tall and built young men of was I wrong. Just minutes before the incident, the only item on my mind was how fun attending. A late night trip to Albertson isn’t rare for my family as we forget things quite easily (and when I say we I mean l). I entered Albertson with a mental list of finally registers into my head as it translates from terrified to Joyful. My very own nurse rushes in once I’m awake. She tries her hardest to talk slowly and uses hand I could’ve been in a car accident or simply sitting in SAD with a bunch of kids I didn’t know. It’s your own choices that make you or break you in this life, what will you How to cite Time I Learned a Lesson, Essays

Saturday, May 2, 2020

Project Of My Health Record Samples †MyAssignmenthelp.com

Question: Discuss about the Project Of My Health Record. Answer: Introduction A health record system is to be developed to increase the efficiency of the health services that the patients receive. The health record system named My Health Record is to be developed for improving the patient care services and it aims at reducing the number of hospital admissions by providing a 24*7 health solutions to the patients via an online application. This system is expected to enhance the process of medical services provided to a patient as the physician will have a direct access to all the medical records of a patient stored in the My health record system. A vision document of this project is prepared in order to identify the problems, capabilities and the benefits associated with system to be developed. Problems One of the major problems associated with the existing system is that it is difficult to provide adequate patient care services to the patient in rural areas. Furthermore, manual record keeping system is a major problem since there are chances of misplace of the records. My Health record system will provide a digital platform for storing the records into the system. This record can be accessed by the physician even if the patient is not physically present in front of the physician and thus the process of providing medical services to the patients becomes even easier. Apart from this, it has been observed that patients often fail to provide their complete health summary to the physicians as a result of which, the physician fails to understand the health problem of the patient properly (Silow-Carroll, Edwards Rodin, 2012). This in turn might lead to suggestion of improper medication to a patient. My Health record system is expected to eliminate these limitations associated with the ma nual healthcare services provided. Since the patient will be able to remain connected with the physician 24*7, it will definitely reduce the number of cases of hospital admission. The capabilities and benefits of this system are as follows (Koh et al., 2013)- Capabilities The Capabilities of the system My Health Record are as follows- An electronic health record will be developed that will store the health records of the patients who will choose to remain connected with the system. This will provide them with a 24*7 access to the different medical facilities including direction communication with the physician and receiving healthcare services (DesRoches et al., 2012). The system will provide a summary of health information of a patient so that the physician gets a clear idea of the different treatments he has undergone in the past. The patient need not have to provide the details of the same to the physician verbally. The system to be developed is completely secured as the patient can control who can access his personal information (Thilakanathan et al., 2014). Only the authorized person is allowed to access the health information of a particular person. The patient can choose to unsubscribe from the service deleting all the records from the database (Tom et al., 2012). Furthermore, the data will be stored in the database in an encrypted form and therefore, there is no risk of data loss or modification of the data. It will provide a digital version of the patient chart that will enhance the productivity and the efficiency of the hospital services provided to the patients. Benefits The major advantages or benefits of implementation of My Health Record system are as follows- The major advantages and benefits of implementing the record system is that it will improve the health of the patients while improving the efficiency of the health. This system will be designed in order to help the patients in managing their complex health conditions in a more efficient way. It helps in devoting more time with the patients and less time in chasing the clinical information. It provides a platform for better information sharing among the different sources as the information is available in times of need (Pearce Bainbridge, 2014). It provides better access to all the necessary information needed for suggesting a required medication to a patient. Since the healthcare information is available at one place, it will be easily accessible for the doctors or the hospitals (Mello, et al., 2013). Patient and the doctors can access the information from any device connected over internet. The information will be stored over cloud providing better access and availability of the data when needed. Since the patients can remain connected with the physicians 24*7, it is possible for the doctors to provide better advice and treatment to the patients (Wager et al., 2017). With the increasing use of internet and digital devices, it is more convenient to use a digital healthcare system. Conclusion Therefore, after analyzing the vision document it can be deduced that the electronic health record system named My health Record can be implemented in order to provide better patient care services and reduction of a considerable amount of cases of hospital admission. The system is capable of providing excellent healthcare services even to the patient of rural areas. The vision document of the system has been prepared that discusses the problems with the existing system and the capabilities and benefits of the new system. References DesRoches, C. M., Charles, D., Furukawa, M. F., Joshi, M. S., Kralovec, P., Mostashari, F., ... Jha, A. K. (2013). Adoption of electronic health records grows rapidly, but fewer than half of US hospitals had at least a basic system in 2012.Health Affairs,32(8), 1478-1485 Koh, H. K., Brach, C., Harris, L. M., Parchman, M. L. (2013). A proposed health literate care modelwould constitute a systems approach to improving patients engagement in care.Health Affairs,32(2), 357-367. Mello, M. M., Francer, J. K., Wilenzick, M., Teden, P., Bierer, B. E., Barnes, M. (2013). Preparing for responsible sharing of clinical trial data. Pearce, C., Bainbridge, M. (2014). A personally controlled electronic health record for Australia.Journal of the American Medical Informatics Association,21(4), 707-713. Silow-Carroll, S., Edwards, J. N., Rodin, D. (2012). Using electronic health records to improve quality and efficiency: the experiences of leading hospitals.Issue Brief (Commonw Fund),17(1), 40. Thilakanathan, D., Chen, S., Nepal, S., Calvo, R., Alem, L. (2014). A platform for secure monitoring and sharing of generic health data in the Cloud.Future Generation Computer Systems,35, 102-113. Tom, J. O., Mangione-Smith, R., Solomon, C., Grossman, D. C. (2012). Integrated personal health record use: association with parent-reported care experiences.Pediatrics,130(1), e183-e190. Wager, K. A., Lee, F. W., Glaser, J. P. (2017).Health care information systems: a practical approach for health care management. John Wiley Sons.

