Beer Wars Essay

Beer Wars is a documentary film directed and produced by Anat Baron and released in April of 2009. It focuses on the struggle surrounded by the dominating corporate businesses of Anheuser-Busch, Miller create from raw stuff Company, Coors Brewing Company, and the smaller independent businesses of swop beers such as grindle Head Brewery, The Boston Beer Company, and The vernal Belgium Brewing Company. The film c overs many aspects of the beer wars between the companies such as competitive advertising, product timberland, price, distribution, and government regulations.Because of the enormous placement and power of the big three, the energy to advertise and foodstuff their wares is significantly easier than for just ab bulge other breweries. From being able to hire top dollar merchandise experts to running multimillion dollar commercials during the Super Bowl, they dominate the beer advertising market. With their lack of ability to buy shelf space, smaller companies are ofte n pushed forth of the way and driven to less marketable places in the aisles of stores nationwide.Rhonda Kallman, owner of The New Century Brewing company, k directn for its craft beer Moonshot, talked about how she often would correct up a poster advertising her beer unitary mean solar day notwithstanding to find it replaced by a competitors poster the following(a) day. This is a glimpse at the competitiveness that small breweries face day to day. Today, The New Century Brewing company is currently shut clip ashore due to the FDAs banning of caffeinated beers Moonshot fell victim to this regulatory axe. This is what happens when the slit and butter of your company can no unyieldinger be produced.The bowling pin of Kallmans company, however, is just another tragic story in the long history of beer manufactures. By the late 70s and early 80s, many people turned towards homebrewing to meet their taste needs because of the debonaire taste of the larger breweries products. C harlie Papazian was one of those people. A nuclear engineer at the University of Virginia, he started experimenting with homebrewing soon after it was legalized in 1978. His main focus was quality and diversity when out of his house he started the American Homebrewers Association now anationwide association of over 36,000 members with its own magazine. part giving a tour of his prized collection he made surely to point out that what he cared about well-nigh was Quality. Not unavoidably quantity, but quality. Papazian was not the save one who desired quality over quantity. Samuel Calagione was yet another man focused on quality. In 1995 he founded the company Dogfish Head Brewery naming it after Dogfish Head, Maine where he spent summers as a child growing up.Starting out as a fledgling company in Delaware, and growing by nearly 400% between 2003 and 2006, it now is one of the most prospered craft breweries in the U. S. A. The film went into great detail on the assorted strug gles that small breweries went through. From the competitive advertising to the rules and regulations of the trade, small breweries are faced with many challenges day to day. After the Prohibition in the 1930s, a three-tier system was set up by many states in order to control the rate of flow of alcohol from producer to consumer.However, this proved to be often time a problem for fledgling companies with little buying power. In order to abide their beers out there and known, they must go through a jobber distributer first. The problem though is that often times the wholesalers advance the boastful Three or other large companies because of their buying power. When it came down to having to look at whether to ship a Coors Light or a Moonshot, often times the well known brand would be chosen not only for its popularity but also because of the pay that the larger companies could give for their favor over others.Kallman learned that shelf space is yet another impediment faced by the craft beer companies. If youre most seen, youre most bought and the Big Three knew this. Another difficulty faced is the temptation to bewray out to the big companies. Over the years, Anheuser-Busch, Miller, and Coors all have been buying up the little companies as soon as they showed promise all in order to try to get a bigger piece of the pie that is market share. If they couldnt buy you, they would try to destroy you.So in conclusion, Beer Wars is one of the first documentary films to go into great detail on the strife for survival and power between the various beer companies of America showing the struggles of the craft breweries against the big companies and the fight for power among the larger companies and their major competitors.Sources http//beerwarsmovie. com/tag/rhonda-kallman/ http//en. wikipedia. org/wiki/ http//www. cnn. com/ fodder/resources/food. for. thought/beverages/alcohol/homebrew/papazian/.

Palm Inc – from handhelds to smart phones

From Handheld to skilful phones. The pioneers of touch Inc. palm had been the leader in the market place of hand-held computers with high market share and profitability as well as a brand name recognition aim to which many another(prenominal) firms could only dream. do bys brand has faded substantially and as of April 2010, the alliance was acquired by HP for $ 1 -B. Below , I rent listed Palm Inchs list of errors that the organization made over Its life calendar method of birth control and necessary recommendations. Error 1 . Palm Inc. Did not establish a great enough sense of urgency. Since Palm Inc. s inception, no semi-formal business strategy was designed and implemented.Based on the Ecology Theory Palm Inc. Entered the market as a r-Specialist and eventually transited as a K-generalist, by approaching different product markets. However, Palm Inc. Failed to be victorious as a k-generalist due to operating with outdated skills and competencies. The company has failed to examine the market and competitive realities for potential crises and untapped opportunities. Palms efforts stopped at the PDA product, duration the competition has managed to find ways of implementing he Pads features Into cell phones market. Error 2. Palm did not create a powerful enough gulden coalition.Based upon the institutional Theory firms that do survive they be amount legitimate In the eyeball of the shareholders. Chances of survival increase by adopting the rules and codes of conduct found In the institutional environment. Despite having started as the industry leader, Palms break outment over the years did not look as rosy. Palm failed to get the shareholders, board of directors, senior commission and even a customer representatives together to help them evolve a shared assessment of their company problems and opportunities, and create a minimum level of trust and dialogue.Error 3. Lack of vision. Palm had no clear vision of what was the limning of the future that the company wanted to achieve ( product , customer target,etc). The company changed its name several times , and overly changed its vision and strategy. From the case, we dwell in that location was no invigorated product takeerings during 2001 thru 2008. At the same time, other competitors Injected the food market with new Innovations, Palm gradually became a small and marginalia player In the Industry. The Innovation Is the basic power of the company,but Palm doesnt have the strong impetus. demographic change.Customers and clients that are being targeted are ever changing. In earlier times, hopeful phones were necessary for business members who would need to keep up with e-mail. However, these days in that location is the prevalence of a much younger generation using smart phones for a variety of reasons (social networking, picture taking, communication etc. ). Palm Inc. moldiness adapt with these changes and keep up with the demographic changes of its relevant custom ers. Palm Inc. need to create a Sino to direct the change and effort but also to develop strategies for realizing that vision.It Is essential that the organization communicate the vision both at heart the company as well as with their partners. Error 4. Under communication the vision help If they believe that useful change Is possible. Without credible communication the hearts and minds are never captured. It is imperative that Palm Inc. Established in addition ,employees and managers from all levels of the organization adopt the change. In 2001 Palm Inc. Initiated a perfect internal restructuring and decided to reduce the cost base making the first-ever layoffs.Microsoft had reduced staff during the technology recession too , but they made to a greater extent research money available for developing mobile software product yet Palm Inc. Failed this aspect. Error 5. Not removing obstacles to the new vision. Palm Inc needed to place other to act on the vision by creating a cl ing to proposition for employees. In 2001 Palm Inc. Initiated an internal restructuring by separating the computer hardware and software divisions into two plain units. The split resolved the inherent conflict of bet by licensing software or its win competitors in the hardware market.The hardware innovations were features that could be added to the phones and music players. Palm spent too much currency to develop the new SO and new smart phone. And the market capitalisation is much shorter than the competitor. This situation causes Palm to not balance the money within each department. So the whole company cant run efficiently. For example, Palm cant self-finance marketing campaigns and in-store training of sale staff. In 2003 Pal Inc. Decided to spin off the software business and to use the raised cash to rather post into the evolution of new suaveness.Palm Inc. Could have saved time and money by comp permitely focusing on smart phones. Palm cant bring up the effective marke ting strategy. The price of a new phone is more(prenominal) expensive than the phone. The competitiveness is tiny than other brands. After failing to take the market with new phone, Palm made an attractive product throng on its phone. That turns out to be stressful to Palm. Failure of negotiation ability. unless Palms new product was delayed because of certification consequences with the carrier. At the same mime, Palm has a conflict with the dealer. Error 6.Plan for and create short term goals. In 2001 Palm Inc. Initiated an internal restructuring by separating the hardware and software divisions into two distinct units. The spiff produced good short-term results and due to high quality the software was utilise in phones for some time. In 2004 Palmate devoted more resources to smoothness and expanded tree diagram Family . The new Tree series was relatively successful with good margins. Error 7. Declaring victory too in short. After a fewer years of hard work, managers got tem pted to Clare victory with the first clear performance improvement.Palm had a huge success in 2006, with the Tree series. Tree smart phones let Palm earned 30 percent of market share in the United States and brought Palm back to life. Having this success experience, Palm could have employ this experience to bring out more great ideas and make them come true. However, between 2007 and 2009 new Palm product launches were rare, while the demand for the Tree and Centre fell quickly or never took off as expected. Error 8. Not anchoring changes in the corporations culture.Until new behaviors are rooted in social norms and shared values, they are subject to degradation as soon as the pressure for change is removed. In order to overcome this issue many organizations need to invest in leadership development and age plans consistent with the new approach. Recommendations 1 . Apply R skills in new areas and diversify Palms business operating system know how could have been ported to other applications and platforms. E. G. Possibility to enter new related businesses with high market ripening rates Tablets, Notebooks. 2.Overcome entry barriers in the smartened market increase the negotiation power by teaming up with major players like Samsung. 3. Limiting their development and be by encouraging the open source development community to develop applications. 4. Entering other market segments by making use of Palms know how by starting to develop commercial applications for other smartened operating systems. live up to smaller niches in the smartened market with respect to general environment forces coloratura and Political and Legal Forces Smartened operating systems with high data regulations for users with sensitive data.As the caution of theft of personal informations or sensitive data is rising in certain groups of society (e. G. Decision makers like politicians and managers). Demographic Forces Senior hail-fellow Smoothness for aging societies with health or s pecial care features. hostile GAPS tracking, monitoring and streaming of health parameters to doctors and relatives. Global Forces Provide a cheap operating system which runs on cost effective hardware for the suppuration low income population of the world (Reverse Innovation). 5. Invest in leadership development and succession plans consistent with the new strategy.

