Monday, September 30, 2019

Lemon Law

Lemon Law The North Carolina Lemon Law is a consumer protection law enacted to provide recourse after having purchased a defective vehicle. The North Carolina Lemon Law is similar to lemon laws in other states, but there are some differences. North Carolina’s lemon law requires automobile manufacturers to repurchase or replace a vehicle that has not been properly repaired within a â€Å"reasonable number of attempts†. In North Carolina, this reasonable number is 4 attempts or if the car has been out of service waiting repair for a cumulative total of 20 or more business days during any 12-month period of the warranty.The North Carolina Lemon Law gives relief to those who either buy or lease a vehicle that has a gross weight of 10,000 pounds or less. It covers cars, trucks, motorcycles and most vans. It does not cover, however, house trailers. The North Carolina Lemon Law covers any kinds of defects that impair the value, use or safety of the vehicle to the consumer. The defects does not have to affect the drivability of the car but could be problems such as defective paint, heating system or excessive noise. It is very important to read the warranty book that came with the new or leased vehicle carefully.The warranty will tell you what is covered and for how long. When you buy or leased your vehicle, you probably will have to sign a lot of paperwork. It is important to read your copies of this paperwork very carefully to find out if the manufacturer wants you to waive your rights to a trial by jury in the case of problems and settle through arbitration instead. Arbitration is usually not in the best interest of the consumer in lemon law cases, so make sure you know what your rights are before you buy or lease.READ IT ALL!!! Once you have purchased or leased a new vehicle that needs to be taken in for repairs, it is important that you start keeping records at this point, in case they are needed later. When taking your vehicle in to an authorized de aler for repairs, keep a detailed list of what needs to be repaired for yourself along with the dealer. Get repair orders for your vehicle and make sure they state all repairs and how long your vehicle was in the shop including dates and mileage.The North Carolina Lemon Law requires the consumer to notify the manufacturer and finance company in writing of defects once a car has been out of service for 15 business days or has been sent in for repair for the same defect three times. This is extremely important. Without written notification to the manufacturer, you will not have a claim. Keep copies of all correspondence with the manufacturer and finance company. The best defense in a lemon law case is accurate facts and information in the form of records.

Sunday, September 29, 2019

The Palace of Versailles and Contemporary Art: Takashi Murakami

The Palace of Versailles located approximately twelve miles outside Paris, France and is viewed as a place to showcase modern art. Much of the art that the palace has put on exhibitions over the years has brought a lot of controversy including the most recent one by Japanese artist Takashi Murakimi. Looking back at the 400 years of history at the Palace of Versailles it was once a home for the French royal family, a center for political power and today is a symbol of absolute monarchy. King Louis XIV viewed Versailles also as a showcase for the artists he supported. Louis and his successors were passionate about contemporary art and were constantly having parts of the palace demolished and rebuilt and redecorated by the newest and finest artists of their day. Versailles serves as a place where the newest ideas in art are showcased and served as a trendsetter for other palaces as well such as The Louvre; with it’s over the top decorations showing the monarchy’s wealth. Today, the palace is constantly having some of the currently most popular artists showcase their work at Versailles for the public to view. The most recent exhibit at the palace by Takashi Murakami ran from September 14, 2010 to December 12, 2010 has sparked a lot of controversy. This exhibition is called Murakami Versailles features 15 statues placed in different rooms of the palace. Murakami is a contemporary artist from Japan and has been billed as the new Andy Warhol, who is also Murakami’s mentor. The showcase features big, brightly colored cartoonish figures, flowers, globes and other inanimate objects. The style is far from the Baroque style of the palace, leaving most critics to deem the show inappropriate. Some groups visiting the Chateau complained that Murakami’s work has no place in rooms once residence to historical figures such as King Louis XIV, France’s Sun King and Marie Antoinette. Prince Charles-Emmanual de Bourbon-Parme, an heir of Louis XIV, tried to get the exhibit banned stating that it dishonored his family and their past but the courts dismissed his bid. One of his most tasteless pieces is a sculpture titled Hiropon, a large-breasted girl in a bikini who is skipping through a â€Å"rope† made of breast milk, this piece is not included in the exposition but it shows that Mr. Murakami is undeserving of Versailles. Muarakami spoke at a news conference and discussed the controversy. â€Å"When I hear such things, I say to myself that when a (sports) team scores a goal, there are always people who aren’t happy about it and who express that discontent†¦ The exhibit’s meant to be a sort of face-off between the Baroque period and postwar Japan, and I hope it will create in visitors a sort of shock, an aesthetic feeling† (Barchfield). Jean-Jacques Aillagon, president of the Chateau de Versailles defended the showcase saying he believes it is â€Å"‘his duty to open the palace to the artistic creation of our times’† (Barchfield). He also stated it gives the â€Å"visitors to historic monuments the chance to discover art that is less familiar to them† He added that the protests â€Å"come from far-right fundamentalists circles and from very conservative circles who see the museum as a reliquary of nostalgia of Ancient Regime France, of a France, that is turned in itself and hostile to modernity† (â€Å"Protesters†). Aillagon also stated â€Å"the palace and Murakami’s work are both joyful- the palace was not a place of penitence, not a place to be sad† (â€Å"Takashi Murakami's Versailles†). Versailles curator, Laurent Le Bon, stated â€Å"most of the visitors come for the chateau, not for Murakami, and are unfamiliar with contemporary art† (Von Uthmann). Several online petitions gathered thousands of names online even before the exhibition opened to the public. Two years ago a similar controversy occurred when Aillagon brought in contemporary American artist Jeff Koons. Call me a far right fundamentalist and conservative but I agree with all of the criticism surrounding this issue. This past November I got the privilege of traveling to Paris and visiting the Palace of Versailles. I had not heard anything about this exhibit occurring until getting to the Palace, walking into one of the first rooms and seeing it firsthand. I was appalled when seeing the first statue, my family and I thought the statues took a lot away from the beauty of the chateau. It also prevented us from seeing parts of the rooms and taking pictures of ceilings, walls, specific architecture that was being blocked from the statues. One visitor stated â€Å"[w]e are in a historic place, we want to see how history happened here, but every time you see a doll or a crazy monster it takes you completely out of the climax of the place† (â€Å"Takashi Murakami's Versailles†). Another stated, â€Å" it totally detracts from everything that’s here. It’s almost insulting to the palace and to visitors† (â€Å"Takashi Murakami's Versailles †) My least favorite was a piece called Tongari-Kun, also known as Mr. Pointy, inside one of the state rooms because it was so tall it blocked me from seeing the entire ceiling. Moreover, another piece called Flower Matango in the Hall of Mirrors was just awful in this room. The hall of mirrors is one of the most famous and beautiful rooms in the entire palace rich in beauty and history but it was all masked because of this statue. The sculpture of a bunch of bright, animated, ugly flowers. We could not step back and see the entire hall in its original beauty without seeing this statue smack in the center and the beauty of the mirrors was taken away because this statue was being reflected off of almost every one at that end of the hall. The statues were too brightly colored and too in your face from the mood of the rest of the palace. I have no personal pictures of the artwork because I, along with everyone else in my family, made sure Murakami’s art was out of every picture frame. I can understand why they have the exposition and the cultural exchange, the fact that they want to keep the tradition of showing the world modern art but unlike when the palace was being used for residence and power today the palace is an enormous historical landmark and is visited by over three million people per year. People do not go to the Parthenon in Greece or the Colosseum in Rome to see other artists or even have other artists intruding on its beauty. Likewise, these visitors do not go to see modern art but to see the old beauty of the palace and walk into a bit of history for a day. There are so many other museums in Paris that show modern art that the Palace of Versailles does not need to be one of them. The Palace is a piece of art on its own and does not need to have these controversial exhibits constantly demolishing its beauty. After seeing this overall I was disappointed with the exhibit and I wish I could go back another time when there will not be such a distraction.

