Wednesday, November 27, 2019

The Culture Of Japanese Management Essays - Employment, Recruitment

The Culture Of Japanese Management THE CULTURE OF JAPANESE MANAGEMENT The culture of Japanese management so famous in the West is generally limited to Japan's large corporations. These flagships of the Japanese economy provide their workers with excellent salaries and working conditions and secure employment. These companies and their employees are the business elite of Japan. A career with such a company was the dream of many young people in Japan, but only a select few attain these jobs. Qualification for employment is limited to the men and the few women who graduate from the top thirty colleges and universities in Japan. Placement and advancement of Japanese workers is heavily based on educational background. Students who do not gain admission to the most highly rated colleges only rarely have the chance to work for a large company. Instead, they have to seek positions in small and medium-sized firms that can not offer comparable benefits and prestige. The quality of one's education and, more important, the college attended, play decisive roles in a person's career (see, ch. 3). Few Japanese attend graduate school, and graduate training in business per se is rare. There are only a few business school programs in Japan. Companies provide their own training and show a strong preference for young men who can be trained in the company way. Interest in a person whose attitudes and work habits are shaped outside the company is low. When young men are preparing to graduate from college, they begin the search for a suitable employer. This process has been very difficult: there are only a few positions in the best government ministries, and quite often entry into a good firm is determined by competitive examination. The situation is becoming less competitive, with a gradual decrease in the number of candidates. New workers enter their companies as a group on April 1 each year. One of the prominent features of Japanese management is the practice of permanent employment (shushin koyo). Permanent employment covers the minority of the work force that work for the major companies. Management trainees, traditionally nearly all of whom were men, are recruited directly from colleges when they graduate in the late winter and, if they survive a six-month probationary period with the company, are expected to stay with the companies for their entire working careers. Employees are not dismissed thereafter on any grounds, except for serious breaches of ethics. Permanent employees are hired as generalists, not as specialists for specific positions. A new worker is not hired because of any special skill or experience; rather, the individual's intelligence, educational background, and personal attitudes and attributes are closely examined. On entering a Japanese corporation, the new employee will train from six to twelve months in each of the firm's major offices or divisions. Thus, within a few years a young employee will know every facet of company operations, knowledge which allows companies to be more productive. Another unique aspect of Japanese management is the system of promotion and reward. An important criterion is seniority. Seniority is determined by the year an employee's class enters the company. Career progression is highly predictable, regulated, and automatic. Compensation for young workers is quite low, but they accept low pay with the understanding that their pay will increase in regular increments and be quite high by retirement. Compensation consists of a wide range of tangible and intangible benefits, including housing assistance, inexpensive vacations, good recreational facilities, and, most important, the availability of low-cost loans for such expenses as housing and a new automobile. Regular pay is often augmented by generous semiannual bonuses. Members of the same graduating class usually start with similar salaries, and salary increases and promotions each year are generally uniform. The purpose is to maintain harmony and avoid stress and jealousy within the group. Individual evaluation, however, does occur. Early in workers' careers, by age thirty, distinctions are made in pay and job assignments. During the latter part of workers' careers, another weeding takes place, as only the best workers are selected for accelerated advancement into upper management. Those employees who fail to advance are forced to retire from the company in their midto -late fifties. Retirement does not necessarily mean a

Sunday, November 24, 2019

Free Essays on Robinson Crusoe Religion

While reading the book I could not help, but to notice the 2 major themes of the story. Since I only have a page I will revert to only one. The first is of course â€Å"the prodigal son† theme. I feel that the plot of the story is largely held together by an undertone of the religious theme that hints throughout the tale. In the first chapter of the novel you realize that the warning that Crusoe receives from his father, is prophetic and foretells what is to happen. Crusoe going against his father’s advice, which is to stay home or terrible fate awaits him, of course leaves home and the result is fateful. At different times during his travels Crusoe falls into hardship and each time he begs for God’s help and every time the situation improves he returns back to his old ways. At one point he takes part in a slave trade and God punishes him by sending him to a deserted island. Crusoe tries to make it on his own without asking for God’s help, but when he comes down with an illness, he resorts to his help and becomes a â€Å"born again† Christian. From angry selfish man that he was when he left England, he becomes a virtuous and kind human being. God rewards his faith by sending him a companion in a form of essentially a slave (ironic). Crusoe treats Friday with great kindness and eventually converts him into Christianity. Upon his return to England, he does not take the credit for escaping of the island himself, but rather attributes it to God. For which God again rewards him with a wife and 2 kids.... Free Essays on Robinson Crusoe Religion Free Essays on Robinson Crusoe Religion While reading the book I could not help, but to notice the 2 major themes of the story. Since I only have a page I will revert to only one. The first is of course â€Å"the prodigal son† theme. I feel that the plot of the story is largely held together by an undertone of the religious theme that hints throughout the tale. In the first chapter of the novel you realize that the warning that Crusoe receives from his father, is prophetic and foretells what is to happen. Crusoe going against his father’s advice, which is to stay home or terrible fate awaits him, of course leaves home and the result is fateful. At different times during his travels Crusoe falls into hardship and each time he begs for God’s help and every time the situation improves he returns back to his old ways. At one point he takes part in a slave trade and God punishes him by sending him to a deserted island. Crusoe tries to make it on his own without asking for God’s help, but when he comes down with an illness, he resorts to his help and becomes a â€Å"born again† Christian. From angry selfish man that he was when he left England, he becomes a virtuous and kind human being. God rewards his faith by sending him a companion in a form of essentially a slave (ironic). Crusoe treats Friday with great kindness and eventually converts him into Christianity. Upon his return to England, he does not take the credit for escaping of the island himself, but rather attributes it to God. For which God again rewards him with a wife and 2 kids....