Monday, March 23, 2020

Haier Company Essay Example

Haier Company Paper The conflict may occur in teams when JVC tries to integrate the staff from partners. There are many reasons for it. Some of the more important ones relate to limited resources, communication problems, differences in interests and goals, different perceptions and attitudes, and lack of clarity about responsibilities (Sanchez, et al. , 2000). A case about Haier Company will help to illustrate it. Haier, Chinese appliance maker, has the first Chinese major manufacturing plant in the U. S. It is slowly but clearly importing its corporate philosophy and culture to its Camden, South Carolina, plant. The upper management and the technical group is Chinese and the operating employees are American. The American employees at plant are majority at the plant. The Hair Chinese group is using the 6-S concept, which is an adaptation of Japanese quality control concept (Konopaske and Ivancevich, 2004). The U. S. employees prefer to stick photos on the wall. This comes into conflict with one S of the 6-S concept, seisoh (keep the workplace clean). Haier pays more attention to quality, this behaviour is not permit. With communication, they all agree that the photos can be showed out when not at work. Another conflict in the team is about the punishment. The punishment is let the employee with the worst performance stand on the big footprint to criticize himself loudly. In Americans view, it infringes their rights. In this condition, Haier changes the punishment to encouragement. They let the best employee stand on the big footprint and speak out they are the best. The conflicts in the case are caused by different cultural habits, and attitudes. The case presents how Haier solve the conflict and blended its corporate style to one of its oversees plants. We can see from the case, communication is quite important in the team. With communication, we can understand each other better, and find out the reason of conflict. In this way, we can build a better inter-personal relationship, and enhance trust, too. And building trust between the partners through encouraging personal relationships between the staff, who have to work together for the JVC to succeed: senior managers, functional managers, engineers, and technical staff is to establishing the right one (Yoshino and Rangan, 1995), the one coherent team. We will write a custom essay sample on Haier Company specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Haier Company specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Haier Company specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Although JVC has independent equity, it cant live without the parent company. The intervention of parent company to JVC is the control. Generally, there are two forms of control: direct control and indirect control (Johnson, J. L. , et al 2001). Direct parent control is similar to dominant management. The parents attempt to influence activities or decisions in a way consistent with its own interests and expectations. Indirect control is based on the IJVs need for consultation with the parent firm, similar to shared management (Johnson, J. L. , et al 2001). The control bases on the parents equity position. The fifty-fifty ownership is a common form. These JVCs are usually shared management. When one partner holds a majority shares, the JVC seems to apply dominant management or split management. Bleeke and Ernst (2002) indicate the fifty-fifty equity JVCs are not as successful as the split ownership JVCs in which one partner has majority shares. 50-50 ownership can build trust through the mutual success, but it indeed has many problems. The case about control in the Dowty-Sema JV (Faulkner 1995) shows the problem clearly. Dowty-Sema was a JV set up by the two eponymous companies with 50:50 equity in 1982 to provide command and control systems for the British navy. Dowty provided the hardware and Sema provided the software. The venture company was largely a shop window for tendering, in that the 100-odd staff were all assigned to the payrolls of one parent or the other, dependent on their function. Software engineers were assigned to Sema and hardware engineers to Dowty. Control was exercised in the following way. A project was divided up between the two companies and 90 percent of it was carried out in the parent companies, leaving only 10 percent, principally project management, for the venture company to do. Dowty controlled contract negotiation and administration and Sema controlled finance. Each parent appointed its own project teams, and an element of competition and tension developed between them. The board membership was 50% from each partner. Difficult decisions led to very lengthy meetings by a committee of the board. The venture grew to i 50 million sales but unclear control meant that deadlines were missed and the venture made no profit. From the case, we can see the inefficient management of 50-50 equity JVC. But it doesnt means 50-50 equity JVC always perform worse than other form management. It depends on the relationship with partners and good communication between JVC and parents companies. And no matter what kind of control of parents companies, the constant presence of a parent interferes with the development of organisational cohesiveness within theJVC. The activity of organisational learning is the way for the company to gain knowledge for its partner. These activities affect the prospect of JVC. The communication with parent companies to transfer technology from them to JVC is one of the key success factors. The collaborative attitude allows for JVC learning by both partners and is likely to be more productive over the long run. There are three levels of organisational learning: technical, systemic, and strategic (Child, J. , et al. 2005). Collaboration with partner organisations offers a potential to learn at all three levels. It can provide access to techniques, facilitate the transfer of new systems, and enhance a firms ability to undertake new strategic initiatives (Child, J. , et al. 2005). The case about GM-Suzuki joint venture can be used to explain the learning and skills transfer to JVC. CAMI Automotive, Inc. , was set up to manufacture low-end cars for the U. S. market. The plant, run by Suzuki management, produces the Geo Metro/Suzuki Swift, the smallest, highest gas-mileage GM car sold in North America, as well as the Geo Tracker/Suzuki Sidekick spot utility vehicle. Through CAMI, Suzuki has obtained access to GMs dealer network and an expanded market for parts and components. GM avoided the cost of developing low-end cars and gained models it needed to help revitalize the lower end of the Chevrolet product line and to improve GMs average fuel economy rating. And once the CAMI factory reaches full capacity, GM took it as a test bed for to learn Japanese management of work teams, flexible assembly lines, and quality control (Bleeke and Ernst, 2002). The case indicates if the partners both bring specific strengths, both will benefit. JVC maintain relations with parent company to improve their performance. In the CAMI case, JVC run smoothly and reach the full capacity. From the parent organisations view, JVC is a great place to learn from partners. When we discuss learning and skills transfer, the intellectual property rights (IPR) is an important issue in an ongoing JVC. Legal protections go only so far. In addition to IPR protection of their own, the new technology and intelligence in JVC should be identified the ownership. Three structural tactics can protect IPR successfully (Bleeke and Ernst, 2002). First is to separate sensitive technologies from JVC. For instance, GE modularized the production of high value-added engine-core components to protect its know-how from Snecma. Second, some companies centralise contact points between the JVC and the parents. It is easier in highly centralised companies like Japanese businesses, than in more decentralised firms, like Western ones. Third, they combine complementary strengths and can not succee without the other. Toshiba and Motorola would not keep their strategic position if either terminated the alliance, because the two companies have such a high level of interdependence in the form of shared factories, distribution, and complementary specialised skills (Bleeke and Ernst, 2002). JVC success is often an ambiguous notion (Dussauge and Garrette, 1999): should attention focus on the success of the JVC itself-i. e. , its survival, duration, growth, and profits-or should it focus on the positive or negative consequences of the alliance for each of the parent companies? It is a dilemma, parent-local management conflict. Johnson, J. L. , et al. (2001) indicates there exits the logic that parental control of the IJV keeps IJV management loyal to the parent and focused on the parents needs. In such cases, although partner-partner conflict may result, control should reduce any. On the other hand, the characteristics of JVC can create an independence. JVC is not only separate legal entity, it is also a new established organisation, staffed by entrepreneurial managers, and quickly develops an entrepreneurial culture. In such cases, a prevailing climate of we versus them may lead to increased parent-local management conflict when parents intervene in IJV operations. There is a case about a JVC. The aim of foreign partner is to develop its business in the targeted country and the goal of the local partner is to derive adequate profits from its investment. The profitability of the JVC is strongly affected by decisions made by the parent companies. When the strategic direction of parent companies has changed, it affects the performance of JVC significantly. A typical example of this is when a multinational parent decides to limit the exports of the JVC to a neighboring country because that local market can be more profitably supplied via a wholly owned subsidiary confronted with excess capacity. The consequence of such a decision is decreased sales and profits for the JVC (Dussauge and Garrette, 1999). But in another way, they may offer opportunities for JVC to propose new activities which will contribute to its long-term development. We can see the importance to maintain relations with the parent companies from the case obviously. The performances and strategy direction of parent companies even determine the JVC survive or not.