Saturday, September 28, 2019

Challenges of Mixing Methods and Methodologies

Inventory flow management is considered as one of the most critical and costly aspect of supply chain management. The companies are rigorously trying to balance the cost of inventory so that it is able to fulfill customer requirements. Storing to many stocks increases the cost of warehouses and attaches with the capital further it also causes loss to vendors if in any case there is a drop in demand. When there is very less or no inside available in the inventory upstream, downstream retailers, manufacturers and distributors cannot give commitment for huge orders with guaranty apart from that these people will also not be able to deliver proper forecast. Inventory management is usually considered as a very dynamic and flexible system which is very sensitive towards parameters of cost and it is been developing throughout years. It is also termed parlance management because supply chain managements deals with material flow control from the raw materials suppliers at one end and delivery of finished goods to the consumers at the other end. The most of these techniques are usually dependent of scientific principles further it's based on mathematical and theories of probability. The inventory management is responsible for various activities like marketing, purchasing, production and other techniques so that it can balance the conflicting tools (Bhasin , 2016) This system is responsible to provide knowledge to manage the flow of materials in an efficient manner, utilize people and equipment effectively and coordinate internal activities. The well managed inventory flow management demonstrates that the customers receive the goods efficiently in proper time. It further allows the members of the team to match the inventory with consumer's demand .Apart from that it is mandatory to meet the objectives of the system including capacity, profitability and productivity. There is some of the basic inventory terms listed:-Cycle stock-It is the basic amount of material required in order to meet the demands of the customer. Transit Stock-It is the reroute among the locations which carry the stock. Speculative Stock-It is basically the extra amount of raw materials required to meet the high consumer needs. It is different than normal short term demand. Safety Stock- It is the extra amount of stock in excess of the cycle stock which is usually maintaine d to compensate the uncertainties of the growing demand and substitution.It can also be expressed through a fixed amount (Coca Cola Journey , 2017) The inventory stock management has a good match with demand and supply further replenishing the requirement of inventory. Various operations such as transporting, manufacturing and warehousing; all these are responsible to generate imbalances in the system which finally gives rise to inventory management especially in FMCG industries. Errors in predicting the consumer demand generally impact the production of the product been produced in the plant. Apart from that changes related to promotional and seasonal impact the consumer demand for any particular product. Hence in these case shortages of the inventory further generate imbalances in the entire system. For eg:- shortage of labor, shortage of transportation.raw materials shortage and capacity of manufacturing constraints ; these all are generally responsible for inventory shortage and the company in such cases is unable to meet demands of the customers (Cahan, 2003) One of the most important parameter of shortage of inventory is scheduling. There are basically three kinds of scheduling problems in the FMCG industries:-First the schedule can be inadequate, second the schedule is not carried out in a proper manner and third the schedule can be disturbed by unexpected scenarios such as bad conditions of weather or breaking of equipments. The efficient inventory management will be trading off the conflicts of operations and constraints of inventory so that it can aim for an effective compromise that maintains enough inventories to meet customer demand yet covers variation in the forecast (Floyd & Fowler, 2009) Inventory is very crucial and it very much mandatory but there are other expenditures associated with the same; and the expenditures increases with the increase in levels of inventory generally when indirect and direct cost is indulged. The bigger the inventory, the higher is the possibility of loss by damage, obsolescence, aging and theft. A bigger inventory can result into inefficient handling. It is always recommended to spend ample amount of time in re-warehousing, double handling and stock rotating through man-hours which may have be crucial for some other task. It is very common factor in FMCG industries to carry manufacturing cost of 25% out of the total amount of funds allocated for inventories. Sometimes the expenditure allocated for inventories can be used elsewhere according to the latest requirement of the industry. Thus it is important for the operations to carry out enough inventories so that it can be always updated with its stock so that shortage scenarios can be avoi ded (Green, 2011) The principle of inventory management states that the industrial plant has good amount of production flexibility and capacity and enough area for storage. The basic quantity required for scheduling and planning the receipt of ingredients, raw materials and supplies packaging must be taken into consideration when estimating and calculating finished product requirement, certain patterns of demand , seasonal swings and activities related to promotional might need pre production specific SKU's in order to avoid capacity of production at bottlenecks. But whenever there is pre production of goods there might be less capacity of storage in the production area. In these scenarios there is a shifting of inventory to the distributing centers based on estimated demands. One needs to note that if the required facility has much capacity of constraints or an unbalanced infrastructure then it's mandatory for the team of management to modify the basic inventory process principle (Helfat & Martin, 20 14) The FMCG industries basically need to be proactive in nature for product recall. The earlier model of business required traceability from individual stores to distribution centers. The recent survey conducted on approximate 48 industries in FMCG sector states that the primary cause for installing an automated control system and material tracking system is to get real time visibility and accuracy of inventory so that it can efficiently track and trace the system of inventory. Further the report stated that 52 percent of the industries now use bar coded labels so that they can keep a track on their raw materials, goods finished and progress of work. In order to monitor raw materials, finished goods in the current scenario; it is mandatory to avoid accidental shifting of materials. To work in the real ambience the companies require the industry need to instantaneously hold the inventories either on SKU's real time expiration control of inventories .This can prevent the expired inventory allocation from entering the other processes .Hence resulting in downfall in distribution chain (Hutchison & Boxall, 2014) The aim of inventory flow management is to match demand with supply on regular time .There are two main methods to manage the flow of inventory most frequently termed as production push and warehouse pull. Production push is regarded as one of the most traditional technique whereas warehouse pull is the new one. At times the system of pull is much suitable to the requirements of the distribution network and beverage industry as it the exact consumer demand the basis for substituting inventory. But for satisfying the demands of the consumers without further interruption a certain quantity of inventory must be send out of the door. In this case the production pull system works very well. Both distribution and production push works very well (Lislie,   2011) In the inventory management production push process the periodic demand estimation is often converted into the production plan and a production schedule. Further the process of push production is further converted into transportation schedule which allocate the amount for transporting to each and every distribution center based on each forecast. In the production push process, the facilities with respect to the production or other elements involving centralized planning generally control and manage the movement of inventory within its distribution centers and location. The push process is generally introduced in the processes during periods of promotion, when the products are supposed to push out of the production area on assigning basis. In the inventory management warehouse pull process, demand forecast is also responsible for the plan of production and modification in schedule of production   on the basis of inventory substitution taking into account distribution center (Metcalf e, 2002) The system of pull in inventory flow management deals with responding to consumer's demand. Here the consumer is considered as a important factor while deciding the requirement, location and amount of SKU's. The push process generally sends out the materials based on the forecasted demands of the market or blanket allocation. The pull system sends out the materials on the basis of the demands of the distribution centers which are directly dependents on consumer's demand. The pull process works under right time principle so that it can conduct quick and frequent flow of info and goods. The cost cutting is usually maintained by replacing waste such as inventory which stays too long or huge amount of safety stocks. The pull system functions better than pull system as it is able to operate and deal with all the complex scenarios of beverage industry by using the technology at optimal level. The pull system of the inventory management is combined with scheduling of production and planning of resource it facilitates the matching of supplies with the actual customer demands within the supply chain again the reversal of planning information from consumers to suppliers (Randolf, 2009) The FMCG industries are making a drastic change by shifting from push system management to pull system inventory management. At the same time there are various factors involved which will lead to success of pull system in future. On primarily basis the industry should have a general knowledge about the pull system .It employees should have a basic idea on operation and estimation during the entire process (Austin & Seitanidi,   2012.) Secondly it's important for the cross over to have a proper commitment by the team of management and prior support by members in the senior management. Thirdly there should be introduction of performance parameters so that it can be established within the line of objectives in supply chain management .Fourth, all the locations should have timely and accurate info about the demands and quantities of inventory management. Fifth, an accurate estimating and forecasting system should be established and the sales and operation tem should be liable to it equally. Sixth, parameters of operations such as lead times, cycle times, and capacities are often required to understand production, warehousing and transport. Seventh, it is mandatory to have accurate info and good communication to solve the complexity of business by indulging software system and finally transportation is required for scheduling the systems (Finegan, 2001) The main preference of all the employees in the FMCG distribution and manufacturing is to satisfy the demands of the consumer for production. Controlling and monitoring the inventory is done in order to match the consumer's demand by scheduling the transportation and productions in a way which can decrease the usage of resources in a complex and constant balance. In order to manage the shifting of materials throughout the entire distribution centers and processing unit they usually develop the ability to meet the changing demands of business. This is further integrated with right policies, system and production. The management of processes and technology are usually done on the basis industrial practices and further by effective achieving the balance of inventory flow management. This leads to a company's success in today's challenging time. Managing the entire material transportation efficiently throughout the processing tenure and distribution of proper Inventory management is a crucial part of the "Seamless tube "within any respective FMCG company. The common focus of this sector is on customer satisfaction. The main goal of this sector is to produce good quality goods at nominal rates further packaged and delivered according to the latest demands of the consumers. Proper management of the inventory flow management ensures that every customer and supplier has uninterrupted delivery of delicious and fresh products of the FMCG company. This is also regarded as the greatest form of service delivered to customers. The enti re inventory management basically works on this fundamental. Bhasin , H ., 2016.Marketing strategy of Coca cola – Coca cola marketing strategy. [Online]Available at: https://www.marketing91.com/marketing-strategy-of-coca-cola/ [Accessed 5 November 2017] Coca Cola Journey. , 2017 . Sustainiblity .[Online] Available at: https://www.coca-colacompany.com/sustainability [Accessed 4 April 2017] Cahan, J., 2003. Mini-lecture on writing a critique- effective acade. [Online] Available at: https://www.personal.psu.edu/faculty/b/j/bjj6/ENGL015-2001Critique.html [Accessed 4 April 2017]. Floyd, J. & Fowler, J., 2009. Survey Research Methods. 4th ed. Nashville: SAGE. Green, R.R. et al., 2011. Management matters in New Zealand: How does manufacturing measure up? Wellington.: Ministry of Economic Development Ministry of Economic Development. Helfat, C.E. & Martin, J.A., 2014. Dynamic Managerial Capabilities: Review and Assessment of Managerial Impact on Strategic Change. Journal of Management, 41(5), pp.1281-312. Hutchison, A. & Boxall, P., 2014. The critical challenges facing New Zealand’s chief executives: implications for management skills. Asia Pacific Journal of Human Resources, 52, pp.23-41. Lislie, J.D., 2011. THE BENEFITS AND CHALLENGES OF MIXING METHODS AND METHODOLOGIES:Lessons Learnt From Implementing Qualitatively Led Mixed Methods Research Designs in Trinidad and Tobago. Caribbean Curriculum, 18, pp.87-120. Metcalfe, M., 2002. Preparing a critique of an article: Using argument as an inquiry. [Online] Available at: https://godot.unisa.edu.au/register/articles/5.doc [Accessed 4 April 2017]. Purdue University, 2016. WRITING A THESIS STATEMENT. [Online] Available at: https://owl.english.purdue.edu/handouts/print/general/gl_thesis.html [Accessed 4 April 2017]. Randolf, J.J., 2009. A Guide to Writing the Dissertation Literature Review. Practical Assessment, Research and Evaluation, 13, p.14. Austin, J.E. & Seitanidi, M.M., 2012. Collaborative value creation: A review of partnering between nonprofits and businesses: Part I. Value Creation Spectrum and Collaboration Stages. Nonprofit and Voluntary Sector Quarterly, pp.726-58. Finegan, J., 2001. The impact of personal values on judgments of ethical behaviour in the workplace. Journal of business ethics, 13(9), pp.747-55. ICAEW, 2011. Code of Ethics C. [Online] Available at: https://www.icaew.com/en/membership/regulations-standards-and-guidance/ethics/code-of-ethics-c [Accessed 4 April 2017]. Mc Devitt, R. & Van Hise, J., 2002. Influences in Ethical Dilemmas of Increasing Intensity. Journal of Business Ethics, 40(3), pp.261-74. Stanga, K.G. & Turpen, R.A., 1991. Ethical judgments on selected accounting issues: An empirical study. Journal of Business Ethics, 10(10), pp.739-47. Porter, M.E. 2008, 'The five competitive forces that shape strategy'. Grà ¼nig, R. & Gaggl, R. 2005, Process-based strategic planning, Springer Science & Business Media.

