Thursday, September 3, 2020

Micro-Finance in Bangladesh Essay Example | Topics and Well Written Essays - 500 words - 12

Small scale Finance in Bangladesh - Essay Example Undertaking administration comprises of various exercises, for example, those identified with corporate dynamic and authoritative structures.  Bangladesh is named a Least Developed Country by the United Nations Organization. With a populace of approximately 125 million, for example more than double the number of inhabitants in Britain, it’s ailing in pretty much every possible asset for human utilization. The Grameen Bank has started a lodging credit plot among others for the more unfortunate fragments of Bangladeshis with the goal that they would get regardless of whether they can't show insurance. Those asphalt inhabitants and vagrants on government properties have halfway profited by this plan. They are the main gathering of outer partners, while those contractual workers are additionally considered as outside partners of the venture. Nonetheless, representatives and supervisors on destinations are viewed as inside partners (Cadle and Yeates, 2007). The legislature of Bangladesh and the universal network, for example, INGOs, the World Bank, the UNICEF and the IMF are likewise associated with these undertakings as suppliers of helper administrations, for example, safe drinking water, schools, medical clinics, etc. The accompanying partner map represents how different partners of a comparative task would be brought under a solitary guide for the examination of connections inside and without the venture. While the physical element of the task may be constrained to its essential lodging venture, its genuine effect would be felt a long ways past the most distant corners of the nation itself.  While this sheet doesn't give a point by point the executives structure to each partner bunch engaged with the undertaking, it satisfactorily represents how each applicable partner bunch is overseen through the venture administration process (Carroll, 2006). Partners may have various degrees of enthusiasm for a task contingent upon the degree of effect on them.

Sunday, August 23, 2020

Describe and discuss the Ebers medical papyrus and the Edwin Smith Research Paper

Depict and examine the Ebers clinical papyrus and the Edwin Smith papyrus. When and how were they found What do they contain - Research Paper Example The fundamental investigation of these papyri was led in Berlin in the year between1954-1973 (Atta and Hussein 123). The Ebers papyrus has heedless assortment of clinical writings which are sorted out in passages which are orchestrated in squares and in this manner tending to explicit ailments. It contains the most voluminous clinical record of the antiquated Egypt known. The verification that infections recuperated from otherworldly spells, were not accessible in the papyrus. Issues in regards to the otherworldly intercession corresponding to treatment and conclusion are featured in passages (David and Rosalie 124). Ailments talked about by the Ebers papyrus incorporate; malady of the stomach, for example, intestinal parasites, rear-end ailments, skin ailments, head sicknesses, treatment of headaches, stream of pee, hair, tissue wounds and consumes and furthest points of the disarranges (Bonn and Kitty 45). From the Edwin Smith Papyrus, we can call attention to that, they had the op tion to treat cracked and disjoined bones. From this again we discover that they too rewarded separated bones and performed minor surgeries. On a similar note, they had the option to treat illnesses in physical way. In any case, close by this physical treatment, they went with it with otherworldly practices. Agreeing, to Edwin Smith Papyrus, a significant part of the treatment included squashing and blending of herbs. Infections tended to by Edwin Smith Papyrus include: tongue sicknesses, conditions identified with dermatology, dental maladies, ear illnesses, throat and nose ailments and gynecological issue. There are additionally conversations with respect to the analysis of pregnancy, treatment of tumors, trachoma, conception prevention and cracks (David and Rosalie 89). Around 700 mysterious recipes their cures are likewise contained. The papyrus takes note of that the heart fills in as the focal point of the flexibly of blood with the connection of vessels to different pieces of the body. Apparently the Egyptians knew minimal about the kidneys and accepted the heart to be the gathering point vessels conveying body liquids, for example, blood, pee, tears, and sperm. The section known as the Book of Hearts gives insights regarding the psychological issue. Dementia and gloom are similarly secured (Haas 90). The Ancient Egyptians, similar to the Ancient Greeks and the Romans, have furnished present day history specialists with grounded information and proof towards medication and adequate information on the clinical field. This proof is especially founded on the numerous papyrus found in the archeological locales. This resembles throughout the entire existence of man, where a portion of these convictions of the Egyptians were based; fantasies and legends. This ought not be that as it may, be contested with the expansion of information on the Egyptian individuals who exceedingly developed in human life structures and plain practical. In the Ancient Egypt the tr eatment of ailment was not, at this point completed by the normal entertainers and medication men, since information on maladies and their relieving strategy had just evolved. This is bolstered by the archeological confirmations accessible in the papyri (alludes to doctors and specialists). This is especially astonishing, in that there are archeological burrows that have included more proof of men titled as doctors. This implies all the information about the Ancient Egypt medication originates from the revelations of papyrus archives. A large portion of these papyrus records have originated from the period of 1900 BC and 1500 BC (White and Renee 45-67). This is the proof to the normal

Saturday, August 22, 2020

Tata Motors Jaguar Land Rover Turnaround

Goodbye Motors Jaguar Land Rover Turnaround Presentation Change as we call it is very unavoidable and it is exceptionally fundamental in todays quick changing condition and rivalry. Authoritative change the executives is engaged at when large changes need to happen. There are various change the executives models that can be utilized by organizations today so as to effectively actualize the change and meet its destinations. The Kurt Lewin Model is an old model despite everything utilized today. Change the board targets bringing preferred outcomes over those as of now experienced. In change the executives one comprehends that there are better methods of playing out a specific undertaking in a successful and effective way while meeting all the clients desires and guidelines of execution. So we can utilize the ADKAR model here to oversee change. Change the board hypothesis has 5 standards dependent on it like: From the start we see that individuals show and demonstrate various responses to change as every individual is extraordinary and one of a kind in their own specific manner. Besides individuals endeavor to meet their essential needs paying little mind to their height, occupation or expectations for everyday comforts. Thirdly for every one of the change to occur the individual needs to free something at first to help make the usage of the change fruitful. All the individuals put in differed measures of endeavors for the change according to their observation so the change movement should be reasonable in nature. Change carries with it dread and a sentiment of question so change the board can possibly occur if these individuals face their feelings of trepidation. These five standards should be actualized appropriately by the organization to really roll out the improvement procedure achievable and fruitful. Change the executives requires agreeableness from all the concerned partners as it can't prevail by acknowledgment of one however by just an aggregate exertion of many. (Change Management 100 Success Secrets) A decent hockey player plays where the puck is. An incredible hockey player plays where the puck will be Wayne Gretzky, Canadian ice hockey player Change Management (2008) Writing Review Analysis Kurt Lewin Change Management Model In 1947 Kurt Lewin proposed a three phase hypothesis of Change which is applicable till date and most more up to date models are very founded on this model. The three phases are: Unfreeze This is the most basic stage as it includes setting oneself up before a change is executed. It includes understanding that a change needs to occur and the workers need to escape the safe place. A cutoff time needs to there to which some reward/discipline is connected to spur the individuals to go for the change and acknowledge it. So unfreezing one-self and seeing the inborn favorable circumstances exceeding the hindrances lead to a fruitful change. This alludes to another Kurt Lewins hypothesis called the Force Field Analysis. So according to the Force Field Analysis in the event that the aces exceed the cons, at that point change can occur easily as it goes about as a pushing factor however in the event that not, at that point there is opposition which can be impeding to the target and reason for the change. We can really take a functional guide to outline the above chart in a superior situation on account of Tata engines in the Analysis area. Change So the following stage is the progress stage where the change really occurs. Here we see individuals have hindrances as they are uncertain of the outcomes or results from the change procedure are occurring inside the association. Certain elements like preparing, aides and tutors can be utilized to make the learning procedure simpler and quicker as it causes the individuals to adjust and comprehend the target and reason for the change action. Through self association and appropriate correspondence one can urge the change to occur in a simpler manner. Freeze This stage is likewise called the refreezing stage as it includes if there is solidness after the change has really happened. Individuals presently will in general adjust and acknowledge the change and it turns into a piece of their every day schedule. Change is a ceaseless procedure and not long after the execution of the change the following change process begins anytime and can complete anytime of time. (Kurt Lewin Change Management Model (1947)) ADKAR: Model for Change An imaginative and amazing change model was created by Mr. Jeff Hiatt who was the CEO of Prosci Change Management and it was first distributed in 2003. This model reveals to us that authoritative change can succeed when every one of the individual individuals from the association progress through the change the board procedure. There are five stages in this model: Attention to the requirement for change This includes understanding why a specific change is essential is the essential part of a fruitful change. We here discover the reason and need behind the change. So the rationale behind the change can be imparted in the representative. Want to help and partake in the change Here the worker needs to take a self choice to be a functioning member in the change. Just when the individual is sure and persuaded that the change is basic then just will he take an interest in the change movement. Appropriate impetuses should be detailed so as to rouse the individual not to stop from the way of progress. Information on the best way to change This is the third phase of the model wherein information about the change can be granted through preparing, mentorship and other instructive strategies. 2 sorts of information is to be engaged at: information on the best way to change (things to be finished during the progress or the time during which the change is being executed) and information on the best way to perform after the change action is set up. Capacity to actualize required aptitudes and practices In this piece of the structure square Ability is alluded to the contrast among hypothesis and practice. When information on the best way to change is set up then this is the hypothesis being alluded to and afterward comes the down to earth viewpoint which is the genuine presentation of the person. This is a tedious procedure and can be effectively executed through having a coach and a criticism procedure. Support to continue the adjustment In the last phase of the model there is a fundamental segment in which endeavors made by the person to support the change are squeezed upon. Here it is guaranteed that changes made remain set up and that the worker doesn't slip back to his old ways which can be guaranteed through positive reaction, benefits, affirmation, estimating of the exhibition and activities taken to improve the outcomes. ADKAR Model of Change (2003) Kotters 8 stages for Leading Change Dr. John Kotter built up the 8 stages to change which can assist associations with avoiding disappointment and be proactive to change. They are: Acting with Urgency It alludes to recognizable proof of the issue and emergency zones concerning the organization, advertise and the serious powers. Building up the Guiding Coalition Form a group of representatives who might be dependable to deal with the change endeavors in an aggregate way. Building up a Change Vision This progression includes making a dream and defining the procedures to accomplish the vision. Conveying the Vision purchase in There should be clear correspondence between the representatives and the vision and the way to accomplish it both should be known by all the workers while keeping the group as the wellspring of model. Enabling expansive based activity Use shifted unsafe thoughts, non-customary methods and different strategies not in the book to evacuate all the deterrents to the change. Producing momentary successes Visible upgrades should be arranged and all the officeholders ought to be properly compensated for their endeavors. Try not to ease up To change all the frameworks, structures and approaches new representatives possibly should have been selected, old ones expelled and other elevated to meet the vision by likewise placing in new ventures, thoughts, work designs, and so on. Make change stick Use the pioneers in the association to show its representatives the advantages of the change movement in both subjective and quantitative terms with the goal that individuals don't stray from the change action. Kotters 8 stages of progress (2005) Beckhard Harris Change Formulae In 1987 Beckhard and Harris built up the Change condition which causes the association to distinguish all the potential outcomes to change. The change condition propounded is: D x V x F > R = Disappointment x Vision x First steps > Resistance to Change All the three parts must be available in consistency so as to conquer protection from change. Disappointment with the present happenings, Vision of what is to come soon, and the way/heading/First means to reach or accomplish this vision should all be there to repulse the protection from the change action. Beckhard and Harriss Change Equation (1987) Contextual investigation Goodbye Motors Panther Cars Limited and Land Rover, situated in the UK, are one of the key worldwide auto majors organizations that are occupied with assembling extravagance sports cantinas and sports vehicles that take into account the superior finish of the market. On June 22, 2008; Tata Motors, Indias biggest car organization, obtained the Jaguar Land Rover organizations from Ford Motor Company for a net thought of US $2.3 billion. (Public statement: second June, 2008) Yet, only following the obtaining; the worldwide money related division fallen and crushed out worldwide liquidity. The resultant lack of assets, alongside the extraordinary ascent in the costs of wares and fuel, negatively affects the worldwide car area. All the car organizations, hard hit by the emergency, posted major working misfortunes. Out of the three significant U.S. vehicle producers, General Motors and Chrysler, sought financial protection. Panther Land Rover was hit hard in the second 50% of the year finished 31st March 2009. In the U.S, Europe and Japan, deals of new vehicles have declined by 16% in the second 50% of the year. Boost bundles intended to revive request were just incompletely fruitful. The volumes at JLR over the 10 months post acq