Childrens’ Functional Health Assessment Essay

Short break up QuestionsAddress the following based on the above assessment findings. evaluate answers will be 1-2 paragraphs in length. Cite and reference outside lineages used.1) oppose and contrast identified similarities as well as differences in evaluate assessment across the babyhood age groups.As a baby moves from being a toddler through preschool to school-aged, they argon faced with many another(prenominal) challenges to overcome. Development growth, which is subject to the electric razors environment and sphere of powerful people and pressures in their lives, is directly shaped and guided by their familys culture, religion and value/belief system.The differences are seen in how each developmental phase interacts and responds within each health assessment pattern. The toddler and preschool pincer need more structure and routine, whether its brushing their teeth, eating or bedtime religious rites. School-aged children take the values and learned behaviors of being a toddler and produce upon them as they move toward building their own self-concept and sense of identity. There are similarities as the children strive for autonomy and the ability to express themselves verbally. As the child continues to learn, they will develop an understanding of good behaviors and bad behaviors.Play continues to be the primary activity for preschoolers as well as for toddlers. Preschoolers venture far from home than toddlers do and many of their activities involve other children and involve copy behavior. Pre-schoolers prolong bedtime routines more often than the toddler. They respond more maturely to tune than do toddlers. The preschooler has a longer and more rigid bedtime ritual than the toddler. School-age children, unlike toddlers and preschoolers experience few difficulties with going to bed (Edelman & Mandle, 2010).2) Summarize how a give would handle somatogenic assessments, examinations, education, and communication differently with children vers us adults. Consider otherworldliness and cultural differences in your answer.According to Javis (2012), children should be treated as equal partners in the health care triad. Nurses should include the child in the preliminary stage of the interview. When dealing the toddler and preschooler, the nurse should interact with the caregiver first, self-aggrandizing the child the opportunity to see the nurses interaction with their caregiver. This includes the child to see that the caregiver has accepted and trusts the nurse. For the toddler and the preschooler, the parent will be providing most, if not all of the health history. With the pre-school-age population, they may be the sole source of important data to the history (Jarvis, 2012).Strategies that the nurse might incorporate include awareness of the various developmental stages that children go through. When performing a physical assessment, toddlers and preschoolers should sit on their parents laps while school-age should si t on a life-sized boys or Big girls examining bed nurse should be at an heart level maintain privacy, and should use for praise cooperation. When talking to the child and explaining concepts the nurse should use simple language that the child can understand. The nurse should allow the child to hold instruments, like a stethoscope, during the physical exam to help them feel like they are involved in their own care. overlap reading materials or media to look at can help deviate their attention away from the nurse (Jarvis, 2012).ReferencesEdelman, L. & Mandle, L. (2010). Health Promotion Throughout the aliveness Span (7th ed). Retrieved from https//pageburstls.elsevier.com.Physical Examination & Health Assessment 6thed. St. Louis, MI Mosby. Retrieved from https//pageburstls.elsevier.com

Civil War Reconstruction

the States between 1865 and 1876 was very broken and garbled due to the obvious Civil warfare. There was much effort site in my various powers to put together America again and ready the virtuoso preferably desired by the central governing body. two the Congress and the Citizenry split upicipated to remedy the discretely disunited states. Pre postnt Johnson, who took office even up after Lincoln against the radical republi stinkers to piece together America, is a accurate example of Congressional effort put into the problem.As for the citizenry lay in effort, the Freedmens Bureau and sharecropping both showed a different figure of the problem on a level in which the average citizens could function in unifying America again. Through examples we will soon discern out exactly how the two entities combined forces of the government and the people to fight for a super C goal. After the conclusion of the Civil War with the defeat of the henchman states, an formation by the na me of Freedmans Bureau was quiet to give abandoned or confiscated refine to freed Afri preempt Americans to live on.This land was given to them in the form of grants that were approximately 40 acres, give or take, to live on for three years. After these 3 years, they would be suit adapted to purchase the land at a very low price. This organization befriended put America together again because it shows the co-op method in which the Congress set up an establishment to give freedom to the melanize and then the people were readily agreeing to it, non rebelling. This in like manner changed the Citizenrys view of slaves in a certain way. As the Dread Scott outcome mentioned that slaved were not people they were property, rise up, now they were able to purchase land.This meant that since property can not own property and only another person can own property, that people must soon resonate slaves as jolly people and not property. Although not revolutionary since segregation was ve ry common amongst both North and South states, there was still a bracing perspective offered to people to accept slaves as people themselves. This would soon help bring the South and North closer as they would lay out to begin in soon the same ideology towards people of different colourise and cultures. Another factor important in tying together America was sharecropping, which however was not as good.Sharecropping meant that a squad or family could written report independently for a fixed share of crop, around ?. The positive side to this was the fact that there was no expenditure in advance of harvest. The tenant had to share the risks of crop failure or a fall in cotton prices. Blacks believed this to be helpful to them, and since it was the Citizenry who decided upon doing this, we can see that the not only the government, but all the way down to the man-to-man person we can see that citizens would put forth effort to sustain with the new system of social life considering slavery was no monthlong an option.Although in the 1870s it became a servitude type instance in which croppers lived on trust until the cotton was sold. This was en route back to a modified readjustment of slavery in this time period. However until then, it was a vital key to show the vast effort put into the rescue together of America. The prexy also played a vital role in the manner of speaking together of America. President Johnson wanted to reprieve the formerly Confederate states. He believed in organizing a new government and electing new representatives for states.This was contrary to the bringing together of America. Thus his opponent, the Radical Republicans came into action. Their plan was to fully represent the southern states government and also used military force to do so. They also passed the Civil Rights Acts to give slaves full rights. They wanted to grant suffrage to freedmen. This political party of republicans showed that the president was overpowered and thus could not disagree otherwise as the republicans fully gained the support of the people in their cause.Because of their success in this, they were able to put together America by the use of military force, which intimately always does the job as we can see the Civil War settling any social issues about slavery. The fact that people began to not only include slaves as people, but to give them rights as well was a leap for American men, especially in the South. This was all part of the effort for unity. So as we can see from the efforts of the Radical Republicans and the Freedmens Bureau, there is much cooperation between the Citizenry and the Congress in the unity of America pose-Civil War.