Friday, March 6, 2020

The French Revolution, Its Outcome, and Legacy

The French Revolution, Its Outcome, and Legacy The outcome of the French Revolution, which began in 1789 and lasted for more than a decade, had numerous social, economic, and political effects not just in France but also in Europe and beyond.   Prelude to Revolt By the late 1780s, the French monarchy was on the brink of collapse. Its involvement in the American Revolution had left the regime of King Louis XVI bankrupt and desperate to raise funds by taxing the wealthy and the clergy. Years of bad harvests and rising prices for basic commodities led to social unrest among the rural and urban poor. Meanwhile, the growing middle class (known as the bourgeoisie) was chafing under an absolute monarchical rule and demanding political inclusion. In 1789  the king called for a meeting of the Estates-General- an advisory body of clergy, nobles, and bourgeoisie that had not convened in more than 170 years- to garner support for his financial reforms. When the representatives assembled in May of that year, they couldnt agree on how to apportion representation. After two months of bitter debate, the king ordered delegates locked out of the meeting hall. In response, they convened on June 20 on the royal tennis courts, where the bourgeoisie, with the support of many clergy and nobles, declared themselves the new governing body of the nation, the National Assembly, and  vowed to write a new constitution. Although Louis XVI agreed  in principle to these demands, he began plotting to undermine the Estates-General, stationing troops throughout the country. This alarmed the peasants and middle class alike, and on July 14, 1789, a mob attacked and occupied the Bastille prison in protest, touching off a wave of violent demonstrations nationwide. On Aug. 26, 1789, the National Assembly  approved the Declaration of the Rights of Man and of the Citizen. Like the Declaration of Independence in the United States, the French declaration guaranteed all citizens equal, enshrined property rights and free assembly, abolished the absolute power of the monarchy and established representative government. Not surprisingly, Louis XVI refused to accept the document, triggering another massive public outcry. The Reign of Terror For two years, Louis XVI and the National Assembly co-existed uneasily as reformers, radicals, and monarchists all jockeyed for political dominance. In April 1792 the Assembly declared war on Austria. But it quickly went badly for France, as Austrian ally Prussia joined in the conflict; troops from both nations soon occupied French soil. On Aug. 10, French radicals took the royal family prisoner at Tuileries Palace. Weeks later, on Sept. 21, the National Assembly abolished the monarchy entirely and declared France a republic. King Louis and Queen Marie-Antoinette were tried hastily and found guilty of treason. Both would be beheaded in 1793, Louis on Jan. 21 and Marie-Antoinette on Oct. 16. As the Austro-Prussian war dragged on, the French government and society, in general, were mired in turmoil. In the National Assembly, a radical group of politicians seized control and began implementing reforms, including a new national calendar and the abolition of religion. Beginning in September 1793, thousands of French citizens, many from the middle and upper classes, were arrested, tried, and executed during a wave of violent repression aimed at the Jacobins opponents, called the Reign of Terror.   The Reign of Terror would last until the following July when its Jacobin leaders were overthrown and executed. In its wake, former members of the National Assembly who had survived the oppression emerged and seized power, creating a conservative backlash to the ongoing French Revolution. Rise of Napoleon On Aug. 22, 1795, the National Assembly approved a new constitution that established a representative system of government with a bicameral legislature similar to that in the U.S. For the next four years, the French government would be beset by political corruption, domestic unrest, a weak economy, and ongoing efforts by radicals and monarchists to seize power. Into the vacuum strode French Gen. Napoleon Bonaparte. On Nov. 9, 1799, Bonaparte backed by the army overthrew the National Assembly and declared the French Revolution over. Over the next decade and a half, he could consolidate power domestically as he led France in a series of military victories across much of Europe, declaring himself emperor of France in 1804. During his reign, Bonaparte continued the liberalization that had begun during the Revolution, reforming its civil code, establishing the first national bank, expanding public education, and investing heavily in infrastructures like roads and sewers. As the French army conquered foreign lands, he brought these reforms, known as the Napoleonic Code, with him, liberalizing property rights, ending the practice of segregating Jews in ghettos, and declaring all men equal. But Napoleon would eventually be undermined by his own military ambitions and be defeated in 1815 by the British at the Battle of Waterloo. He would die in exile on the Mediterranean island of St. Helena in 1821. Revolutions Legacy and Lessons With the advantage of hindsight, its easy to see the positive legacies of the French Revolution. It established the precedent of representational, democratic government, now the model of governance in much of the world. It also established liberal social tenets of equality among all citizens, basic property rights, and separation of church and state, much as did the American Revolution.   Napoleons conquest of Europe spread these ideas throughout the continent, while further destabilizing the influence of the Holy Roman Empire, which would eventually collapse in 1806. It also sowed the seeds for later revolts in 1830 and 1849 across Europe, loosening or ending the monarchical rule that would lead to the creation of modern-day Germany and Italy later in the century, as well as sow the seeds for the Franco-Prussian war and, later, World War I. Sources Editors of the Encyclopaedia Brittanica. French Revolution. 7 February 2018.History.com staff. French Revolution. History.com.The Open University staff. French Revolution. Open.edu.Roy Rosenzweig Center for History and New Media staff. Legacies of the Revolution. chnm.gmu.edu.

