Saturday, August 31, 2019
Family Traditions
I always know it is Thanksgiving morning when I awake to the smell of the turkey roasting in the oven and the cinnamon apple spice tea brewing on the stove. The rest of the morning is spent helping my mom and grandmother cooking in our large open kitchen. Every year for as long as I can remember, my grandmother uses my Nanaââ¬â¢s recipes when cooking the thick butter garlic mashed potatoes, homemade sweet red cranberry sauce, and the rich creamy dark gravy. On the other hand, my mom and I always cook the French green beans, sausage and bread stuffing, and also our homemade pumpkin pie together. While the women spend most of the early afternoon in the kitchen getting things ready, the men normally gather in the living room and watch sports or play a board game on the coffee table. It is a rule in our house that no man is allowed in the kitchen while we are cooking unless he is coming to help with dishes; otherwise the men eat all the food as it is being prepared. Thanksgiving is a day where my entire family can get together and enjoy excellent food as well as each otherââ¬â¢s company. My father who lives in the beautiful Birmingham, Alabama drives down every year the day before Thanksgiving and stays with us throughout the weekend. He always brings the finest fresh sweet tea and homemade peach cobbler you can find in Alabama which are essential to our Thanksgiving meal. However, my maternal grandparents drive down from Memphis, Tennessee and bring along with them a small present for each of the kids; which include my two brothers, Jonathan and Harrison, and my sister Allies. Even though this is a day for my family to spend time together, we have always welcomed anyone without a place to go or family to be with to spend it with us as well. Some of the past years we have had neighbors join us and also friends of the children. After we all eat we go outside and plays tackle football. I and my dad are usually the captains. Iââ¬â¢ve won the past couple years due to the fact of young age. Some games get to intense due to the fact that my cousin has broken a wrist for being so soft. Playing football has to be my favorite because I love sports and beating my cousin who hates losing to me because everyone thinks Iââ¬â¢m a better athlete. I also love beating my little brother. Next we watch the football that is always on ESPN. My uncle is a huge football fan so he is always looking to take bets. One year I bet my uncle 20 pushups the Detroit Lions would lose and of course I won the bet and my uncle had to twenty pushups but he only did like ten due to the fact that he is badly out of shape. I love my family holidays and my family traditions.
Friday, August 30, 2019
Founding Fathers Of Sociology
Sociology can be defined as the scientific study of society and human behavior. It tries to acquire knowledge about society, and about how the humans making up these societies interact with each other. Auguste Comte was the first true father of sociology. He was the person who coined the term ââ¬Å"sociologyâ⬠. Other sociologist who can also be called the founding fathers of sociology include Weber, Marx, Engels and Durkheim. In this essay I will be looking at where these sociologists came from and the theories they came up with.Auguste Comte was a French social thinker and was the first person who coined the term ââ¬Å"sociologyâ⬠. He wanted to establish a science of society as a new discipline. He modeled sociological study around natural science and wanted to discover the laws of society. He aimed to study society through Social statics, which is the study of order and stability and Social dynamics, which is the study of social change. He wants to answer the question o f how one plans for change. One should think about in advance where you want to go and how to get there from here.One should be future oriented and goal oriented, achieving goals by optimal means. Social planning is designed to enhance social functioning by either changing the structural relations among people or providing a tangible support than enables an individual to cope with or overcome a social problem. It is necessary to plan in order to reduce uncertainty and enhance accountability. It also increases the potential for participation. Comte says that the process of change involves three stages; The future state, where the change has occurred.The present state, this is where we are in relation to where we want to get to and it is the period of planning and initiating the desired change. The last stage is the transition state, and asks the question of how we get from where we are to where we want to be. Comteââ¬â¢s idea for sociological study was based on the concept that so cieties evolve through three intellectual stages. These are the Theological stage, which involves the belief in the supernatural, the metaphysical stage, which is the transition stage and the positivistic stage which involves scientific thinking.After the third stage is reached, true understanding of the working of society becomes possible. Social disorder such as crime would be diminished and eventually stop when societyââ¬â¢s cogs and wheels are established. Another founding father of sociology is Max Weber. He was a German sociologist. His central focus was on the process of rationalization. He has a middle class protestant background. He defined sociology as the scientific study of human action. Social action is human conduct oriented toward others and based on social meaning given to that conduct.It involves other human beings and is based on intentions and ideas of individuals. It must understand the subjective meaning behind peopleââ¬â¢s actions and this makes sociology fundamentally different from natural sciences. Weber calls such understanding ââ¬Å"verstehenâ⬠, which is the investigatorââ¬â¢s attempt to understand human action by viewing the cause of the action through the actorââ¬â¢s eyes rather than his own. The theory became known as Interactionism. Weber focuses on social actions of individuals and says that society cannot think or act, only individuals can.There is an opposition to positivism. The subject matter of sociology is unique and it cannot be studied with principles/methods of natural sciences. It requires verstehen. Another founding father is Karl Marx. He was born on May 5, 1818 in the German city of Trier. His family was Jewish, but he later converted to Protestantism in 1824 in order to avoid anti-Semitic laws and persecution. Marx was forced to go to London in 1849, but he did not work alone. He had help of Friedrich Engels who had on his own developed a very similar theory of economic determinism.Although the id eas later acquired the term ââ¬Å"Marxismâ⬠, it must always be remembered that Marx did not come up with them entirely on his own. Engels was also important for Marx in a financial sense. Poverty weighed heavily on Marx and his family. Karl Marx focuses on conflict and inequality. Conflict is a fact of life in society. There is conflict between various social groups derived from a conflict of interest which brings inequality. Power and resources are unevenly distributed in society. Such inequality is maintained by naked coercion or manipulation of norms and values. Marx was interested in a particular type of conflict.This was class conflict or conflict between classes. He says, ââ¬Å" The history of all hitherto existing society is the history of class struggleâ⬠. Production is a key concept in Marxism. It is the production of material goods and services in society and is the most important human activity. Production is carried out in the context of cooperation between h uman beings. Out of productive activity, human beings organize themselves, establish relations with each other and form a society. Thus change through improves technology of production also implies a change in social relations.Processes of production have given rise to inequality between human beings because production has been carried out by means of exploitation of the majority of the population by a few. Classes are social units based on their relation to the means of production. The means used to produce goods and services example: land, factories, tools, machinery, raw materials etc. The dominant class are the minority who own means of production and the subordinate class are the majority who