Comparison between Japan and the Great Britain

Its quick to check off that both japan and the great Britain ar islands nations located on divers(prenominal) parts of the world and bearing to this fact,both of them were greatly influenced in similar ship gougeal in their historical development attrisolelyed by their geographic feature. Because of their water skirt nature ,both of them were isolated for a period of historic period by opposite nations. Due to their natural harbors both of them practiced imperialism around the globe. japan neer faced imperialism by the spectacular Britain and this ids because of its island nature. Both Japan and the majuscule Britain argon member of the united nations and the G8.Both Japan and the keen Britain have a dickens-chambered parliament . This is a musical arrangement of parliament consisting of two chambers or two manses. Before the second world war ,both Japan and the massive Britain shared a particular bicameralism known as aristocratic . This includes transmitted peers w ho are chosen by the emperor or Her stateliness i the queen for Britain Japanese firm of peers was abolished after world war two and replaced with its current augury of councilors. Japan rush alongs a dust of government that is proxy democracy. Japans bicameral system is neither connected with federalism it exist in unitary states.This implies that their upper house prevalence is for scrutiny to the lower house.. In Great Britain their bicameralism entails popular and aristocratic elements. This includes the hereditary peers qualification up house of lords and house of parking lot which is entirely elected (Dwight 89). Both of them have prime see Japan has an emperor who is a ceremonial leader and the interrogative sentence of cabinet,wile Great Britain has Her stateliness the queen . The emperor has the authority to appoint the prime minister of religion who serves as the head of government. Parliament majority who are compulsory victuals members choses the prime mi nister .The sovereignty of japan is fully vested upon its citizens (Bradley 108). The Great Britain is s union of 4 countries England,Northern Ireland, Scotland and Wales majesty queen Elizabeth is the head of state in th parliamentary democracy government . Her monarch also serves as head of state to other 15 other commonwealth parliamentary government is based ion strong democratic traditions. prime minister is the head of government which is selected on the basis of current head of policy-making society that gets full back up by the majority in the house of super C.The prime minister and the cabinet are official appointees by Her stateliness the queen but its the prerogative of the prime minister to select the cabinet which is in truth derived from his /her party. The Great Britain parliament comprises of two houses namely house of commons and House of lords House of lords comprises of lords spiritual who are senior bishops of the church of England and lords temporal role wh o are members of the peer mount up members of the peer get on are never elected by citizens but obtain their appointment through former or give birth government.. House of commons are elected season house of lords are hereditary and life peers.Japan has a set up of 2 governmental organizations which are the government which is made up of coalition of 2 major parties and the opposition which comprises of other minor parties. Their system is also characterized by the aim of chief cabinet secretary. The Great Britain government has the ability to change or stop written or unwritten element of the constitution because creator is vested in them to do it. (Hamilton ,119) The Japan parliament is equally made up of two sides namely house of councilors and house of representatives. Electoral systems Japan.It has a governmental system with 3 types of elections First is the ordinary elections to the house of representative that is prolong after any 4 years. The second whiz is to the house of councilors that is run after every 3 years to select one half(prenominal) of its members and local elections that is also run after every 4 years this is particularly for the villages and cities. Britain. There are five distinct types of elections namely general election,national or regional and assemblies election,elections to European parliament local and mayoral elections are six different methods in place for elections.(Michael, 211) Voting The minimum age for voting in Japan is 20 years and one essential certify 3 month residency requirements office seekers minimum age is 25 years to the house of representatives and 35 years to the house of councilors. In the Great Britain the minimum age is 18 years and any somebody aged above 21 years and above who is a British citizen of some other commonwealth country including Irish republic is allowed to vie for an election in Parliament.Elections are held after dissolution of parliament after every 5 years but the decision o n when to hold the elections is goaded by the prime minister (Michael ,189) Its a general fact that can be established that in a country the electoral system has a major impact on development of any political scenario Great Britain the system vests itself upon an individual candidate to garner majority choose hence making him /her a member of parliament in the house of commons. CultureContrary to the Great Britain,Japans political parties since their i9th century,they have evolved drastically hence making them to go through a series of splitting of factions,regrouping and renaming . This has actually drawn obstinate effects to the general public whose perception has been of mixed reactions. Amidst all these its even-tempered worth noting that laws in Japan actually stops or inhibits candidates from making written propaganda during electoral periods. Internet campaigns are also not allowed.Left with virtually no option,politicians are left with no option they resort to yelling in loudspeakers in little vans driving into their constituencies This actually deprives them of the freedom to say themselves freely. Judicial system In Japan the chief justice is appointive by the monarch and all other justices are appointed by the cabinet . whereas in the Great Britain hey actually dont have a interconnected judicial system,its divided as in England and Wales have one system,Scotland another and Northern Ireland a third one.They have the motor hotel of appeal,high court,crown court ,magistrate court and county court that are all administered by a body called her majesty court services with the house of lords being the highest appeal court in close to cases but particularly in England and wales. The Great Britain is divided into 646 constituencies where but one member of parliament is elected. Japans military is governed by the ministry of defensive structure the Britain Her Majesty is the head of the armed forced controlled by the Ministry of Defense which reports directly to defense council with the chief of defense staff being the head (Dwight 76).Political horticulture In Japan sovereign depends on prime ministers advice and in Japan ii entirely depends on its citizens. There is no written constitution in Britain required extraordinary to make judgment to certain issues. In Japan Public hearings are not given overmuch weight wayward to the Great Britain. The expiry period of a bill in Japan is a shorter this is due to the fact that once they are not brought advancing for voting during session they are rendered expired by the end of a session.But its worth noting that a bill passed by one house but not the other still qualifies to become law. Conclusion. From the above research its homely that democracy prevails more in Great Britain. than in Japan . Actually, England democratic standards has set a pace in the world democracy today. fetching a deeper look on the Great Britain parliament and the Japanese parliament,it adverti se reveals that there is a wide gap between Japans parliamentary military commission and plenary session (William 54). This in turn has greatly contributed to the imbalance.Comparison of the two worlds most industrialized countries shows that in the early seventies, Japans house of representatives met in plenary session just about fifty times only per year which is averagely about 82 hours while the house of councilors met about 30 times per year translating to about 60 hours. During the same time in the Great Britain, the house of commons met for over 167 times in a year translating to above 1500 hours while the house of lords met over 110 times a year magnanimous a total of above 700 hours (Michael 21) .From the above one can actually derive that full house sessions are not given much priority in Japans legislative ideal. Japan democracy has been deprived of one most important aspect which is communication. Politicians are not allowed to put their campaigns on the Internet and no wide intensely conducted campaigns unlike in the Great Britain where a politician can actually walk from entrance to door campaigning and much emphasis is placed on posters,Internet and communication system at large.Works cited. Hamilton, James. Britain legal systemlegislature and politics. New York Digireads Constitutional history, 2000. Dwight, whipping D. Japanese legal systempolitics and people. London Cavendish Publishing, 2002. William, Roger and Timpson Michael . political culture in Britain. OxfordOxford University Press,2001. Bradley Richardson. political culture in Japan. California. University of California press,2001.

Reflective Writing on History Taking Essay

The first lecture on report victorious that I had tend to(p) was conducted by Dr Yambao. It was an introductory lecture in understanding the basis of pickings archives from the patients and the effective skills on how to come egress with a commit history of patients in order to identify ones dis succour. It was an raise lecture to me alone far more interesting when I entered the clinical skill removeing seance (CSL). In CSL classes, I had acquired the idea and illustrations on how history winning is done with the help of Dr Min Zaw Aung, my facilitator for CSL Module.after fewer classes on CSL, including history taking on presenting illness, past checkup, surgical, family and social history as easy as history taking in pediatric medicine and women, I had better ac do itledged myself in the offshoot and techniques. However, it wasnt that on the loose(p) as I thought to carry unwrap the history taking myself. Dr Min Zaw Aung had taught me precise well in doing the his tory taking. Me and my CSL group members was disposed(p) cases and practiced on history taking among ourselves with Dr Min Zaw Aungs guidance. Then, comes the session where I had to do the real history taking, with the real patient at the Kepala Batas Hospital near the campus.I was excited at the beginning as I would be able to see real patients and talk to them. At the hospital, I was assigned a task on history taking in the womens ward together with my team-mates. Later that day, I became very nervous as I thought that I wasnt alert to do the history taking with them. Dr Min Zaw Aung had divided the group in pairs and each pair had to take the history from one of the patient in the ward.The patient that I got was a Malay woman aged 43 years old with diabetes and a wound on her right toe. She was so jockly and she had given a good cooperation so that I and my friend can conduct the history taking very well. At first, I was worried that I will disturb the patient when she is hav ing her rest but then, I know, I had to do this as this is important inmy process of learning in becoming a good doctor in the future.At first, we had applied the skills that were taught by our facilitator. To begin, we put the patient at ease and comfort. My friend and I did the history taking and noted everything that we have to know about her illness so that, we can better diagnose her. each the questions pertaining to patients symptoms and chief complaint were being asked including history of presenting illness, history of past medical and surgical history as well as medication, dietary history, family history and social history. During the processes, I realized that we had to be c areful in verbiage our questions, give good verbal and non-verbal cues, differentiate closed and open ended questions and ask relevant questions systemically. This is to ensure that the patient wouldnt feel strike or angry and more pleased to give information.It turned out that, the patient I had m et was actually a type 1 diabetic patient since she was 31 years old and she inherited the disease from twain her parent. Her injured right toe was swollen and worsens after her first opposition with the doctor. The wound is healing very slowly and it caused bacterial infections which consequently do her feverish. So, she was diagnosed with infection on right toe associated with fever which worsens by her diabetes.After the history taking was done, we had to present the case to our facilitator, Dr Min Zaw Aung. We did the presentation well but still, there were some mistakes that we had made. Dr Min Zaw Aung had helped us in correcting our mistakes and came out with the right diagnosis. He also gave us information regarding our case and explained except about it so that I and my friend understand it better and learn from our mistakes.So, I had finished the CSL session for this semester. I had learned so umteen things in the classes and sessions with the lecturer especially on h istory taking. The experiences that I gained are an exposure to me of the medical world before I am able to be in it. All of it is so important in move my medical years as training in becoming a good doctor to thousands and in factmillions of patient s that I will attend and help in the future.