Thursday, November 21, 2019

Psychosocial and Ethical Issues Personal Statement

Psychosocial and Ethical Issues - Personal Statement Example In this assignment, the psychosocial and ethical issues involved in the disease and in the possible management of such patients will be analysed through a reflective account. Case: This is a little girl of age 9, suffering from a leukaemia. She is attending this hospital for followup chemotherapy. Her mother accompanies her every time, and she seems to be very supportive to her daughter throughout these treatment cycles. Ethical Issues: Every patients and care involve some ethical issues. Pediatric patients such as this go through grueling rituals of management in the clinical setting. Quite often, these involve multidisciplinary workup and management. In the clinical situation, these are data of various categories and their interpretations. Changes in the clinical conditions and other parameters are discussed in order to design a therapy that suits best to the clinical conditions of these children. These situations are often grappled with ethical issues which tend to neglect the patient and the physician perspectives, even though they may be ethically sound. This is a chronic condition, and the mechanism of coping with such a severe disease for a little child like her is always a problem, and it is more so for the family or the mother. The patient has her own rights, but the fact that the patient is a dependent member of the family, and therefore, many of her decisions will be made by the physician s and the family, adjusting to her growing competence and maturity. It is very evident that the medical professional will have to act with fewer presumed limits on their commitment of care. The principles of beneficence may counteract with the principle of autonomy in case of this pediatric patient. Obviously, this would vary from those in case of adult patients. It is to be noted that cancer is no longer that deadly. With tremendous improvement in medications and technologies, the outcome is no that poor. All these have led to changes in the ways the physicians communicate with their patients. Truth telling perhaps is the most important ethical responsibility of a healthcare professional. Although truth is dynamic in nature, truth about a patient's condition is a combination of both subjective and objective factors. It also involves psychosocial aspects as to how it is interpreted by the patient and the physician. This matter is further complicated by the fact that the patient is a child. However, ethically, the healthcare professionals are bound to lead to honest transmission of what is accepted medical knowledge at a given time. This must accept the fact that the patient is not passive, rather an active participant in the decision making process, embodying autonomy. Since the child is just 9 years old with cancer, there is a high chance th at there would be considerable extent of paternalism. However, due to superior medical knowledge, the doctor may lead to medical benefit out of this, but that may not ensure patient benefit. However, the patient's mother who has been supportive to her may also do the same thing, and despite that, the doctor will have to depend on her. It is to be remembered that the patient, despite being a child, has her own value systems, cultural beliefs, and religious beliefs. In the changed scenario of the present time, a shared decision making is the rule of the hour. Moreover, the patient would want to assert autonomous control

Wednesday, November 20, 2019

Marketing plan Essay Example | Topics and Well Written Essays - 2500 words - 6

Marketing plan - Essay Example However, the company was acquired by Asher Budwig in the year 2011, but the brand name of Lola’s cupcakes continued to exist and the parent company decided to continue the business operations with the same vigour and focus on quality and design (Lola’s cupcakes, 2015b). The contemporary issues faced by the company are on the grounds of health issues. The cupcake and bakery industry has faced certain challenges owing to the changing consumer perception towards healthy diets. The rise in obesity rates in UK has made the customers to shift to food items with less sugar content or lower calorific value (BBC, 2014). Since, cupcakes have high quantity of sugar and can be considered to be a source of obesity so they have faced significant health issues. Moreover, from the point of view of the food consumption pattern of the customers it has been found that the customers, who prefer to eat halal, do not eat gelatinous cakes (Lola’s cupcakes, 2015a). Thus in order to target a wider range of customers Lola cupcakes need to offer a new range of products that offer non-gelatinous products. The target market of Lola cakes has been selected be all across London. The company has decided to target the customers based on their demographic and psychographic profile. The product category of bespoke designer cupcakes is targeted at the young population with the age group ranging in between 12-30 years. Based on the pricing of Lola cupcakes, the products are targeted at the middle and upper middle class of the society, which as a result allows the company to target a wide customer base (Lola’s cupcakes, 2015d). However, the narrow product offering also decreases the opportunity of the company to widen the customer base and target customers from several other demographic segments. The bespoke cupcakes are quite popular among the people with a â€Å"sweet tooth†, thus it can be stated that

Sunday, November 17, 2019

Crowd Dynamics & Management in an Event Essay Example | Topics and Well Written Essays - 2000 words

Crowd Dynamics & Management in an Event - Essay Example As the discussion outlines, major events have happened in the world where issues such as stampedes lead to death and injuries, or people suffocate due to congestion and commotion. This study will elaborate on effective crowd dynamics and event management by evaluating the Hajj, an annual Muslim pilgrimage to Mecca which attracts millions of people. In 2006, a stampede led to the death of over 340 people. Since the first events were organized about 2,000 years ago, they have been increasing in number by the day owing to the effect they have on our lives. They affect our political, environmental, economic, social, and cultural aspects. An event can have negative and positive impacts on the stakeholders and host communities, and that has made understanding of crowd dynamics and event management an important part of events. Today, events are increasingly researched and well documented to optimize their benefits and enhance their outcomes. One of the biggest challenges to crowd management is that minor factors such as bad behavior, substance abuse or criminal behavior can alter the agenda of an event and lead to unintended consequences. An event manager should therefore be equipped with skills to predict and come up with measures to mediate in the event that an unintended occurrence emerged before, during, and after an event. To elaborate how effective crowd management should be structured, the following study text will highlight the causes of fatalities and injuries at the 2006 Hajj where 340 people died and 1,000 injured. Following these, crowd reactions to situations and environments at public events will be discussed with regards to crowd management and control. In January 2006, pilgrims at the Mecca Hajj pilgrimage event numbering millions went rushing through the city streets towards al-Jamarat, three large stone walls made of stone which represent the devil.  