donââ¬â¢t. Production is carried out by exploitation of one class by the other and this leads to class conflict.Bourgeoisie vs Proletariat. All societies go through stages in history and are destined to reach the communist stage. The communist mode only is not based on class exploitatio n. Communism realizes classless society where no one dominates one another. Marxââ¬â¢s dichotomy of society. Society is divided into two levels: The base/infrastructure (economic) and the superstructure (non-economic sphere). According to Marx the superstructure plays significant role in society. Example: the state. Common view: The state is neutral institution representing the interest of all citizens and society as a whole.Marxââ¬â¢s view: the executive of the modern state is but a committee for managing the common affairs of the whole ââ¬Å"bourgeoisieâ⬠(the owners of production). Example: The state. The interest of the state coincide with those of the dominant class. Apparatuses of the state are used to protect capitalistsââ¬â¢ interests against workerââ¬â¢s rebellion. There is a contrast with Durkheim. Durkheim says that norms and values of society produce social integration and harmony (social solidarity). Marx says that these norms and values are ideologies which suppress peopleââ¬â¢s opposition and resistance (which may look like harmony or consensus to Durkheim). Founding Fathers of Sociology Sociology can be defined as the scientific study of society and human behavior. It tries to acquire knowledge about society, and about how the humans making up these societies interact with each other. Auguste Comte was the first true father of sociology. He was the person who coined the term ââ¬Å"sociologyâ⬠. Other sociologist who can also be called the founding fathers of sociology include Weber, Marx, Engels and Durkheim. In this essay I will be looking at where these sociologists came from and the theories they came up with.Auguste Comte was a French social thinker and was the first person who coined the term ââ¬Å"sociologyâ⬠. He wanted to establish a science of society as a new discipline. He modeled sociological study around natural science and wanted to discover the laws of society. He aimed to study society through Social statics, which is the study of order and stability and Social dynamics, which is the study of social change. He wants to answer the question o f how one plans for change. One should think about in advance where you want to go and how to get there from here.One should be future oriented and goal oriented, achieving goals by optimal means. Social planning is designed to enhance social functioning by either changing the structural relations among people or providing a tangible support than enables an individual to cope with or overcome a social problem. It is necessary to plan in order to reduce uncertainty and enhance accountability. It also increases the potential for participation. Comte says that the process of change involves three stages; The future state, where the change has occurred.The present state, this is where we are in relation to where we want to get to and it is the period of planning and initiating the desired change. The last stage is the transition state, and asks the question of how we get from where we are to where we want to be. Comteââ¬â¢s idea for sociological study was based on the concept that so cieties evolve through three intellectual stages. These are the Theological stage, which involves the belief in the supernatural, the metaphysical stage, which is the transition stage and the positivistic stage which involves scientific thinking.After the third stage is reached, true understanding of the working of society becomes possible. Social disorder such as crime would be diminished and eventually stop when societyââ¬â¢s cogs and wheels are established. Another founding father of sociology is Max Weber. He was a German sociologist. His central focus was on the process of rationalization. He has a middle class protestant background. He defined sociology as the scientific study of human action. Social action is human conduct oriented toward others and based on social meaning given to that conduct.It involves other human beings and is based on intentions and ideas of individuals. It must understand the subjective meaning behind peopleââ¬â¢s actions and this makes sociology fundamentally different from natural sciences. Weber calls such understanding ââ¬Å"verstehenâ⬠, which is the investigatorââ¬â¢s attempt to understand human action by viewing the cause of the action through the actorââ¬â¢s eyes rather than his own. The theory became known as Interactionism. Weber focuses on social actions of individuals and says that society cannot think or act, only individuals can.There is an opposition to positivism. The subject matter of sociology is unique and it cannot be studied with principles/methods of natural sciences. It requires verstehen. Another founding father is Karl Marx. He was born on May 5, 1818 in the German city of Trier. His family was Jewish, but he later converted to Protestantism in 1824 in order to avoid anti-Semitic laws and persecution. Marx was forced to go to London in 1849, but he did not work alone. He had help of Friedrich Engels who had on his own developed a very similar theory of economic determinism.Although the id eas later acquired the term ââ¬Å"Marxismâ⬠, it must always be remembered that Marx did not come up with them entirely on his own. Engels was also important for Marx in a financial sense. Poverty weighed heavily on Marx and his family. Karl Marx focuses on conflict and inequality. Conflict is a fact of life in society. There is conflict between various social groups derived from a conflict of interest which brings inequality. Power and resources are unevenly distributed in society. Such inequality is maintained by naked coercion or manipulation of norms and values. Marx was interested in a particular type of conflict.This was class conflict or conflict between classes. He says, ââ¬Å" The history of all hitherto existing society is the history of class struggleâ⬠. Production is a key concept in Marxism. It is the production of material goods and services in society and is the most important human activity. Production is carried out in the context of cooperation between h uman beings. Out of productive activity, human beings organize themselves, establish relations with each other and form a society. Thus change through improves technology of production also implies a change in social relations.Processes of production have given rise to inequality between human beings because production has been carried out by means of exploitation of the majority of the population by a few. Classes are social units based on their relation to the means of production. The means used to produce goods and services example: land, factories, tools, machinery, raw materials etc. The dominant class are the minority who own means of production and the subordinate class are the majority who donââ¬â¢t. Production is carried out by exploitation of one class by the other and this leads to class conflict.Bourgeoisie vs Proletariat. All societies go through stages in history and are destined to reach the communist stage. The communist mode only is not based on class exploitatio n. Communism realizes classless society where no one dominates one another. Marxââ¬â¢s dichotomy of society. Society is divided into two levels: The base/infrastructure (economic) and the superstructure (non-economic sphere). According to Marx the superstructure plays significant role in society. Example: the state. Common view: The state is neutral institution representing the interest of all citizens and society as a whole.Marxââ¬â¢s view: the executive of the modern state is but a committee for managing the common affairs of the whole ââ¬Å"bourgeoisieâ⬠(the owners of production). Example: The state. The interest of the state coincide with those of the dominant class. Apparatuses of the state are used to protect capitalistsââ¬â¢ interests against workerââ¬â¢s rebellion. There is a contrast with Durkheim. Durkheim says that norms and values of society produce social integration and harmony (social solidarity). Marx says that these norms and values are ideologies which suppress peopleââ¬â¢s opposition and resistance (which may look like harmony or consensus to Durkheim).