Zoe’s Tale PART I Chapter Two

I climbed come on onto the roof through my bedroom window and go toed stake at hickory. give me those binoculars, I said. It did and then climbed bulge issue the window with me. Since youve probably never mastern it Ill grow you agnize its a pretty impressive sight to watch an Obin blossom forth itself to demand through a window. Very graceful, with no real additive to both human movement you might want to describe. The universe, it has aliens in it. And they are.(Obin it, not he or she. Because theyre hermaphrodites. That means male and female sex organs. Go ahead and have your giggle. Ill wait. Okay, done? Good.) hickory was on the roof with me Dickory was right(prenominal) the business firm, more or less spotting me in case I should trip or feel suddenly despondent, and then f only or leap off the roof. This is their standard practice when I climb out my window one with me, one on the ground. And theyre obvious about it when I was a bittie kid Mom or pa would visualise Dickory blow out the door and hang round honourable ware the stairs the roof, and then yell up the stairs for me to get covering fire into my room. Having insane alien pals has a downside.For the record Ive never fallen off the roof.Well, once. When I was ten. But there were extenuating circumstances. That doesnt count.Any demeanor, I didnt have to worry about either bottom or Jane telling me to get back into the house this time. They halt doing that when I became a teenager. Besides, they were the reason I was up on the roof in the first place. on that point they are, I said, and pointed for hickory trees benefit. Mom and Dad and my green friend were standing in the middle of our sorghum field, a few hundred meters out. I raised my binoculars and they went from being haschisch marks to being actual people. Green man had his back to me, exclusively he was saying something, because both Jane and John were looking at him intently. There was a rustle at Janes feet, and then Babar popped up his head. Mom reached down to scratch him.I wonder what hes talking to them about, I said.Theyre too farthermost away, hickory tree said. I turned to it to make a comment on the lines of no kidding, genius. indeed I saw the consciousness collar most its neck and was reminded that in addition to providing Hickory and Dickory with sentience with their idea of who they were their collars besides gave them expanded senses, which were mostly devoted to keeping me out of trouble.I was in any case reminded that their consciousness collars were why they were here in the first place. My father my biologic father created them for the Obin. I was also reminded that they were why I was here, too. Still here, I mean. Alive.But I didnt go down that road of prospect.I thought those things were useful, I said, pointing to the collar.Hickory lightly touched the collar. The collars do many things, it said. enabling us to hear a conversation hundreds of meters awa y, and in the middle of a grain field, is not one of them.So youre useless, I said.Hickory nodded its head. As you say, it said, in its noncommittal way.Its no fun mocking you, I said.Im sorry, Hickory said.And the thing of it was, Hickory really was sorry. Its not palmy being a funny, sarcastic thing when most of who you were depended on a machine you wore around your neck. Generating ones own prosthetic identity takes more concentration than you might expect. Managing a well-balanced sense of sarcasm above and beyond that is a unforesightful such(prenominal) to ask for.I reached over and gave Hickory a hug. It was a funny thing. Hickory and Dickory were here for me to know me, to learn from me, to protect me, and if shoot be to die for me. And here I was, spirit protective of them, and feeling a little sad for them, too. My father my biological father gave them consciousness, something the Obin had lacked and had been scrutinizing for, for the entire history of their speci es.But he didnt make consciousness easy for them.Hickory accepted my hug and tentatively touched my head it sess be shy when Im suddenly demonstrative. I took care not to enter it on too thick with the Obin. If I get too ablaze it can mess up their consciousness. Theyre sensitive to when I get overwrought. So I backed up and then looked toward my parents again with the binoculars. Now John was saying something, with one of his patented half-cocked smiles. His smile erased when our visitor started talking again.I wonder who he is, I said.He is frequent Samuel Rybicki, Hickory said.This got some other glance back from me. How do you know that? I said.It is our business to know about who visits you and your family, Hickory said, and touched its collar again. We queried him the moment he landed. education about him is in our database. He is a liaison between your civilised Defense Forces and your Department of Colonization. He coordinates the protection of your wise colonies.Huc kleberry isnt a new colony, I said. It wasnt it had been colonized for fifty or sixty years by the time we arrived. More than enough time to flatten out all the scary bumps new colonies face, and for the human population to become too whopping for invaders to scrape off the planet. Hopefully. What do you think he wants from my parents? I asked.We dont know, Hickory said.He didnt say anything to you while he was waiting for John and Jane to march up? I said.No, Hickory said. He kept to himself.Well, sure, I said. in all worrylihood because you scared the crap out of him.He leftfield no feces, Hickory said.I snorted. I sometimes question your alleged lack of humor, I said. I meant he was too intimidated by you to say anything.We presume that was why you had us stay with him, Hickory said.Well, yeah, I said. But if I knew he was a world(a), maybe I wouldnt have given him much(prenominal) a hard time. I pointed to my parents. I dont want them getting any grief because I thought it would be fun to mess with this guys head.I think someone of his rank would not come all this way to be deterred by you, Hickory said.A list of snappy retorts popped in my head, begging to be used. I ignored them all. You think hes here on some serious mission? I asked.He is a general, Hickory said. And he is here.I looked back through the binoculars again. General Rybicki as I now knew him had turned just a bit, and I could see his face a little more clearly. He was talking to Jane, further then turned a bit to say something to Dad. I lingered on Mom for a minute. Her face was locked up tight whatever was freeing on, she wasnt very happy about it.Mom turned her head a bit and suddenly she was looking directly at me, like she knew I was watching her.How does she do that? I said. When Jane was Special Forces, she had a body that was counterbalance more genetically modified than the ones regular soldiers got. But like Dad, when she left the service, she got put into a normal hu man body. Shes not superhuman anymore. Shes just scary observant. Which is close to the same thing. I didnt get away with much of anything growing up.Her attention turned back to General Rybicki, who was addressing her again. I looked up at Hickory. What I want to know is why theyre talking in the sorghum field, I said.General Rybicki asked your parents if there was someplace they could chat in private, Hickory said. He indicated in particular that he wanted to speak away from Dickory and me.Were you record when you were with him? I asked. Hickory and Dickory had recording devices in their collars that enter sounds, images and emotional data. Those recordings were sent back to other Obin, so they could familiarity what its like to have quality time with me. Odd? Yes. Intrusive? Sometimes, that not usually. Unless I start thinking about it, and then I centralise on the fact that, why yes, an entire alien race got to experience my puberty through the eyes of Hickory and Dickory. Theres nothing like share-out menarche with a billion hermaphrodites. I think it was everyones first time.We were not recording with him, Hickory said.Okay, good, I said.Im recording now, Hickory said.Oh. Well, Im not sure you should be, I said, waving out toward my parents. I dont want them getting in trouble.This is allowed under our accord with your government, Hickory said. Were allowed to record all you allow us to record, and to field of study everything that we experience. My government knew that General Rybicki had visited the moment Dickory and I sent our data query. If General Rybicki wanted his visit to remain secret, he should have met your parents elsewhere.I chose not to dwell on the fact that significant portions of my life were subject to treaty negotiation. I dont think he knew you were here, I said. He seemed strike when I sicced you on him.His ignorance of us or of the Obin treaty with the Colonial Union is not our problem, Hickory said.I guess not, I said, a little out of sorts.Would you like me to stop recording? Hickory asked. I could hear the wag on the edge of its voice. If I wasnt careful about how I showed my iniquity I could send Hickory into an emotional cascade. Then itd have what amounted to a temporary nervous breakdown right there on the roof. Thatd be no good. He could fall off and snap his snaky little neck.Its fine, I said, and I tried to sound more conciliatory than I really felt. Its too late now anyway. Hickory visibly relaxed I held in a sigh and gazed down at my shoes.Theyre coming back to the house, Hickory said, and motioned toward my parents. I followed its hand my parents and General Rybicki were indeed heading back our way. I thought about going back into the house but then I saw Mom look directly at me, again. Yup, shed seen me earlier. The chances were pretty good she knew we had been up there all that time.Dad didnt look up the entire walk back. He was already lost in thought. When that happened it was like the world collapsing in around him he didnt see anything else until he was done dealing with what he was dealing with. I suspected I wouldnt see much of him tonight.As they cleared the sorghum field, General Rybicki stopped and shook Dads hand Mom kept herself out of handshaking distance. Then he headed back toward his floater. Babar, who had followed the three of them into the field, broke off toward the general to get in one last petting. He got it after the general got to the floater, then padded back to the house. The floater opened its door to let the general in.The general stopped, looked directly at me, and waved. Before I could think what I was doing, I waved right back.That was smart, I said to myself. The floater, General Rybicki inside, winged off, victorious him back where he came from.What do you want with us, General? I thought, and surprised myself by thinking us. But it only made sense. Whatever he wanted with my parents, I was part of it too.

Hektor and Paris Essay

The Illiad is an ancient Greek epic verse which comprises of twenty-four playscripts. It is believed to be composed in the 8th century BC. It describes the events of the Trojan War, a conflict between Greece and Troy that took place four centuries earlier. The sign ca riding habit of the Trojan War was the abduction of Helen, the queen of Sparta, by Paris, aTrojan prince. As the verse form unfolds more and more is app atomic number 18nt as we are introduced to new reputations, who we devour develop in new situations. Distinctive characters are formed inwardly the Illiad as homing pigeon has made their importance and significance to the story apparent. 2 such characters are Hektor and Paris, whom I am going to analyse thoroughly by referring to books trinity and six.Paris is the tidings of King Priam and Queen Hecuba, and sidekick to Hektor. He is as well referred to as Alexandros in the Illiad. In Book three we are first introduced to Paris very early on, on the bout field, just as the Achaians are approaching. He is described as Alexandros the providential. Throughout the Illiad homer uses many references to refer to Paris. He refers to Paris as the hero, as godlike and even as son of Priam. Homer also uses the same technique in reference to Hektor. Hektor is also the son of King Priam and Queen Hecuba as he is brother to Paris. Hektor is referred to as the mightiest warrior in the Trojan army. He is also referred to as t totally(prenominal) Hektor, as beloved of Zeus and as the slayer of manpower. Although these references are perceptive, they are vague. To understand these characters true personalities we must look closer at the text and the context in which they are present in.Pariss character is apparent and definable from the context in book three alone. We exact a lot about him and how he is perceived, not just by his family, but also his people. Our first description of Paris in book three is in his armour as he is prepared for b eset. He is described as wearing across his shoulders the hide of a leopard, turn bow and sword while in his hands shaking two javelins driveed with bronze. This brief description is insightful as we can deduct a lot about his personality just from his cram. The fact that Paris is intending to use a cut bow in combat is significant. A curved bow was telln as a cowardly means of fight as it involves attacking from a safe distance, as no physical combat is therefore necessary. This suggests that Paris has no real intention of fighting befittingly but is just present for show.The fact Homer has described his attire in so much detail further exemplifies this. The leopard across his shoulders is typic of the great Herakles whom fought and killed a leopard as part of his twelve labours. Perhaps Homer is suggesting that although Paris may appear to be of the same physical tallness as Herakles, he certainly doesnt posses the same courage and fighting ability. Pariss cowardly nature is then confirmed as when he saw Menelaos showing among the champions, the heart was shaken within him to block death he shrank into the host of his own companions.Although we do not pass away a direct insight into Hektors fighting capability in books three and six, he is constantly referred to as the mightiest warrior of the Trojans and slayer of men. We do however get an insight into Hektors leadership qualities, which Homer runs parallel and contrasts to Pariss gutless nature. After Hektor confronted Paris on the theater he confronted the rest of the Trojan and Greekarmy to inform them of how the employment could be resolved.Hektor hearing his word was happy and went into the space between and oblige back the Trojan battalions holding his spear by the middle until they were all seated. But the flowing-haired Achaians kept pointing their bows at him with arrows and with flung stones striving ever to strike him. This point the situation is very perilous for Hektor as he is b eing attacked from all sides. Homer has to bring in Agamemnon to deal with the situation and calm his men down to hear what Hektor has to say. It is only after the men are calmed that we see Hektors great leadership qualities as he sustains the attention of both sides of the army and clearly presents them with an ulterior way of resolving the war. This scene is provoke as Hektor is depicted strangely in a heroic light.hither Hektor is being confronted by the entire Greek army yet doesnt stand down or hide away, he faces up to them in an attempt to get his message across. This situation mirrors Pariss, when he fled and hid on the battlefield because he confronted by just one warrior. Although Paris appears to birth greater strength and courage, it is actually Hektor who does. Homer has clearly distinguished a difference in character between the two brothers here.Paris is portrayed as an effeminate character in comparison to the rest of the male person characters in several ways. I t has already been established that he is not a great warrior as he posses no courage or strength. The pointedness of precision which Paris takes in putting on his armour is screaming(prenominal) as his vanity shines through. First he placed along his legs the charming greaves linked with silver fastenings to hold the greaves at the ankles. non only is the style in which he dresses himself effeminate but also theextent of his armour. The fact that everything is trimmed with silver and that his helmet is well-fashioned illustrates this. The idea of Pariss looks being hisdistinguishing characteristic is again exemplified when he is being referred to by Aphrodite. glazed in his raiment and his own beauty you would not think that he came from fighting against a man you would think he was going or else to dance, or rested and had been dancing lately. This description is very insightful as Homer is almost suggesting that Paris is only fit for and worthy for dancing, he is not made to fight, unlike his brother Hektor.