Friday, November 15, 2019

Pathophysiology Of Multiple Sclerosis Health And Social Care Essay

Pathophysiology Of Multiple Sclerosis Health And Social Care Essay Multiple Sclerosis (MS) is an autoimmune disease that affects the central nervous system (CNS) and its characterized mainly by demylination of the myelin sheath (CALABRESI, 2004). There are specific types of MS which are; relapsing-remitting type of MS (RRMS), secondary progressive MS (SPMS), primary progressive MS (PPMS), in addition to other types of MS but they are very rare such as progressive-relapsing MS (Norris, wells, 2007). There are many symptoms that specify MS. these symptoms can be categorized into the initial symptoms, the prodromal symptoms, and the symptoms that come along the course of MS (W.B Matthews, 1992). The recent methods of treatment for MS are mainly focusing at slowing the progression of the disease and keeping the symptoms under control, this can be achieved by using combinations of different medications (MCW Health link, 2007). Patients with MS usually have compromised balance (Fjeldstad, 2009). This can be caused by lesions located in the cerebellum that may lead to ataxia, or it could be as a secondary problem to diplopia, muscular weakness of the trunk or the limbs, vestibular problems, decreased sensory feedback and lower limbs spasticity (Fjeldstad, 2009). One of the new methods discovered to treat and help people with balance problems is the Wii-Fit. Many studies proved that the use of the Wii-Fit improves balance problems and helps people with diseases that may influence balance. Thus the research question of this paper is; is the Wii-Fit helpful in patients with MS who suffer from balance disorders. Incident MS was first discovered in 1849, although the first known description of a person with MS was from the fourteenth century in Holland (NINDS, 2007). MS is three times more common in women compared to men (NCEZID, DHQP, 2010). However, in patients who develop the MS symptoms later in life, the gender ratio is more equalized (NINDS, 2007). MS is not known as a childhood disorder because the statistics show that only 2 to 5% of the cases start before the age of 16. In addition, many of the MS symptoms are parallel to those of pediatric neurological disorders like metabolic disorders and leukodystrophies (NCEZID, DHQP, 2010). Finally, there is no universally acknowledged diagnostic criterion to diagnose MS in childhood (NCEZID, DHQP, 2010). There are no recent statistics that show specifically how many people have MS in the world, but there are 250,000 to 350,000 patients with MS in the United States diagnosed directly by the physician (NINDS, 2007). This single statistic estimates that 200 new cases are diagnosed each week. The majority of patients with MS experience their initial symptoms between the ages of 20 and 40. Symptoms are rarely seen before the age of 15 or after the age of 60 (NINDS, 2007). Caucasians are two times more susceptible to the disease than any other race (NINDS, 2007). Furthermore, MS is five times more common in temperate climates such as Canada, northern United States, and Europe than in hot and humid region (NINDS, 2007). Scientists have periodically received reports of MS epidemics, and the result was that the Faeroe Islands north of Scotland during World War II had the highest clusters of patients with MS ever. Yet there is no sufficient evidence that there is a direct relationship between the environmental factor and the increasing risk of MS. On the other hand, there is definitive evidence that the risk of developing or even worsening the condition of the disease is greater after acute viral infection (NINDS, 2007). Pathophysiology of MS MS is an autoimmune inflammatory disease that affects the central nervous system (CNS) (CALABRESI, 2004). It has no underlying cause and its characterized by axonal demyelination followed by degeneration (CALABRESI, 2004). The demylination specifically affects the myelin sheath, which is a shielding fatty rich protein insulator that covers the axons (Norris, wells, 2007). The myelin sheath aids in the rhythmic flow of the nerve impulses and the transmission of action potentials, which allows the communication between the brain and the different parts of the body (Norris, wells, 2007). However, in patients with MS the myelin sheath is destroyed by the bodys immune system. The immune system, which is the bodys defense system is malfunctioned in patients with MS, it fails to differentiate between the bodys own tissues and the foreign bodies, and starts to send diseased fighting cells to the CNS tissues to begin the destruction of the bodys own myelin sheath. When the bodys immune system starts to attack the bodys tissues this is called an autoimmune disease (Norris, wells, 2007). Patients with MS usually experience their first symptoms as young adults (Norris, wells, 2007). Most of the patients are diagnosed with this condition at a young age, because very often at this age patients are going to school, driving a car, or starting a family. While performing the different activities of their life; patients eventually realize that they are not functioning well and there is something they need to be concerned about. Approximately 80 percent of patients with MS have their symptoms in a relapse and remit state; meaning that the symptoms come and go, making both the diagnosis and prognosis difficult (Norris, wells, 2007). MS is considered a non contagious disease and in most cases it does not shorten the patients life span (Norris, wells, 2007). There are specific types of MS; 80 percent of patients begin with the relapsing-remitting type of MS (RRMS), which is characterized by the short-term flare ups or what is commonly called exacerbations or relapses, and it can last up to three months (Norris, wells, 2007). These relapses are followed by a partial or complete recovery or what is called remission. Women are diagnosed with RRMS more than men (Norris, wells, 2007). A significant number of patients go into a period of remission that lasts up to one year or even more, during this period of remission patients might experience mild symptoms that did not fully recover following the exacerbation or they may be symptoms free. However, even if patients do not get worse between the relapses or even if they dont show any symptoms, there will be continuous changes in the CNS (Norris, wells, 2007). More than 90 percent of patients with RRMS will eventually enter a second phase of RRMS if they were not treated suitably. This is called secondary progressive MS (SPMS) (Norris, wells, 2007). SPMS, occurs when the patient is experiencing worsening of the symptoms progressively. Nearly 80 percent of patients with MS are diagnosed with SPMS (Norris, wells, 2007). Most of the other 20 percent are diagnosed with primary progressive MS (PPMS). This type of MS doesnt show a relapsing and remitting state, instead it is characterized by a progressive and steady worsening of the neurological status of the patient (Norris, wells, 2007). PPMS is fairly divided between the genders unlike the RRMS. Additionally, there are other types of MS but they are very rare such as; malignant or fulminant MS, benign MS, and progressive-relapsing MS (Appendix A) (Norris, wells, 2007). There are many diagnostic tools used to evaluate the status of patients with MS. The