Tuesday, February 18, 2020

Marketing Week 4 Discussion Assignment Example | Topics and Well Written Essays - 250 words

Marketing Week 4 Discussion - Assignment Example These are the fact that technology helps in providing computer-based clinical decision support systems, computer-based clinical protocols, and enhancement of electronic patient record systems and computer networks. Meanwhile, all these computer-based and electronic based systems of undertaking day to day processes within the health care sector have been guaranteed for effectiveness and efficiency (Morrisey, 2007). In a recent study, Koplan, Liverman and Kraak (2005) collected data on the weaknesses of paper based patient record and general health care delivery from 50 different health workers. The result of this study showed that there were as many as six (6) key weaknesses that paper based patient record present. These are lack of completeness, inaccuracies, lack of uniformity, slow transmission, lack of backup, and sheer physical volume (Morrisey, 2007). Meanwhile, using technology based systems helps in addressing all these issues in a single domain. Among the 50 respondents, the following results were produced as the worse affecting circumstances of absence of

Tuesday, February 4, 2020

Business Law - Questions Assignment Example | Topics and Well Written Essays - 750 words - 1

Business Law - Questions - Assignment Example Mostly in the case of online business, an advertisement on a site suffices as â€Å"a formal offer to contract† and it becomes effective once a customer places â€Å"an order and the supplier accepts this† (Trading Online Understanding e-Commerce Contracts 2005). An online contract is enforceable in a court of law provided its terms can be confirmed through the documentation on the website and it explicitly defines the conditions for the sale. The terms and conditions of the contract should be clear, specific and unequivocally stating the jurisdiction. Such an agreement must state: 1. Obligations of both buyer or seller or in other words, the parties to the contract. 2. The amount of payment, the time of payment and the options for the mode of payment. 3. The exact details of the services to be rendered or the commodities to be sold and the dates and modes of delivery or approximate time. Two document used in this study are purchase order and sales order in Online selli ng are:. Standard Purchase Orders: Standard Purchase Order is also a form of contract, which is used to make requisitions for the purchase of goods. The terms and conditions of purchase, price, payment terms, quality specifications, terms of the warranty, location of delivery, delivery date or time etc are usually indicated on the same. Both the seller and buyer are bound to adhere to the conditions and specifications stated in the purchase and these are enforceable in a court of law. The following is a sample of the purchase order: (Picture Courtesy: http://www.ljmu.ac.uk/fin/fin_images/ai_app1.jpg) Element of contract in Purchase order in UK Online Selling are: 1) Acceptance: Seller's beginning of work on the services or goods subject to this purchase order or consignment of such goods, whichever takes place first, shall be deemed as a successful manner of acceptance of the purchase order. 2) Mutual Consent: In order for the contract to become valid, the parties to a particular co ntract