Economic Status of The United States in 1950 Essay

Emerging victorious from public state of struggle II five years earlier, the joined landed estates in 1950 was reaping the benefits of a increment sparing benefits that were actu all toldy derived out of the countrys club in the fight. The destruction and mayhem brought by the global conflict too brought with it some(prenominal) verifying contributions to the economy. Some would all the same argue that the countrys participation in World state of war II actually saved it from the gravid Depression. To understand the sparing boom of the 1950s it is necessary to appreciate the positive impacts that were borne out of World War II.The foundation for the economic expansion and increment experient in 1950 and several years subsequently that were laid during World War II. To fund and support the countrys state of contend epoch efforts, it had to recruit millions of the Statesn soldiers to be sent to the war front as healthful as to be stationed at home. Factories had to be built to maintain war materiel guns and ammunitions, military transport, tanks, fighter planes and bombers, etc. To man the factories women and of age(p) peck had to be recruited as most of the able-bodied men were at war.WWII created jobs and gave life to many another(prenominal) a(prenominal) industries and energized a nation. Among the industries that prospered during and immediately after the war were the newsprint patience, the agriculture industry and even Hollywood. Industries that produced transport and plant machineries also prospered. passim the War, women, for the first clock, were given the opportunity to work outside their homes and participate in nation building. The participation of the women in the outwear aim started to increase during this time.The War also provided opportunities that would later be manifested in the 1950s. Take for example many of Americas products went overseas introducing themselves to new markets. more had actually feared t hat the marchesinal of the War would lead the country lynchpin to depression. With production of military supplies flood tide to an end, this fear had its basis for the entire economy was propped up by all that had to do with the global conflict. Fortunately, this was not the case. The victory relished by the nation brought virtually confidence in the organization and the economy.The common consumer best exhibited this confidence as the strong consumer demand spurred economic ingathering after the War. Leading towards the 1950s, industries that experienced a surge in growth include the automobile industry and the admit industry, and new industries experienced fantastic births industries such as melodic line and electronics. There was also an other(a) outcome of WWII that contributed to post War growth the Cold War amidst U. S. and the U. S. S. R. Many of the military industries that sprouted during the war continued to do big business after it.As communistic block emer ged as a military power in Europe, America had to arm itself against what it considered as a threat. Huge investments were made in the defense reaction of the country. Such investments meant jobs, factories, Brobdingnagian spending all contributed to the boom of the 1950s. The economic victory of the country probably influenced its leaders to advocate the replication of an open economy at the international level. This is best evidenced by the countrys spearheading the establishment of the International Monetary Fund and the World Bank.Gross house servant Product and Per Capita GDPIn 1950, the countrys GDP was at $293. 8 Billion (in current dollars). At that time, Per Capita GDP was $9,573. 00 making the United States the number one country world wide in this aspect. By 1996, GDP was at $13. 194 Trillion. Per Capita GDP was at $43,800. 00 however, the country ranked nevertheless at 10th place world wide in this respect. contain World War II scenario showed that too few econom ies survive the war time a big majority, especially in Europe, was greatly affected. Many informations starting in the late 1970s toward the early 2000s enabled other countries to fade the U.S. in terms of Per Capita GDP.As Per Capita GDP is influenced by population, countries that had significant economic growth coupled with low birth rate were able to conquer the U. S. in this indicator. However, the U. S. remains the most powerful economy in 2007 victorious into consideration other indicators. Employment and Unemployment In 1950, the civilian force metier was about 58 million strong. Only 5. 3 percent of the lying-in force was unemployed. 41. 6 million of the labor force at that time were males, while only 17. 34 million were females.By 1996, the labor force grew to about 142 million while unemployment rate as at 5 percent. 76 million were males while 66 million were females in the labor force. In the 1950s, the number of workers in the services sector caught up with wo rkers in goods production industries. The same time also saw the rise of clerical jobs and the strengthening of labor unions. Awareness on labor rights was on a rise. The biggest impact experienced by the labor force was the increase in womens participation in employment activities. Accordingly, women have literally poured nto the labor force starting in 1950. By 1990, womens participation in the labor force would nearly double. On the other hand, mens participation would sack over time.Per Capita Personal Income In 1950 the Per Capita Personal Income was pegged at $1,501. 00. By 2006 this rose to about $36,600. 00. Though marked by huge difference in amount, it can be noted that $1,501. 00 in 1950 could by more goods and services than the $36,600 in 2006 as illustrated by the consumer price index judge for both years. Consumer Price Index and Inflation With 1967 as base year, CPI in 1950 was registered at 72. meaning that a basket of goods and services bought in 1950 were 72. 1 percent of the price of the same goods and services bought in 1967.By 2006, the CPI was at 603. 5. This meant that the same basket of goods and services bought in 1967 would hail 603. 5 percent more in 2006. Inflation rate in 1950 was at a steady 1. 09 percent. In 2006 the rate was at 3. 24 percent. Emerging Industries 1950 saw the payoff of new industries that were anchored on new technologies. Among these is the aerospace industry. The great success of the heavy bombers during the war emphasized importance on innovation.Improvements in engine design, metallurgy, and arms technology helped advance the industry as well as improve manufacturing procedures. The onset of the Cold War ensured that the industry was thither to stay. At its peak, the industry hired hundreds of thousands of workers in four major factories. The industry was also fueled by a $3 billion government spending. Other industries that grew during this time were boosted by other industries. Take for instance the housing boom experienced after war. New homes meant additional furniture and appliances as well as new cars.The consumer-led growth likewise spread to other areas. The introduction of television to the masses spurred the growth in electronics. There were also after effects in the growth of industries. As the demand for homes and cars increased, many Americans were lured out of central cities to the suburbs. The construction of better highways also contributed to these phenomena. Farmers though were veneering tough times. As people left farm lands, lesser people were left behind to do farm work. This led to a drop in the productivity of the farm sector.Innovations and the Transformation of BusinessAt a personal level, 1950 saw the introduction of the first hand held T. V. remote encounter a device that would be seen as a indispensableness in many households for years to come. Color TV also emerged thru the issuance of a license to CBS Network. Another innovation is the introducti on of the first credit bill sticker Diners also an item that would come across as a necessity in modern times. The first pagers were also developed in 1950. In the business front, 1950 would usher in an era marked by desegregation of large companies. Businesses would combine to create bigger, greater businesses.Example, International Telephone and wire bought Sheraton Hotels, Continental Banking, Hartford Fire Insurance, Avis Rent-a-Car, and other companies. Notable Events and Personalities Notable events of 1950 included the following Start of the Korean War influenced greatly by the U. S. and USSR at opposite sides, North and South Korea would tangle in a three-year war that highlighted the tension during Cold War regime. Development of the Hydrogen Bomb raged by the atomic bomb testing by USSR, the government pursued the development of a hydrogen bomb.Senator Joseph McArthy started the Red Scare in halls of the U. S. Senate making accusations that the State Department wa s filled with Communists or their sympathizers. The Senators actions led to the adoption of the term McCarthyism describing intense anti-Communists sentiments. This period coincided with and fueled the onset of the Cold War between America and the USSR. Thousands of Americans were accused of being Communists or sympathizers during this time Americans in non-homogeneous sectors of the society. History would later judge these accusations as reckless and baseless.While Senator McArthy gained goodish media mileage at the start of his campaigns, he would be later unmasked as a grandstanding antic who had little or no evidence to back up his accusations. Many of the people Senator McArthy accussed suffered greatly. Many loss their jobs, had their careers ruined while some were even unjustly imprisoned. Conclusion The end of World War II led to the end of the Great Depression and the start of a long period of economic expansion through the 1950s. It is quite ironical that the most dest ructive war in history would contribute to the emergence of the strongest and biggest economy in the world.The confidence on the economy was obviously brought about by the countrys victory in the War. Tempered by strong collaboration between the government, businesses and the consumers, the U. S. emerged from the War a lot stronger and economically strengthened. Industrial expansion during wartime brought economic impetus that would be carried on even after WWII. The fact that most of the major economies were slow to recover from the after effects of the conflict placed the United States at absolute and relative advantage over both its allies and its enemies.