Thursday, August 29, 2019
Report Information from ProQuest Essay
Abstract: The social and psychological needs of an employee must be understood in order to motivate him to complete the assigned tasks. Unless the leaders fully support the premise that organizations must have a high degree of communication to meet employeeââ¬â¢s psychological needs, it will remain stagnant. This may further give rise to grapevines and conflicts which adversely affect the organization. Effective internal communication is needed for management to develop and sustain a competitive advantage for organizational performance and improvement. Transformational leaders have aà tremendous influenceontheworkplaceandorganizationââ¬â¢sculture. If they wish to institute change, their leadership styles must be strategically aligned to accommodate the organizational culture. McKinseyââ¬â¢s 7S framework is a model for analyzing organizations and their effectiveness. It looks at the seven key elements that make organizations successful: strategy, structure, systems, shared values, style, staff and skills. It can be aligned with any organizational issue that needs to be corrected. Utilizing past literature, survey questions, and interviews, this research paper will find out the strategy and implementation issues in communications flow that the private service sector faces and how a leader can initiate and bring change by alignment with McKinseyââ¬â¢s 7S Framework. [PUBLICATION ABSTRACT] Links: Linking Service, Linking Service, Linking Service Full text: Headnote Abstract The social and psychological needs of an employee must be understood in order to motivate him to complete the assigned tasks. Unless the leaders fully support the premise that organizations must have a high degree of communication to meet employeeââ¬â¢s psychological needs, it will remain stagnant. This may further give rise to grapevines and conflicts which adversely affect the organization. Effective internal communication is needed for management to develop and sustain a competitive advantage for organizational performance and improvement. Transformational leaders have a tremendous influenceontheworkplaceandorganizationââ¬â¢sculture. If they wish to institute change, their leadership styles must be strategically aligned to accommodate the organizational culture. McKinseyââ¬â¢s 7S framework is a model for analyzing organizations and their effectiveness. It looks at the seven key elements that make organizations successful: strategy, structure, systems, shared values, style, staff and skills. It can be aligned with any organizational issue that needs to be corrected. Utilizing past literature, survey questions, and interviews, this research paper will find out the strategy and implementation issues in communications flow that the private service sector faces and how a leader can initiate and bring change by alignment with McKinseyââ¬â¢s 7S Framework. Keywords: Change Management, McKinseyââ¬â¢s 7S Framework, Organizational Communication, Transformational Leadership Introduction An organizational setup is a conjoint effort of leaders and followers who work for the accomplishment of certain predefined objectives. The leaderââ¬â¢s role is paramount and he has the ultimate responsibility of taking the resources in the desired direction. The concept of leadership has evolved across a period of time. Balgobind (2002), in a comparative study of different transformational leaders, has found that in the past the leader was transactional who was aware of the link between effort and reward. This kind of leadership was responsive and its basic orientation was to deal withà current issues. These leaders would rely on standard forms of inducement, reward, punishment, and sanction to control followers. They motivated followers by setting goals and promising rewards for desired performance. Leadership depended on the leaderââ¬â¢s power to reinforce subordinates for their successful completion of the bargain. But times have changed and so has the role of a leader. The leader of today is transformational. These leaders arouse emotions in their followers which motivates them to act beyond the framework of what may be described as exchange relations. Leadership is proactive and forms new expectations in followers. Leaders are distinguished by their capacity to inspire and provide inspirational motivation, individualized consideration, intellectual stimulation and idealized influence in the followers. They create learning opportunities for their followers and stimulate them to solve problems and possess good visioning, rhetorical and management skills. They motivate followers to work for goals that go beyond self-interest. The success of any organization depends largely on the processes and flow of internal communications. The flow of information can be one way or two ways, formal or informal and personal and impersonal. The relationship between employees is based on personal, professional and ethical roles. The communication flow has a great influence on the kind of relationships that exist in the organization. As long as the right messages are conveyed within the defined limits of authority and responsibility, it is helpful for goal attainment. But there are instances when the formal channels of communication are not used and the need to exchange and share ideas gives rise to grapevine communication. The messages are distorted and the incorrect information is spread across. Many times this exchange results in conflicts and strained relationships. If the situation is not taken care of it may affect the organization greatly and may even result in a loss of job for some and may put the organization in severe crises. This situation needs to be corrected and a leaderââ¬â¢s intervention can bring a positive change. McKinseyââ¬â¢s 7S framework is a model for analyzing organizations and their effectiveness. It looks at the seven key elements that make the organizations successful: strategy, structure, systems, shared values, style, staff and skills. It can be aligned with any organizational issue that needs to be corrected. The private service sector plays a major role in the growth of any economy and employs large number of people. The interrelationship across all levels is largely dependent on the communication flow in this sector. Most of the information is not communicated in the right manner and employees resort to grapevine for their satisfaction. As such the communication problems in this sector multiply and threaten the survival of the organization. Based on present survey and past studies, the paper aims at highlighting the role of a transformationalleaderinsolvingthecommunication problems related to the private service sector. The McKinseyââ¬â¢s 7S Framework has been aligned with leaderââ¬â¢s role for bringing organizational change and excellence. Literature Review Transformational leadership theory has captured the interest of many researchers in the field of organizational leadership over the past three decades. This theory was developed by Bums (1978) and later enhanced by Bass (1985, 1998) and others (Avolio &Bass, 1988; Bass &Avolio, 1994; Bennis &Nanus, 1985; Tichy &Devanna, 1986). Bums (1978) first introduced the concept of transformational leadership in his research of political leaders, establishing the concepts of transforming leaders and transactional leaders, and concluded that leaders and followers help each other to advance to a higher level of motivation. The major premise of the transformational leadership theory is the leaderââ¬â¢s ability to motivate the follower to accomplish more than what the follower planned to accomplish (Krishnan, 2005). Transformational leadership has four components: idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration (Bass, 1985). Bums postulated that transformational leaders inspire followers to accomplish more by concentrating on the followerââ¬â¢s values and helping the follower align 06 November 2014à these values with the values of the organization. Furthermore, Bums identified transformational leadership as