Friday, September 27, 2019

Preservation of rainforests & maintaining ecobalance Essay

Preservation of rainforests & maintaining ecobalance - Essay Example In addition it is very sad to note that about 150 acres of rainforests are victims of fire every minute equating to 200,000 acres every day meaning annually 78 million acres of valuable rainforests are going up in smoke! The colossal loss due to deforestation of rainforests can be gauged from the statistics given below: Extinction of rare medicine men (called shamans) having knowledge of the herbs and plants of medicinal value in rainforests: for example in the Amazonian rainforest the population of Indians has dwindled and fallen to a mere 200,000 from ten million in five centuries. Consequences of deforestation can be classified into local and global sectors. The immediate effects of deforestation are evident at local level and the effects at global level are evident in long term. The forest acts like a sponge by absorbing enormous amount of water during heavy rainfall and releasing at regular intervals, thus preventing floods and drought cycles. On deforestation the rainwater immediately drains off through streams into rivers, thus raising their water level and submerging villages, cities and agricultural fields downstream. During dry season the areas downstream are prone to long droughts, preventing river navigation and interrupting industrial operations. Rainforests help raise the humidity levels through transpiration resulting into good rainfall. Deforestation results in decline of rainfall since less or no moisture is evapotranspired into the atmosphere. Globally the wind and ocean current patterns are altered due to deforestation of rainforests and the r ainfall distribution is bound to become unstable (Source: Consequences of deforestation of Mongabay.com site). Deforestation also results into erosion of fertile soil, thus reducing the productivity and increasing the expenditure on fertilizers. The washed off fertile soil gets accumulated on river bed thus raising water level and causing floods, the silt may also obstruct the hydroelectric projects located downstream (Source: Consequences of deforestation of Mongabay.com site). Deforestation results in reduction of oxygen levels increase in carbon dioxide and other gas levels in the atmosphere. This effect is called "greenhouse effect". The greenhouse effect causes a rise in temperature allover the world i.e., Global Warming and it has long term repercussions (Source: Consequences of deforestation of Mongabay.com site). The various species of living forms in a rainforest be it plants or animals have developed a complex symbiotic relationship for millions of years, when one species is removed from this complex system the whole system is severely effected. In a symbiotic relationship both the participating species benefit mutually. Symbiotic relationship is a rule and not an exception in rainforests (Rainforest Ecology). Human being is solely responsible both direct and indirect deforestation by indulging in various activities such as slash-and-burn farming,

Thursday, September 26, 2019

Assignment 2 Essay Example | Topics and Well Written Essays - 750 words - 4

Assignment 2 - Essay Example It tracks the chain of events that lead to the differences, right from Stage 1 through to Stage 4. Stage 1 occurs in a society that is yet to experience any level of industrial development. This stage is characterised by high CDRs and CBRs, which are determined by natural occurrences such as extreme weather conditions and plagues. At this stage, family planning techniques do not exist; even if they do, they are not practised because of the high value of having many children. Children are seen as a source of income due to the contributions they make to their families through carrying out tasks such as collecting firewood, fetching water, herding animals, and taking care of their younger siblings. The more children one has, the more respected he is; this keeps CBRs high. On the other hand, food supplies and sanitation standards are exceptionally low. This translates to poor health standards, keeping the CDRs equally high as the CBRs. The result is a balance between birth and death rates, which translate to low population growth rates. This, in turn, keeps populations low. This stage is characterised by improved food production and sanitation levels (Jean-Pierre 60). These, together with other improvements to human life such as in technology and healthcare lead to a reduced CDR, while the CBR remains high. This creates an imbalance, resulting in exponential population increase. Most developing countries, in Sub-Saharan Africa and the Middle East and Asia, are experiencing this phase of transition. These include Afghanistan, Nigeria, Uganda, Mali, Yemen, and Palestine. This stage marks the turning point of the transition process. It marks the transition from agriculture based economies to technological advancements. Women are highly educated and have access to a host of birth control measures. There is an increase in income and reduction in the value of children as sources of income; instead, they become a

TV show The First 48 Essay Example | Topics and Well Written Essays - 1250 words

TV show The First 48 - Essay Example This paper aims at gathering statistics of the number of homicides cases in New York City, United States. The First 48 Hours is an American documentary television series on A&E. This series has been filmed in various parts of the United States, and it offers an insight into the real –life of homicide investigators. The series often track the investigations to the end, and it focuses on the first forty-eight hours hence the title. In each of the episodes, there is one or more homicide in the diverse cities, which shows how investigators use witness evidence, forensic evidence, and other investigation skills to get the suspect. Most cases are solved in 48 hrs while others take the time to get solved. The First 48 was selected as the best distinguished documentary by the International Documentary Association but later lost to American Experience. In season 6, The First 48 was the highest rated factual Justice series on the television, and it gained important applause along with criticism. The purpose of this television show is to air the number of crimes that are happening in the Ne w York City. Statics shows that the First 48 Hours is one the most watched documentary with approximately 30 percent of the total television viewers. People are interested in this show to know the homicide is happening in the city and know the suspects. Nielsen Ratings are used to determine the size and composition of the audience watching a particular television show in United States. A Nielsen rating has become the primary source of measuring the audience watching a television show (Turnbull, 2005). The size of the audience who watch the series The First 48 Hours has been determined through Nielsen ratings. Nielsen ratings are gathered using two ways: Viewer diaries, where a target audience self-records the viewing habits. By aiming at different demographics, the collected statistical models provide a representation of the audience of the television

Wednesday, September 25, 2019

Iphone Essay Example | Topics and Well Written Essays - 250 words

Iphone - Essay Example With the latest iphone, they have a personal assistant assigned in the phone that can do functions of the phone with the user voice control. It is durable and has a great physical design which is the reason many are attracted to buy it. The unique design of this product makes it a unisex phone – it looks equally attractive with all. To top it off, apple provides all its amazing services in one product: the ipod music player, amazing camera, and a phone that can have applications customized according to your needs (Amit, 2007). One of the biggest disadvantages that the phone has is affordability. For majority of the population, buying the phone directly from Apple becomes a problem, but they can buy it from telecommunication companies on contracts for a lower amount. Another issue is Apple’s reluctance to introduce Flash in its system, barring the use of this amazing facility in the phone. It does not have a detachable battery that becomes an inconvenience sometimes to the user and no slot for expanding memory if

Tuesday, September 24, 2019

Leadership Essay Example | Topics and Well Written Essays - 750 words - 37

Leadership - Essay Example This paper compares and contrasts the trait and situation approaches of leadership in terms of applicability and leadership competence. Certain types of qualities make leaders more successful while others deteriorate the effectiveness of their leadership. With the trait approach, leadership concerns itself with the leader’s ability to lead others at utmost efficiency. Examples of traits that include a leader’s decisions are intellect, self-assurance, integrity, and strength of mind. As a result, leadership applicants frequently take personality evaluation exams to identify their best qualities. The primary premise of the situational approach is the influence of leadership processes and skills by situations. Developed by Hersey and Blanchard in 1969, the situational approach is a product of the three-dimensional management style hypothesis. The following paper argues that the trait approach of leadership is more applicable than the situational one because the leader’s qualities matter more than the situation or followers in terms of leadership successfulness. The trait approach is most applicable and helpful because it backs the overall image of leaders being a special type of individuals in society (Daft, 2014). This image popularizes the notion that leaders do extraordinary things, which is important. Society has to view leaders as talented individuals, and the trait approach facilitates this view. Another reason is that the trait approach has extensive scientific literature to support its credibility (Daft, 2014). I find research findings more reliable sources of support than mere uncited information. The trait approach also concerns with just the leader and comprehensively analyzes his or her qualities in the leadership procedure. A fourth reason is the criteria set by the trait approach that new leaders can easily adopt. Fifthly, I find the trait approach a naturally agreeable

Sunday, September 22, 2019

Qualitative Research Paper Critique Example | Topics and Well Written Essays - 1250 words

Qualitative Critique - Research Paper Example onal Health (IHCAR), Karolinska Institutet, Stockholm; and Department of Women and Child Health, Division of Reproductive and Perinatal Health Care, Karolinska Institutet, Stockholm, Sweden† (Maimbowla, Yamba, Diwan, & Ransjo-Arvidson, 2003, p. 263) The investigators identified the study approach through explicitly defining the aim and noting that the study would entail conducting interviews, observation and field notes under the portion of data collection (Maimbowla, Yamba, Diwan, & Ransjo-Arvidson, 2003, pp. 265-266). The authors used a straightforward and comprehensible language that assisted in presenting relevant concepts and expounding on the approach. Likewise, relevant terms were appropriate defined under a heading entitled ‘Definitions’ which came after the Data Collection portion (Maimbowla, Yamba, Diwan, & Ransjo-Arvidson, 2003, p. 266). To achieve the aim of exploring â€Å"cultural childbirth practices and beliefs in Zambia as related by women accompanying labouring women to maternity units† (Maimbowla, Yamba, Diwan, & Ransjo-Arvidson, 2003, p. 265), the data collection method (use of interviews, observation and field notes, as indicated) and the data analysis techniques (use of EPI-INFO software to interpret quantitative information and the use of content analysis for the qualitative interpretation) (Maimbowla, Yamba, Diwan, & Ransjo-Arvidson, 2003, p. 266) were appropriate. These approaches effectively evaluated the results and the design incorporated screening factors that could adversely affect the outcome. The significant or importance of the study was not explicitly stated but the portion which was presented as ‘What this paper adds’ (Maimbowla, Yamba, Diwan, & Ransjo-Arvidson, 2003, p. 272) as value added information. The study’s potential contribution to nursing included illuminating health care practitioners on the role of cultural practices and beliefs during the pregnancy period (from prenatal to antenatal) as influential to

Saturday, September 21, 2019

The Education Systems of Lt, the Uk and the Usa. Pre-School and Pre-Primary Education Essay Example for Free