Collaborative Practice in Health Care Essay

Collaborative practice in wellness treat occurs when a division of the health fretfulness team consults with a nonher member to provide affected role care. Collaboration most lots occurs between doctors and reserves. Collaboration is defined as a relationship of interdependence the ability to fashion together involves reliance and revere not only of all(prenominal) other but of the work and perspectives each contributes to the care of the forbearing (Phipps and Schaag, 1995, p. 19). Effective cooperative practice amongst only health care team members leads to continuity of care, professional interdependence, quality care and unhurried satisfaction and decreased costs. Ongoing collaboration between health care members results in mutual respect, trust and an appreciation of what each private brings to the overall goal in rendering care to the client. The following cartoon provide provide the foundation for the discussion of collaborative care, differentiating between treat diagnosing and collaborative lines, and possible barriers to successful collaboration.JG is a 74 course of instruction old married Hispanic male diagnosed with colon cancer. He had a history of prosthesis placement of his left lower leg he is ambulant. He is a diabetic on oral medications. He worked as a farm laborer. He lives with his wife she does not speak side of meat she is a homemaker. He has a son who lives nearby and a nephew who periodically reckons him. JG can understand some English. He does have some barrier expressing his health concerns to the staff because of his limited vocabulary. His son or nephew brings JG to his clinic appointments. He receives periodical chemotherapy at the outpatient oncology clinic. The day I cared for JG he arrived at the clinic accompanied by his nephew. This was week seven of his treatment. His clothing was dirty, he smelled of stool, his fingernails were dirty, hair uncombed, he appeared to be dehydrated. He reported bowel m ovements of eight stools per day with complaints of occasional ab cramping. He denied nausea or loss of appetite. He stated that he was very tired and was not subject to do much at home.His main concern was the frequency of his bowel movements. He reports having to go to the flush toilet dickens to three quantifys during the night and has episodes of soiling the bed. He reports that sometimes he does not feel theurge to go. JG was wearing adult diapers. He expressed concern that it was getting expensive for him to purchase. The nephew confirmed that JG toileting has created a task in the home. His nephew verbalized that JG had medication for diarrhea but ran out of it and he did not have the money to purchase the medication. When questioned why he was employ a wheel extend he stated that his foot hurt to walk the outmatch from the lobby to the treatment room. He mentioned that it was probably due to an ingrown walk nail. He also asked how he could obtain a wheel chair for his personal use at home. Physical sound judgment revealed that he had a necrotic area on the ball of his left foot with border redness, lost 12 pounds in six weeks, poor skin turgor, overactive bowel sounds, and his blood pressure was slightly lower than baseline.In the ambulatory chemotherapy setting, the clients do not always see their physician every time they receive treatment. The defend must ascertain when to collaborate with the physician on issues regarding the patients status, response to treatment, or toxicities that may be life threatening. It is essential that the nurse is capable to communicate effectively her-(Be careful with gender bias, nurses come in both genders.) observations to the physician.Collaborative problems are detected from the nurses ratement of the patient. The nurses monitoring of the patient status is to evaluate physiologic complications that may threaten the patients integrity. Management of collaborative problems will include implementing phy sician prescribed and nurse prescribed actions to curtail escalation of the problem and preventing patient harm. From the nurses assessment, she also formulates a care for diagnosis. The treat diagnoses are stated in the form of the problem, the etiology and the symptoms that the nurse observes. treat diagnosis can include a current or potential problem, an at risk problem, or a wellness diagnosis. Nursing diagnosis provides the framework from which the nurse begins to devise a plan of care and treat interventions.In the case of JG, there were two collaborative problems identified. Twoproblems I collaborated with physician, these were1. JG is experiencing toxicity from the chemotherapy. There is potential for electrolyte imbalance, circulatory collapse.2. The necrotic area on his foot was a new development in his condition. There is potential complication for infectionThe collaborative problems discussed with JG physician and nurse quickly resolved. JG did not receive his chemot herapy. He was given an injection of sandostatin LR to help minimize his diarrhea a stat basic metabolic panel was obtained and he was given intravenous hydration with potassium. The doctor made a referral to JG podiatrist for the next day to assess the integrity of his left foot.Listed are four, but not all, possible nursing diagnosis obtained from my assessment.1. Diarrhea related to chemotherapy worldifested by hyperactive bowel sounds and eight loose stools.2. Bowel incontinence related to loss of rectal sphincter control and chemotherapy manifested by fecal odor, fecal staining of clothing, urgency.3. Altered victual related to colon cancer manifested by diarrhea, abdominal cramping.4.Ineffective management of remedial regimen related to JG lack of knowledge of his disease manifested by his softness and unwillingness to manage his symptoms.Considering JG comments regarding his finances, his overall physical appearance and the comments from his nephew, I unflinching to c onsult with the kindly worker. I felt that a home visit or a thorough investigation of JG home situation was warranted.The social worker was able to arrange for in home support, and helping the patient with insurance issues so he could obtain the needed supplies. I did not think to enlist the participation of the dietician. In retrospect, the dietician would have been a valuable resource to assess JG caloric intake and recommendations for optimal nutrition.I felt that the above incident demonstrated collaboration amongst health care providers. The physician in this case was receptive to the nurses observations with respect to her capabilities of accurate assessment of the patients condition and potential complications. This is not always the case, barriers to collaboration are also inherent in the health care industry. Barriers occur in patient situations where the physician is not good-hearted or does not trust the nurses evaluation of patient condition. The nurse may have feelin gs of inferiority, lack of confidence and does not fittingly collaborate with the physician correct information.Conflicts in the goals desired for the patient is often cited as a barrier to collaboration. I recall an incident of a male patient diagnosed with metastatic breast cancer. His appearance was that of an individual who had been in a Nazi concentration camp. The nurse wondered why the physician was treating this man aggressively. In her mind, this patient was not an appropriate candidate to receive the situation treatment that was ordered. She feared the patient would not tolerate such an aggressive docket and that it was pointless to put this poor man through treatment. The patient was diagnosed two years ago. He is still receiving treatments, he has gained weight and in October of survive year he hiked to the summit of Mt. Whitney. intention conflict is another study barrier to collaboration. To deliver cost effective care, many institutions utilize nurse practitioner s and physician assistants. Role conflict arises when practitioners have opposing views or expectations (Blais, Hayes, Kozier, & Erb, 2002). Role conflict and can lead to litigation. According to Resnick, physicians hesitate to collaborate colloquially with Nurse Practitioners for fear of being held liable for the actions of the Nurse Practitioner (Resnick, 2004). nominate definition of rolesfor practitioners is essential to prevent misunderstanding.In conclusion, collaborative practice is the specie standard that health care practioners should strive towards. The nurse is central in determining the patient issues that warrant collaboration and she must be able to effectively communicate her observations. Collaborative practice minimizes complications that could lead to tragic outcomes. The final goal of collaborative practice is to provide the quality service that each patient under our care deserves.ReferencesBlais, K.K., Hayes, J. S., Kozier, B. & Erb, G. (2002). Professional nursing practiceConcepts and perspectives (4th ed.). overbold Jersey Prentice Hall.Phillps, W.J., & Schaag, H.A. (1995). Persepctives for health and illness. In Phipps, W.J, Cassmeyer, V.L., Sands, J. E., Lehman, M.K(Eds.), Medical surgical nursing concepts and clinical practice, p. 19. St. Luis, MO Mosby.Resnick, B. (2004). Limiting litigation risk through collaborative practice. Geriatric Times,5(4), 33. Retrieved March 21, 2004 from EBSCOhost database.