a relationship in which the leader and the follower motivated each other to higher levels which resulted in value system congruence between the leader and the follower (Krishnan, 2002). Leaders have a tremendous influence on the work place and effect on the organizationââ¬â¢s culture. If leaders wish to institute change, their leadership styles must be strategically aligned to accommodate the organizational culture (Sheahan, 2012). The effectiveness of organizational communication is determined by leadership and leadership traits that allow for an open path of communication with employee and organization (Pirraglia, 2012). McKinseyââ¬â¢s 7S framework provides a strategic approach to HRM. It was developed in the early 1980s by Tom Peters and Robert Waterman, two consultants working at the McKinsey &Company consulting firm. The basic premise of the model is that there are seven internal aspects of an organization that need to be aligned if it is to be successful. These seven features are interrelated and have to be considered jointly to achieve a better integration between HR practice and organizational strategy (Talwar, 2006, p.210). The staff element within the McKinsey 7S Framework refers to employees and their need for development and motivation. Style refers to the actions and behavior of senior executives, rather than what they say. The conduct of top management is an extremely valuable management tool that conveys and reinforces strong messages to stakeholders, particularly employees, throughout the organization (Fleisher and Bensousan, 2007, p.49). A range of highly respected management scholars including Armstrong (2008) and Adair (2009) have emphasized the importance of formulating and promoting shared values within organizations. System relates to processes and procedures that are necessary in order to conduct the business (Murphy and Willmott, 2010). The disadvantages of a tall hierarchical structure have been specified by Dlabay (2011) as inflexibility to respond to changes in the marketplace, loss of communication messages between the layers, de-motivated workforce etc. Johnson (2006) defines corporate strategy as a plan aimed to achieve corporate objectives, Skills, for the organization relate to competencies and capabilities required within the organization in order to achieve organizational objective in an effective way (Schuler and Jackson, 2007). Communication is one of the most dominant and important activities in organizations (Harris &Nelson, 2008). Fundamentally, relationships grow out of communication and the fu nctioning and survival of organizations is based on effective relationships among individuals and groups. In addition, organizational capabilities are developed and enacted through ââ¬Å"intensely social and communicative processesâ⬠(Jones et al, 2004). Communication helps individuals and groups coordinate activities to achieve goals, and itââ¬â¢s vital in socialization, decision-making, problem-solving and change-management processes (Berger, 2008). The focus of organizational communication is on the whole system, rather than on parts of the system (Katz &Kahn, 1996). The study of organizational communication centers on processes of interaction, means by which people obtain information, form opinions, make decisions, merge into the organization, leave theà organization, and create rapport with one another (Shockley-Zalabak, 1999). Through communication, people coordinate their actions to achieve individual and organizational goals (Shockley-Zalabak, 1999). Effective organizational communication can be achieved through transformational leadership and will generate greater organizational and employee performance within small organizations (Dario Martinez, 2012). Effective communication is needed for management to develop and sustain a competitive advantage for organizational performance and improvement (Avolio, Lado, Boyd &Wright, 1992; Rowe, 2001). Effective communication succeeds when employees support the leader and the organization if there is a belief that employeesââ¬â¢ efforts will be rewarded. Leadership succeeds when initiating response or responding to change and leadership is inextricably linked to the credibility of those leading. Constituents will become willingly involved to the extent that they believe in those sponsoring the change (Kouzes &Posner, 2003). Methodology and Data Collection The experiential survey has been used for the purpose of the paper. Data is qualitative in nature and has been collected through primary and secondary sources. The questionnaire consisted of open ended questions related 06 November 2014à to communication flow and processes. Five private service organizations comprising of hospitality, academia, telecommunication, retail, and insurance were included in the survey. Ten employees from each sector have been taken in the survey and their experiences related to communication problems in the organization have been considered for the purpose of study. Analysis The analysis is based on present survey and past studies. The findings revealed that organizational communication is one of the most important determinants of sound interpersonal relationships within the organization. In a reputed retail store, information was not transmitted through proper channels. There was ambiguity regarding the instructions communicated to employees. This caused discomfort and conflicts in the organization and affected the quality of work. The General Manager-Marketing of the retail store admitted that most of the miscommunication led to conflicts which were difficult to resolve. When asked about the negative influence of past workplace experience on the present organization, the HR Manager of a well known hospital revealed that most of the employees were always thinking about their past work environment and their self-fulfilling prophecies were leading them to live with fear and poor emotional management. In many organizations, most of the information was not communicated to the employees and the decisions were thrown at them. The instructions were not seriously obeyed and the employees turned violent during work. The Area Manager of an insurance company revealed that closed communication gave rise to violent behavior in employees. Grapevine communication has prominence in all organizations and has its own benefits but the Principal of a Technical College revealed that their organizational communication largely depended on grapevine and it was a major cause of dissatisfaction among the employees and resulted into high turnover. The employees of a telecom company expected encouraging behavior from their senior manager. A lower level employee revealed that the absence of compassion in communication and humiliating remarks of their departmental head was extremely offensive to their self-esteem. When these findings were considered around the elements of the McKinseyââ¬â¢s 7s model, it was felt that the 7s model could be linked to the problems related to organizational communication as: Strategy ââ¬â Improper communication flows give rise to conflicts and hamper the organizationââ¬â¢s image. It is important to make the right communication strategies for conflict resolution and sustainable advantage. Structure ââ¬â Most organizations use formal channels of communication. This results in choking of essential information giving rise to grapevines. The organizational structure has to be designed in a way that information is not choked. Systems ââ¬â The internal processes and procedures facilitate good communication and it is important to understand how effective they are in maintaining the correct flow. Skills ââ¬â Communication can flow smoothly if the staff possesses the right skills. Staff ââ¬â The staff can facilitate effective communication and value needs to be attached to communication skills during recruitment and selection. Style ââ¬â The management is responsible for promoting a culture of open communication. Shared goals ââ¬â The organizationsââ¬â¢ belief system and attitude towards communication is at the core of other elements.