most common diagnostic tool is magnetic resonance imaging (MRI) and lumbar puncture (Norris, wells, 2007). MRI, which views the lesions of the brain and spine, uses radiofrequency, computer stimulator, and a big electromagnet to contribute in providing a high quality picture of the brain (Norris, wells, 2007). MRI is used with patients with MS to assess the location and size of the lesions (Norris, wells, 2007). However, inflammation can be better assessed with the use of gadolinium-enhancement, which is a type of dye that is injected in the patient before doing the actual MRI (Norris, wells, 2007). Moreover, the other tool that is commonly used with MS is lumbar puncture or spinal tap; where a thin needle is entered at the base of the spinal cord and a small sample of the cerebrospinal fluid (CSF) is collected (Norris, wells, 2007). CSF is the liquid that surrounds both the spinal cord and the brain (Norris, wells, 2007). After taking a small sample of the CSF, laboratory tests are initiated to evaluate the chemical and cellular abnormalities of the sample. The physicians mainly look for oligoclonal bands, which are atypical immune proteins called immunoglobulins. These proteins present in the CSF of nearly 90 percent of patients with MS, but these proteins can also occur with other neurological conditions other than MS (Norris, wells, 2007). When comparing the MRI and lumbar puncture, the MRI is more useful and conclusive tool for diagnosing MS. On the other hand, lumbar puncture can be useful in case the MRI results are normal or indecisive therefore its used less often. Othe r less common diagnostic tools for MS are; magnetic resonance spectroscopy and evoked potential tests (Norris, wells, 2007). Symptoms of MS Symptoms of MS can be divided into three categories, the initial symptoms, the prodromal symptoms, and the symptoms that come along the course of MS (W.B Matthews, 1992). The initial symptoms, which appear in the first episode of MS are often taken by the patient from the history. However, the longer the time between the relapse and the questioning, the more inaccurate the information taken from the patient. Recent review of published reports revealed the incidence of the initial symptoms as follows, weakness in one or more limbs 40%, optic neuritis 22%, paraesthesiae 21%, diplopia 12%, vertigo 5%, and disturbance of micturition 5% (W.B Matthews, 1992). The prodromal symptoms are non specific symptoms that involve fatigue, irritability, limb pains, poor memory, and weight loss. These symptoms may be considered insignificant, because at this stage the abnormalities will not be detected in the cerebrospinal fluid (W.B Matthews, 1992). Furthermore, there are signs and symptoms that appear along the course of MS and in every advanced case of MS such as: weakness, spasticity, ataxia, tremors, sensory loss, visual disturbances and loss of bladder control (W.B Matthews, 1992; MCW health link, 2007). Then again, there are symptoms that are unusually seen with MS patients and it not proven to be associated with MS or any other medical condition that the patient suffers from such as: narcolepsy, spasmodic torticollis, and the restless legs syndrome (W.B Matthews, 1992). One of the constant features of advanced MS is weakness of the limbs; the most common form of distribution is asymmetrical weakness of both lower limbs. The least common forms of distributions are weakness of one lower limb, one lower limb and one upper limb always on the same side, or weakness of one upper limb (W.B Matthews, 1992). Weakness may be attributed to a slowly progressive case of hemi paresis, which begins with one lower limb, and then progressively more to the upper limb of the ipsilateral side. In the cases of hemiplegia in MS; the face is spared and not influenced by the weakness. However, the weakness can reach the respiratory muscles, which may lead to serious complications and even death (W.B Matthews, 1992). Signs of sudden deterioration include restriction of respiratory movement and rapid shallow breathing; these signs are not to be taken for granted especially if the patient is having weakness in both upper limbs. Weakness in the respiratory muscles may lead to an increase in energy consumption during walking and during performing other types of activities; that is called chronic respiratory weakness (W.B Matthews, 1992). Another feature of advanced MS is spasticity (W.B Matthews, 1992; MCW health link, 2007). Spasticity is a disorder of voluntary movement and increased resistance to passive movement (W.B Matthews, 1992). It usually affects the lower limbs more than the upper limbs. Nevertheless, this increase in tone is beneficial for some patients, because the increase in extensor tone can hold the weak knee extended during walking. However, if the tone increases beyond the reasonable limit, the patient will maintain the foot in planter flexion and that will make ambulation even harder and more difficult to the patient (W.B Matthews, 1992). Obtaining the desired tone to facilitate walking was proved impossible to attain. At the progressive stage of the disease there is an increase in the extensor tone, which is also called extensor spasm. This extensor spasm is considered inconvenient more than disabling e.g., it is extremely painful and occurs at night or when the patient gets out of bed in the mor ning. The patient needs several minutes for the spasm to subside (W.B Matthews, 1992). In advanced cases, flexor tone may take over and that will affect patients ability to walk (W.B Matthews, 1992). Patients may experience frequent falling, and it may be impossible to use a wheelchair. Eventually, patients may develop contractures mainly in the hamstrings and iliopsoas muscles (W.B Matthews, 1992). One of the major symptoms that patients with MS complain of is fatigue (W.B Matthews, 1992; MCW health link, 2007). There are two main types of fatigue in patients with MS; the first type is physical fatigue and the other type is psychological fatigue (MCW Health link, 2007). However, in patients with MS its very difficult to distinguish the cause of the complain, is it from fatigue or weakness (W.B Matthews, 1992). The only factor that distinguishes the pathological fatigue of a patient with MS from an ordinary fatigue of a healthy person is the adverse effect of heat, thus it means when the patient gets lethargic and tired when facing the hot and humid weather (W.B Matthews, 1992). Sensory symptoms are also common to occur with this type of patients especially at the onset of the relapse (W.B Matthews, 1992). Usually the abnormal sensation begins in a single foot, then after few days it spread up to involve the whole bilateral lower limbs, perineum, buttock, and different levels of the trunk that vary with each patient. Patients usually describe the feeling as tingling sensation (W.B Matthews, 1992). There are many other signs and symptoms that may affect the MS patients such as urinary frequency, urgency, and incontinence (MCW Health link, 2007). In addition, some patients with MS may complain of pain, restless legs, lhermittes sign, and even mental changes such as dementia, affective disorder, and schizophrenia (W.B Matthews, 1992). Finally, cerebellar dysfunction is a very common feature of advanced MS (W.B Matthews, 1992). This includes nystagmus, cerebellar ataxia, and dysarthria. Cerebellar