Sap Swot

Use porters beers 5 forces puzzle to analyze the attractiveness of the standardized art softw ar industry and suckers strengths and weaknesses. ?Threats from competitors differentiation protects a teleph one(a)r from competitors when customers develop brand trueness for its overlaps. It is actually costly and time consume for a order to experience a new ERP placement. One of the examples inclined by the case was Chevron, which exhausted over $100 million and 2 years installing and get its R/3 system direct effectively. Therefore, once customer implements release parcel for the company, it rarely changes to another competitors crossroad. causation suppliers sinewy suppliers become less(prenominal) of a problem because the differentiated companys strategy is direct toward the premium hurt it stinker appoint and it can often profits along price increases to loyal customers. For a software package company want eat, there arent many suppliers besides database and consultants. SAP made the ill-treat decision of outsourcing both at the archean stage of its business. As a result, they lost first-hand knowledge of its customers emerging problems and an reasonableness of the changing needs of its customers.In the 1980s, SAP did not develop its own database steering software package its system was designed to be compatible with oracles database management software. This had repercussions later on when Oracle began to catch up technically and develop its own ERP software platform in the 2000s. ?Power buyers discriminators are unlikely to experience problems with powerful buyers because they offer a distinctive product that commends brand loyalty. SAP cerebrate on the largest multinational companies with revenues of at least(prenominal) $2. 5 billion because these companies would draw the biggest cost savings there.These companies are uncoerced to pay the premium price as they believe the saving in time and costs surmount the cost of implementing SAP ERP system. ?Substitute products switch over products are only a threat if a competitor can develop a product that satisfies a customer need akin to the need met by the differentiators product. In this case, SAP had confront this challenge in the nineties when its competitors, such as Oracle, Baan, PeopleSoft, and Marcum were catching up technically and focused their resources on the needs of one or a fewer industries, or a particular kind of ERP module. New entrants a new company essential find way to obtain its product distinctive enough to be able to make do, which involves an expensive investment in building some causa of distinctive competence. Although only a few global organizations have the resources to compete with SAP, the new entrants threats are still very high in the software industry as technology information and innovation by others could make SAP become obsolete one day.Sap SwotUse Porters 5 forces model to analyze the attractiveness of the standardized business software industry and SAPs strengths and weaknesses. ?Threats from competitors differentiation protects a company from competitors when customers develop brand loyalty for its products. It is very costly and time consuming for a company to implement a new ERP system. One of the examples given by the case was Chevron, which spent over $100 million and 2 years installing and getting its R/3 system operating effectively. Therefore, once customer implements SAP software for the company, it rarely changes to another competitors product. Power suppliers powerful suppliers become less of a problem because the differentiated companys strategy is directed toward the premium price it can charge and it can often pay along price increases to loyal customers. For a software company like SAP, there arent many suppliers except database and consultants. SAP made the wrong decision of outsourcing both at the early stage of its business. As a result, they lost first-hand knowle dge of its customers emerging problems and an understanding of the changing needs of its customers.In the 1980s, SAP did not develop its own database management software package its system was designed to be compatible with Oracles database management software. This had repercussions later when Oracle began to catch up technically and develop its own ERP software platform in the 2000s. ?Power buyers differentiators are unlikely to experience problems with powerful buyers because they offer a distinctive product that commends brand loyalty. SAP focused on the largest multinational companies with revenues of at least $2. 5 billion because these companies would reap the biggest cost savings there.These companies are willing to pay the premium price as they believe the saving in time and costs outweigh the cost of implementing SAP ERP system. ?Substitute products substitute products are only a threat if a competitor can develop a product that satisfies a customer need similar to the nee d met by the differentiators product. In this case, SAP had faced this challenge in the 1990s when its competitors, such as Oracle, Baan, PeopleSoft, and Marcum were catching up technically and focused their resources on the needs of one or a few industries, or a particular kind of ERP module. New entrants a new company must find way to make its product distinctive enough to be able to compete, which involves an expensive investment in building some type of distinctive competence. Although only a few global organizations have the resources to compete with SAP, the new entrants threats are still very high in the software industry as technology development and innovation by others could make SAP become obsolete one day.

Academic Freedom Essay

emancipation is a basic to learning in modern democracies. license in education can be categorized in the various aspects such as Freedom of the churl, donnish p altogetheriatedom and publishdom to read. McGarry and Ward, (1966) puts it A free inn and a free institution imply a free educational system and a independence within the framework of uttermost control. In such a closed society they maintained, liberty in education may consist of ability to say or do in consequential things. The legal thought process of academician freedom originated in Germ whatever in 1850.The Prussian Constitution declargond that science and its get winding shall be free. In Germevery, academic freedom is known as the right of mental faculty to teach on any subject, that was freedom of scientific question, and the right of students to interpret any lectures, and the absence of class roll calls writes standler (2000). Academic freedom permeate to America in the early 20th Century (Post, 2000). Most American universities at that time were proprietary professors were mute to be the employees of whoever owned the university, whether that was a snobby or accede.See more Analysis of Starbucks coffee bon ton employees essayThen the professors began to conceive of themselves not as mere employees, except as professional scholars who were answerable to the professional judgment of their peers, they began to create the idea of academic freedom. Still, academic freedom has limits. In the United States, for example, according to the widely recognized 1940 Statement on Academic Freedom and Tenure, teachers should be careful to avoid controversial matter that is unrelated to the subject.When they speak or write in man, they are free to express their opinions without fear from institutional censorship or discipline, unless they should show restraint and clearly designate that they are not speaking for their institution. Academic tenure protects academic freedom by ensu ring that teachers can be fired only for causes such as gross professional incompetence or behavior that evokes condemnation from the academic community itself. Propvirtuosonts of academic freedom believe that the freedom of inquiry by students and faculty members is essential to the mission of the academy.They argue that academic communities are repeatedly targeted for repression due to their ability to shape and control the flow of information. When scholars attempt to teach or communicate ideas or facts that are inconvenient to foreign policy-making groups or to authorities, they may find themselves targeted for public vilification, job loss, imprisonment, or level death. For example, in North Africa, a professor of public health ascertained that his countrys infant mortality rate was higher than organisation figures indicated. He lost his job and was imprisoned.Academic freedom refers to the amount of single-handed judgment allowed teachers and students as both seek know ta kege about the world. Maclever as sited by Harris and Liba (1960) holds that academic freedom refers to the freedom of the scholar with the university to pursue knowledge. Dewey and Lovejoy cited by Haris and Liba (1960) too related academic freedom to university teaching. In the modern society and modern aspects of teaching and learning, academic freedom can no all-night be considered a university concern but it cuts across all aspects of the academia. veracious is what a person is entitled to. Or what is legally due to a citizen account of being a member of a state, (International Declaration or Human Rights) established in 1948, as a common type of achievement for all people and all nations. This document recognizes the basic valet de chambre rights and freedom, justice and peace in the world having experienced the two world wars. The commission for Higher Education (CHE) University Act was established in 1985, July and inaugurated on 16th October 1985.It plans programs and f inances public universities. It also coordinates admission process, accreditation of university coordination or seat secondary training institution and standardization. Recognition and equation of qualifications are also its function according to the requirements of the law. It also guides students in applying or various courses that get out lead them to different career choices. This was adopted by the United Nations (U. N) fable is resolution 44/25 on the 20th November 1989.Talks of Freedom of Expression of opinion and views in Art 12 states that every child who is capable of forming views and opinion has a right to express them freely in all matters that affects them. In article number 13 on Freedom of Expression says that the child shall have a right to freedom of building in terms of Freedom to seek, Freedom to receive and Freedom to afford information and ideas of all kinds either orally or in indite in art and music. But the exercise of these rights mustiness respect t he rights and limitations of others and must respect the countrys laws and morals.Academic freedom consists in protect the intellectual independence of professors, researchers and students in the pursuit of knowledge and the aspect of ideas from duty tour by legislators or authorities within the institution itself. This implies that no political, ideological or religious orthodoxy will be imposed on professors and researchers by means of the hiring or tenure or termination process, or though any other administrative means by the academic institution. Nor shall legislatures impose any such orthodoxy through their control or the university budget. This protection includes students.Gwin, Swanson, and Goetz, (1986) also be academic freedom as the freedom of teachers students to teach, study, and pursue knowledge and research without unreasonable interference or restriction from law, institutional regulations, or public pressure and added that the basic portions of academic freedom include the freedom of teachers to demand into any subject that evokes their intellectual concern to present their findings to their students, colleagues, and others, to publish their private data and conclusions without control or censorship to teach in look they consider professionally appropriate and to act in their private lives with all the rights and liberties enjoyed by other citizens This directs towards speaking your mind and challenge conventional wisdom.In todays political climate it is harder than ever for academics to defend readable debate. In away restrictive legislation, and the bureaucratic rules and regulations of government and Universities themselves, have undermined academic freedom. Many academics are fearful of upsetting managers and politicians by expressing controversial opinions. afeard(predicate) to challenge mainstream thought, many pursue self-censorship. Academic freedom in Kenya was one of the casualties of repression. Mutunga and Kiai, (1996) sta ted that since proponents of academic freedom cherished free thought, open expression and good organization, they have been victimized, jailed and tortured.The harassment led to both external and internal exile. Academics like Ngugi wa Thiongo, ali Mazrui, are victims. There are others who are internally exiles some of these scholars were forced to seek alternatives to the public universities to continue their learnedness and their contribution to the society. The Control of responsibility of public Universities by the state led to abdication of responsibility by university authorities. They instead prefer to call upon state machinery like the police to deal with any crisis in whichever way. University students or faculty member wishing to travel outside Kenya must have prescribed government clearance.In the case of university staff, the application from clearance is initially O.K. by the head of department followed by the dean of faculty, the principal of college, and last the vice-chancellor. Subsequently, the ministry of Education and the Office of the President have to give the final approval, (Mutunga and Kiai, 1996). As at the time the above views about Kenya were documented, one could conclude that academic freedom hangs perilously close to non-existence in Kenya. It was not only the students and lecturers who suffered then, but all the people of Kenya who were denied the benefits that accrued from the existence of academic freedom.There was a moment in Kenya when they President threw a ban on Kenya national Union of Teachers (KNUT) and allowed KUPPET to come into existence to suppress the powers of KNUT. This was due to the stand that KNUT took as concerns the rights of the teachers in the country. Academic freedom is experienced unequally in the coetaneous world. It is securely established in some countries, and scarcely exists in others, and in between the extremes it exists in varying degree of amplitude and security.Where academic freedom is well defined and respected, the teaching profession understands that the principle protects the professor against the devastate consequences of arbitrary dismissal. It is recognized that the eacher can be dismissed only for commensurate cause, as established in a proceeding, which measures up to the requirements of due process, including a hearing before a tribunal consisting of his academic peers.It is well understood that the security of the professor depends not so much upon the substantive exposition of what constitutes adequate cause, as upon the procedures which are followed. That proper procedure is an indispensable element of justice in the life of the state is a commonplace observation. correct procedure is equally essential if academic freedom is to remain a viable concept. This will promote literacy in the African continent.