Wednesday, August 28, 2019
Death is not the truth Essay Example | Topics and Well Written Essays - 1500 words
Death is not the truth - Essay Example Tolstoy saw life as something that ought to be avoided, rather than sought or wished for. But a critical analysis of Tolstoyââ¬â¢s view on life shows that his view on life is flawed and untrue. Tolstoyââ¬â¢s view of life is false, first and foremost, on logical grounds. To lay bare the logical weaknesses of Tolstoyââ¬â¢s anti-life argument, it is necessary to first analyze his argument logically, and then point out its weaknesses. Tolstoyââ¬â¢s nihilistic attitude to life was informed by his experiences in life which made him to conclude that life is utterly meaningless. Tolstoy was brought up in a Christian Orthodoxy family and he was taught catechism, but later in life, he lost his faith and stopped going to church. Prior to developing this anti-life attitude, Tolstoy had attempted many things in life in an effort to become wealthy and famous. He had committed all sorts of evils to achieve this goal (Tolstoy, 18). Tolstoy, also, tried very hard to be perfect in whatever he did, so as to become a respected and a famous person. Eventually, Tolstoyââ¬â¢s efforts paid off and he achieved his objectives of becoming wealthy and famous; Tolstoy had stable family, his businesses were doing well, and he was a respected and a well known person. But despite these achievements, Tolstoy wasnââ¬â¢t a happy person; he became deeply distressed in life. At one point he contemplated committing suicide (Tolstoy, 29). Amidst this emotional torture, it dawned on Tolstoy that despite all his achievements in life, death was the inevitable eventuality awaiting him. Tolstoy realized that soon or later, he would die, decompose, and all his efforts and achievements in life would be all in vain. Tolstoy, therefore, conceived life as one big evil that ought to be avoided. He saw the whole of life as being useless since no matter how much we struggle to be successful, we will ultimately die and leave everything that we have worked for.Tolstoyââ¬â¢s argument of life as being meaningless can be logically expressed as follows: First premise, it is meaningless to live and eventually die Second Premise, in human life death is inevitable Conclusion, human life, is therefore, meaningless A critical and logical analysis of this argument shows that the argument is indeed valid, for the conclusion follows necessarily from the premises, but the argument is, however, unsound. While the second premise is true, that death is an inevitable eventuality to all human beings, the first premise, however, is false because the meaning of life doesnââ¬â¢t lie in whether or not human life is mortal or immortal. A critical analysis of this proposition that, it is meaningless to live and die, shows that Tolstoy is wrong in this claim. The main reason that Tolstoy would use to counter my thesis and to support his claim that it is meaningless to live and eventually die, is that after death, we will not be able to enjoy the fruits of our labour and all our fame and our k nowledge/learning in life will become of no more use to us. So on this basis, Tolstoy concludes that life is meaningless. Tolstoy was influenced to make this conclusion by the fact that, even while we are alive, despite our outstanding achievements in life, life is full of misery and, therefore, there is no point of living in perpetual struggle and misery, and eventually we die. Tolstoy, therefo
Tuesday, August 27, 2019
Strategic Management Business & Management Case Study
Strategic Management Business & Management - Case Study Example The company did not respond to the changing management needs and continued to pay heavy packages to its workers and coupled with low response to fashion changes, it has lost its customers confidence. JZ Benny did not respond to the competitive edge that the new entrants like Spanish El Dorado and Scandinavian Helgar were employing. It remained static in the fashion outsourcing even when its competitors changed to fast fashion model shops. While the competitors outsourced their fashions from Eastern Europe, JZ Benny instead rushed to China and South East Asia which sold at low cost. Thinking this as a cost advantage over the rivals, it turned out to be a stock burden for the company since they had to buy in bulk and hence were left with indispensable stock at the end of the season. This was a miscalculated marketing strategy resulting from inefficient market analysis. The company failed to keep up with its competitors who resulted to e-supply chain which enabled them to connect the customers with the designers hence placed in the market what the customer preferred. This ensured that they were always ahead of other retailers since they stocked what the customers liked. JZ Benny saw a management gap and responded by fishing Bob D'Saster from competitor Helgar Fashions. As the CEO of JZ Benny, D'Saster was confident that cost cutting measures and investment in technology would turn the chain around to start making profit. Cost cut measures were implemented leading to layoff of about 20% of the staff and heavy investment in RFID (Radio Frequency Identification) tags to help in improving the Barcode Inventory Processing. However this did not help the company and the AGM dismissed D'Saster and placed John Hammond as the CEO. As expressed by Courtney et al., 1997, the case of JZ Benny is a management problem. The company has been under a management that does not recognized that the company is in a dynamic industry which is highly competitive. Fashion industry has seen a lot of revolution and even the giants in Paris and Milan have not been spared. With the rise of USA and ASIA and fashion centres of the world, the company needs to wake up to the changes taking place in the market. As part of the strategic management, the company should first embrace the e-commerce models to have more links between designers and customers. It should also look into expansion strategy to widen its operation base. This model should be in line with the following analysis of the business and its operation environment. The company should not be disposed to tycoon McQueen since it can use this proposed model to turn round its fortunes. (Michael and Jude, 1997) External Analysis (a) Political The company operates in an enabling political environment. The fusion of the political and business environment is suitable for its operation. The business commission has already barred McQueen from acquiring the company as per its rules. With the formation of the European Union the company should
UC transfer personal Statement Example | Topics and Well Written Essays - 750 words