ataxia can affect the gait. Truncal ataxia, the most common form of cerebellar dysfunction, is observed when the patient is sitting and it contribute to the increasing complaint of poor balance (W.B Matthews, 1992). Conventional treatment The current methods of treatment and medications aim at controlling the symptoms of MS, slowing the progression of the disease itself, and preventing undesirable side effects (MCW Health link, 2007). Significant numbers of people with MS suffer from spasticity (W.B Matthews, 1992; MCW Health link, 2007). Spasticity is often treated with tranquilizers and muscle relaxants such as Baclofen or lioresal, which can be taken orally and in serious cases they are injected into the spinal cord. They are considered the most commonly prescribed medication for spasticity. Other medications that are less commonly used for the treatment of spasticity are Tizanidine or zanaflex, Diazepam or Valium, and clonazepam or Klonopin (MCW Health link, 2007). One of the common problems that patients with MS deal with is visual disturbances (MCW Health link, 2007). Which can recover with time even without any kind of medical intervention, the physician may prescribe a short course of therapy with methylprednisolone (Solu-Medrol) that may be introduced intravenously. In addition, oral steroids are occasionally used (MCW Health link, 2007). Fatigue, which is the most common symptom of MS can be treated according to its type (MCW Health link, 2007). The physical fatigue can be avoided simply by instructing the patient to avoid heat and excessive physical activity. For psychological fatigue, the physician can prescribe anti-depressant medications for the patient. Other medications that can decrease fatigue are pemoline (Cylert), and amantadine (Symmetrel) (MCW Health link, 2007). Many patients with MS may suffer from different kinds of pain (MCW Health link, 2007). Aspirin or acetaminophen can be very helpful in controlling back pain and muscle pain. Additionally, physical therapy is also advantageous in controlling the pain by correcting the improper posture, and strengthening and stretching the muscles (MCW Health link, 2007). Some patients may develop bladder dysfunction and that can lead to urinary infection as the disease progresses (MCW Health link, 2007). Antibiotics are often used in the treatment of urinary tract infections. In addition, the patient may take vitamin C supplements or drink cranberry juice to acidify the urine and thus to decrease the chance of further infections (MCW Health link, 2007). In patients with urinary incontinence bladder pace-maker can be implanted through surgery. It is controlled by a hand-held device that is carried by the patient, allowing the patient to control the muscles that surrounds the bladder, by contracting the m when emptying the bladder and relaxing them in case of urine retention (MCW Health link, 2007). Patients with MS may develop tremors, which can be often challenging during the therapy course because it often makes the therapy difficult and takes a long time. Tremors can be minimally controlled with drugs, or in severe cases it can be treated with surgical intervention, but the best treatment for the tremors associated with MS is by taking physical therapy (MCW Health link, 2007). Finally, physical therapy rehabilitation is an integral part in the treatment of patients with MS (Patricia G, 2007). Its very necessary that the physical therapy team posses the important knowledge, sensitivity, and experience when dealing with these kinds of patients. In addition, they have to appreciate the variety of symptoms that the patient may suffer from, and know how to deal with every emotional, social, vocational, and financial issues that their patients complain of. The physical therapist goals should be focused on the following: educating the patient about the disease and how to deal with it, providing home programs for dealing with symptoms, making the patient independent as much as possible, offering resources for community programs, providing equipments for the patients and their caregivers (Patricia G, 2007). Wii-Fit Treatment The Wii is a software and a hardware game package that belongs to the Nintendo wii, which is designed mainly to improve fitness and balance while in the same time providing entertainment for the users (Williams et al., 2010). Its a video game that basically detects movement that is taking place on a balance board to allow the individual to play a variety of interactive games (Appendix B). The balance board is a flat board that the individual stands on, and it includes pressure sensors to detect any changes in weight shifting and the center of balance (Williams et al., 2010). Recent studies have shown that the Wii-Fit can be used to treat or improve balance in a number of disorders that affect the balance. In 2010, Williams et al., conducted a study to determine if the Nintendo Wii-Fit is a reliable and useful intervention in community dwelling older adults. Older adults over the age of 70 and have high risk of falling were recruited for the study. They participated in computer-based exercises, and during their participation, fear of falling and balance were evaluated at weeks 0, 4, and 12. After the completion of the program, the participants were interviewed to know if the intervention was beneficial for them or not. Nearly 80% of the participants attended 75% or more of the training sessions, after week 12, the Berg Balance scores were obtained from all the participants and it was found that theres a significant decrease in the risk of falling for the participants. The authors concluded that the Wii-Fit exercise program is beneficial and suitable for p eople with high risk of falling and thus, the Wii-Fit has the ability to improve balance (Williams et al., 2010). Another study was conducted on children with Down syndrome (Abdel Rahman, 2010). Its widely known that children with Down syndrome have lower scores on agility and balance tests compared to other children with other mental impairments. The main idea of this study was to examine if the Wii-Fit is helpful in improving balance in children with Down syndrome. Before starting the trial, balance was tested by using the Bruininks-Oseretsky Test of Motor Proficiency for thirty children aged 10 to 13 years with Down syndrome. The children were then equally and randomly divided into two groups; the study group received 6 weeks of Wii-Fit training and the control group received an ordinary physical therapy program. At the end of the program, the study group showed significant improvement in agility and balance compared to the control group. The author recommends that the Wii-Fit games can help in disorders that cause balance problems (Abdel Rahman, 2010). Rationale Based on the literature review of this paper, the use of the Wii-Fit was proven beneficial for patients that have balance problems such as children with Down syndrome and community dwelling older adults that have high risk of falling. In addition, the presented information proved that MS can affect balance significantly. Thus since the Wii-Fit was useful in the cases of Down syndrome and community dwelling older adults, then it is possible that it would be useful in patients with MS that have balance problems. Appendix A Types of MS Appendix B The Wii-Fit package The Balance Board