In What Sense Does Technology Change Society

There is no mistrust that engineering is increasingly important in our modern society. It is amazing how debased technology has developed. In the last century major advancements have been invented. advanced(a) society has had a great deal of change throughout the years. With the help of electronics people quite a little also attain information in their sign of the zodiac using the Internet. applied science has brought people from across the world together, but at the same time do communication less personal such as with texting and email.It was technology that helped man r distributively the moon and now we ar planning to advance our technology to explore more into space. Technology can be viewed as having changed our culture. Technology is workd for peaceful purposes and violence as well. Weapons were made to hunt for food and eventually used on each other since humans learned how to make them. Products such as polytetrafluoroethylene and non-stick surfaces, which were cre ated for the space program, make everyday life easier for millions of people.Computers allow us to go significant amounts of data and eliminate the need for paper. The Global Positioning dodge allows us to know where we ar located while driving in our cars or using a cell phone. There ar so many ways that technology has changed society, it is hard to even count them all. These are just a few ways that technology has influenced society and made our lives easier. With invigorated technology, difficult tasks are made simple and easy to perform. Technology has brought about many changes in how we conduct day to day activities.It is always evolving and with it society changes as well. Aside from doing good technology can be used to cause harm to any society. In American society, teenagers who are our future are using texting in that it was not intended. Texting has become the new thing to do with young adults. Up until 6 years ago this word was not heard of, but now has brought ab out many legal issues people send exposing messages to each other. What should be examined is not whether technology is good or bad but rather how we decide to use it.

An Old Man’s Winter Night Analysis

An Old Mans Winter wickedness This is a very haunting rime about an hoar hu patch race who stands al unmatchable dying in a dark dramatics in winter. His memory is failing him and because of that he doesnt know who he is or why he is in the house but he stay there inside the house because of the gruelling winter weather outside. at that place is no sense that the octogenarian creation is existing for any unity or anything, he is purely altogether. He is alone non only because no one is with him, but in like gentle piece of musics gentlemanner because there will be no one to remember him after he dies.He develops a fear of the cellar on a lower floor him and the darkness that lies outside so he strikes the ground in an flack to frighten the foreigner rather than confronting his fears. Finally, he go asleep in front of the fire only to be disturbed by a post d testify that has shifted in the fire but in due course, falls into a deep sleep. ice uses the dying fire as a symbol to his fading life. As the dark goes on, the fire dims and the old man grows closer to death. He knows that eventually the darkness will consume him.The serviceman does not stray from the subject matter from the beginning to the end, continuously conveyance the extent of how frightend and lonely he is. Frosts objective is clearly to portray the depth of lone notationss that the old man is whimsy in his old age and the emotions that accompany this. In terms of form, the poe assay does not have a traditional rhyme scheme and the lines vary in length. Frost uses many different literary devices passim the rime such as ascertainry which appeals to our sight, touch and hearing senses.Frost has used imaging such as In clomping there, he scared it once over again which appeals to our touch because you can almost notice how he has stomped the floor to try and frighten off the unknown. He has appealed to our hearing senses by using personification, corresponding the roa r of trees lets you almost hear how the trees were thrashing around on the tatty winter night. That brought him to that creaking room was age. He stood with lay round him at a loss appeals to our sight and paints a vivid eerie image of him standing alone in the dark house.Frosts use of personification, alike(p) the roar of trees is used to give a more humanistic pure olfactory perception to the trees to create a more eerie surrounding. Onomatopoeia is used crack of branches to suffice you think about the sound and to give a realistic feel to the poem, but more significantly alliteration is used, doors darkly, beating incase and separate stars, this makes the poem sound more pleasant to the readers. There is also evidence of internal rhyme on the tenth line In clomping there, he scared it once again An internal rhyme puts strain on the two words that rhyme and quickens the pace of the line.On the twenty third gear line, he used caesura to form important thoughts rather than breaking it And slept. The log that shifted with a jolt. There are eight strong enjambments doneout the poem helping it to run on and flow into the next line and continue momentum instead of the usual rhythm a poem would have. The mood of the poem is sad and disheartening. Frosts use of vision creates a sad setting. All out of doors looked darkly in at him could almost mean that people know and see that he is alone in the house but yet they choose to ignore it.The tone of the poem is candid, almost as if Frost is just telling a story without any feeling or emotion being put into it. From reading the poem, we realise that the old man is alone but the source never clarifies the reason why, he only repeats that he is completely stray and beyond the comfort of another human being. The most poignant reflexion of this poem is the old mans loss of memory and the hoarfrost forming on the windows because its so cold, Through the thin frost, almost in separate stars, that gathers on th e pane in empty rooms. He has no recollection of his purpose or identity and simply finds himself standing with barrels round him at a loss. Not only is the old man disjunct in body, he is isolated in consciousness. His memories of his past comfort cannot comfort him now. Although the old man is in a state of verbalise isolation, he still has the bravery to fight for his existence and attempt to scare away his fears that creep through the night. Although the old man is unaware of what only he is afraid of in the cellar or the dark of night, he clutches to the act of clomping as a familiar and unfamiliar comfort.The ruin sense of loneliness and fear is accentuated by the noises all around the old man, the cracking of branches, the roar of the trees this use of personification is used to make the snap more disturbing. However, the old man himself remains silent throughout the poem. When he does make sounds, he resorts to the more animalistic action of stomping his feet rathe r than bank his voice. In reading the title of the poem it suggests there should be a pleasant setting of an old man inside house beside a fire on a cold winters night but instead the writer has denied the readers any comforting expectations. Instead the writer conveys that he is slowly dying alone in the house on a devastatingly cold frosty night but he wants to await and fight death until the end even though he is losing his mind he still knows he doesnt want to die. The old mans isolation keeps the reader at a distance so they are not able to feel a sense of empathy with the old man.If Frost divulged the old mans thoughts it would be easier for the readers to form around kind of tie inion with him but Frost wants the readers to feel the same lonely, isolated feeling that the old man has and does this by rendering the old man mute. The reader is forced to remain a silent onlooker who cannot connect to the inner workings of the old mans mind. This poem could be interpreted as h ow Frost feels about his life at this draw in time. All out of doors looked darkly in at him through the thin frost almost in separate stars This could be Frosts way of expressing his feelings that he thinks nobody cares about him anymore.The poem does not end on a completely desperate note. Although the man is terrified of what he does not know, he still succeeded in scaring off the unknown when he was alone and frightened. Frost suggests that even a person in the depths of isolation and loneliness is still capable of maintaining a presence and care a house. The old mans behavior in the house is not ideal or necessarily human, and he is still destined to face death and constant loneliness, and yet his house is still his own because of his insistent grasp on it and his refusal to abandon himself completely.

Purpose of Life Essay

Are you really contented with your lifespan? Do you even experience the real objective of life hither on Earth? What is your drive for waking up everyday? Why great deal you hear, see, smell, talk and think? What are you here for? Every life here on Earth has their own office of existence. The plants, they play a considerable role on maintaining the cleanliness of our planet and the air we breathe. The animals, they serve as our sustenance and source of life. provided us humans, do we know our purpose? Of course, some would say yes, but then again is that our real purpose for lively?According to the book 40 days of purpose by wrick Warren, there are consequences of not conditioned your purpose. One is, without sharp your purpose life will seem tiresome. Because if you do not know your purpose and so confusion will take control of you, and when that happens you just go with the flow like the river flowing into the sea. You just go turn of events and round and back again . Second, without knowing your purpose life will seem unfulfilling. identical the saying goes history merely repeats itself because there is no contentment, no bliss at all.No matter how much we have we still communicate for more. Third, without knowing your purpose life will seem refractory. We often do things we think is right, but actually we are being deceived by the acquaintance the world has put into us and not by our own familiarity that God has given us. But on the other hand, if you will know your purpose of living, there are also benefits from it. First, knowing the purpose of your life will give your life focus. Just like in a team, every team has one purpose and that is to attain a certain goal.Next is, knowing the purpose of your life will simply your life. In here comes fulfillment, contentment, joy and satisfaction. Third, knowing the purpose of your life will augment motivation in your life. Every good and bad things that happen in this world has a reason and a purpose, and its for us to specify out. We only need to strive, work and be patient to discover it. Lastly, knowing the purpose of your life will prepare you for infinity. We all know that zip is permanent in this world, we will all die in the future.But the question is are we ready when that time comes? Are we able to concur with the purpose where God has placed us? If you feel tired, unfulfilled and uncontrollable then it means that you are still in the process of knowing your purpose. But, if you are focused, living a simple life, motivated and prepared for the future, for eternity then you are living the purpose of God in your life. And so are you living with the purpose or are you leaving your purpose? Thank you And God bless