Friday, August 21, 2020

UK LAND LAW (question is in the instructions box) Essay

UK LAND LAW (question is in the directions box) - Essay Example on identifies with whether the rent moved by Troy to Ai-Ai was in similarity or in break of Lakshmis contracts in the underlying lease understanding or not. The subsequent issue identifies with Troys position in the agreement after the property is moved to Ai-Ai. Is Troy limited by his assurance to check exhibitions of new chosen ones or not. What is the situation of the assurance according to Lakshmi and can be considered liable for the activities of Ai-Ai and Boo? The third issue identifies with the chance of Ai-Ais move of the property to Boo. Is the all-inclusive occasion in Thailand commensurate to relinquishment and is Boos use of the property equivalent to a task? This is an issue since Ai-Ai doesn't reserve the option to allocate the property without Lakshmis assent. Subsequently, there is an unmistakable penetrate. Be that as it may, what are the lawful ramifications? Would lakshmi be able to sue for relinquishment? The last pointer that will be analyzed is the lawful situation of Boos separating of the divider in the property to permit in more air. Adjustments on the property is a contract in the rent. Does Lakshmi have the privilege of forefeiture? Furthermore, a potential solicitation for harms? A leasehold contract is a condition in a rent indicating explicit commitments with respect to either party2. This incorporate express terms about how things will happen and how the rent is to be managed. A task happens when an inhabitant moves entire or part of his residual enthusiasm for the property to another person who is an appointee. A task is fairly similar to a three level game plan between a proprietor who hands over to the inhabitant who likewise hands over to a chosen one. Now and again, leases disallow assignments since proprietors don't need their property to be moved to trustees they don't know3. In any case, for a situation where the rent understanding precludes occupants from assignments, an inhabitant can move enthusiasm for the rent to someone else with the assent of the proprietor and this transferee turns into a sub-tenant4. At the point when an inhabitant

Corticosteroids and Mental Disorder

Corticosteroids and Mental Disorder Dynamic Corticosteroid prescription is a basic treatment in practically all clinical strengths. Mental reactions of corticosteroids might be both normal and extreme and incorporate psychosis, craziness, misery, wooziness and reliance. Just a little proof base exists about vulnerability to and the study of disease transmission of these conditions. Corticosteroid incited mental turmoil normally has an intense beginning and is portion related. Hyper side effects prevail intensely anyway long haul use might be related with despondency. Steroid reliance and withdrawal conditions have been archived. Case reports recommend that a blend of state of mind stabilizers and antipsychotics might be valuable in the board serious intense impacts. This article will give therapists working in a general emergency clinic a manual for the study of disease transmission, clinical introduction and the board of corticosteroid prompted mental turmoil. Presentation Corticosteroids were first brought into clinical practice in the late 1940s, since when they have been utilized by practically all clinical experts as compelling treatment for immune system and provocative conditions. More than 5 million solutions are composed for corticosteroids in the UK every year, at an expense of over  £100 million. (NHS Health Care Statistics 2005) About 1% of everybody and the same number of as 7% of hospitalized patients are getting oral corticosteroid treatment at some random point in time. (NHS Health Care Statistics 2005) Whilst being famous for significant remedial activities they can have numerous unfavorable impacts which must be considered in long haul treatment. Physical impacts, for example, osteoporosis, focal stoutness and immunosuppression are visit in patients getting corticosteroids. Mental impacts remember changes for mind-set, daze, dementia and psychosis. As corticosteroids have a basic spot in the administration of incessant malady, therap ists ought to be outfitted with the information to perceive and oversee corticosteroid prompted mental confusion. This article depicts the study of disease transmission, clinical introduction and the board of these conditions. Signs and Pharmacology There are a few types of corticosteroid medicine authorized in the UK, including: betamethasone, cortisone acetic acid derivation, deflazacort, hydrocortisone, methylprednisolone (prednisolone) and triamcinolone. Every one of these medications has differing degrees of mineralocorticoid and glucocorticoid action. The entirety of the above arrangements exist in oral or intramuscular structure. Breathed in steroid arrangements are likewise won't be talked about as there is little proof that they can incite mental turmoil. The principle signs for these drugs are: Concealment of provocative and hypersensitive entrail illness; incessant or treatment safe Asthma and COPD; Immunosuppression in Acute Lymphoblastic Leukemia, Hodgkins and non-Hodgkins malady, and Hormone touchy bosom malignant growth; Mitigation of indicative end-stage dangerous illness; Organ transplant dismissal; Auto-invulnerable (Rheumatic) sickness, for example, Systemic Lupus Erythematosis and Wegners Granulomatosis. Corticosteroids are quickly assimilated over the Gastro Intestinalâ membrane following oral organization. Pinnacle impacts can be seen following 2 hours. The flowing medications tie widely to the plasma proteins Corticosteroid Binding Globulin (CBG), egg whites and transcortin, with just the unbound bit of a portion dynamic. Foundational prednisolone is immediately conveyed into the kidneys, digestive organs, skin, liver and muscle. Corticosteroids likewise convey into the bosom milk and cross the placenta. Corticosteroids are prevalently utilized by the liver to dynamic metabolites at that point additionally processed to idle mixes. These inert metabolites, just as a little bit of unaltered medication, experience urinary discharge. The plasma end half-life is 1 hour while the natural half-existence of prednisone is 18-36 hours. Corticosteroids go about as glucocorticoid receptor agonists. On official, the corticoreceptor-ligand complex translocates itself into the cell core, where it ties to Glucocorticoid Response Elements (GRE) in the advertiser district of target qualities. Supplement Figure 1 about here The DNA bound receptor at that point interfaces with essential translation factors, changing quality articulation. There are high convergences of CBG in explicit cerebrum territories, for example, the hippocampus and pre-frontal cortex and these can in this manner be thought of as a potential middle person of corticosteroid initiated mental turmoil. Incessant sickness and corticosteroids In corresponding to the mental symptoms of corticosteroid treatment, most incessant ailments might be related with impressive mental dreariness. An essential goal of the specialist is to recognize the mental impacts of incessant ailment and corticosteroids. The 1-year pervasiveness for ICD-10 burdensome scene alone is 3â ·2% (95% CI 3â ·0-3â ·5) and a normal of between about 9% and 23% of patients with at least one incessant physical ailments have co-dismal sadness. In a universal meta-examination, patients with an assortment of interminable physical illnesses and co-sullen misery had fundamentally more regrettable wellbeing scores than those with incessant malady alone. (Moussavi et al 2007) There are numerous potential purposes behind this, including physical indications, for example, agony and optional handicap prompting loss of capacity. Investigations of sadness among the restoratively sick quite often bomb anyway to represent conceivable corticosteroid impacts. In patients with extreme COPD given 30 mg of prednisolone for 14 days, when lung spirometry and temperament state were estimated, no adjustments in spirometry were identified until 7 days of dynamic treatment. Nonetheless, little yet critical decreases in tension and sorrow were estimated following 3 days of prednisolone and before any quantifiable improvement in lung work. This single investigation is a significant piece of a little proof base proposing that corticosteroids produce a mellow feeling of prosperity instead of the prosperity essentially being a result of physical improvement. (Swinburn et al 1988) Characterization, Epidemiology and Clinical Features Mental reactions were first depicted and characterized by Rome and Braceland in 1952 not long after the underlying presentation of corticosteroids into the pharmacopeia. As can be noted in Table 1, the depictions of indications in 1952 have a verifiable chain of importance which places psychosis above personality aggravation of a hypochondriac sort and places these above elation. (Rome and Braceland 1952) Addition Table 1 about here The study of disease transmission The extent of patients creating mental side effects during corticosteroid treatment has been accounted for to extend from 3 to 75 percent, with a weighted normal of around 28 percent. (Lewis and Smith 1983) Amongst the bigger investigations, the Boston Collaborative Drug Surveillance Program (Boston Collaborative Drug Surveillance Program 1972) observed 718 hospitalized clinical patients who got prednisolone, of whom only 21 (3%)had intense mental responses: in 6 of 463 (1%) patients accepting 40mg prednisolone, 8 of 175 (5%) patients getting 41-80mg and 7 of those getting above 80mg (18%). The portion reaction pattern was noteworthy, however the investigation was led in 1972 and manages generally little quantities of influenced subjects who experienced just a fundamental mental screening. Regarding rate of beginning, manifestations seem to grow quickly. In gatherings of the two patients and sound subjects, mental indications happened between 3 days and multi week. (Lewis and Smith 1983, Hall 1979, Naber 1996) Evidence shows that altogether a bigger number of ladies than men (P =0.009) create mental side effects as a component of corticosteroid treatment. (Nielsen et al 1963) Prednisolone is the drug most refered to cause mental reactions. On the off chance that reports, prednisolone was liable for 37 cases followed by methylprednisolone, dexamethasone betamethasone, and hydrocortisone. (Lewis and Smith 1983) When portion equivalences were determined, going from 5 to 200mg prednisolone for each day, a mean portion of 58.3mg every day or more was refered to as considerably raising the danger of a mental response. This doesn't imply that mental responses just happen at higher measurements. While measurements isn't identified with the danger of creating mental unsettling influences, dose nor span of treatment appears to affect upon the hour of beginning, length, seriousness, or sort of mental aggravations and it is indistinct whether patients with a background marked by mental turmoil are inclined to such aggravations. (Ling 1981) Full of feeling Symptoms The most widely recognized mental response during glucocorticoid treatment is temperament change, which represents very nearly 90 percent of the mental responses (Hall 1979, Stiefel 1989) In a survey of 56 contextual investigations of mental responses to steroids, of those detailing disposition side effects (45 cases), lunacy was seen in 48%, misery in 25%, and a blended state in 9%. (Flores and Kenna) Reversible mind-set change can be seen in sound control subjects after organization of prednisone and dexamethasone. One examination indicated that 8/12 sound controls encountered this, with hyper manifestations prevailing. (Earthy colored 1998) A further report which took a gander at methylprednisone in ophthalmology patients, every one of whom were liberated from mental confusion, found that 36% created lunacy or sorrow during high portion steroid treatment. (Naber 1996) Studies analyzing the results of low portion steroid treatment have discovered practically zero emotional symptomatology (Swinburn 1988). With respect to steroid incited craziness, patients commonly report abrupt euphoric mind-set, exorbitant vitality, inexhaustibility and some affectedness. Notwithstanding the fast improvement of disposition side effects, suicidality can be related with steroid treatment. (Flores and Kenna). Notwithstanding temperament indications patients have been accounted for to encounter rest aggravations and weight gain.