Tuesday, November 12, 2019

The ICC and Southeast Asia Essay -- Foreign Relations

The International Criminal Court was formally established 1 July 2002. â€Å"The statue which exercises jurisdiction over four crimes – genocide, crimes against humanity, war crimes, and crimes of aggression (applicable only after a further provision defining aggression and conditions of jurisdiction is adopted).† (Toon, 2004: 1). The ICC is considered to be a court that is a last resort. It was implemented for heinous crimes that are committed to be used when states (countries such as Southeast Asia) are not willing or not able to provide justice for such crimes to the victims. To date, Southeast Asia has only two of their eleven states that have implemented the ICC which are Cambodia and Timor – Leste. Third world countries have a hard time with prioritizing their affairs. With economic hardships, terrorism, and socio-political taking the precedence over justice for individuals that are victims of the above crimes. There are many questions that have been established in regards to why countries, South East Asia in particular have not become part of the ICC. The author, Valeriane Toon, presents to her readers some questions as to why Southeast Asia has not accepted the International Criminal Court. â€Å"Is it the fear of setting a precedent by consenting to the subjugation of territorial integrity on ethical grounds, which could culminate in a spontaneous compromise of state sovereignty once this, is ensconced into customary law, as articulated by numerous major powers? Or is it simply a rejection of terms propounded by the Statue† (Toon, 2004: 1)? The other main question that cannot be overlooked is how much influence does the United States may have over the governments of Southeast Asia† (Toon, 2004: 1)? Though Toon provides o... ...ow are they able to provide justice when (unfortunately) justice cost money. Toon says that, â€Å"Certain segments of the government are not in favor of the ICC, conscious that it can curb the extent of their liberty and swiftness in the execution of national policies (Toon, 2004: 6). However, the logical conclusion of this would be to amend such factors that infringe on the governments’ ability to provide swift justice. Works Cited Toon, Valeriane. â€Å"International criminal court: reservation of non-state parties in southeast Asia.† Contemporary Southeast Asia 26.2 (2004), 218+. Berman, Franklin. â€Å"The International Criminal Court†, paper presented at the Fourth International Law Seminar, Singapore, 2 September 2000. â€Å"Coalition for the international Criminal Court, Spring Semester 2012, http://www.icrc.org/eng/assets/files/other/irrc_861_wenqi.pdf.

Sunday, November 10, 2019

Kelley School of Business Essay

Business has had a captivation over my intellectual interests ever since my freshmen year of high school. I chose to be independent and wanted to make my own path in my field of my interests and hence chose finance. I wish to make an impact on the business world and also be a successful entrepreneur. I have started early and taken the steps to ensure my success in the field. I have always liked subjects like mathematics, accounting and management and this is why I chose to major in Business. This is my 2nd semester at Kelley and I started off with my intention to major in Finance. But after exploring more opportunities I plan to major in Accounting and Finance with a minor in Economics. I then plan to work in a financial institution for couple of years and prepare for GMAT simultaneously. I want to get into the best Business school for my MBA. Furthermore, I plan to work at a good position in a good institution and reach the top level management of that institution. My goal is to bec ome a CFO of a company. I have always been involved in a lot of intra-collegiate and inter-collegiate festivals in high school. I have performed duties of a Division Representative, Contingent Leader, etc. and represented my high school/junior college in city-level festivals. I have managed to win one of Mumbai’s (India) biggest inter-collegiate festival. I am an active member of the International Club, Indian Students Advisory Council (ISAC), Indian Students Cultural Association (ISCA) and Student Activities Programming Board (SAPB) at IUPUI. I have performed a dance and walked the ramp for ISAC’s biggest festival here on campus. Additionally, I have volunteered to walk the ramp for International Club’s biggest event of the year, ‘International Fashion and Cultural Show’. I also plan on applying for the Advertising Officer position for International Club and Cultural Secretary position for ISAC. I love volunteering and I think it’s a really good way to serve the community. I have volunteered for 5 medical camps back in Mumbai and have also been a part of a NGO i.e., Once again green. We basically looked for the greenery in the city and planted new trees every weekend. At IUPUI I have volunteered at the Boys and Girls Club of Indianapolis which was my best experience so far. Also, I have volunteered for IUPUI Flag corps. Recently, I volunteered for MLK day of service and felt attached to the community. Furthermore, I have registered to volunteer for the Kelley Career Fair on Feb 12th, 2012. Well, I am taking 18 credit hours this semester. I do have a scholarship of $4,000 every semester but my dad still ends up paying $14,000. Being an International Student our fees is much more than the In-State students it becomes really expensive. My dad also pays for my rent and personal expense which comes to about $1000-1200 every month. Hence, I am applying for various scholarships and programs which can help me pay my tuition fee and reduce the burden on my dad. Furthermore, I am looking for more job opportunities to get hands on experience and get my personal expenses covered. I am a direct admit to the Kelley School of Business. I have also been awarded Dean’s Recognition Scholarship of $32,000 for 4 years. I successfully secured a GPA of 3.614 in my first semester of my freshman year and hence I was fortunate enough and gain recognition to be admitted to Kelley School of Business, Dean’s Honor List. In addition, I have been invited to be a member of the National Society of Collegiate Scholars (NSCS). I have been dedicated to Kelley school throughout. I have also been asked by my Kelley Academic Advisor to be interviewed for a video and printed material to recruit other International students.