The Education Systems of Lt, the Uk and the Usa. Pre-School and Pre-Primary Education Essay Pre-school and pre-primary education in Lithuania, in the United Kingdom and in the USA have several things in common.. First, both education systems are available in three countries and also pre-school education is not compulsory. There are public and private pre-schools in three countries. Public pre-schools are those which are run by the government. Private pre-schools are those which are run by private organizations, for which parents have to pay fees. Many private pre-schools have a high reputation and parents send their children there so that they will have advantages later in life. There are nursery schools for children from the age of 1 to 3 years in Lithuania. Children from the age of 3 till 6 attend a kindergarten. The number of children in nursery schools is approximately 10 children and approximately 15 children in a kindergarten, whereas the number of children in the USA and in Great Britain is approximately 2-3 little children or 4-5 bigger children plus nursery-governor’s help. Another difference is about security in pre-school institutions. People who come in a kindergarten or nursery school are not registered. By contrast, people who come in a nursery school or a kindergarten are strictly registered in the USA and in Great Britain. Your driving licence or passport is taken and you get permission to be in a pre-school institution. The kindergartens and nursery schools in Lithuania also differs in their cost compared to cost of these pre-schools institutions in the United Kingdom and in the Usa because it is cheaper to let your children to Lithuanian kindergarten than to American or English kindergarten. Differently from Lithuania children under 5 receive pre-school education in Great Britain. Some go to playgroups several times a week and take part in structured play (play with some educational purpose) with other children of the same age. Others go to a nursery school or to the nursery department or kindergarten of a school. Children attend day nurseries until they are 6 months old the same as in Lithuania. Day nurseries take care of children activity, self-expression, security. Nursery-governors take care of children education and upbringing. The emphasis is on group work, creative activity and guided play. Day nurseries are divided into private and community. Fees in the communities are not so big as in the day nurseries. Some of the community nurseries give parents discounts according to their financial position. The working time is very different in day nurseries of Great Britain, for example, local authority pre-schools work until 15 a. m. The other pre-school institutions work from 7 till 19. All kindergartens work all year except public holidays in Great Britain meanwhile not all kindergartens work all year in Lithuania. In the same way, children attend nursery schools, day care or pre-school from an early age in the USA. Children are taught, trained in the nursery schools and in the kindergartens. Nursery-governors play with children. There are some requirements in order that your child would be inducted to kindergarten, for example, it is required children to be toilet trained and your child is not ready for the potty, they may not let him or her attend a kindergarten, but children are not required to be toilet trained in Lithuania. In the USA parents may also have to pay high fees for late pickups and end up having to stay home with their child if the pre-school says she or he is too sick to be there. Another difference is that parents can freely choose which nursery school or kindergarten their child is going to attend in Lithuania, but in the USA all children should go to nursery school or kindergarten according to their living place because there are brought under districts. All children go according to district which he or she belongs to. If parents think that their district’s nursery school or kindergarten is not as good as it should be, parents must change the living place in order that their children could go to a better pre-school institution. Pre-primary education content is similar in three countries. There a wide variety of fun activities – including singing, dancing, arts and crafts, storytelling, free play, and both indoor and outdoor games and projects – designed to teach children different skills. Cildren may also learn some academic basics such as counting and the alphabet. Children in Lithuania start to attend pre-primary institution at the age of 6, but if parents want and their child is grown enough pre-primary institution can be attend at the age of 5, while the majority of children start to attend pre-primary preparation lessons at the age of 2-5 in the United Kingdom. Also the government’s programme which is named â€Å"sureStart† gives the possibility to all children from the age of 3 to 4 to get pre-primary lessons free of charge in a kindergarten. Differently from Lithuania children at the age of 6 start to attend a school in the USA. Taking everything into account, I can note that pre-school and pre-primary education has several things in common in The United Kingdom, in the USA, and in the Lithuania, but on the other hand there are a lot of differencies.