Sunday, July 5, 2020

Stern Correspondent Interview With Recent Alums -

Stern Correspondent: Interview With Recent Alums by: Alex Grieco on September 18, 2018 | 0 Comments Comments 443 Views September 18, 2018First things first, welcome back! The new semester is upon us at NYU Stern, and so is a new semester full of content. To kick things off this year, we thought who better to look to for advice and perspective than our own recent graduates! With four years under their belt, they know the ins-and-outs of NYU Stern better than anyone. Nicole Rodriguez, Justin Lochan, and Dana Li all graduated as part of the Class of 2018, and have just recently begun working in different industries in New York City. So, we reached out and asked them to reflect on their time at NYU Stern.What did you concentrate in?Nicole: Marketing, Computing Data ScienceJustin: Marketing and Management, with a track in Luxury MarketingDana: Management and MarketingNicole Rodriguez. Courtesy photoWhat will you miss most about NYU Stern?Nicole: I’ll miss being an orientation leader! I met my best friend and current roommate in my cohort during my first-year orientation and we both went on to be orientation leaders together the next year. I’ve met so many of my closest friends doing so and always loved being able to welcome the new first-years to Stern and New York City! Oh, and of course I’ll miss Waffle Wednesdays. Justin: The greatest aspect about Stern that I will miss the most are the people. Throughout my four years at the university, I met so many incredible people from all walks of life and made life-long friends. It’s difficult not to see all of these people on a daily basis, but thankfully everyone is just a phone call or subway ride away.Dana: I really miss the vibrant and diverse community at Stern. One of my favorite things about Stern while I was there was how no two students had the same story. Out of the people that I have met at Stern, each person has had their own background that makes them truly unique whether its their personality, culture, goals, interests, etc. Even so, everyone was incredibly ambitious and motivated to constantly strive to make the most of opportunities and make an impact in their own way and inspired me to push myself out of my comfort zone and pursue opportunities I wouldn’t have had otherwise.What is next and where are you now?Nicole: I just started in August as a Product Marketing Analyst at American Express in New York City. I interned at American Express my junior summer and am super excited to be back!Justin: I am currently the Assistant Buyer for Ready to Wear Day Dresses at Macys. Essentially I help my team manage a 30 vendor world through assortment curation, projecting future sales of our departments, and monitoring our current selling to see where we can grow our business. It’s honestly a dream come true to be working for a major retailer in the heart of my favorite city. Dana: I’m currently working at Accenture as a management consulting analyst. I’ve worked primarily with clients in media, retail, and telecom industries and within the digital marketing space.Best opportunity you had while at NYU Stern/greatest memory?Dana Li. Courtesy photoNicole: Definitely all of the travel opportunities I was able to take advantage of. I came to NYU without a passport and left having studied abroad in Madrid, going on International Studies Program (ISP) Chile, and spending a January in India with Stern Around the World. It was a once-in-a-lifetime opportunity getting to travel the world with some of my closest friends.Justin: Of all the things I accomplished at Stern, my favorite would have to be serving on Stern’s first Health and Wellness Committee. The committee’s goal is to increase awareness of health and wellness topics within the greater Stern student body on topics ranging from anxiety and depression, to eating disorders, and safe sex choices. While on this board I was able promote positive awarenes s on health and wellness especially during the most stressful times in a student’s career such as midterms, finals, and recruiting season. The joy that I received from helping other students on their own journeys will forever be a lasting memory of my time at Stern.Dana: The greatest opportunity I had at Stern was being a part of the Peer Mentor program. As a Consulting Peer Mentor, I provided guidance for students regarding classes, on-campus organizations, and professional development with a focus on the consulting industry. Mentorship has always meant a lot to me and my mentors from when I was an underclassman is the reason why I have been able to accomplish so much during my time at Stern. It was great that I had an opportunity to give back to the Stern community to help students with the same experiences I had when I was in their shoes not too long ago.What are you looking forward to in the future?Nicole: I am still trying to figure out what I want to do with my life, bu t hopefully in five to ten years I will have worked abroad for some time and own a dog.Justin: Going forward, I always keep an open mind about where the future will take me. Currently my goal is to become a visionary buyer of a luxury menswear retailer. However, recently I have gained an interest in retail consulting and human resources which could lead me into a different direction. Ultimately I aspire to be the first Guyanese CMO of a major retailer. Dana: To be honest, I don’t have a firm plan for my future, but I really enjoy the uncertainty. I’ve been thinking about going back to school to get a law degree since I realized that I am interested in studying law and seeing how I can leverage that with my business background in the future. Maybe that will be next, but who knows?One piece of advice you would give to incoming/current NYU Stern students?Nicole: Chart your own path! It’s so easy to try to stick to the status quo and do things because you think that ’s what’s expected of you and â€Å"everyone else is doing it.† Now is the time in your life to take risks and explore what really inspires you. Be adventurous and say yes to (almost) everything — in the end, it is only the things that you didn’t do that you regret. Lastly, take it easy and be kind to yourself. College is supposed to be fun! Justin: If there was one thing I could tell any incoming or current Stern students, it would be to be your unique self. Oftentimes, students follow the masses into certain business concentrations or careers which are not ideal for who they are. I urge students to take the first two or three years while at Stern to reflect on what really sparks their business mindset and how that fire aligns with their core values. With this motto in mind, I was able to find an industry which engaged me both creatively and analytically.ONE FINAL PIECE OF ADVICE? DO NOT RUSHAs I go into my final semester here at NYU, I have to sa y that I agree with all the advice and reflections made by these recent graduates. However, I would like to add one piece of advice: do not rush. That may seem very vague, but as my time at Stern comes to an end, I realize there are so many opportunities I said no to or didn’t explore because I thought it was a â€Å"waste of time.† Make the most of the four years you have and don’t feel pressure from your peers or family to do something that won’t make you happy in the long-run. And of course, with a new semester comes even more exciting events, classes, and more! One specifically I am excited about is a trip to Broadway to see Aladdin! Thanks to the Cohen Arts and Culture Experience (or CACE), students have the chance to go to events around NYC for free. During my last semester, you can bet I will be taking full advantage of all of those experiences!DONT MISS: INSIDE STERNS INTERNATIONAL STUDIES PROGRAM or THE FOUR MOST BUZZED ABOUT CLASSES AT STERN Pag e 1 of 11

Saturday, June 20, 2020

Testicular Cancer Research Paper - 275 Words

Testicular Cancer (Research Paper Sample) Content: Testicular CancerInsert nameInstitutionDate Testicular Cancer The condition testicular cancer occurs when the cells in one or both testicles become malignant or abnormal. Based on the uniqueness of the cells in the tumor, testicular cancer may either be seminomas or nonseminomas (Russell, 2014). However, testicular cancer accounts for just 1 percent of all cancer conditions affecting men in the U.S.; although over eight thousand males are diagnosed with testicular cancer each year; approximately 390 men die each year(Bradford, 2012). Previous research has indicated that testicular cancer has a special association with race. Nonetheless, congenital abnormalities have been attributed significantly to constitute risk factors for testicular cancer. Even though, surgery might be done to correct the abnormalities, individuals are still faced with the risk of suffering testicular cancer. In order to prevent testicular cancer, a number of interventions including vasectomy, ca n be undertaken. In the light of that it is important to determine whether having vasectomy or not having one, lead to decreased risks of getting testicular cancer. Vasectomy is an established technique of permanent male birth control that involves the surgical sealing of the vas deferens to prevent sperm release during ejaculation(Nursing Standard, 2013). It is one of the most common type of contraception amongst men that accounts for approximately 5 to 10 percent of all present contraceptive interventions (Brown, Patrician Brosch 2012). Being a highly useful contraceptive method, Salman et al., (2012) reveals that the procedure can provide other advantages for humanity. Vasectomy might also be attributed to the prevention of testicular cancer. Salman et al., (2012) argue that in order to examine how vasectomy prevents testicular cancer, it is important to investigate the effects of vasectomy on histological alterations which take place in the testes and assess the damage based i n a single cell gel electrophoresis. ReferencesBradford, B. R. (2012). Chemotherapy-Induced Infertility in Pa...