Sunday, January 26, 2020

Development of Zostavax

Development of Zostavax Shingles vaccine, Zostavax, has been available since 2006, and is gaining in popularity among adults older than fifty years old. In order to alleviate any misconceptions of the vaccine or the disease process, a discussion of the disease, effectiveness of the vaccine, proper administration, safety precautions, complications, and immunity process will be highlighted by utilizing evidenced based studies and practices. It is through proper knowledge and patient education that the adverse effects of shingles, as well as other communicable diseases, can be prevented and provide a better quality of life for those at risk for shingles. Shingles is a debilitating disease caused by the same virus that causes chickenpox and will affect one in three people (Hall, 2010). Chickenpox are caused by the varicella-zoster virus (VZV), and most commonly acquired during childhood (U.S. Department of Health and Human Services, Center for Disease Control and Prevention, 2012). One important point is that one cannot develop shingles unless they have had chickenpox or have received the chickenpox vaccine (Hall, 2010). Shingles is an exacerbation caused by the virus, which hides in the dorsal root ganglion of the central nervous system for years after infection of chickenpox or years after administration of the chickenpox vaccine. Some of the first symptoms of shingles are headache or sensitivity to light, or one may have flu like symptoms without a fever (American Pharmacists Association, 2009). The inflammation reaction of shingles takes place when the dormant virus has the opportunity to become active, commonly in adults over fif ty years old with a weakened immune system (Hall, 2010). When active, the virus will travel down the nerve from the dorsal root ganglion and cause a reaction to take place on the skin. The reaction is concentrated to the nerve root, also known as a dermatome, that is affected, which is presented by a distinctive irritating rash that begins at the midline of the back and follows the nerve root around the torso toward the front in a horizontal fashion. The rash has also been known to affect the face. The rash is usually unilateral, but is some cases the rash may be bilateral (DHHS, CDC, 2012). The rash associated with shingles is very painful and has an intense itching and tingling sensation, which is followed by clusters of blisters. The blisters are filled with fluid and then after some time burst and crust over. These blisters may leave scars on the skin, and may take two to four weeks to heal. The blisters are only contagious to people who have not had chickenpox or have not recei ved the chickenpox vaccine, and one will only contract the chickenpox virus, not shingles (Hall, 2010). When the shingles vaccine was first approved in 2006 by the Food and Drug Administration (FDA), it was intended for those sixty years old and above (Laustsen Neilson, 2007). The potency of Zostavax is at least fourteen times greater than the chickenpox vaccine (DHHS, CDC, 2012). The effectiveness of the vaccine, Zostavax, was studied using eight different randomized controlled trials which included a total of 52,269 participants (Gagliardi, Gomes, Torioni, Soares, 2010). The study concluded that the vaccine was most effective in the sixty to sixty-nine year old age group, although this age group had the greatest number of side effects (Gagliardi et al., 2010). In a more recent study to determine the effectiveness in fifty to fifty-nine year olds, the use of Zostavax was shown to be effective (Schmader et al., 2012). The results of the study proved to be over seventy percent effective in the fifty to fifty-nine age group (Schmader et al., 2012). The use of the Zostavax vaccine to re duce the effects of shingles on activities of daily living has also been proven to be effective for older adults (Singh Subhashni, 2011). Due to this new study the age limit was changed to fifty years old and above. This change by the FDA proves that the vaccine is effective in preventing shingles in the aging population. Therefore proper education of adults fifty and older with regards to shingles should be a mainstay of intervention. Informing these adults of the serious consequences of not being vaccinated against shingles should also be incorporated into community education. The administration of the shingles vaccine Zostavax is a simplistic procedure and starts with proper storage and handling. Zostavax must be stored or shipped at temperatures between -58ÂÂ °F to +5ÂÂ °F (DHHS, CDC, 2012). Before reconstitution, Zostavax is a live attenuated vaccine that is a solid white powder and is brought to room temperature prior to administration (APhA, 2009). The powder is reconstituted with sterile water and should be 0.65mL when diluted. When reconstituting, the use of sterile syringe and needle is required. Once the vaccine is mixed, it is only good for up to thirty minutes. The administration of the vaccine is done by withdrawing the entire contents of the mixed vial, which is 0.65mL, in to a sterile syringe. Once the vaccine is drawn up into the syringe discard the needle use to puncture the seal and replace with a new sterile needle prior to administration. The entire contents of the syringe are to be injected subcutaneously by using a 1mL syring e with a 5/8 23 gauge needle. The injection site suggested by the FDA is the posterolateral aspect of the upper arm using a 45ÂÂ ° angle of entry. Prior to entry of the skin, wipe the site with an alcohol swab and allow to dry. Inject the vaccine at a moderate pace, one to four seconds. After injection remove the needle, activate the safety device and discard in proper sharps container. Next, apply light pressure to the site using a sterile cotton ball to discourage bleeding and apply a bandage if needed or