Friday, September 20, 2019

Laminar Air Flow In Controlling Operating Room Infection Nursing Essay

Laminar Air Flow In Controlling Operating Room Infection Nursing Essay Surgical site infections (SSIs) are defined as infections occurring within 30 days after surgical operation or within one year if an implant is left in place and affecting either the incision or deep tissue at the operation site (Owens and Stoessel 2008). SSIs are reported as the major cause of high morbidity and mortality among post -operative patients (Weigelt et.al. 2010). According to UK National Joint Registry Report, during 2003 -2006 period infection was responsible for about 19 % failure of joint surgery resulting in revision procedures (Sandiford and skinner 2009). Micro-organisms in the air particles settle on the wound, dressings and surgical instruments and cause infections (Chow and Yang 2005). Whyte et.al (1982) identified that contamination from patient s skin as the cause of infection in 2% cases and from theatre personnel in 98% cases. They also found that in 30% cases, contaminants reach the wound from theatre personnel via air and in 70% cases it is via hands. Generally air quality in the operating room is maintained ventilation system. Additional improvements can be achieved by laminar air-flow system or UV lights. Laminar air-flow system is expensive and require continues maintenance. Its installation increases building cost and the operational cost (Cacciariet.al., 2004: Hansen, 2005). Studies conducted to evaluate the effectiveness of laminar flow produced mixed results and there is no consensus on its role in infection control (Sandiford 2007). In this setting, this paper reviews the recent studies to examine the effectiveness of laminar air-flow in reducing SSIs. Studies for this review were found by searching on databases such as CINAHL, PubMed, Science Direct, Ovidsp, Science Citation Index (ISI) and Google scholar. Keywords used for this search are laminar air flow , surgical site infection , operating room air quality , airborne infections + operating theatre , LMA + infection control . As laminar air-flow is used mainly in orthopaedic theatres, majority of the studies are on joint surgery. OPERATING THEATRE AIR QUALITY AND INFECTION CONTROL Indoor air in an operating theatre contains dust which consists of substances released from disinfectant and sterilizers, respiratory droplets, insect parts smoke released from cautry. Dust particles act as a carrier for transporting microorganisms laden particles and can settle on surgical wound and there by cause infection (Neil 2005). Air particles are found to be responsible for about 80% 90% of microbial contamination (CDC 2005). Modern operating theatres are generally equipped with conventional ventilation system in which filters can remove airborne particles of size >5mm about 80-95% (Dharan 2002). The efficacy of operating room ventilation is measured by the colony forming units (CFU) of organisms present per cubic meter. The conventional ventilation (Plenum) with 20 air exchanges is considered efficient if it achieves the colony count of 35cfu/m3 or less (Bannister 2002). Ventilation system with laminar air-flow directs the air-flow in one direction and sweeps the air particle over the wound site to the exits (CDC 2003). Laminar air-flow with HEPA (High Efficiency Particulate Arrestment) filters system has the capacity to remove air particles of size 0.3 m up to 99.9 % and can produce 300 air exchanges per hour in ultraclean orthopaedic theatres. (Sandiford and skinner 2009). Laminar air-flow units are generally two types; ceiling-mounted (vertical flow) or wall-mounted (horizontal flow). There are inconveniences associated with both types. Generally the major problem associated with laminar air-flow is flow disruption. With vertical laminar flow, it is the heat generated by surgical lamps creates air turbulence while with horizontal laminar flow it is the surgical team that disrupt the air-flow (Dharan 2002). LAMINAR AIR FLOW IN INFECTION CONTROLL Laminar air-flow system is mainly used in implant surgeries where even a small number of microorganisms can cause infection. In joint replacement surgeries, one of the main causes of early (within 3 months) and delayed (within 18 months to 2 years) deep prosthetic infections was found colonisation during surgery (Knobben 2006). Laminar air flow is supposed to minimize contamination by mobilizing uniform and large volume of clean air to the surgical area and Contaminants are flushed out instantly (Chow and Yang, 2004). Some studies found that this method is effective in reducing infection but some others produced contradicting results (give some reference) A recent study conducted by Kakwani et.al. (2007) found that laminar air-flow system is effective in reducing the reoperation rate in Austin-Moore hemiarthroplasty. Their study compared the reoperation rate between theatres with laminar air-flow and theatres without laminar air-flow system. A cohort of 435 patients who had Austin-Moore hemiarthroplasties at Good Hope Hospital in Birmingham between August 2000 and July 2004 were selected for this study. Of those 435 patients, 212 had operation in laminar air-flow theatres and 223 had operation in non-laminar air-flow theatres. Data were collected by reviewing case notes and radiographs. For all cases antibiotics were administrated and water impervious surgical gowns and drapes were used. In the non-laminar air-flow group it was found that the re-operation rate for all indication in the first year after hemiarthroplasties was 5.8 % (13/223), while in the laminar air-flow group it was 1.4% (3/212). Analysis found that there were no stat istically significant relation between re-operation rate and water impervious gown and drapes (p=0.15), while use of laminar air-flow found a statistically significant drop (p=0.0285) in re-operation rate within the first year after hemiarthroplasties. They found that re-operation rate in no-laminar air-flow theatres were four times greater than that in laminar airflow theatres. Even though the aim of the study was clearly described there was no review of existing studies to identify the gap in the research. Study methods and details of statistical analysis were given elaborately. The sample size seems sufficient. Results were summarized and presented using graphs and charts. Discussion of results was short and seems not adequate to address the objectives of the study. There was no attempt to explain the casual relationship. For example researches were making statements such as the introduction of water-impervious drapes and gowns did not seem to make a statistically significant improvement in the result . (p.823). Researchers failed to acknowledge any limitations of the study. Data for this study was collected by reviewing patients records. Patients records are considers as confidential and researchers didn t mention whether they received consent from the patients or ethical approval form institution to conduct the study. This can be considered as an ethica l flaw of this study. There are studies which found that laminar air-flow system is not effective in reducing infection rate. In their study Brandt C et.al (2008) found that infection rate was substantially high in theatres with laminar air-flow system. This was a retrospective cohort-study based on routine surveillance data from German national nosocomial infections surveillance system (KISS). Hospitals which had performed at least 100 operations between the years 2000 and 2004 were selected for this study. Type of ventilation technology installed in operation rooms of selected hospitals were collected separately through questionnaire from infection control teams in the participating hospitals. Surgical departments were grouped into categories according to the type of ventilation system installed. Departments using artificial operating room (OR) ventilation with either turbulent or laminar airflow was included in this study. Total 63 surgical departments from 55 hospitals were included in this study. Analysis was performed to the data set created by merging the questionnaire data on OR ventilation and surveillance data from the KISS data base. The data set analysed contained 99230 operations with 1901 SSIs. Age and gender of the patient was found a significant risk factor of SSI in most procedures. Univariate analysis conducted found that rate of SSIs was high in departments with laminar air flow ventilation. Multivariate analysis also confirmed this finding. Authors argue that it may be due to the improper positioning theatre personnel in horizontal laminar flow room. Researches provided a well-researched literature review which clearly identified gap in current research. Objectives and design of the study was properly explained. Study was based on a large sample size. Results were discussed in detail and casual relations were well explained. Enough tables were used to present results. Limitations were properly discussed. Knobben et.al (2006) conducted an experimental study to evaluate how systemic changes together with behavioural changes can decreases intra-operative contamination. This study was conducted in the university Medical Centre Groningen, The Netherlands. A random sample of 207 surgical procedures which involved total knee or hip prosthesis from July 2001 to January 2004 was selected for this study. Two sequential series of behavioural and systemic changes were introduced to ascertain their role in reducing intra-operative contamination. The control group consisted 70 cases. Behavioural changes (correct use of plenum) were introduced to the first intervention group of 67 operations. Intense behavioural and systemic changes were introduced to second intervention group of 70 operations. The systemic changes introduced was the installation of new laminar flow with improved airflow from 2700m3/h to 8100m3/h. Two samples each were taken from used instruments, unused instruments and removed bon es. Control swabs were also collected to make sure that contamination was not occurred during transport and culturing. Early and late intra-operative contamination was also checked. All patients were monitored for any wound discharge while in hospital and followed-up for 18 months to check whether intra-operative contamination affects post-operative infection. Among the control group contamination was found 32.9% while in intervention group 1 it was 34.3% and in intervention group 2 it was 8.6%. Except in Group 1 (p=0.022) late phase contamination was not significantly higher than early phase contamination. During the control period wound discharge was found in 22.9% patients and 11.4% of them had wound infection later. Deep periprosthetic infection had been found in 7.1% of them in the follow-up period. Deep periprosthetic infection was found in 4.5% cases of first intervention group and in 1.4% of cases in second intervention group in the follow-up period. But none of these decreases were found statistically significant. Contamination, prolonged wound discharge and superficial surgical site infection were found decreased after both first and second intervention. But a statistically significant reduction was found only in second intervention (contamination p=0.001, wound discharge p=0.002 and superficial SSI p=0.004). This study concluded that behaviour modifications together with improved air flow system can reduce intra-operative contamination substantially. Purpose of the study was clearly defined and a good review of the current literature has given. Gap in current research was clearly presented and justification for the study had given. Sample size seems sufficient. It is reported that .bacterial cultures were taken during 207 random operations (p. 176), but no details of the sampling method used were provided. Details of interventions were given elaborately and results were discussed in detail. But only one table and two charts used to present it. The readers would have been more benefited if more tables were used to present the results. Discussions of the results were concise and findings were specific and satisfying the objective. No information on whether they received informed consent from the patients and approval form the ethical committee of the institution was missing. This arise a serious question about the ethics of this study. It is found that laminar airflow is more effective when use in conjunction with occlusive clothing (Charnley, 1969 cited in Sandiford and Skinner 2009). While in their recent study Miner et.al (2007) compared the effectiveness of laminar airflow system and body exhaust suits found that body exhaust suits are more effective than laminar flow system in reducing infection. For their study Miner et.al (2007) selected 411 hospitals which have submitted the claim for total knee surgery (TKR) for the year 2000 from four US States were surveyed to collect the details of use of laminar air flow system and body exhaust suits. Those hospitals which were fulfilled three criteria were included in this study. The inclusion criteria were 1) returned the survey instrument, 2) using laminar air flow system or body exhaust suits for infection control and 3) was evidence of at least one Medicare claim for TKR for the study period. Total 8288 TKRs performed in 256 hospitals between 1st January and 30th August 2000 were selected. Data on patient outcomes after total knee replacement (TKR) were collected from Medicare claims. The patients who underwent bilateral TKR were not included in this study and for those who underwent a second TKR during a separate hospitalisation during the study period, only the first procedure was included. International Classification of Disea ses, Ninth Revision (ICDS-9) codes was used to identify post-operative deep infection that needed additional operation. Hospitals were grouped as users or non-users for both laminar airflow and body exhaust suits. Users were defined as those who use any of these methods in more than 75% procedures and non-users were those use any methods less than 75%. The over-all 90-day incidence of deep infection, subsequent operation was found required only in 28 cases (that is 0.34%). Analysis found that the risk ratio for laminar airflow system was higher (1.57, 95% confidence interval 0.75-3.31) than body exhaust suits (0.75, 95% confidence interval 0.34-1.62). Study found that there were no significant differences in infection between hospitals that use specific either protective measure. Other than mentioning few studies researchers failed to provide any background of the research problem. Methods used for this study were explained concisely. Even though the sample size was large, limited number of events (28) were there to be observed. Analysis was based on this small number of events; this may have affected the result. Not many variables were included in this study, and researchers didn t mention how they controlled some possible confounders. Researchers were successful in identifying the advantages and limitations of the study. Results were properly presented in tables. Instead of expensive laminar air-flow system, installation of well-designed ventilation system is found beneficial. Scaltriti et.al (2007) conducted a study in Italy to examine effectiveness of well-designed ventilation system on air quality in operation theatre. They selected operation theatres of a newly built 300 beds community hospital which have ventilation system designed to achieve 15 complete outdoor air changes per hour and are equipped with 0.3 m, 99.97% HEPA filters. All these satisfy the condition for a clean room as per ISO 7 standard. Passive samples of microbiological air counts were collected using Tripticase Soy Agar 90 mm plates left open thorough out the duration of the procedure. Active samples were also collected using a single state slit-type impactor. Total 82 microbiological samples were collected of which 69 were passive plates and 13 were active. Air dust was counted with a light-scattering particle analyser. Details of the surgery, number of people in the r oom, door opening rate and estimated total use of the electrocautery unit were also collected. It was found that there were positive correlations between particle contamination, surgical technique (higher risk from general conventional surgery), electrocauterization and operation length. Door opening rate was found negatively associated. Researchers suggest that this may because when theatre door open a turbulent air flow blows out of the operating room which may result decrease in the dust particles. No association was found between particle contamination and number of people present at the time of incision. Researchers suggest that human movement rather than human presence is the factor that determines airborne microbial contamination. It was found that average particle concentration in the theatres did not exceed the European ISO 14 644 standard limits for ISO 7 clean room, and so concluded that well-designed ventilation system is effective in limiting particulate contamination. Uncultivable or unidentifiable organisms can also be a reason for surgical site infections. It may be difficult to identify such organisms through standard culture techniques (Tunney 1998). Clarke et.al (2004) conducted a quantitative study to examine the effectiveness of ultra-clean (vertical laminar flow) theatres in preventing infections by unidentifiable organisms. They used the molecular technique, Polymerase Chain Reaction (PCR), to detect bacteria presence. Their study compared the wound contamination during primary total hip replacement (THR) performed in standard and ultra clean operation theatres. 20 patients underwent primary THR from 1999 to 2001 were recruited for this study. Patients with previous incidents of joint surgery or infection were excluded. The standard operation theatres had 20 air changes per hour and CFU count was 50 CFU/m3, while ultra-modern theatres had 530 air changes per hour and CFU count was 3 CFU/m3. For all surgeries same infection control precautions were used. Two specimens each of pericapsular tissues were collected from posterior joint capsule both at the beginning and at the end of the surgery (total 80 samples). Patients were given antibiotic prophylaxis after taking the first specimen. All these samples were underwent Gram stain and culture to detect bacterial colonies and Polymerase Chain Reaction (PCR) to detect bacterial DNA. Among the 20 specimens taken form the standard operation theatres at the beginning of the surgery only 3 were found positive with PCR, while from the ultra-clean theatres only 2 were found positive. None from both theatres found positive with culture. Samples from the standard theatres taken at the end of the surgery, 2 found positive by culture and 9 found positive by PCR. The contamination rate in the standard theatre at the end of the surgery found significantly greater than the beginning (p=0.04). Samples taken from the ultra-clean theatres, none was positive by culture while only 6 were positive by PCR. Statistical analysis found that contamination rate at the end of the surgery is not statistically different than the start (p=0.1). It was found that there were no statistically significant difference in overall contamination rate (p=0.3) between standard and ultra clean theatres. (I will add critique of this study here) NURSES ROLE IN INFECTION CONTROL Understanding the source of contamination in operating theatre and knowing the relationship between bacterial virulence, patient immune status and wound environment will help in improving the infection rates (Byrne et al 2007). Nurses are responsible to take a proactive role in ensuring safety of their patients. To improve patient outcome, it is necessary for the nurses to take lead role in environmental control and identifying hazards through environmental surveillance (Neil 2005). Non-adherence to the principle of asepsis by surgical team is identified as a significant risk factor of infections. Hectic movement of surgical team members in the operating room and presence of one or more visitors were also found as major causes of SSI (Beldi G 2009). Nurses and managers should emphasise on controlling factors like the traffic in theatre, limiting the number of staff and reinforcement of strict aseptic technique (Allen 2010). Creedon (2005) argues that infections can reduce up to one third if staffs follow best practice principles. For better outcome staffs needs additional education and positive reinforcement. Nurses have a vital role in the development, reviewing and approving of patient care policies regarding infection control. Nurses are not only responsible for practicing the aseptic techniques but also responsible for monitoring other staff for their adherence to policies. They are responsible for developing training programmes for members of staff. Educating the environmental services personnel like technicians, cleaners will not only improve their knowledge in patient care but also provide a sense of commitment in patient outcomes (Neil 2005). Perioperative nurses can contribute in research regarding theatre ventilation system through organised data collection and documenting evidences. Nurses can contribute in giving optimum and safe delivery of care in areas where environmental issues can put the patient at risk. Knowledge is changing fast, so it is important that staff must keep themselves up to date. Continues quality improvement is needed and it should be based on evidence based research and on-going assessment of information (Hughes 2009). CONCLUSION Reviews of current research shows that still there is a lack consensus on the effectiveness of laminar airflow in infection control. Studies include in this review has used either clinical outcomes (infection or reoperation rate) or intermediate outcomes (particle count or bacterial count) to evaluate the effectiveness of laminar flow. Kakwani et.al (2007) found that re-operation rate was lower in laminar airflow theatres but Brandt et.al (2008) found SSI rate was high in hospitals with laminar flow. Clarke et.al (2004) found that contamination was not significantly different in ultra clean theatres compared to standard theatres equipped enhanced ventilation system. Supporting this finding Scaltriti et.al (2007) found well designed ventilation system is effective in reducing contamination. Study by Knobben et.al (2006) found that combination of systemic and behavioural changes are required to prevent intra-operative contamination. Miner et.al (2007) found that there were no significant differences in infection between hospitals that use laminar airflow and body exhaust suits. From these studies it can be concluded that use of laminar airflow alone can guarantee infection prevention. Behavioural and other systemic changes are necessary to enhance the benefits of laminar airflow. Evidence shows that conventional theatres equipped with enhanced ventilation system can prevent infection effectively, this can be consider as an alternative for expensive as laminar flow system.