Friday, November 8, 2019

Free Essays on Recalled To Life

â€Å"Recalled to Life† Throughout A Tale of Two Cities the major theme, â€Å"Recalled to life" exists and flourishes. It all begins when Jerry Cruncher receives a letter that states "RECALLED TO LIFE"; this simple quote sums up, and foreshadows most of the happenings in the novel. The simple letter â€Å"RECALLED TO LIFE† corresponds to Dr. Manette and one of the many times he was â€Å"Recalled to life†. The first and most dramatic instance in which Dr. Manette was â€Å"Recalled to life† occurred at the beginning of the novel when Lorry and Lucie discover the mad doctor. When asked his name, Dr. Manette responds â€Å"One Hundred and Five, North Tower†, concluding him as mad. Later Lorry and Lucie nurse the doctor back to health, thus he was â€Å"Recalled to life†. Afterward Dr. Manette repeats the process of going mad after finding out about Charles Darney’s secret and once again is â€Å"Recalled to life† by Lucie. â€Å"Recalled to life† also clearly relates to Charles Darney numerous times. The first time Charles is â€Å"Recalled to life† occurs at the beginning while Charles is on trial for treason. Most certainly, Charles would have been tortured and executed if found guilty but Sydney Carton, who is representing Charles, uses his wit to save Charles and recall him from life. Later in the novel Charles is â€Å"Recalled to life† with the help of Sydney Carton. The final and most significant instance of the popular theme â€Å"recalled to life† involves both Sydney Carton and Charles Darney. At the end of the novel, Charles, despite Dr. Manette’s attempts to save him, is on trial once again for treason. The only person left to revive Charles from a certain death, Sydney Carton, must first change himself. Sydney Carton, regardless of his intelligence, has led a drunkard, meaningless life. Sydney cunningly switches places with Charles Darney and sacrifices himself to make Lucie happy. Sydney says "It is a far, far better ... Free Essays on Recalled To Life Free Essays on Recalled To Life â€Å"Recalled to Life† Throughout A Tale of Two Cities the major theme, â€Å"Recalled to life" exists and flourishes. It all begins when Jerry Cruncher receives a letter that states "RECALLED TO LIFE"; this simple quote sums up, and foreshadows most of the happenings in the novel. The simple letter â€Å"RECALLED TO LIFE† corresponds to Dr. Manette and one of the many times he was â€Å"Recalled to life†. The first and most dramatic instance in which Dr. Manette was â€Å"Recalled to life† occurred at the beginning of the novel when Lorry and Lucie discover the mad doctor. When asked his name, Dr. Manette responds â€Å"One Hundred and Five, North Tower†, concluding him as mad. Later Lorry and Lucie nurse the doctor back to health, thus he was â€Å"Recalled to life†. Afterward Dr. Manette repeats the process of going mad after finding out about Charles Darney’s secret and once again is â€Å"Recalled to life† by Lucie. â€Å"Recalled to life† also clearly relates to Charles Darney numerous times. The first time Charles is â€Å"Recalled to life† occurs at the beginning while Charles is on trial for treason. Most certainly, Charles would have been tortured and executed if found guilty but Sydney Carton, who is representing Charles, uses his wit to save Charles and recall him from life. Later in the novel Charles is â€Å"Recalled to life† with the help of Sydney Carton. The final and most significant instance of the popular theme â€Å"recalled to life† involves both Sydney Carton and Charles Darney. At the end of the novel, Charles, despite Dr. Manette’s attempts to save him, is on trial once again for treason. The only person left to revive Charles from a certain death, Sydney Carton, must first change himself. Sydney Carton, regardless of his intelligence, has led a drunkard, meaningless life. Sydney cunningly switches places with Charles Darney and sacrifices himself to make Lucie happy. Sydney says "It is a far, far better ...