desired. Be sure to keep an eye on the patient for a minimum of fifteen minutes to observe for signs of an adverse reaction. The signs for an adverse reaction can be itching, redness, hives; swelling of the lips, face, or throat; shortness of breath or wheezing; abdominal cramping; or cardiovascular collapse. A request for water, indicating thirst, and difficulty breathing shortly after vaccination are the first hint from a patient that anaphylaxis may occur. Do not give the patient anything to drink, and instruct the patient to sit down. If anaphylaxis is occurring, immediately enact emergency protocols. The use of epinephrine is the first line treatment for acute anaphylaxis. The general dose is based on the patients body weight, 0.01mg/kg up to a maximum dose of 0.5mg per dose. The dose of epinephrine may be repeated every five to twenty minutes, and is based on the patients response (APhA, 2009). Zostavax is classified as a live attenuated vaccine, which means that a wild virus is modified in a laboratory. During the modification process of the wild virus, it is weakened during the production process and therefore usually will not cause the disease. Once the vaccine is injected into the body, the live attenuated viruses must undergo replication in order to produce an immune response. The live vaccine has shown to be effective with one or two doses and have proven to be more effective than inactivated vaccines (APhA, 2009). Zostavax is an artificial active immunity, in which the subject is exposed to the live weakened wild pathogen. The exposure to the vaccine is artificial in nature, meaning the patient is injected with the weakened form of the virus to produce immunity. It is artificial active immunity that produces a prolonged effectiveness against shingles and also protects the patient against the disease without the risk of developing complications from having shingles. The immunity takes a couple of weeks to produce an antibody level sufficient enough to provide protection against shingles (APhA, 2009). The immune response is a complex process. First the subject needs to be exposed to the antigen, in this case the varicella zoster virus. The exposure to the virus allows for replication of the virus in the body. Once the immune system detects the antigen(s), two types of acquired immune responses occur, the humoral and cell-mediated immune responses. Both immune responses usually occur at the same time and cause a cascade of immune responses in order to eliminate the antigen(s). Both immune responses are mediated by many types of lymphocytes. They are two dominant types of lymphocytes, the B lymphocytes and T lymphocytes. The B lymphocytes arise and mature in the bone marrow, while the T lymphocytes arise in the bone marrow and then circulate to the thymus where they mature. Both B and T cells circulate in the blood looking for any foreign antibodies, and if detected an immune response will be activated (APhA, 2009). The humoral response is mediated by the B cells, which contain a unique receptor that is specific to only one antigen. When a B cell finds a matching antigen in the blood, it will bind to the antigen and activate the humoral immune response. This response functions by developing antigen-specific antibodies, which are responsible for recognizing and neutralizing the specific antigen. When the humoral response is begun, the B cells proliferate and mature into plasma cells. It is these plasma cells that make millions of identical antibodies to the specific antigen in which was encountered. The newly formed antibodies are then released into the bloodstream to find and bind to the antigen, which forms an antigen-antibody complex. The antigen-antibody complexes are then cleared by the immune system by phagocytosis and the complement system. After the elimination of the antigens, some of the B cells remain in the immune system as memory B cells; the memory B cells are there to defend agains t a future invasion of the same antigen (APhA, 2009). The cell mediated immune response involves the helper T cells, which are a type of T lymphocyte. The helper T cells do not directly bind to antigens; they are activated when they encounter infected cells that contain antigen fragments on the cells surface. The activated helper T cells secrete cytokines, which are chemical mediators that direct an immune response by recruiting additional immune cells to the area of infection. The cytokines signal helper T cells to perform many different functions. One of which the helper T cells stimulate additional B cells to activate antigen-specific antibodies; this will induce production of antibodies to fight the antigen. Next, the helper T cells will recruit macrophages and other immune cells to the area of infection which complements the destruction and elimination of the antigen. Finally the helper T cells can activate cytotoxic T cells, which can identify and kill infected cells. Once the antigen has been removed from the subject, the body wi ll retain a certain number of B cells and T cells to remember the antigen which results in immunologic memory. It is these remaining cells that can give a subject a specific immunity that can last from years to decades, or even a lifetime (APhA, 2009). Since the introduction of Zostavax in 2006 the CDC is continuing to reach the at risk populations to help educate and vaccinate against shingles as well as other preventable communicable diseases. It is the proper knowledge and education of at risk populations, that we have seen an improvement in quality of life revolving around proper up-to-date vaccination. Through continued community education and proper placement of public and volunteer educators, the misconceptions of shingles and vaccination can be alleviated as long as up-to-date evidenced based healthcare information is provided to the at risk populations.