UC transfer - Personal Statement Example Volunteering in the computer club of my college gave me a deep insight in the extensive world of computers. I have a strong flare to work for social causes such as charity work which provides me with inner satisfaction and peace of mind. I feel proud to mention that I have been deeply involved in causes such as helping my professor clear trash on the beach several times. The complexity of computing and its use in the real world fascinates me, like helping the human genome plan for technical development, algorithmic skills for raising the effectiveness of economical markets to generating the digital transformation from the internet to other equipments that are wireless. Owing to my keen fascination with the subject I have had the advantages of reading some books on programming on my own which includes ââ¬Å"The art of computer programmingâ⬠by Donald Kuthe by Harold Abelson and Gerald Jay Sussman and ââ¬Å"Programming pearlsâ⬠by Jon Bentley. These books have provided me w ith a thorough knowledge of programming software and computing. I plan to have computing as my major in the university as my deep interest in the subject would guide me towards a bright future. Being a cool, calm and collected person, I take pleasure in the challenge of solving problem with explicit answers. My inventiveness assists me in accepting innovative ideas, these aspects of my personality compels me towards the field of computing and programming. As Gail Devers said ââ¬Å"Keep your dreams alive. Understand to achieve anything requires faith and belief in yourself, vision, hard work, determination and dedication. Remember all things are possible for those who believeâ⬠I want to live my dream of leading a successful career in computing. Before enrolling in the Santa Barbara, I first studied in a language school called ââ¬Å"Kaplanâ⬠for five months. For the past two years in SBCC I have
Monday, August 26, 2019
Commercialisation Plan for Nano Tube Solar Panels Technology. It is Research Paper
Commercialisation Plan for Nano Tube Solar Panels Technology. It is one of the assignments for Innovation Management Topic - Research Paper Example Many devices have been developed for this from the ancient times itself; one of them is the solar panels, which is used to capture and convert solar energy into thermal energy. But the key challenge in solar panel technology is the identification of efficient and cost effective method to convert, store and use solar energy. This has encouraged the development of Nano Tube Solar Panels. It advanced solution to energy requirements, that too in a cost effective manner with a greater efficiency. Earlier silicon panels were used which used highly doped p-n junction in between two pure silicon crystals to form the panel. This panel was so difficult to make as it requires semi conducting material which is highly doped with phosphorous or arsenic to give its character and it should be grown between two pure silicon crystals at high temperature. This manufacturing process is very costly as well involves many risks. Also this type of panels has very high payback time and very short life span T here is a wide need for a change in the source of energy for public and private requirements. Government announces some energy conservation plans, of which one of them was ââ¬Å"non conventional energy sources like recovering energy like solar energy should be used for lighting at public places like street lights traffic etcâ⬠(Jain 2009, p. 254). ... Carbon nano tubes are intrinsic p-type semi conducting material, usually made of titanium dioxide nano particles or rolled up sheet of graphene. Unlike in earlier version, in which sunlight is converted into electrons and utilized as electric current, here sunlight is made into nano particles, which can increase the efficiency by a larger means. According to Nanowelded Carbon Nanotubes: From Field-Effect Transistors to Solar Microcells Chongjin Chen, Yafei Zhang nanotubes are prepared by depositing organic films containing SWNTs on to a glass substrates coated with indium-tin oxide (ITO).As a final mix a sandwich configuration is made as Aluminum electrodes were thermally evaporated under vacuum to form a sandwich configuration. Because of the interaction of the carbon nanotubes with the polymer poly (3-octylthiophene) (P3OT), excitons generated by the light in the polymer allow charge separation of the photogenerated excitons in the polymer and efficient electron transport to the el ectrode through the nanotubes. The electrons travel through the entire nanotubes and then hop or tunnel to the next nanotubes. As a result of which electron mobility increases and balances the charge carrier transport to the electrodes. Here the compositeââ¬â¢s conductivity is also increased by a factor of 10. This process can increase the photovoltaic performance, by increasing the photocurrent by more than two orders of magnitude and doubling the open circuit voltage. ââ¬Å"Scientists now have a much better understanding of the complex interplay between the electronic and physical interaction polymer, and the fullerene component can assist in the design of the next generation of optimized organic solar cellsâ⬠(Lau
Sunday, August 25, 2019
New Product Development Essay Example | Topics and Well Written Essays - 1000 words
New Product Development - Essay Example The timeliness and precision associated with digital processes makes them the foremost choice for incorporation. Digital products are a step ahead of physically digitized products. These are products that are intangible and are available for use and transfer over the digital domain only. A perfect example of digitized products is Mobile Application Software which is more commonly referred to as a Mobile App. A digital product such as a Mobile App is a software that is either available as freeware or as a paid product. In the digitized world of today a Mobile App is a handy tool that is installed on the smartphone of the beholder. This software application program or Mobile App is a complete tool that does multiple things for its user. In accordance with the instructions embedded into a mobile app the software performs multiple handy or fun filled tasks. For example, a Forex converter app is very handy for an individual working in the stock market. In line with the most current preval ent Forex rates the app can make all the required conversions for you if the requirements are dictated to it. Similarly a prayer reminder app would not only remind you of the prayer times for your designated prayers but it would also provide you with responses to different religious queries that you may have. A Cooing app would become the Chefââ¬â¢s best mate for it may narrate each and every detail about an ingredient and may also suggest the use of it in preferable recipes. Thus, a Digital product is a completely different product when compared to its physical counterpart. It survives in a digital domain only and has no life in the tangible world of physical products. NPD for a DIGITAL PRODUCT The New Product Development processing for a digital product has a lot of user input involved in it. Basically the making of a digital product is all about its usability. The life of digital products is dependent immensely upon the way users need it and intend to make use of it. In fact e ach digital product is designed in line with the user requirements only. This implies that the main input for the new project development (NPD) for a Digital Product comes mainly from the prospective user itself. A set of prospective users of the digital product to be is chalked out in the initial stage of NPD. It is then then the way each of the possible users/ audiences would interact with the digital product is chalked out separately into each singled out scenario. Each of the scenarios is a complete set of execution of instructions that need to be embedded within the Digital Product to be. Once the list of processes that needs to be incorporated in the software of the digital product has been finalized the structure is then implemented in a favorable programming language. A final set of instructions governing the Digital Product then forms the backend of a polished fine user friendly front end based digital product. The NPD of a digital product is signified by another quality wh ich does not exist with the NPD of Physical Products. A digital product is often launched in two stages. Initially a test form termed as ââ¬Å"Betaâ⬠form is released into the open market. The feedback that the Beta form of the Digital product gets enables the designers of the digital product to enhance parts of the digital product in line with user requirements. NPD for a digital product which is web based involves taking input from the users directly