Thursday, September 19, 2019

The Computer :: essays research papers

The Computer This report is about the impact that the personal computer has made during the past 10 years on the the community. It is a report that includes detailed information about the personal computer and the way it has worked its way into a lot of peoples everyday lives. It includes information about the Internet and how it has shaped peoples life from just a hobby and into an obsession. It includes detailed information about its history, especially the time in which it was first developed. There is information about future possibilities for the computer about who it could be the future and destroy the future. There is a description on how it is developed and an in-depth look at how it works. A personal computer is a machine that lets you do do just about everything you could think of. You can do some basic word-processing and spreadsheets as well as 'Surf the Internet'. You can play the latest computer games by yourself as well as against someone from across the other side of the world. It can store databases which could contain information that is kept by police for easier records or you could just use it for your own family history. The basic structure of a computer is a keyboard, a moniter, a and case which holds all the componets to make a computer run like a Hard drive, a Motherboard, and a Video card. There are many other additions you can make to this such as a Modem, a Joystick, and a Mouse. The personal computer was developed during the year 1945 by the Americans to help them decode enemy secret codes during the Second World War. At this time the computers were huge and only used by governments because they were as big as room. This was because the main thing they used were vacuum valves which made the computer enormous. They also never had anything to hold any memory so they couldn't actually be classed as a true computer. The introduction of a way to store a file was brought around in the year 1954. The computer did not have a big impact on the community until about the year 1985 Commodore released a gange of computers called the Commodore 64 and also another Commodore computer called the Vic 20 which was released in the year 1982. When Intel saw the Commodore 64's success it released its brand new 386 processor in the year 1985. Though the 386 was easily the better and faster processor the Commodore 64 seemed to be the computer getting all the attention

Wednesday, September 18, 2019

Henry David Thoreaus Integrity Essay -- Henry David Thoreau Essays

Henry David Thoreau's Integrity Although his actions were admirable and act as evidence to integrity, the writings of Henry David Thoreau and Emerson reveal a haughty and pretentious individual. Thoreau's courage was noble. He was quick to immerse himself in his beliefs and abandon any obligation to social norms despite the risk in damaging his reputation. His rejection of societal limitations and steadfast individualism was truly commendable, however, his mannerisms were extremely rude. He cast aside all tact and consideration of others because he was so consumed with himself. â€Å"He coldly and fully stated his opinion without affecting to believe that it was the opinion of the company. It was of no consequence, if every one present held the opposite opinion.† (p. 1237) The motivations for a number of his decisions seem unclear. Integrity and discipline can be easily confused with conceit and narcissism. The extent of his appeal can be argued because his actions can be interpreted in a negative or positive light, depending on the audience. Thoreau was quick to retur...

Hester Prynne :: essays research papers

In Nathaniel Hawthorne’s The Scarlet Letter, Hester Prynne lives in seclusion with her daughter Pearl. Hester has been shunned from Puritan society and now lives in the shelter of the wilderness. The clear contrast between Puritan society and life in the wilderness intensify the all too similar fight between light and darkness and ultimately can lead to the truth.   Ã‚  Ã‚  Ã‚  Ã‚  Puritan society, ruled by a set of strict rules, is essentially in the dark and can not itself see the light. Many of the leaders of Boston are themselves breaking the rigid Puritanical laws. Governor Bellingham lives in a mansion whose â€Å" brilliancy might have befitted Aladdin’s palace, rather then the mansion of a grave old Puritan ruler.† (pg. 98) Bellingham’s extravagant house shows the hypocrisy of the Puritans. They seek to punish those, like Hester, who break the laws of Puritan society but at the same time they too violate their own laws. The Puritans can not see the faults within themselves. Puritan society is seen as a place where â€Å"iniquity is searched out, and punished in the sight of rulers and people.† (pg. 58) The Puritans pride themselves on the uniform goodness of their town and their ways of dealing with sinful dissenters. Hester’s public appearance is seen as a blessing on the â€Å"righteous Colony of Massachusetts.† (pg. 50) The Puritans see their society as picturesque and proper. To them it is in essence the light shining bright in the darkness. An accurate comparison to this view would be the Garden of Eden of Adam and Eve. The Puritans see themselves as the perfect humans within the garden. Those people who, like Adam and Eve, become sinful â€Å"must be scourged out of the town† and then â€Å"driven with stripes into the shadows of the forest.† (pg. 46) Citizens not fit to live in the â€Å"paradise† of Boston were cast out into the shadow of the forest. Yet it is in the forest that Hester is actually in the light and can see for herself, the truth.   Ã‚  Ã‚  Ã‚  Ã‚  Living in the wilderness, Hester Prynne is able to see the light of truth, as none in Puritan society can. The Puritans have punished Hester for her sin and she is now free to go where she pleases, yet she decides to stay in Boston. The woods are a haven for Hester and yet they are also a showcase for her sin.

Tuesday, September 17, 2019

Antoinette: Wide Sargasso Sea

AP Literature 10/29/12 Deriving Antoinette’s Insanity In the novel, Wide Sargasso Sea by Jean Rhys, one of the main characters goes through emotional chaos. That character’s name is Antoinette. She grew up in Jamaica in a rich family. After her brother Pierre died, her mother went crazy. Later on in the book, Antoinette goes crazy as well. Some critics believe that Antoinette’s madness is heredity. I disagree with that critique. The primary source of Antoinette’s madness is from the harsh treatment of her husband, Rochester. There are smaller causes as well, like the night when slaves burned down her family’s house.Antoinette is devastated. The continuous devastation along with cruel treatment from people around her cause her insanity In the beginning of the novel, Antoinette is a solitary young girl. She wanders the island, learning about the world. The fact that she is white creates tension between her and the Jamaican people. Her family also has a lot of money and most people there are poor. Tia becomes her only real friend. She loses that friend mainly because Tia is black and she is white. Jamaican people didn’t like her family. One night the slaves burn down her house, laughing and throwing stones at the family.This shocks Antoinette. She likes the Jamaican people. During the fire she sees Tia and thinks, â€Å"I will live with Tia and be like her. Not to leave Coulibri. Not to go. Not. † Just as she thinks this, Tia throws a stone at her. Emotionally, this is the start of much devastation in her life. Later on in the novel, Antoinette is married to Rochester. At first, they seem happy together. Antoinette shows him the island she grew up on and tells him stories of her childhood. Antoinette feels love again. Little does she know, Rochester feels nothing but lust for her.Rochester leads Antoinette on even more by having sex with her. Antoinette is the happiest she has ever been in her life. Rochester still feels nothing. He thinks, â€Å"As for the happiness I gave her, that was worse than nothing. I did not love her. I was thirsty for her, but that is not love. † He continues to lead her on until one day where he suddenly stops having sex with her. Antoinette goes from an extreme high, to a low point in her life. She has no one. The madness sets in. Rochester receives a letter from a man named Daniel Cosway, who tells him of Antoinette’s family history.He also tells him that he is Antoinette’s half-brother and madness runs in the family. Daniel warns Rochester that Antoinette is crazy as well. Rochester believes him and continues to push Antoinette away. One day Rochester has sex with Amelie, a servant. He doesn’t try to hide it. Antoinette hears and is hurt beyond repair. Because of this, she is more than crazy. Antoinette becomes a love crazy lunatic. She loses another person I her life whom she loved, because of this, She is not repairable. They leave t he island and Rochester locks her up. He doesn’t even try to help her.When a person is repeatedly subjected to this kind of cruel, evil-hearted treatment, the only course for that person is insanity. Heredity is not the source of the insanity though. There is nothing hereditary about what Rochester did to Antoinette. Even if madness didn’t run in the family, Antoinette probably would have the same reaction. It doesn’t help that after the cruel things that Rochester did, she had no way to cope with them. Christophine couldn’t help because Rochester threatened her. Again, there is nothing hereditary about how Rochester acted. Every reason for Antoinette’s madness has nothing to do with heredity, but cruelty.