Saturday, January 18, 2020

Parenting Styles and Abilites Essay

Families come in many different forms. Back in the 1950’s/60’s most families compromised of a father, a mother and at least one child, this is known as a nuclear family structure. In the past few decades though divorce rates rose which has caused a rise in reconstituted families for example step families, parents now work longer hours which has seen more children being raised by extended family members eg: grandparents and new changes in law has seen same sex marriages become legal. Within my placements many of the young people using the service have ended up in their situation due to family breakdowns. Many of the families live off benefits or on the poverty line and are battling with addictions to alcohol or drugs or are suffering from depression. This has a knock on affect to the young people I feel as they are therefore expected to grow up quicker in order to look after themselves or any other children that may be in the house. Also from what I have seen most of the young people do not seem to have any ambition or hopes for a better life and many get involved in the same kind of lifestyle that they have been used to all of their lives. This would agree with Bandura’s Social Learning Theory where people copy behaviours from their peers. In regards to the above Labour and Liberal Democrats have been campaigning for same sex families to have the right to adopt. Years ago this would have been frowned upon, but because same sex couples are now more ‘accepted ‘ in society I believe if they have the best intentions for the child then why shouldn’t they be allowed to raise their own families. Functionalists would not agree with this the same as they do not agree with single parent families as they believe in the nuclear family for reproduction, primary socialisation and economic support. I feel the young people that I work with have come from uninvolved parenting backgrounds. Many of them have been in trouble with the law and have never really been told right from wrong. Another reason for some of the young peoples behaviour is survival methods as they have been brought up to fend for themselves. Other parenting styles are indulgent, authoritarian and authoritative. Indulgent also known as permissive parenting normally means the parent/s are very involved in the child’s life and interests but does not believe in discipline. This results in many of the kids growing up to believe that they can do as they please and know no boundaries. Communication style would be very passive. The parent can come across very apologetic, at a loss for words, weak, hurt and anxious. Authoritarian parenting is mainly ensuring the child has strict guidelines and rules to follow and very much believes in discipline. This way of parenting normally results in the child growing up to be unhappy and in some cases they rebel against the control that they have been brought by. The parents way of communicating with the child would be very aggressive and commanding, loaded words and questions, putting the blame on the child, sarcastic and loud with a cold front. Finally there is authoritative parenting which is probably made up by most of the population. This kind of parenting shows an interest in the child but also teaches the child right from wrong. Children brought up in this kind of environment grow up happy and enthusiastic to achieve. Communication methods for this kind of parenting would be assertive. Ensuring point gets across, statements of wants and needs, caring and confident. Within the care sector in the UK it is likely you will come across all of the family styles mentioned above. In many other countries parenting styles will not play such an important part in the childs life. Children from as young as five years of age are sent out to work by their families in order to make a living, and in some cases the children do not have a choice as they have lost their family members to different environmental disasters, diseases etc. These societal issues play more of a part in the way the children grow up as they know they have no choice but to go out to work in order to survive. Recent TV progammes have followed families that live in slums in India. The whole family goes out to work long hours everyday rummaging through rubbish to see what can be recycled, the children do not always get to attend school as it is too expensive. At the end of the day the whole family sit, make and eat dinner together. Family values play a huge part in their lives and the sense of community is great, I feel this is more important as the family all seem to appreciate each other more and don’t take things for granted. In the UK parents are now having to work longer and longer hours therefore spending more time away from home, but unfortunately as in India where this seems to bring the family and community loser together it seems to be having the reverse affect here causing families to seperate and communities to be divided. I personally come from a very big close family so family is very important to me. I believe that if the young people that I worked with had close relationships with their parents then their outlook on life could have been very different. I think within the social care sector I could find this very difficult to deal with seeing how some families treat their children and are very uninvolved in their upbringing. Obviously the most important thing is ensuring the safety of the family especially the children, this would mean having to learn to accept different families styles of parenting whether I agreed with them or not as long as there were no signs of danger and ensuring the children were not put at risk in anyway. I know this is something I could struggle with but that I could not let interfere with the way my work was carried out with the family and have to accept that all families are different and live by different values.