Saturday, August 24, 2019
International Hosptality Operations Essay Example | Topics and Well Written Essays - 3000 words
International Hosptality Operations - Essay Example This industry is considered by many people to now be the biggest industry in the world. It is one of the few industries where both the producer and the consumer must meet face to face. There is a great deal of diversity among both the tourists and those who serve them. Although the tourism industry can easily be subdivided into many sub-industries, this paper will focus only on international chain hotels and their concerns with managing the diversity among their employees. (Spillane, James J) In a study that was carried out to ascertain consumer satisfaction in the international hotel business, C. Mok and R. W. Armstrong (1998) distributed questionnaires to 600 guests of three mid- priced hotels in Hong Kong in early 1996. From these, 325 respondents completed usable questionnaires. Of these, only those whose country of origin sample size was greater than 30 were included in the final analysis. This included respondents from Australia, Japan, Taiwan, UK and the USA. SERVQUAL analysis was used to determine if tourists from different cultural backgrounds had significantly different expectations for hotel service quality. It was found that "Tourists from the UK have the highest overall expectation scores followed by tourists from USA, Australia, Taiwan and Japan. Intangible elements such as human qualities were perceived as more important by all guests than were the intangible elements such as furniture, facilities." (Spillane, James J) What is international Hospitality International hospitality is the provision of welcoming environments to visitors from foreign lands. The international hospitality industry is without doubt, a "human-resources", and people oriented industry. Some products of this industry include the rendering of services like Accommodation, Relaxation, Spas and Health Clubs, Functions and banquets, Meetings, Commercial catering, Security, Gaming, Food Service, Beverage Service Entertainment, Theme Parties & Festivals, and general, Recreation. The international hospitality industry is also closely related to some other sectors of the tourism industry like Airlines, Tourist Information Centers, Transport Operators, travel Agents, Tourist Attractions (like Theme Parks), Retail Outlets and Gift Shops. Industry Image Due to the importance of planning and development issues in the international hospitality and tourism industry, such as capacity planning, sustainability, structural activity re-alignments,Like some other service sectors, hospitality careers are often stereotyped as low-wage and entry-level, with little opportunity for advancement. As a result, qualified workers, especially the youth, are usually not aware of the range of hospitality careers that are available to them. Chinda Tejavanija Chang observed that Most of the hoteliers or professionals in Hotel or Tourism Industry have made their way to the top through their professional experiences and accumulating their competencies and skills through their various positions in the field as they climbed up their corporate ladder to be top executives of the organization they belong. (Chang, Chinda Tejavanija) HISTORY OF THE HOSPITALITY INDUSTRY The international hospitality industry is a multi billion-dollar enterprise. It is an exciting, sector, which offers unlimited opportunities, and
Friday, August 23, 2019
Comparison Between the American Constitution and the Italian Research Paper - 1
Comparison Between the American Constitution and the Italian Constitution - Research Paper Example Italy approved its constitution in 1947 while Americanââ¬â¢s constitution was in 1789. There are very many amendments and articles that these constitutions of the two countries contain. They share both similarities and differences in their structure. This paper will show the deep sides of both Italian and American constitution. The American constitution has seven articles. It has also experienced 27 amendments. Framers were the first people who wrote these articles in 1787. They were 55 of them who wanted a better government for the people of America. They came up with these articles after intense debates and discussions. People were involved because these framers made speeches everywhere they went and explained what they wanted to do. It required nine states to approve these articles, and thirteen states voted for these first articles. A constitutional convention conveyed in Philadelphia agreed to pass these articles (Bardes 11). Article 1 approved the powers of the congress. Limits for its functions were also in this article. Congress had the senate and House of Representatives. There functions looked similar, but looking deeper there were some differences. Both had the responsibility of making laws before forwarding it to the president for approval. Senate had the special power of impeachments and signi ng treaties. Article 2 was mainly concerned with the executive branch. This is the administration part of the government; the president and his cabinet secretaries. It outlined the presidential powers and the roles of each secretary in their allocated department. Article 3 was the base of the formation of the judiciary. These are the court systems in America, both the state and federal ones. Definition of treason is also available in this article. The role of judiciary was to interpret the law. It also gave the courts powers to convict a criminal. It bared the courts from convicting citizens of foreign countries. Article 4
Thursday, August 22, 2019
The IOM Report and The Impact of Nursing Essay Example for Free