Tuesday, May 19, 2020

Essay on Family Relationships in Greek Mythology - 1632 Words

Greek Mythology originated around 775 B.C.E. It all started with Homer’s Iliad and continued on with Hesiod’s Theogany. These were the first two myths to be recorded in Greek Mythology. Both of these myths reveal to us about their understanding of the universe, and about their culture. Not only do they talk about their various gods, and heroes, but they also talk about how they viewed the universe in general (Rosenberg 79). Greek Mythology evolved from two early civilizations, the Mycenaean’s and the Minoans. It was the combining of these different Greek cities and Kingdoms during 10th century B.C. that created Greek Mythology. Its Geographic isolation gave it a place for mythologies to evolve (Gale Virtual Reference Library: Greek†¦show more content†¦However, Uranus was afraid that Cronus might overpower him and one day obtain all his power. Knowing this Uranus purposely tried to kill Cronus in multiply occasions, but Gaea would always protect him. One day Gaea and Cronus made a plan to have Cronus challenge Uranus and take over his power. So it happened, Cronnus challenged his father and was victorious during their battle and Uranus was left to rot (Bernard 1) Now Cronus had become king of gods by killing his father Uranus† (Bernard 3). In both Greek and Roman Mythology, the relationship between parents and children are distorted, strained, and bizarrely transformed, because of their greediness for power and obsessiveness to be better than the other. To begin with, the relationship between parents and their children are distorted, because of their greediness and obsessiveness to be better than the other. In the story of Medea, Medea poisoned her own children, because she wanted to see her husband suffer the way she suffered after he left her. She decided they best way to get revenge is by poisoning her children, this way both their children and Jason’s new wife will die of poisoning and Jason will be left all alone in the world with no one to love him (Rosenberg 204). This clearly shows that the relationship between parents and children is distorted, because Medea was willing to poison her own children to get revenge on her husband. Someone who is even willing to do that is twisted and evil inShow MoreRelatedEssay about Greek and Roman Mythology1513 Words   |  7 PagesGreek and Roman mythology is well know. The people of that time period were passionate about the gods and did everything in their power to please them. Li ke most religions the goal is be like one of the gods in order to achieve good fortune or to gain everlasting life. One of the most interesting characteristics about the Greek and Roman Gods is how the gods are not perfect in that they make the same mistakes that the average human would make. These characteristics were put into place to allow ancientRead MoreComparing Roman And Greek Mythology1354 Words   |  6 Pages Roman Vs. Greek Mythology Roman and Greek mythology are full of complexities. Much of Greek and Roman everyday life revolved around these myths. Many similarities are obvious between Roman and Greek mythology because the Romans borrowed a significant amount of their myths and gods from the Greeks. Although Roman and Greek mythology have a few components in common, they also have many various aspects that cause differences in their cultures. First of all; values, morals, traditionsRead MoreThe Relationships Between Parents and Children in Greek and Roman Myths1422 Words   |  6 Pagesinvolving the relationships between parents and children, Greek and Roman myths show us that at one point in time, incest was considered socially acceptable. Many Greek and Roman myths contain twisted relationships between parents and children. These twisted relationships can be broken into three different categories: mothers and sons that have exceptionally strong bonds, parents that are threatened by their children, and the betrayal of parents or children. Greek and Roman Mythology often employsRead MoreThe Amazons Were A Group Of Warrior Women Who Fought Many Of The Great Greek Heroes1596 Words   |  7 Pagesgreat Greek heroes. They consistently went against what was considered the normal female role and led lives like their male counterparts. Unlike some myths in Greek mythology, the myths that involve the Amazons are spread o ut over time and often have multiple variations of one myth. Myths involving the Amazons even sometimes have versions of the same myth with different Amazon warriors, making it difficult to understand what Amazon women is associated with the certain myth. Throughout Greek mythologyRead More Mythology Essay887 Words   |  4 Pages â€Å"To some extent, mythology is only the most ancient history and biography. So far from being false or fabulous in the common sense, it contains only enduring and essential truth, the I and you, the here and there, the now and then, being omitted. Either time or rare wisdom writes it.† -nbsp;nbsp;nbsp;nbsp;nbsp;Henry David Thoreau (1849) Every culture has evolved its own mythology, defining its character and offering a way to understand the world. Myths of every culture reveal the powerRead MoreAncient Greek And Greek Mythology Essay865 Words   |  4 PagesAccording to Greek mythology, humans were originally created with four arms, four legs and a head with two faces. Fearing their power, Zeus split them into two separate parts, condemning them to spend their lives in search of their other halves. ― Plato, The Symposium Everybody has naturally experienced love, whether it was for a family member, a friend, a pet, a significant other, or even themselves. But exactly what is love and why does it naturally happen? Though love is an easy word to sayRead MoreGenesis Vs Greek : Families1362 Words   |  6 PagesGenesis vs Greek: Families When most people hear the word â€Å"family† they usually picture the first definition that appears in the Merriam-Webster Dictionary: â€Å"a group of individuals living under one roof†. However, a family can also be defined as â€Å"a group of persons of common ancestry†. Most importantly, family is about the relationships that a group of individuals has with one another, whether they are related by blood or not. The creation story found in Greek culture portrays a completely differentRead MoreEssay Ares: God of War928 Words   |  4 PagesAres, when she hits him in the head with a rock. â€Å"During the Trojan War Ares fought on the side of the Trojans against the Greeks, as a show of support for his lover Aphrodite who had set the war in motion. He charged at Athena who was taunting him about it and she calmly reached down and picked up a rock and smashed him over the head with it, stopping his advance.†(Ares: Greek God of War.) Obviously Ares canâ⠂¬â„¢t even hold his own against his sister, when he is the god of war and should be able to defeatRead MoreGreek Gods and Goddess875 Words   |  4 PagesThe Greek Gods: Ancient vs. Modern Views According to ancient Greek mythology the Greek gods and goddesses had at one time lived the savage, brutal and ugly life of humans. Eventually, however, they managed to rise above this ancient fierceness to become the nineteen elder gods and goddesses the Greeks knew as The Titans, who ruled the earth in a primordial era before the Olympian gods overthrew them. The ancient Greeks of the first millennium before the Christian era believedRead MoreMythology Film Review (Percy Jackson)1014 Words   |  5 Pages and his quest to discover both who he is and who stole the mighty lightning bolt of Zeus. The film is aimed at families, and generally shows an accurate representation of the Greek myths. There are a few key differences though, which are mostly used to present the Greek Gods in a better, more likable tone for the movie. The first differences between the film and classic mythology surround the premise. The film explains that the Gods would occasionally fall in love with mortals and have children

Monday, May 18, 2020

Tajikistan Facts and History

Tajikistan lies in the Pamir-Alay mountain range near Turkmenistan, Uzbekistan, Kazakhstan, Kyrgyzstan, and western China. This former Soviet country has a rich history and stunning natural beauty as well as a vibrant culture that has its roots in Russian, Persian, and Silk Road traditions. Capital and Major Cities Capital: Dushanbe, population 724,000 (2010) Major Cities: Khujand, 165,000; Kulob, 150,00; Qurgonteppe, 75,500; Istaravshan, 60,200 Government The Republic of Tajikistan is nominally a republic with an elected government. However, the Peoples Democratic Party of Tajikistan is so dominant as to render it in effect a single-party state. Voters have choices without options, so to speak. The current president is Emomali Rahmon, who has been in office since 1994. He appoints the prime minister, presently Oqil Oqilov (since 1999). Tajikistan has a bicameral parliament called the Majlisi Oli, consisting of a 33-member upper house, the National Assembly or Majilisi Milli, and a 63-member lower house, the Assembly of Representatives or Majlisi Namoyandagon. The lower house is supposed to be elected by the people of Tajikistan, but the ruling party always holds a significant majority of the seats. Population The total population of Tajikistan is about 8 million. Approximately 80% are ethnic Tajiks, a Persian-speaking people (unlike the Turkic-language speakers in the other former Soviet republics of Central Asia). Another 15.3% are Uzbek, approximately 1% each are Russian and Kyrgyz, and there are tiny minorities of Pashtuns, Germans, and other groups. Languages Tajikistan is a linguistically complex country. The official language is Tajik, which is a form of Farsi (Persian). Russian is still in common use, as well. In addition, the ethnic minority groups speak their own languages, including Uzbek, Pashto, and Kyrgyz. Finally, small populations in the remote mountains speak languages distinct from Tajik, but belonging to the Southeastern Iranian language group. These include Shughni, spoken in eastern Tajikistan, and Yaghnobi, spoken by just 12,000 people around the city of Zarafshan in the Kyzylkum (Red Sands) Desert. Religion The official state religion of Tajikistan is Sunni Islam, specifically, that of the Hanafi school. However, the Tajik Constitution provides for freedom of religion, and the government is secular. Approximately 95% of Tajiki citizens are Sunni Muslims, while another 3% are Shia. Russian Orthodox, Jewish, and Zoroastrian citizens make up the remaining two percent. Geography Tajikistan covers an area of 143,100 kilometers squared (55,213 square miles) in the mountainous southeast of Central Asia. Landlocked, it borders on Uzbekistan to the west and north, Kyrgyzstan to the north, China to the east, and Afghanistan to the south. Much of Tajikistan sits in the Pamir Mountains; in fact, over half of the country is at elevations higher than 3,000 meters (9,800 feet). Though dominated by mountains, Tajikistan does include some lower land, including the famous Fergana Valley in the north. The lowest point is the Syr Darya River valley, at 300 meters (984 feet). The highest point is Ismoil Somoni Peak, at 7,495 meters (24,590 feet). Seven other peaks also top out at over 6,000 meters (20,000 feet). Climate Tajikistan has a continental climate, with hot summers and cold winters. It is semiarid, receiving more precipitation than some of its Central Asian neighbors due to its higher elevations. Conditions turn polar in the peaks of the Pamir mountains, of course. The highest temperature ever recorded was at Nizhniy Pyandzh, with 48 °C (118.4 °F). The lowest was -63 °C (-81 °F) in the eastern Pamirs. Economy Tajikistan is one of the poorest of the former Soviet republics, with an estimated GDP of $2,100 US. Officially the unemployment rate is only 2.2%, but more than 1 million Tajiki citizens work in Russia, compared with a domestic labor force of just 2.1 million. About 53% of the population lives below the poverty line. About 50% of the labor force works in agriculture; Tajikistans major export crop is cotton, and most cotton production is controlled by the government. Farms also produce grapes and other fruit, grain, and livestock. Tajikistan has become a major depot for Afghan drugs like heroin and raw opium on their way to Russia, which provides significant illegal income. The currency of Tajikistan is the somoni. As of July  2012, the exchange rate was $1 US 4.76 somoni.