Friday, January 10, 2020

The Vampire Diaries: The Fury Chapter One

Elena stepped into the clearing. Beneath her feet tatters of autumn leaves were freezing into the slush. Dusk had fallen, and although the storm was dying away the woods were getting colder. Elena didn't feel the cold. Neither did she mind the dark. Her pupils opened wide, gathering up tiny particles of light that would have been invisible to a human. She could see the two figures struggling beneath the great oak tree quite clearly. One had thick dark hair, which the wind had churned into a tumbled sea of waves. He was slightly taller than the other, and although Elena couldn't see his face she somehow knew his eyes were green. The other had a shock of dark hair as well, but his was fine and straight, almost like the pelt of an animal. His lips were drawn back from his teeth in fury, and the lounging grace of his body was gathered into a predator's crouch. His eyes were black. Elena watched them for several minutes without moving. She'd forgotten why she had come here, why she'd been pulled here by the echoes of their battle in her mind. This close the clamor of their anger and hatred and pain was almost deafening, like silent shouts coming from the fighters. They were locked in a death match. I wonder which of them will win, she thought. They were both wounded and bleeding, and the taller one's left arm hung at an unnatural angle. Still, he had just slammed the other against the gnarled trunk of an oak tree. His fury was so strong that Elena could feel and taste it as well as hear it, and she knew it was giving him impossible strength. And then Elena remembered why she had come. How could she have forgotten? He was hurt. His mind had summoned her here, battering her with shock waves of rage and pain. She had come to help him because she belonged to him. The two figures were down on the icy ground now, righting like wolves, snarling. Swiftly and silently Elena went to them. The one with the wavy hair and green eyes- Stefan, a voice in her mind whispered-was on top, fingers scrabbling at the other's throat. Anger washed through Elena, anger and protectiveness. She reached between the two of them to grab that choking hand, to pry the fingers up. It didn't occur to her that she shouldn't be strong enough to do this. She was strong enough; that was all. She threw her weight to the side, wrenching her captive away from his opponent. For good measure, she bore down hard on his wounded arm, knocking him flat on his face in the leaf-strewn slush. Then she began to choke him from behind. Her attack had taken him by surprise, but he was far from beaten. He struck back at her, his good hand fumbling for her throat. His thumb dug into her windpipe. Her attack had taken him by surprise, but he was far from beaten. He struck back at her, his good hand fumbling for her throat. His thumb dug into her windpipe. But he was stronger than she was. With a jerk of his shoulders, he broke her hold on him and twisted in her grasp, flinging her down. And then he was above her, his face contorted with animal fury. She hissed at him and went for his eyes with her nails, but he knocked her hand away. He was going to kill her. Even wounded, he was by far the stronger. His lips had drawn back to show teeth already stained with scarlet. Like a cobra, he was ready to strike. Then he stopped, hovering over her, his face changing. Elena saw the green eyes widen. The pupils, which had been contracted to vicious dots, sprang open. He was staring down at her as if truly seeing her for the first time. Why was he looking at her that way? Why didn't he just get it over with? But now the iron hand on her shoulder was releasing her. The animal snarl had disappeared, replaced by a look of bewilderment and wonder. He sat back, helping her to sit up, all the while gazing into her face. â€Å"Elena,† he whispered. His voice was cracked. â€Å"Elena, it's you.† Is that who I am? she thought. Elena? It didn't really matter. She cast a glance toward the old oak tree. He was still there, standing between the upthrust roots, panting, supporting himself against it with one hand. He was looking at her with his endlessly black eyes, his brows drawn together in a frown. Don't worry, she thought. I can take care of this one. He's stupid. Then she flung herself on the green-eyed one again. â€Å"Elena!† he cried as she knocked him backward. His good hand pushed at her shoulder, holding her up. â€Å"Elena, it's me, Stefan! Elena, look at me!† She was looking. All she could see was the exposed patch of skin at his neck. She hissed again, upper lip drawing back, showing him her teeth. He froze. She felt the shock reverberate through his body, saw his gaze shatter. His face went as white as if someone had struck him a blow in the stomach. He shook his head slightly on the muddy ground. â€Å"No,† he whispered. â€Å"Oh, no†¦Ã¢â‚¬  He seemed to be saying it to himself, as if he didn't expect her to hear him. He reached a hand toward her cheek, and she snapped at it. â€Å"Oh, Elena†¦Ã¢â‚¬  he whispered. The last traces of fury, of animal bloodlust, had disappeared from his face. His eyes were dazed and stricken and grieving. The last traces of fury, of animal bloodlust, had disappeared from his face. His eyes were dazed and stricken and grieving. He stared at her a moment, the pain in his eyes reaching a peak, and then he simply gave up. He stopped fighting completely. She could feel it happen, feel the resistance leave his body. He lay on the icy ground with scraps of oak leaves in his hair, staring up past her at the black and clouded sky. Finish it, his weary voice said in her mind. Elena hesitated for an instant. There was something about those eyes that called up memories inside her. Standing in the moonlight, sitting in an attic room†¦ But the memories were too vague. She couldn't get a grasp on them, and the effort made her dizzy and sick. And this one had to die, this green-eyed one called Stefan. Because he'd hurt him, the other one, the one Elena had been born to be with. No one could hurt him and live. She clamped her teeth into his throat and bit deep. She realized at once that she wasn't doing it quite right. She hadn't hit an artery or vein. She worried at the throat, angry at her own inexperience. It felt good to bite something, but not much blood was coming. Frustrated, she lifted up and bit again, feeling his body jerk in pain. Much better. She'd found a vein this time, but she hadn't torn it deeply enough. A little scratch like that wouldn't do. What she needed was to rip it right across, to let the rich hot blood stream out. Her victim shuddered as she worked to do this, teeth raking and gnawing. She was just feeling the flesh give way when hands pulled at her, lifting her from behind. Elena snarled without letting go of the throat. The hands were insistent though. An arm looped about her waist, fingers twined in her hair. She fought, clinging with teeth and nails to her prey. Let go of him. Leave him! The voice was sharp and commanding, like a blast from a cold wind. Elena recognized it and stopped struggling with the hands that pulled her away. As they deposited her on the ground and she looked up to see him, a name came into her mind. Damon. His name was Damon. She stared at him sulkily, resentful of being yanked away from her kill, but obedient. Stefan was sitting up, his neck red with blood. It was running onto his shirt. Elena licked her lips, feeling a throb like a hunger pang that seemed to come from every fiber of her being. She was dizzy again. â€Å"I thought,† Damon said aloud, â€Å"that you said she was dead.† He was looking at Stefan, who was even paler than before, if that was possible. That white face filled with infinite hopelessness. â€Å"Look at her† was all he said. A hand cupped Elena's chin, tilting her face up. She met Damon's narrowed dark eyes directly. Then long, slender fingers touched her lips, probing between them. Instinctively Elena tried to bite, but not very hard. Damon's finger found the sharp curve of a canine tooth, and Elena did bite now, giving it a nip like a kitten's. Damon's face was expressionless, his eyes hard. â€Å"Do you know where you are?† he said. Elena glanced around. Trees. â€Å"In the woods,† she said craftily, looking back at him. â€Å"And who is that?† She followed his pointing finger. â€Å"Stefan,† she said indifferently. â€Å"Your brother.† â€Å"And who am I? Do you know who I am?† She smiled up at him, showing him her pointed teeth. â€Å"Of course I do. You're Damon, and I love you.†

Thursday, January 2, 2020

Drug Cartels in Mexico Essay - 2834 Words

Mexican Modern War There are seven drug cartels in Mexico (CRS 1). The most important cartels are Sinaloa and Juarez. The Sinaloa cartel operates in the states of Nayarit, Sinaloa and Mexico State (Reforma 1). The Juarez cartel operates in Sinaloa, Nuevo Leà ³n, Chihuahua, Jalisco, Morelos; and Quintana Roo. Mexican cartels employ individuals and groups of enforcers, known as sicarios. Statistics show that more than twenty people are killed daily in Ciudad Juarez, Chihuahua in crimes related to drugs. Drug lords send their gunmen to strategic places where innocent people that are in the wrong place at the wrong time are killed. Narco Lords like Vicente Carrillo Fuentes and Joaquin el Chapo Guzman, fight among themselves for the†¦show more content†¦It should also investigate if the employees in the banks are corrupt or have relation with the cartels. The Mexican Government should conclude obsolete programs and devote those resources to drug cartels. The Mexican Government s pends unnecessary millions of dollars paying for local police departments that do not combat the trafficking of drugs. Local authorities are afraid of confronting the drug cartels. â€Å"We can just watch how they transport the drug from the Silverado to the Ram, crossing from Sinaloa to Chihuahua, We know who they are but we do not dare to oppose them, it’s a death sentence† (Soto). Alberto Soto stated that the local police department has been corrupted or threatened, â€Å"They do not care about their jobs but they fear for their families†. The actual military program must also be replaced it. The government should cancel the PGR and create a stronger fiscal-judicial program that supervises the Mexican army movements toward Chihuahua and Sinaloa. Felipe Calderon has sent more than 24,000 soldiers and Federal police to nine states, included Sinaloa and Chihuahua, to combat the cartels (Medina 1). 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