Monday, September 16, 2019

Chi Mei Opto Electronics

Brief Introduction Chi-Mei Optoelectronics (CMO) is a world-leading manufacturer of TFT-LCD display panels for use in applications such as desktop monitors, notebook PCs, and LCD TVs. The company was founded on August 6, 1998 and was listed on the Taiwan Stock Exchange (stock symbol 3009) in August 2002. As of early 2006, CMO had over 15,000 employees worldwide. CMO has long cultivated its base at the Tainan Science-Based Industrial Park, where it currently operates four production facilities including one 3. 5-generation fab, one fourth-generation fab, one fifth-generation fab and one 5. -generation fab. To maintain a high level of competitiveness and flexibility, CMO is relentless in its investment activities and has aggressive plans for the deployment of its next-generation plants. In addition to capacity expansion plans for its current facilities, CMO is in the process of building its second fifth-generation fab, and a new 7. 5generation fab. With its commitment and heavy R&D foc us on the highest quality of in-house self-developed technologies, CMO is able to attract the most brilliant TFT-LCD R&D talent in the industry.In addition to ongoing innovation in production process technologies, CMO strives to satisfy consumer demands and expectations for high quality LCD panels by continually making technology breakthroughs and refinements. CMO is also dedicated to facilitating the clustering of the Optoelectronics Industry, and has put tremendous effort towards vertical integration with its suppliers. CMO has brought together leading upstream suppliers, including producers of glass substrates, backlight units, polarizing films, cold cathode fluorescent lamps and driver integrated circuits.CMO also initiated the Optoelectronics manufacturing cluster in Tree Valley (previously known as the LCDTV & Industrial Support Park), and has been ahead of the curve in localizing the procurement of key components and equipment to enhance supply chain efficiency. This in turn has significantly stimulated the upgrade and development of Taiwan’s innovative Optoelectronics Industry. The world is currently entering a new golden era of high definition digital TV and multimedia.As one of the leading manufacturers in the global LCD-TV panel industry, CMO continues to focus on the development of advanced technology and innovative products, and shares in the responsibilities of promoting the knowledge-based concept of the â€Å"digital home†. Last year, CMO organized the â€Å"2005 Digital TV Technology Forum† in which government representatives and experts from around the world were invited to share their experiences and visions on the future of the digital home.We at CMO believe it is our duty and obligation to satisfy our customers’ needs and expectations with high quality displays, and to enhance Taiwan’s presence in the world’s TFT LCD display industry. Corporate Structure Business Performance 2005 Operation Results In 2005, CMO’s panel production set another historical record. Annual panel shipment increased by 90% to 23,685 thousand units, while annual revenue increased by 49% to NT$152, 844 million. Net profit amounted to NT$ 8,047 million. Revenue from LCD-TV panels contributed over 40% of annual sales, with an annual shipment of more than 5. million units. Our annual capital expenditure was NT$ 62,018 million. Operation Strategies We expect that the China market will play a very important role in our global operation strategies. Therefore, we established Ningbo Chi Mei Optoelectronics in the second half of 2005, which was a very important first step to implement CMO’s global operation and cost reduction strategies. More importantly, Ningbo Chi Me Optoelectronics, as our first investment in China, also builds a stronger base for the long-term development of CMO in this competitive TFT-LCD industry.Also, to provide high quality customer service and maintain close customer relat ionships, CMO established two new subsidiaries, one each in Europe and Singapore. Additionally, CMO will invest more aggressively in the technologies of various key input components to protect our company from potential industry-wide shortages. 2006 Operational Goals Buoyed by the expected strong replacement demand and imminent emergence of digital life, the worldwide TFT-LCD market is forecasted to experience strong growth and profits in 2006.To strengthen our position as a leading manufacturer of LCD-TV panels, we will keep expanding our production capacity through the mass production and ramp up of our second 5G Fab and Ningbo Chi Mei module assembly plant, as well as achieving higher yields at the 5. 5G Fab and the equipment move-in of the 7. 5G Fab. Meanwhile,CMO will aggressively invest in the market of key input components to achieve cost reductions in an efficient manner. For 2006, with all our empolyees’ efforts and innovations, we have confidence in keeping our posi tion as a leading manufacturer of LCD-TV panels.In addition, we will continue to strive for higher market share in the notebook computers and desktop monitors markets. Operational Highlights Business Activities CMO’s scope of business includes the research, development, production and sale of TFT-LCD display panels and color filters. 2005 Sales Chart: Industry overview Due to the dominating technology, diversified applications and cost effectiveness, TFT-LCD monitors has become the mainstream product in the flat panel display industry in recent years.In 2005, the suppliers of the key components such as backlights, color filters, driver ICs, and polarizers benefited greatly from the strong demand generated by the mass production of next-generation TFT-LCD fabs. According to DisplaySearch, Taiwan’s share of worldwide LCD TV panel revenues grew dramatically from 27. 4% in 2004 to 38. 7% in 2005. TFT-LCD is a capital-intensive and technology-intensive industry. The main co untries include Taiwan, Korea and Japan. In 2005, LCD TV panels bloomed due to the smooth mass production and ramp up of worldwide ifth generation and above fabs. According to DisplaySearch, the production of LCD TV panels increased to 28 million units in 2005 from 8 million units in 2004. In the past, the main manufacturers focused on competing for higher production capacity. Now, in order to gain better positioning in the future LCD TV market, the key players are paying more attention to accurate demand predictions, flexible production, and new advanced technologies. Also, the price fluctuations of LCD TV panels have smoothed out compared to before 2005.The following chart is an overview of the TFT-LCD industry: R & D Expenditures Short and Long Term Operating Development Plan In 2006, CMO will continuously strive to capture a higher market share in the TFT LCD market and provide more diversified products A. LCD-TV Product CMO will continuously improve our market shares and revenu es in this market. Due to the strong demand for LCD TVs, we will offer an extensive product line of full HD panels above 40† to fulfill the demands of our clients.Based on our solid worldwide customer base, CMO will continue to improve the operation performance in each area. Also, CMO will more aggressively explore new business opportunities in developing countries. B. OA Product In 2006, CMO expects to capture 1 to 2% more market share than last year in the desktop monitor and notebook applications. We will offer more competitive wide-format products, and develop 22†, 24† and 30† panels for the monitor segment. Also, we will produce notebook panels in our fifth generation fab, which will improve our competitive advantage as well.In 2006, CMO will not only offer more diversified products, but also continuously provide our customers with better service and cooperation in order to achieve higher a market share in the TFT-LCD industry. Industry growth forecast D isplaySearch has forecasted the large-sized TFT LCD panel demand in 2006 to consist of 7. 86 million units for notebook computers and 135 million units desktop computer monitors (11. 6 million units for other applications), with respective annual growth rates expected to be 24% and 14%. We produce notebook panels in our 3. , fourth and fifth generation fabs, which can economically cut sizes such as 12. 1†, 13. 3†wide, 14. 1† and 14. 1†wide, 15†and 15. 4†wide, and 17†wide. Monitor panels are produced in our fourth, fifth, and 5. 5 generation fabs, which have economic cutting sizes for 17†, 19†, 20. 1†, 19† wide, 22†wide and 24† wide format. CMO’s marketing division expects the LCD TV panel market will reach approximately 43 million units with an annual growth rate of 54% in 2006. More importantly, 32† and above panels will account for more than 40% of the total market.We have strengthened our p osition in the 20† and above LCD TV market in the past 3 years. Our annual LCD TV panel shipment is more than 5. 5 million units in 2005. CMO’s market share in LCD TVs is on par with the two Korean manufacturers. Our innovative technologies and products have enabled CMO to make significant advances. Manufacturing Process Sales and Production over the last 2 years Domestic and Export Sales over the last 2 years Financial Analysis of the Last Five Years Unconsolidated Sales Breakdown by Application Sales Breakdown by Application Unconsolidated Sales Breakdown by Panel Size Sales Breakdown by Panel Size

Sunday, September 15, 2019

Life Is so Good

Shauntral Pollard Mrs. Judice English 1302. 02 March 6, 2013 Life Is So Good Test George copes with his illiteracy with a positive attitude. An incident happened when George was trying to board a train, but he wasn’t able to because his ticket was only a one-way travel. The ticket master said to him, â€Å"read the ticket† and after this incident I believe George’s view toward learning changed. I believe George would have been a great scholar because of how he was able to obtain knowledge by watching and listening.He would even recall life lessons his father and mother taught him as he encountered different situations. George’s advantage in life was he was able to travel and his father raised him to be a responsible man. Although he came from a poor family, George was very hard working and responsible. George was rich with common sense and humbleness. He never stepped over his boundaries and did whatever he was asked of him, never complaining and doing his entire jobs well. The students were drawn to George because he had been all over the country and he was very wise.George was 100 years old and he had a knowledge base one could only hope to gain. He would always be to school early ready to learn and I believe his eagerness to learn inspired young and old. The advice George’s father gave him made realize every person is different. He should not judge a person because of all the hardships he and his family had to face growing up in the South. I think his father wanted to keep George focused so his state of mind would not have him thinking he was better than another person.Although George had a lot of good and bad experiences, he still remained modest and friendly. George would answer the question, †What makes life worth living? †, by saying each person makes his or her own life worth living. A person will either make life hard or easy. George’s life was so good because he had all he needed and his life was f ull of great experiences. George truly enjoyed aspect of life and did not worry about what life had to bring his way. He really was a great human being and many of us could take a life’s lesson from him on how to be genuine on how to treat others who are different.To George, it did not matter what background a person came from because their actions would speak louder than words. When George said, â€Å"there are some parents these days that are growing children, not raising children, â€Å"I believe he meant the children now are being raised by the television, game systems, or the internet. I totally agree with him because when I grew up we had to spend time either listening to our parents or had a time when we had to go outside the house and play. Parents need to become more involved in their children’s lives and not allow the digital age to be the supervisors.George Dawson’s attitude impacted his life in a major way. He knew he could not change the laws or t he way people felt, so he decided not be angry. People who have a positive attitude are able to have a great lives and that is what George did. His humble attitude kept him from getting into trouble or being around the wrong person. Most people would have been miserable or depressed because of the type of life George had to lead. But not George, he remained the same until the end.