Wednesday, May 6, 2020

Fictional Story About Saving A Friend From a Division

Removing the limiter and going back to her Division, Aoi was in a happy mood, but she was still worried about life back in the World of Living. Aoi~! A bubbly voice cried and Aoi stilled herself and prepared for the death hug- Rangiku Matsumoto wrapped her arms around the shorter girl, and Aoi wondered again how in the blaze does one have such huge breasts. I missed you! Without you, taicho is giving all the work to me!! Rangiku clutched the short the girl harder, and Aoi pat Rangikus back. Those are your work to begin with... Rangiku released Aoi, and the two slowly walked back to the Tenth Division. That doesnt changed the fact I have to do more work than normal. Aoi smiled, as the busty woman started talking about what happened while Aoi was in the World of Living. She honesty really missed Rangiku and her bubbly personality, and it was a shame she went by days without the womans constant encouragement. Taicho!! Aois back! Rangiku shouted in joy as she slid open the door. Toshiro Hitsugaya lifted his head, a pen clutched in his hand as he grumbled out. I know. Aois eyes crinkled into a smile. A greeting would be nice Toshiro. Its Captain Hitsugaya to you. Teal eyes met with one onyx eye and the teal visibly softened. Welcome back Ito. Aoi slid on the couch, lips curling up. Thanks. She paused. And its Aoi! Rangiku shook her head. Had she not known that Aoi, Toshiro, and Momo were close friends, she wouldve mistaken theirShow MoreRelatedMoney And Desire : A Powerful Combination1857 Words   |  8 Pageseventually isolates him from the rest of the world. Two movies, Margin Call and The Social Network, demonstrate the complex dynamic between commerce and individuals who struggle to find a balance between morality and money. Margin Call depicts the internal conflicts investment bank employees have between morality and greed when facing a financial meltdown while The Social Network delivers a enthralling look into the struggle between greed and personal integrity through portraying the story of the creatorRead MoreHow Gender Roles Codified During The Victorian England Of The 19th Century?3137 Words   |  13 PagesEvangelical Miscellany. The aim here was to provide children of both sex with Christian and moral contents. William Lloyd asking the magazine’s contributors at the time t o provide: biographical communications, essays, obituaries of young people, extracts from scripture history, remarks on passages of scripture, anecdotes, poetry, or with instances of the beneficial effects of schools for religious instruction†¦Ã¢â‚¬  . In the second part and throughout the 19th century, the market for children’s magazines continuedRead MoreThe Thematic Struggle Between Society And Self3929 Words   |  16 PagesINTRODUCTION â€Å"It is essentially a tale about a variety of boundaries—those of race, region, time, class, sex, tradition and code—boundaries that are at times threatening to collapse, that are threatened by circumstances and community members.† (Johnson 31) Praised by Chicago Tribune as being â€Å"a novel of strong contemporary national significance† , Harper Lee’s To Kill a Mockingbird presents an unforgettable story about a sleepy, traditional town and the larger evils that threaten the very foundationRead MoreNoughts and Crosses14387 Words   |  58 Pagesconsultants, and, while concentrating on the explicit teaching of reading skills, also draws on approaches to literature through drama and media. Theories behind both assessment for learning and thinking skills are also embedded in the materials. Time-saving resources For each Rollercoasters novel there is a set of Lesson Plans, specifying particular objectives, assessment focuses and learning outcomes. These are accompanied by a compact Overview (see page 4) which summarizes the scheme at a glance,Read MoreStudy Guide Literary Terms7657 Words   |  31 PagesUsed for poetic effect, a repetition of the initial sounds of several words in a group. The following line from Robert Frosts poem Acquainted with the Night provides us with an example of alliteration,: I have stood still and stopped the sound of feet. The repetition of the s sound creates a sense of quiet, reinforcing the meaning of the line 3. allegory – Where every aspect of a story is representative, usually symbolic, of something else, usually a larger abstract concept or important historical/geopoliticalRead More Subverting the Conventional: Combining Genre in Kellys Donnie Darko6339 Words   |  26 PagesCombining Genre in Kellys Donnie Darko While planning an evening at the cinema, individuals do not discuss the specific guidelines of genre while deciding the film of choice. A reason for seeing a Western is never because the genre has evolved from primarily racist films involving cowboys and Indians to movies that vindicate Indians and work toward demythologizing the old West. Similarly, broad generalizations of genre are constantly used to categorize film. Courtship-Romance Musicals or RockRead MoreWhy Satisfied Customer Defect9193 Words   |  37 Pages Why Satisfied Customers Defect The Idea in Brief The Idea in Practice Satisfied customers—a sure sign of your company’s success? Actually not, as Xerox Corporation discovered. Its merely s atisfied customers were six times less likely to buy again from Xerox than its totally satisfied customers. To secure your best customers’ loyalty, take these steps: companies with proprietary technologies) can create â€Å"false loyalty.† 1. Clearly define your target customers, i.e., those you can serve best andRead MoreSadie Hawkins Day and Valentine Grams18321 Words   |  74 Pagessized and colored teddy bears, a change from their previous years’ Valentine grams. In previous years, the 180 Committee sold fresh flowers during Valentines week. â€Å"Selling flowers didn’t make that much profit, so we’re trying teddy bears this year,† said Angela. Chinese Club, the original club that has been selling Valentine grams for 6 consecutive years, also sold teddy bears along with balloons, roses and small pails of chocolates. â€Å"The money that we raise from Academy of Life students are â€Å"StarsRead MoreCritics of Novel 1984 by George Orwell14914 Words   |  60 Pagesbathroom stalls. His every move is watched. No place is safe. One day, while at the mandatory Two Minutes Hate, Winston catches the eye of an Inner Party Member, OBrien, whom he believes to be an ally. He also catches the eye of a dark-haired girl from the Fiction Department, whom he believes is his enemy and wants him destroyed. A few days later, Julia, the dark-haired girl whom Winston believes to be against him, secretly hands him a note that reads, I love you. Winston takes pains to meet herRead MoreProduct lifecycle of bajaj Pulsar6772 Words   |  28 PagesAnirban Chakraborty (B13134) Ramaswamy P (B13165) Suhas Kini (B13175) (GROUP 17) Contents Bajaj Auto ................................................................................................................................................ 3 About Bajaj Auto ................................................................................................................................. 4 Two wheeler Industry ...................................................................................