Wednesday, November 6, 2019

Exercise in Identifying Sentences by Structure

Exercise in Identifying Sentences by Structure In terms of structure, sentences can be classified in four ways: Simple: one independent clauseCompound: at least two independent clausesComplex: an independent clause and at least one dependent clauseCompound-complex: two or more independent clauses and at least one dependent clause This exercise will give you practice in identifying these four sentence structures. Instructions The sentences in this exercise have been adapted from poems in two books by Shel Silverstein: Where the Sidewalk Ends and Falling Up. Identify each of the following sentences as simple, compound, complex, or compound-complex. When youre done, compare your responses to the correct answers listed below. The name of the poem from which the example is taken is listed in parentheses after each sentence. I made an airplane out of stone. (Stone Airplane)I put a piece of cantaloupe underneath the microscope. (Nope)Oaties stay oaty, and Wheat Chex stay floaty, and nothing can take the puff out of Puffed Rice. (Cereal)While fishing in the blue lagoon, I caught a lovely silverfish. (The Silver Fish)They say if you step on a crack, you will break your mothers back. (Sidewalking)They just had a contest for scariest mask, and I was the wild and daring one who won the contest for scariest mask- and (sob) Im not even wearing one. (Best Mask?)My voice was raspy, rough, and cracked. (Little Hoarse)I opened my eyes and looked up at the rain, and it dripped in my head and flowed into my brain. (Rain)They say that once in Zanzibar a boy stuck out his tongue so far that it reached the heavens and touched a star, which burned him rather badly. (The Tongue Sticker-Outer)Im going to Camp Wonderful beside Lake Paradise across from Blissful Mountain in the Valley of the Nice. (Camp Wonderful) I joke with the bats and have intimate chats with the cooties who crawl through my hair (The Dirtiest Man in the World)The animals snarled and screeched and growled and whinnied and whimpered and hooted and howled and gobbled up the whole ice cream stand. (Ice Cream Stop)The antlers of a standing moose, as everybody knows, are just the perfect place to hang your wet and drippy clothes. (A Use for a Moose)Well walk with a walk that is measured and slow, and well go where the chalk-white arrows go. (Where the Sidewalk Ends)If I had a brontosaurus, I would name him Horace or Morris. (If I Had a Brontosaurus)I am writing these poems from inside a lion, and its rather dark in here. (Its Dark in Here)A piece of sky broke off and fell through the crack in the ceiling right into my soup. (Sky Seasoning)The grungy, grumpy, grouchy Giant grew tired of his frowny pout and hired me and Lee to lift the corners of his crumblin mouth. (The Smile Makers)If you were only one inch tall, youd ride a wo rm to school. (One Inch Tall) The traffic light simply would not turn green, so the people stopped to wait as the traffic rolled and the wind blew cold, and the hour grew dark and late. (Traffic Light) Answers simplesimplecompoundcomplexcomplexcompound-complexsimplecompoundcomplexsimplecomplexsimplecomplexcompound-complexcomplexcompoundsimplesimplecomplexcompound-complex

Sunday, November 3, 2019

Business Management concepts Assignment Example | Topics and Well Written Essays - 500 words

Business Management concepts - Assignment Example This guarantees high returns for the corporate or organization because there is no manual work force required besides machines are much faster than a person’s memory. This technique reduces time spent during manufacturing process besides increasing output speed hence resulting to increased production. In this way, when the jobs are well scheduled their execution is at almost the same time besides being mapped to the processing unit after they are done. Moreover, some factors such as absenteeism alter productivity in case they are common besides if the company has a flat rate output of sixty-two computers in a day it simply means that it is not an effect of workers not being present. Besides, quality problems may not have much impact on production, as they are capable of making sixty-four repairs in a day. Cheating on size or content of some goods or products is among the common unethical business acts practiced by many corporates (Mandal, 2010). This refers to deception in advertisement whereby a product is made to appear much better or bigger that its exact quality size. By doing this, the corporate proofs not to be adhering to the ethical principle of being honesty (Ferrell, Fraedrich & Ferrell, 2010). Honesty entails maintaining morality in all actions and communications. This principle calls for the business owners not to deceive or else mislead their clients by either providing them with partial truths and overstatements among other vices about their goods or services. This is because upon realizing the clients may lose trust on the company’s products, hence cease buying from them. As the CEO, I will ensure honesty is paramount by briefing my staffs who draft advertisements that they should be taking the actual pictures of the item intended to be advertised and include it s mass as well as dimensions. Through this act, my clients will have a clear picture of my products besides which will make them build some trust on the corporates products. Copying

Friday, November 1, 2019

A Micro and Macro Analysis of the Mobile Industry Environment Using Essay

A Micro and Macro Analysis of the Mobile Industry Environment Using the Pestel Analysis. A Case Study of Blackberry - Essay Example This research will begin with the statement that Blackberry is one of the multinational electronic product suppliers in the world that has managed to dominate the mobile industry market for a long time now in the history of the mobile industry. The organization is a major supplier of wireless devices including mobile phones and pagers and currently working on the launch of more products. Commonly known as Research in Motion, the company started in 1984 and took the world by storm in 1999 with the introduction of blackberry solutions. It continued to produce advanced models of blackberry solutions while partnering with technological and telecommunication companies such as MTN, Yahoo, AOL among others. Blackberry has proved a superior communication device especially during the 9/11 crisis, in which it was able to send messages where other devices had failed. In addition, during the anthrax scare, blackberry also emerged a superior means of wireless communication, and the two incidences earned it a reputation for security and reliability. BlackBerry recorded a revenue of $18.435 billion and profit of $ 1.164 billion in 2012. The company’s main competitors are Google Inc., Nokia OYJ, Apple Inc., and Samsung Electronics Co., Ltd. However, the mobile industry environment has considerably changed, and the intensity of competition has greatly put the supplier at a lower bargaining end. As Husso points out in his research, scholars have taken a keynote of the change in the dynamic mobile environment that has threatened to push most organizations out of the market. Despite the fact that the company is performing well financially, it is not immune to the pressures of external forces. Currently, most researchers have established that new market entrants, change of technology, and development of new government regulations have all heightened the competition. Consequently, the organization has engaged in research-driven strategic management to react to the changes in the market force and to remain profitable in this industry. The mobile industry is one of the market environments that have garnered a wide range of research from scholars across the world. Ryan expressed the competition that exists within the mobile industry and recommended that all mobile industries switch to modest business strategies to survive in the competitive market. This scholar pointed out that competition has reduced the cost mobile products so much that business priced-market strategies have become obsolete in this market. The research of Ryan has been followed by numerous researchers seeking to evaluate various aspects of the mobile industry environment. Researchers such as Kim and Tallberg have paid particular attention to the mobile handset market and the competition that has emerged in the recent past.