Saturday, September 14, 2019

All the Pretty Horses novel Essay

The main character, John Grady Cole, faces plenty of hardships throughout his journey from his home in Texas to Mexico. On the other hand, McCarthy writes this award-winning book in a positive way, demonstrating the balance between optimism and pessimism in our world. He shows how John Grady Cole has matured and grown substantially because of this negativity he faces. The reader can clearly see the negativity not only in the first page of the novel, but also in the first paragraph. McCarthy begins the book with, â€Å"†¦ he looked at the face so caved and drawn among the folds of funeral cloth, the yellowed moustache, the eyelids paper thin. That was not sleeping†¦Ã¢â‚¬  (3). The funeral described in the first page is John Grady’s grandpa’s funeral. Starting a book off in this way (with a dead body) obviously points the reader towards the opinion that this book is a long, dreadful ride with much death and destruction. The image of the coffin, the yellowing moustache, and the deceased person clearly shows the negativity that fills this book. Throughout the book, John Grady Cole faces many challenges and much adversity and learns to live with it. After leaving their home in Texas, John Grady and his best friend Rawlins travel hundreds of miles deep into the heart of Mexico on horseback until they reach a ranch offering work called La Purisima. Both of these boys are skilled at working with horses and spend most of their time at the ranch taming and taking care of the many horses there. While working at La Purisima, John meets the ranch owner’s daughter, a beautiful girl named Alejandra, and falls in love. Alejandra’s father absolutely does not appreciate this; in fact, he orders for John Grady and Rawlins to be arrested because of John’s interactions with Alejandra. The hardships that these boys face are relentless, however, John Grady refuses to hang his head and give up. On their way to the jail, John Grady says to Rawlins, â€Å"I can’t back up and start over. But I don’t see the point in slobberin over it† (155). At this point, McCarthy reveals how John Grady has matured and has learned to live with the sorrows he faces. With this new found maturity, and as John Grady Cole overcomes this terrible journey of negativity, he has learned to live with the pessimism and has found out how the negatives go side by side with the positives. Nearing the end of the book John Grady Cole realizes that â€Å"the world’s pain and its beauty moved in a relationship of diverging equity† (282). John Grady has learned the skill of searching for the light in a dark room, constantly refusing to dwell on the negative aspects of his many horrible situations. He has a new wisdom of the world and has learned how it works. In conclusion, McCarthy writes All The Pretty Horses with much negativity and at the same time he delivers a lesson of how positivity is hidden in every situation, journey, and life. McCarthy demonstrates how John Grady Cole learns maturity the hard way: through hardships, sorrow and death. This book leaves the reader with a tear in their eye and a smile on their face, for they know that sorrow is sitting on the doorstep of happiness.

Friday, September 13, 2019

Reflection on Personal Writing Skills Essay Example | Topics and Well Written Essays - 750 words

Reflection on Personal Writing Skills - Essay Example Writing a coherent and informative essay, as I have learned requires accurate and comprehensive planning. I have therefore learned that note making makes it easier to align ideas and hence plan an essay in a way that the points will flow to bring out a coherent piece of writing. Originally, my note making skills were rather weak. I made mistakes in the beginning and could not create a comprehensible essay even when I had made notes. Writing, therefore, seems to me to be an art that can only be mastered through practice. When it comes to writing, I recall that at first, I had a problem developing anything from the notes and points that I had written down. This was originally due to numerous grammatical and lexical mistakes that made my writing rather incomprehensible. The first assignment comprised many of these mistakes and using the feedback obtained from the tutor, I was able to improve on this and make my writing better. In my second assignment, the tutor apparently recognized my improved writing skills and positively commented on that. I was happy to realize that my efforts were recognized. I later conferred with a few of my friends and realized that I could also get some positive feedback from them. For instance, from one of them, I learned how to arrange ideas into a coherent piece that was better than my previous papers. What mattered to me during all this time was that I was improving my writing skills and was getting more confident with myself every time.

Thursday, September 12, 2019

CRITICAL APPRAISAL OF A NURSING QUANTITATIVE STUDY Research Paper

CRITICAL APPRAISAL OF A NURSING QUANTITATIVE STUDY - Research Paper Example In the case of NSCLC patients, receipt of radiotherapy or chemotherapy at the time of interview and significant airflow obstruction was considered to be exclusion criteria (Gore et al., 2000). The participants were identified from the outpatient records and the database of the radiotherapy department. The benefits identified by the authors are not direct in nature as far the participants of the study are concerned. However, the sample population of the study is the representative sample of the larger population of COPD patients and NSCLC patients (Gore et al., 2000). The results of the study expect to identify the gaps in the nursing and social care that the sample population receives. Thus the indirect and longer term benefit addressed by the study is that it would come up research findings which would further aid as background data for advanced research in the area. The authors have clearly mentioned that the study was approved by the Hull and East Riding Research ethics committee. Thus it can be assumed that risks of participation addressed by the study. It has been mentioned in the article that the authors obtained written informed consent from all participants. The subjects were identified from the outpatient records and the database of the radiotherapy department. COPD patients were identified from the outpatient records of patients attending for follow up at Hull chest clinic. In the NSCLC group about one third were attending Hull chest clinic and the rest were identified from the database of the department of radiotherapy (Gore et al., 2000). Thus the participation does not appear to be of complete voluntary nature. However as the study has followed the ethical practices as set by Hull and East Riding Research ethics committee and as it has been mentioned that written consents were collected from the patients, possibility of forceful or uniformed inclusion is minimal. It should also be noted here that the study and its design were approved by Hull and E ast Riding Research ethics committee. The major independent variables were COPD and NSCLC. The dependent variables included parameters to measure quality of medical care and quality of social and community life. These parameters included General Health; Vitality; Mental; Pain; Role Emotional; Role Physical; Social functioning and Physical functioning. The dependent parameters on quality of social and community life included access to Counselor; Community Social Worker; Hospital Social Worker; Palliative Services; RSN; District Nurse and Home Help (Gore et al., 2000). The methodology used to collect data included semi- structured interviews, review of documentation and measurement against standardized quality of life tools. The study followed a multi-method design which includes both qualitative and quantitative approaches(Gore et al., 2000). The interdisciplinary nature of the study extending from health sciences to social sciences justifies the design. The authors claim to be of th e first of its kind to have used such a methodology. . The time period of for data collection of the study has not been specifically mentioned. Patients were interviewed in their own homes by a single interviewer (JG). At the time of interview patients performed spirometric tests The data derived from the interview were coded and, with the QoL data and was

Wednesday, September 11, 2019

Graduate Reflection Paper 4(a) Essay Example | Topics and Well Written Essays - 1250 words

Graduate Reflection Paper 4(a) - Essay Example There are many factors that create a leader with strong communication skills. Covey (1989) states that being a good listener brings many benefits for the leader. It helps the leader build relationships and it is a very important part of appraisal and training. Covey also suggests that communication has four components: speaking, writing, reading and listening. Caputo et al. (2003) suggests that leaders must create a system of effective communication with their employees and leadership must have effective communication in order to have complete leadership. Covey (1990) created seven principles regarding communication: "Be proactive, begin with the end in mind, put first things first, think win/win, seek first to understand and then to be understood, synergize and sharpen the saw" (p. 41). Covey talks about these habits as human endowments that enhance a leaders communication skills by placing them in a frame of mind that creates their ability to move their employees forward (Covey, 1990). This means that they also need to have a voice in communication. Leaders must be active listeners, create a space for employees to speak their minds respectfully and help their employees to recognize their own voice (Covey, 2004). Each leader must be influential which means they also need to understand how to persuade their employees. This does not the must coerce their employees but rather understand how to move them towards what is expected or needed. Carnegie (1964) suggests that the one way to get someone to do something is to make them want to do it. A strong leaders does this by helping their employees improve, not by criticizing them. Also, leaders must show employees that they are appreciated. These ideas will help employees stay motivated to communicate well with their manager. This also means that the manager must seek to find a

Tuesday, September 10, 2019

Saccharomyces Cerevisiae Essay Example | Topics and Well Written Essays - 3500 words

Saccharomyces Cerevisiae - Essay Example The genus includes many other types of yeast important to food production. The taxonomic structure of Saccharomyces cerevisiae is as follows: S. cerevisiae (Baker's yeast) is subjected to various environmental stresses during its propagation and industrial application. Yeast being prepared for the baker's facilities is subjected to many such stresses as freezing, frozen storage and thawing of bread dough. Besides this there are the usual stresses of fluctuations in nutrient supply, acidity levels, osmolarity and temperature and exposure to toxic substances like heavy metals and radiation (Schade et al, 2004). This often reduces the yeast's dough-leavening capabilities as well as other viable factors (Rodriguez-Vargas et al, 2002). The same is true when the yeast is applied to other food production techniques as wine-and beer-making. Thus, the negative effects of environmental stress on this species of yeast have great technological and economic impact (Rodriguez-Vargas et al, 2002). ... Thus, the negative effects of environmental stress on this species of yeast have great technological and economic impact (Rodriguez-Vargas et al, 2002). The organisms, through special stress response factors that act at the transcriptional levels, either induce or repress a set of genes known as the general or environmental or common stress response (ESR) (Schade et al, 2004). Genome wide transcriptional profiling has revealed that 10% of the entire genome is induced or repressed in this stress response (Schade et al, 2004). The induced genes usually are involved in cellular functions such as protein folding and degradation, transport and carbohydrate metabolism while the repressed genes are associated with cell growth-related processes that are suppressed till more convenient circumstances evolve. Such related processes may be RNA metabolism, nucleotide biosynthesis, secretion and ribosomal performance (Schade et al, 2004).Stress Regulation in S. cerevisiae Cells of Saccharomyces cerevisiae handle a diverse range of stresses by mediation via a penta-nucleotide element called stress response element (STRE). This is quite in line with the 5-nucleotide heat shock regulatory element discussed later in the paper. STRE mediates in conjunction mainly with two transcriptional proteins Msn2p and Msn4p (Treger et al, 1998). Several genes, the induced ones that are also the ones that are instrumental in inactivating the ones that are repressed in the environmental stress response, responding to stress like heat shock, osmotic shock, post-diauxic shift growth and nitrogen starvation are induced to transcriptional activity by sequences containing STRE, especially the Msn2p/Msn4p/STRE pathway (Treger et al, 1998). There are also a few