The Black Cat By Edgar Allan Poe - 2214 Words

A man who has abused his pets and killed his wife is sentenced to death, but were these transgressions made in the clarity of mind or was it an act of madness? In the short story THE BLACK CAT by Edgar Allan Poe, we follow the ramblings of a man who is sentence to death on the very next day for his act of murder. Do not take his ramblings to heart as he is an unreliable man but see for it what it really is. The beginning of the story starts out in a jail cell where the narrator is hours away from his death. He says that he wants to recount the events that placed him in this predicament. Since the day he was born, he has been noted for the docility and humanity of his disposition and these qualities flourished as he grew older. He marries a woman who shares his likeness of animals, and they have adopted abundance of pets. His favorite was a black cat named Pluto. The narrator starts drinking and his personality traits change to a detestable person. He begins to abuse his wife and pet s verbally and physically. One night while intoxicated, he believes the cat is ignoring him so he grabs it by the throat. Frightened the cat bit his hand, which angered the narrator so he took a pen knife and cut out one of its eyes. A few days later, he is overcome by a guilt and perverse impulse to hang the cat from a tree in the garden even though he knew it was wrong. That same night his house caught on fire and he lost everything. The next day he returns to the burned down house and sees aShow MoreRelatedThe Black Cat By Edgar Allan Poe1117 Words   |  5 Pages Edgar Allan Poe’s narrator in â€Å"The Black Cat† describes himself as a lover of animals and a man with a kind heart. But he uses his animals and alcoholism as an excuse for his perverse behavior. However, Poe drops hints though out the narrative to tell a different story. His violence towards animals tells the story of an irrational man who weeps while hanging his cat. Therefore, Poe employs the narrat or to show the human tendency to use scapegoats to shift blame for the wrong thing we do. The narratorRead MoreThe Black Cat By Edgar Allan Poe885 Words   |  4 Pagesobserve. An example of these observation and hands on applications would be Edgar Allan Poe, a writer and a poet, whom would be absolutely intrigued in these behaviors. His unique interpretation of the human mind could be seen in â€Å"The Black Cat.† In this short story Edgar Allan Poe embeds himself as the protagonist who are mere victims of the complexities of the mind known as revenge, anger, and perversity. â€Å"The Black Cat† shows the vital side effects of the mind recognized as revenge, anger, andRead MoreThe Black Cat By Edgar Allan Poe1778 Words   |  8 Pagesmonster up within the tomb† (Poe 32). This is the ending of Edgar Allan Poe’s short story â€Å"The Black Cat.† This story is one of the many famous short stories Poe has written in his life time. However, this story, in particular, captivities the horror and frightening works of his display. Having his personal history and short story at hand, will help his audience to understand some of his guilty pleasures. In this Critical Analysis Essay, the composition of â€Å"The Black Cat† will be revealed by connectingRead MoreThe Black Cat, By Edgar Allan Poe1240 Words   |  5 PagesLiterature, D.H. Lawrence condemns Americans for dodging their true selves by means of intellectualization and idealization. Both Edgar Allan Poe’s short story â€Å"The Black Cat† and Nathaniel Ha wthorne’s â€Å"Young Goodman Brown† feature allegorical representations of characters deceiving themselves in order to deny the darker aspects of their inner selves. In Poe’s â€Å"The Black Cat,† the narrator denies the darker aspects of his soul by abstracting his horrific actions with spectral evidence in order to externalizeRead MoreThe Black Cat By Edgar Allan Poe Essay917 Words   |  4 Pagesreality.† - Edgar Allan Poe Edgar Allan Poe is known for his dark and thought-provoking horror stories. In particular, The Black Cat does just that. The story focuses on the rationalizations of the horrific actions of the narrator. A black cat is introduced to pounce down on the rationalization of the narrator’s actions. Edgar Allan Poe also constructs a story where the main basis of the narrator’s decisions are ethical egoism and the principles of conscience. Poe constructs the black cat as the conscienceRead MoreThe Black Cat, By Edgar Allan Poe1900 Words   |  8 Pagesportion of his life writing these kind of stories. Edgar Allan Poe was influenced by his own life experiences, social normalities of the early 19th century, and used literary devices to write horrific works such as The Black Cat, The Raven, and Berenice. Edgar Allan Poe wrote the short story The Black Cat in 1843. The story starts out fairly normal, but very quickly spirals into a horrendous chain of events. The narrator of the story has a cat that he adaores at first, but then he grows irritatedRead MoreThe Black Cat By Edgar Allan Poe Essay1503 Words   |  7 PagesThe Black Cat Gothic Analysis In Edgar Allan Poe’s short story â€Å"The Black Cat† (1843), Poe creates a gothic narrative that exceeds the suspicions of the audiences predeterminations. Throughout the entirety of his piece Poe creates a scene that continuously leaves his readers wondering what was happening next. Suspicion being a key factor in gothic tales is only one strategy Poe used to illuminate the story of an unnamed psychopath and his attempts to either clear his conscious or set the recordRead MoreThe Black Cat, By Edgar Allan Poe871 Words   |  4 Pages Edgar Allan Poe is a world famous author who writes suspenseful/thriller story that keeps everyone interested. Three of his stories that we have read is â€Å"The Black Cat,† â€Å"The Tell-Tale Heart,† â€Å"The Cask of Amontillado†. The five questions that will be discussed is how/why does Poe have his narrator plan the murder of his victim, what is the narrators reason for killing his victim, how does the narrator dispose of the body, does the narrator know the difference between right and wrong, and finallyRead MoreThe Black Cat, By Edgar Allan Poe1202 Words   |  5 PagesEdgar Allan Poe is prominent for his literacy style of horror and mystery, in which he had written an innumerable number of short stories and poems in his lifetime. Evidently, many of his writings like, â€Å"The Black Cat,† â€Å"William Wilson,† and â€Å"The Raven,† share the same style, as their protagonists’ demonstrated a paucity of reliability. Readers often become engaged with how the main character of each text showed their rivulet of tales that seem to be quite fictitious. Available evidence suggestsRead MoreThe Black Cat By Edgar Allan Poe1142 Words   |  5 Pagescharacter survives eight shots to the torso, all happy endings. Edgar Allan Poe isn’t like that. Most of his characters are dark and insane. They have one last shred of sanity then they refuse to keep it and then they end up going insane, much like the characters in The Black Cat, The Raven, and A Tell-Tale Heart. All three the men reach insanity. In The Black Cat a man expresses his passion over all animals. He has a gorgeous black cat named Pluto,his prized possession. Years later this man has a

Designing and Managing the Supply Chain free essay sample

In a service supply chain, the (explicit) cost of information is higher than in a product supply chain. Note that in the mortgage example above, the bank has to compensate the credit reporting agency for each credit report it obtains. Question 3 Many supply chains evolve over time. For example, consider a memory chip supply chain. Production strategies may change during different stages of the product life cycle. When a new memory chip is introduced, price is high, yield is low, and production capacity is tight, and the availability of the product is important. Consequently, production is usually done at plants close to markets, and the management focuses on increasing yield, reducing the number of production disruptions, and fully utilizing capacity. When the product matures, however, its price drops and demand is stabilized for a period of time, so minimizing production cost moves to center stage. To reduce costs, production may be outsourced to overseas foundries, where labor and materials are much cheaper. Question 4 A vertically integrated company aims at tighter interaction among various business com- ponents, and frequently manages them centrally. Such a structure helps to achieve sys- temwide goals more easily by removing con? icts among different parts of the supply chain through central decision making. In a horizontally integrated company, there is frequently no bene? t in coordinating the supply chains of each business within the company. Indeed, if every business specializes in its core function, and operates optimally, an overall global optimum may be approached. Question 5 Effective supply chain management is also important for vertically integrated companies. In such an organizational structure, various business functions are handled by different departments of the company that usually have different internal objectives, and these objectives are not necessarily aligned with each other. This may be due to lack of com- munication among departments or the incentives provided by the upper management. For instance, if the sales department is evaluated based on revenue only, and the manufacturing department is evaluated based on cost only, the company. s pro? t may not be maximized globally. Effective supply chain management is still necessary to achieve globally optimal operations. The choice of the particular transportation service depends largely on the types and sizes of products the company wants to transport, the inventory and delivery strategies and the need for ? exibility: 1. A truckload carrier is better if delivering bulky items or small items in large and stable quantities from warehouses to demand points (stores). A good example is the delivery of groceries from warehouses to supermarkets. Note that in this case we would like the demand to be in increments of full truck loads. Additionally, a package carrier company offers more ? exibility by different modes of transportation depending on the needs of the individual customers. Question 9 1. High inventory levels i. Advantages: High ? ll rate (service level) and quick order ful? llment. ii. Disadvantages: High opportunity cost of capital tied in inventory, danger of price declines over time and obsolescence, need for more warehouse space. 2. The design of the logistics network is a strategic decision that has long lasting effects and impacts all functions within the company. For the success of such a project, many levels of the organization must be involved: 1. Upper Management: The new design must be aligned with the vision and strategic goals of the company. Additionally, such a project may be costly, so management buy-in is essential to ensure that sufficient resources are devoted to the project. Sales and Marketing: Demand forecasts and anticipated changes in product design and offerings affect the network and need the involvement of sales and marketing teams. . Manufacturing and Operations: The logistics network design has obvious impact on day- to-day operation of the ? rm. In order for the implementation to succeed, it is essential that the people involved with operating the system on a daily basis are involved in its design. Question 3 The decision that a single warehouse will be built has been made up-front. Therefore, we only need to focus on the location and capacity of the warehouse, and determine how much 7 space should be allocated to each product in the warehouse. In automobile manufacturing, cars are usually delivered over land, and demand is con- centrated around major cities. Therefore, we would expect warehouses in this industry to be located near large cities with easy access to freeways and railroads. This would help to reduce the delivery lead time to dealerships in the cities. b. In the pharmaceutical industry, overnight delivery is common. Therefore, proximity to a major airport is a factor that should be considered when choosing a warehouse location. Additionally, for raw material warehouses it is important that these are close to natural resources. c. In the book industry, supplier warehouse locations would be affected by the availability of nearby natural resources. d. In the aircraft manufacturing industry, sub-assemblies and parts are delivered by thou- sands of suppliers scattered all over the globe to the manufacturing facilities. Therefore, for these supplier warehouses, by far the most signi? cant consideration is the ability to ship parts easily and on-time, i. e. , the proximity to railroads, freeways, harbors, etc. In such a capital intensive industry, we would also expect that regulations such as tax breaks have an impact on potential warehouse locations. e. With a large customer base shopping for books on-line, short delivery lead times are crucial. Therefore, in book distribution, we would expect to ? nd large centralized ware- houses on reasonably priced land and where quick transportation modes are available. . Furniture manufacturing and distribution depends heavily on manual labor. Therefore, warehouses in this industry should be located close to cities with sufficient labor supply. g. In PC manufacturing, outsourcing from all around the world is common where labor is cheaper and regulations favor the huge investments associated with high-tech manufac- turing. These considerations should be factored in when choosing candidate warehouse locations. Question 5 In the pharmaceutical industry, we would expect more warehouses closer to the end cus- tomers for short delivery lead times.

Clinical Challenges in COPD-Free-Samples-Myassignmenthelp.com

Question: Discuss about the Mr. George Polaris Chronic Condition. Answer: Introduction The diseases lasting for three months or more is usually considered as chronic condition. These conditions are not preventable or curable in nature with the help of medications or vaccines. The only way to manage the condition is with the help of its continuous management. Certain chronic conditions are associated with co-morbidities, making the management of the condition further complex. Considering the above discussed aspect, the essay would deal with provided case scenario 1, which deals with the chronic condition of Chronic Obstructive Pulmonary Disease (COPD). In the process of discussion, 2 potential health concerns, apt topic of client education, 2 apt client education strategies will be discussed. Overview of Mr. George Polaris chronic condition Considering the case of Mr. Polaris it can be observed that due to symptoms like fever, shortness of breath and productive cough. Followed by number of respiratory tests he was diagnosed with COPD with a history of gastro-oesophageal reflux disease (GORD). Due to the condition it can be observed that he has lost several kilograms and at present he weighs 65 Kg with a height of 178cms. The scenario of Mr. Polaris also states that he is has been smoking 20 cigarettes every day since he was the age of 14 years (Effing et al., 2012). This clearly indicates the fact that Mr. Polaris is a heavy smoker which acts a major contributing factor to the chronic condition suffered on his part. The current vitals of Mr. Polaris reflect that he is having a body temperature of 36.7o which indicates an average body temperature. The vitals also reflects that his blood pressure is 135/88 mmHG. It is mentionable here that a reading of blood pressure between 120/80 and 139/89 indicates Pre-hypertension th at states that Mr. George do not have hypertension but the present blood pressure is higher as considered optimal blood pressure. The present vitals of Mr. Polaris also states that his Pulse 100 beats/min (Barnes, 2014).. A healthy adult heart beats, 60 to 100 beats/min. In case the heart rate of an individual is continuously over, 100 beats/min it will indicate the individual is suffering from tachycardia. In case of Mr. Polaris it the pulse rate indicates a risk of occurrence of tachycardia. The respiratory rate of Mr. Polaris is 22 breaths/min, which is more than usual adult respiratory rate i.e. between 15-20 breaths/min. The respiratory rate of Mr. Polaris indicates tachypnea, which is associated with COPD (Barnes, 2014). In the process of providing care services to Mr. Polaris these complications are required to be addressed. Two actual and/or potential health concerns for Mr. George Polaris Considering the present situation of Mr. Polaris there are various actual and potential health concerns which can be identified. It can be observed that he had lost several kilograms which at present stand to 65 kg with a height of 178 cms. On these facts it can be stated the actual health concerns in his case is emphysema. This particular form of chronic long term lung disease is associated with COPD. Due to this complication he was losing weight drastically (Donner and Carone, 2007). This particular condition is considered to be obstructive, as it results in blocking the natural air flow of the lungs. The occurrence of emphysema is due to the damage of the linings of tiny air sacs in the lungs beyond to the extent that cannot be repaired which in case of Mr. Polaris, occurred due to heavy smoking. This acted as a contributing factor in his case for the occurrence of COPD and the associated health concern of emphysema. In case of Mr. Polaris is heart complications is another concern. In case of patients of COPD, among the various conditions shortness of breath is among the common symptoms. The patients of COPD face issues in taking required oxygen for the usual functioning of the body and eliminating carbon dioxide from the body. In case of Mr. Polaris his respiratory rate was 22 breaths/ min which indicates he was facing trouble in respiration (Steinback et al., 2009). Due to such health risk, the health concern which may be developed on his part is low levels of oxygen in the blood that is referred as hypoxia along with high level of carbon dioxide referred to as hypercapnia. The combination of the above discussed issue in acute respiratory failure in the long term. Due to the occurrence of hypoxia, the pulmonary arteries also get affected, which results in narrowing the arteries and leads to high blood pressure. In case of Mr. Polaris, it has been noted that his blood pressure is 135/88 mmHg whi ch indicates Pre-hypertension. It may further develop to high blood pressure in the lungs or pulmonary hypertension (Minai et al., 2010) . Thus, in the process of providing care services in his case, the care providers like the GP and Registered Nurse are required to take these issues under consideration. Appropriate topics for Mr. George Polaris education In order to educate patients like Mr. Polaris with the help of educational program of pulmonary rehabilitation diverse needs of the patient can be addressed. It helps in creating awareness regarding various aspects of the condition, like the need of exercise (van der Molen et al., 2013). It comprises of physical activity sessions, advise and discussion on lung health of patients in this condition and thus educating the patients regarding the aspects in context to the particular condition. In similar cases like that of Mr. Polariss who are heavy smokers, PR programs help in positively impacting and changing the care users perception on habits like smoking and its adverse impact on the condition. The conducted study by Lung Foundation Australia in the year 2000, states that the essential educational topics in case COPD patients who are undergoing a pulmonary rehabilitation [PR] program (Hopkinson, 2017). The identified educational topics in this context are the role and appropriate use of medications, management of breathlessness or breathing techniques, physical exercise, healthy eating, information associated with the condition and coping up with the condition. The sequence of the educational topics for the patients of COPD undertaking PR program are in order of its significance. However, in order to address the particular heath issues in case of Mr. Polaris the two particular educational topics that are required to be addressed are breathing techniques to address the issue of abnormal respiratory rate and healthy or nutritional eating to address the issue of drastic weight loss associated with emphysema. Thus, in the process of educating patients like Mr. Polaris regarding breathing techniques, physical training that comprise of breathing exercise, endurance exercise and respiratory muscle strength training are required to be provided. With the help of the training under the educational topic of breathing technique, the health concern of shortness of breath, abnormal respiratory rate- 22 breaths/ min, associated condition of hypoxia and hypercapnia which may finally lead to acute respiratory failure and high blood pressure can be addressed and managed (Weldam et al., 2013). Under the educational topic of breathing technique, techniques like diaphragmatic bre athing are also required to be taught to the care users. These techniques help in developing the respiratory strength of the care users gets. Thus it helps the in managing the issue of breathlessness and abnormal respiratory rate of patients by disseminating information about self-management skills if they are out of breathe suddenly along with controlling the breathing pattern. Hence, it would help in avoiding heart complications like hypertension. In case of Mr. Polaris, drastic loss of weight is another major health issue. Among patients like Mr. Polaris, maintaining healthy weight is essential for the purpose of management of the symptoms. Though being overweight increases the complexities in the management of the condition, however being underweight creates further complication. Too much of weight loss in COPD result, in poorer prognosis . It also results in making individuals feel tired and make them prone to infections. In COPD more energy is also required to be used on the part of patients for breathing that becomes difficult in low calorie intake (Singh Singh, 2012). The lack of energy makes it difficult on the part of the care users to abide by COPD management plan. Thus, in the process of helping the patients to adhere to nutritional eating, monitoring calories, emphasizing on protein consumption, getting balance in the diet are essential (Williams et al., 2014). However, in case of patients like Mr. Polaris having d rastic weight, they are required to include high-calorie and healthy snacks in their diet. This makes it essential for them to consume products like milk, nuts, cheese, avocado, oats etc. Thus, in cases like that of Mr. Polaris, in order to educate him along with his family member to support him to intake the required amount of food at correct amount, dietitian can be helpful. On the basis of guide of such professional Mr. Polaris and his family members will have to help him to follow a healthy eating plan along with achievable exercise. This would help him to tackle the health issue of drastic weight loss. Appropriate client education strategies In order to educate patients like Mr. Polaris along with family members, due to having specific care needs, educational stated will be provided through individual session and private set up. The strategy which will be opted, by the Registered Nurse to create awareness on the educational topic of healthy or nutritional eating, is the use of interactive lecturing. In this particular strategy, effective participation of families and patients are required for the purpose of gaining knowledge on the topic (Nault, 2007). It requires the involvement of asking question and letting the patients and family members ask question. The tools will can be used in this particular strategy is PowerPoint presentation with the help of which required information can be disseminated to the patient and family members. On the basis of these informations, they can be asked question or allowed to ask question. The participant who would be involved in this particular strategy is the patient and the family memb ers, dietitian as they can work in an integrated manner towards maintaining a healthy living style. The strategy that would be used to educate the care user breathing technique is- supportive demonstrations. This strategy will also be taught in a private educational setting, so that the care user can learn the techniques effectively (Puhan et al., 2011). The tools which would be preferred to be used in the process is patients own equipment for the purpose of demonstrates. Thus with the help of these strategies, the educational topics on breathing technique and healthy nutritional eating can be disseminated. Justification for choice of education strategies The educational strategy of interactive lecturing has been chosen to disseminate information on healthy living strategy is due to the fact that in maintain healthy living pattern collaborative working of the professionals and the care users and family members is required. The particular strategy gives the opportunity to the family members and care users to gain information on the particular topic with the help of interactive pattern of communication under this strategy. Hence this strategy has been chosen by the Registered Nurse to disseminate information on healthy living strategy. Supportive demonstrations has been chosen by Registered Nurse to disseminate information on breathing technique due to the fact that with the help of this strategy, the care user can be provided with the time and opportunity to learn and practice the required skills and master it (Faris, 2016). Hence with the help of this strategy, patients like Mr. Polaris can learn techniques of breathing resulting in opting for the particular strategy. Conclusion On the basis of the above made discussion, Mr. Polaris has drastic weight loss and abnormal respiration rate are among the major issues. In order to deal with these issues educational topics like breathing techniques can be helpful. In the management of the condition, the collaborative working of the care users and family members are also important. References Barnes, P. (2014).COPD. 1st ed. Elsevier Health Sciences. Donner, C. and Carone, M. (2007). Clinical Challenges in COPD. Oxford: Atlas Medical Pub. Effing, T. W., Bourbeau, J., Vercoulen, J., Apter, A. J., Coultas, D., Meek, P., ... Palen, J. V. D. (2012). Self-management programmes for COPD: moving forward.Chronic respiratory disease,9(1), 27-35. Faris, S. (2016).Recognizing Serious COPD Complications. [online] Healthline. Available at: https://www.healthline.com/health/copd/serious-complications#Overview1 [Accessed 24 Aug. 2017]. Hopkinson, N. (2017). Pulmonary Rehabilitation for COPD.Tanaffos,16(1), S7-S8. Minai, O. A., Chaouat, A., Adnot, S. (2010). Pulmonary hypertension in COPD: epidemiology, significance, and management: pulmonary vascular disease: the global perspective.CHEST Journal,137(6_suppl), 39S-51S. Nault, D. (2007). Educating COPD patients using the self-management program L IVING WELL WITH COPD . [online] livingwellwithcopd. Available at: https://www.livingwellwithcopd.com/DATA/GUIDEEDUCATEUR/11_en~v~reference-guide-for-patient-education.pdf [Accessed 24 Aug. 2017]. Puhan, M. A., Gimeno-Santos, E., Scharplatz, M., Troosters, T., Walters, E. H., Steurer, J. (2011). Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease.Cochrane Database Syst Rev,10(10). Singh, S., Singh, V. (2012). Pulmonary rehabilitation in COPD.Supplement to JAPI,60. Steinback, C. D., Salzer, D., Medeiros, P. J., Kowalchuk, J., Shoemaker, J. K. (2009). Hypercapnic vs. hypoxic control of cardiovascular, cardiovagal, and sympathetic function. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 296(2), R402-R410. van der Molen, T., Miravitlles, M., Kocks, J. W. (2013). COPD management: role of symptom assessment in routine clinical practice.International journal of chronic obstructive pulmonary disease,8, 461. Weldam, S. W., Lammers, J. W. J., Decates, R. L., Schuurmans, M. J. (2013). Daily activities and health-related quality of life in patients with chronic obstructive pulmonary disease: psychological determinants: a cross-sectional study.Health and quality of life outcomes,11(1), 190. Williams, V., Price, J., Hardinge, M., Tarassenko, L., Farmer, A. (2014). Using a mobile health application to support self-management in COPD: a qualitative study.Br J Gen Pract,64(624), e392-e400.

Tuesday, April 21, 2020

Jesus Superiority to All Things Jewish in the Epistle to the Hebrews free essay sample

.To what, exactly, is Jesus superior? What is the authors point in underscoring this? The author of Hebrews writes to encourage believers to stand strong in their faith and to not fall away from following God. The book is also written to encourage people and to explain where Jesus falls in the line of superiority. Hebrews discusses how the Jewish laws are full of flaws and doesn’t lead people to a relationship with God. It also notes that some Old Testaments prophets were aware of the laws imperfections and how they made mention of a new covenant. (Ehrman 300) The main theme of the Epistle to the Hebrews is that Jesus is the superiority over Prophets, Angels, Moses, Joshua and the Jewish Priesthood. Jesus is above all of these because he paid the ultimate sacrifice once and for all when he died on the cross covering all sins. The reason the author continues to declare, â€Å"Christ and faith in him are superior to anything that Judaism can offer† is â€Å"to convince his listeners not to convert to Judaism† (Ehrman 307). We will write a custom essay sample on Jesus Superiority to All Things Jewish in the Epistle to the Hebrews or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page According to the Hebrews, it wasn’t possible to know God and then â€Å"fall away† for if this did occur, you didn’t truly find salvation in the first place. (Towles, Lesson on Hebrews) The author wrote to encourage Christians to stand strong for no matter the persecution they faced and assumed them they will receive an award in the end.

Monday, March 16, 2020

Veteran Administration Nursing Home Reform

Veteran Administration Nursing Home Reform Veterans Groups Call for VA Nursing Home Reform Six national veterans groups- including the American Legion- have called for the federal government to reform the standards of care residents receive at all Veterans Administration (VA) nursing home facilities. A detailed article on their concerns is available here.The six national veterans groups- representing nearly 5 million veterans- say Americans who risked their lives for their country endure conditions they call nothing short of horrifying.Their demands to improve care at all VA nursing home facilities came after a recent report detailing substandard care and a blatant disregard for safety at a facility in Brockton, Massachusetts.The ClaimsA former nurse at the facility alleges nurses and aides did not empty urinals, failed to provide water, did not regularly check on residents and slept on the job.In addition to the American Legion, other notable groups calling for reform include AmVets, Disabled American Veterans, Paralyzed Veterans of America, Veterans of Foreign Wars and t he Vietnam Veterans of America. Collectively, they are known as the â€Å"big six† for their political influence in Washington.The RatingsIn September, President Trump signed legislation requiring the VA to publish quality ratings, which are based on the VA’s internal rating system. The investigation by the Boston Globe and USA Today revealed care received at many VA nursing homes is significantly worse than private facilities.In fact, the agency’s own rating system gave 93 facilities two out of five stars for quality. Unfortunately, this data demonstrates that the majority of the 133 nursing homes that the VA operates are severely lacking proper care for their nearly 46,000 residents.Data released by the VA shows 95 of these facilities scored below private nursing homes in most quality indicators, including infection rates, bed sores and pain levels.The VA has yet to release the results of their own internal inspections. Such reports typically include instances of neglect or poor conditions encountered inside a nursing home facility.We Can HelpIf you are disabled and unable to work, call Disability Attorneys of Michigan for a free confidential consultation. We’ll let you know if we can help you get a monthly check and help you determine if any money or assets you receive could impact your eligibility for disability benefits.Disability Attorneys of Michigan works hard every day helping the disabled of Michigan seek the Social Security Disability and Veterans Disability benefits they need. If you are unable to work due to a physical, mental, or cognitive impairment; call Disability Attorneys of Michigan now for a free consultation at 800-949- 2900.Let Michigan’s experienced disability law firm help you get the benefits you deserve.Disability Attorneys of Michigan, Compassionate Excellence. Michigan Veteran Disability Lawyers, Michigan Veterans Benefits, Michigan Veterans Disability Attorneys, Veteran Nursing Home Reform

Friday, February 28, 2020

Rheumatoid Arthritis Exercises Essay Example | Topics and Well Written Essays - 1250 words

Rheumatoid Arthritis Exercises - Essay Example The onset of the disease is most frequent in fourth and fifth decades of life (Luqmani et al., 2006). The aetiology of the disease is not specifically known and has been suggested to be multifactorial. The class II major histocompatibility complex allele HLA-DR4 and related alleles are known to be major genetic risk factors for RA. It has been suggested that RA might be a manifestation of the response to an infectious agent in a genetically susceptible host. Activation of autoimmune mechanisms is the key aetiologic event in sustaining the chronic inflammatory process so characteristic of RA (Scott et al., 2000). The main event in pathophysiology is inflammatory synovitis. Subsequently through a cascade of multiple immune events through mediation of a host of immune cells, the synovial fibroblasts are activated. Added to cartilage degradation, osteoclasts are activated that leads to erosion of bone. The chemokines and cytokines lead to synovitis, cartilage and bone damage, and systemic manifestations of RA (Luqmani et al., 2009). Altman (2008) notes that these immunologic abnormalities arise from various immune complexes, which originate from the inflamed synovial cells that serve as a target for such immune injuries. The plasma cells that are recruited produce antibodies known as rheumatoid factors. These actively contribute to these complexes which ultimately lead to joint destruction. With further inflammation chemotaxis ensues leading to recruitment of macrophage cells with associate vasculitis. Primarily CD4+ lymphocytes infiltrate the synovial cells. These together produce inflammatory cytokines and chemokines, namely tumor necrosis factors, granulocyte-macrophage colony stimulating factors, interleukins, and gamma-interferon. These are known inflammatory mediators leading to further joint inflammation and systemic manifestations of the disease. When the disease is chronic, the synovial membrane is very much thickened and is projected into the joint cavity. The synovium is the seat of inflammation, which produce collagenase and stromelysin leading to further degeneration of joint cartilage. Interluekin-1 and tumor necrosis factor-alpha contribute to this process and stimulate osteoclasts, thus leading to bone erosion. Prostaglandins are released. With the maintenance of inflammation, fibrous tissue is deposited within the joint. The synovial tissue appears very much proliferates and highly vascular, leading to pannus which further potentiates release of inflammatory chemokines leading to all round erosion of the joint structures such as cartilage, bone, articular capsule, and the periarticular ligaments. Most of the inflammatory cells are neutrophils. In some patients rheumatoid nodules develop (Altman 2008). Clinical Features Clinically RA presents as chronic polyarthritis of symmetrical synovial joints of hands, wrists, knees, and feet with an insidious onset of fatigue, generalised weakness, and vague musculoskeletal symptoms for weeks or months. Pain, tenderness, and swelling in the affected joints get aggravated with movement. Generalised stiffness of joints noted in the mornings for about duration of greater than 1 hour is invariable. Swelling and tenderness in the joints lead to motion limitation and hence impairment of physical function. These lead to fibrous or bony ankylosis of the joint leading to fixed deformities (Scott et al., 2000).

Wednesday, February 12, 2020

Spacial topic Essay Example | Topics and Well Written Essays - 1250 words

Spacial topic - Essay Example 2. Operational decision makers- After creation of the business strategy, the objectives for the operation business process are established. 3. Reporting, controlling and analytical processes- The necessary information and data for the desired changes in operational managers’ behavior are identified and specified by the business analysts. 4. ELT developers and data base specialists- The data from data warehouses is gathered by the database specialist or the ETL (extract, transformation, and load) developer who make it assessable and usable to the front-end application of the business. 5. IT Professionals- In this layer, infrastructure run and develop the primary data is developed by generating sources or creating new data by the IT professionals. (Laursen & Thorlund, 2010) Chapter 2 Question1. Explain the process of business analytics at strategic level. Answer. The process of business analytics at strategic level could be explained by integration between the BA function and th e company’s strategy. There are four different scenarios showing the degree of integration between business strategy and strategy: 1. Where no formal link exists between strategy and BA, the BA function is used on an ad hoc basis. 2. When the link between BA and strategy is coordinated, the BA function is purely reactive and there is no feedback procedure from BA to strategy. 3. When there is a formal feedback procedure from BA to strategy and strategy innovation is supported by BA. 4. Where the information is used as a strategic resource. It enables the information to be used to determine the strategy. (Laursen & Thorlund, 2010) Chapter 3 Question1. Explain the process of establishing a new business processes with the Rockart model? Answer. The process of establishing a new business processes with the Rockart model consists of the following stages: 1. Objectives- The first step is the identification of the objectives, i.e. to identify the aim and purpose of the information t o be developed. 2. Operational Strategy- The operational strategy to fulfill the objective is identified and implemented. 3. Critical Success Factors- A large number of activities are initiated by implementation of a strategy. Some of these activities are more critical than others. All such critical success factors should be identified. 4. Lead and Lag Information- The information at functional level can be broadly classified as: Lag information- The information which we choose to register on an ongoing basis is the lag information. Lead information- Lead information is created on the basis of lag information. It helps in monitoring and improving the existing or initiating processes. (Laursen & Thorlund, 2010) Chapter 4 Question1. What are the required competencies of a business analyst? Answer. A business analyst is a provider of methodology. A business analyst must meet the following requirements: 1. Business competencies- A business analyst must have the business competencies and should understand the business process properly. He or she must have the business insight. 2. Tool Kit must be in order- A business analyst should be able to deliver multiple information in same data and should be able to visualize the information as the user. 3. Technical understanding- The business analyst should have the technical understanding of the information which could be used in collection and presentation of data. (Laursen & Thorl