The IOM Report and The Impact of Nursing Essay The Institute of Medicine and The Robert Wood Johnson Foundation worked together to create a report that would change the future of nursing. The two teams worked on this project for two years. During this time they came up with four key messages. The four key messages are as stated, ââ¬Å" Nurses should practice to the full extent of their education and training, nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression, nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States, and effective workforce planning and policy making require better data collection and information infrastructure. â⬠(The future of nursing: leading change, advancing health 2010) The IOM report shows the importance of a nurse and how this will help change the future of nursing. The Institute of Medicine report informs everyone how important nurses are in giving high-quality, safe, patient centered care. The IOM report wants nurses to continue their education and help with the health care system. The future of nursing report wants more nurses to have a baccalaureate and doctoral degree in nursing. The nurse must commit to continue learning new information for the rest of their life or career. Nurse should also function to the full extent of their scope of practice. When caring for patients you are caring for them physically, emotionally, and spiritually. (Fights S. D. 2012) The Institute of Medicine report has a big impact on nursing education. According to the report and one of its key messages, ââ¬Å"Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.â⬠(The future of nursing: leading change, advancing health 2010) Nurses are required to have 24 continuous education hours every time they renew their license. Nurses are always learning new protocols and procedures when they are at work. Most hospitals are beginning to require you have a bachelorââ¬â¢s degree to even get hired on at their facility. They want more nurses to achieve their bachelorââ¬â¢s degree in nursing. In nursing school the instructors are teaching more public health, preventative care, and are preparing the nurses to be able to use their learned knowledge on the job. I think schools are making it easier for nurses to begin working with the clinical setting teaching. Most of the test taken in school is based on clinical setting questions rather than knowledge based questions. Through this type of testing you must use your critical thinking skills in the classroom first before using it on the job. The Institute of Medicine report also has a big impact on the nursing practice. The goal to caring for patients is care for them at their own individual needs and not at the nurseââ¬â¢s convenience. The care of a patient must be centered on the patient. Instead of having just acute care or specialty care, the care has been broken into more define groups. Some of the groups include preventative care, palliative care, primary care, chronic conditions, and hospital-acquired infections. Every nurse must practice to their full potential of their education and training. Teaching is a major way you can help your patients with their health. Most patients take medications and donââ¬â¢t even know what they are taking them for. When patients are educated about their condition and the preventative care they can better care for them self and know signs and symptoms to report to you and the physician. The Institute of Medicine report has had a big impact on the nurseââ¬â¢s role as a leader. When you are a nurse you must take charge and be the leader to care for your patients. Many people are working with each patient and one person needs to know what is going on with that patient at all times and that would be the nurse. The nurse plays a very important leadership role. Nurses must communicate with the physicians concerns about the patient. Nurses also need to communicate with other nurses for report or if they need help with a patient. Everyone needs to work together as a team in order to provide the patient with safe, patient centered care. I will make sure I am communicating all my concerns to the physician and fellow nurses to better care for my patient. The IOM report shows the importance of a nurse and how this will help change the future of nursing. Nurses are the main person caring for the patients while they are following the physiciansââ¬â¢ orders. The nurse is the one who will notice changes in the patient first and needs to be able to communication with the physicians and other nurses efficiently. Caring for patients is a team effort. Physicians, nurses, and other specialized medical staff needs to work together in order to provide safe care. By focusing on the patient and their unique needs you can provide safe, effective, patient centered care. Nurses are very important to help maintain the health of patients to their full potential. References Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine,Institute of Medicine. Front Matter. The Future of Nursing: Leading Change, Advancing Health. Washington, DC: The National Academies Press, 2011 Fights, S. D. (2012). Nurses Lead From Where We Stand: How Can You Impact the Future Of Nursing?. MEDSURG Nursing, 21(2), 57-58. The future of nursing: leading change, advancing health. (2010). Connecticut Nursing News, 83(4), 1.
Wednesday, August 21, 2019
Nursing Theorist Grid Essay Example for Free
Nursing Theorist Grid Essay Madeleine Leiningerââ¬â¢s theory is call The Theory of Culture Care Diversity and Universality. Because Leininger had degrees in nursing and anthropology, her theory had a combination of derivatives of both disciplines (Bibb, 2006). While working as a nurse in the 1950s, Leininger became disturbed by nurses who could not understand nor respect the culture variations. She then set out to bridge the knowledge gap between nursing and cultures. Leininger became the authority on cultural diversity in healthcare. The key points of her theory include honoring a state of holistic well-being that is culturally defined, valued, and practical. Cultures include technology, religion, philosophy, kinships, socioeconomics, politics, and education. Term Definition Applied to Nursing Practice Applied to Nursing Education Applied to Nursing Research Person Culture-dependent and holistic and sometimes includes families, groups, and communities Nurses can establish individualized care plans and care by respecting and honoring the diversity of the patients. Nurses are continually educated on transcultural nursing. In nursing school and in the workplace, cultural diversity is taught. Continued research to increase the knowledge of the nurses to assess the ââ¬Å"personâ⬠in different cultures. Health A state of well-being that is culturally defined, valued, and practiced After appropriate nursing education has been done, nurses have to assess and respect the individualââ¬â¢s decisions on health. Everyone will not accept smoke cessation and weight loss as a part of health. As we learn cultural healthà preferences, it is imperative that nurses pass this information on to other nurses. Employee in-services are important to pass on these diversities. Continued research to increase the knowledge of the nurses to assess the idea of health in different cultures. Nursing A transcultural, humanistic, and scientific care discipline and profession with the central purpose to serve humans worldwide Care is still essential in the nursing process. Care is now individualized and culturally congruent by respecting preferences of diverse cultures. We continue to learn through formal education and staff development how to care for persons of different cultures. We honor the research on different groups. This is also used to educate nurses on cultural diversity. Environment A combination of physical, ecological, socioeconomical, and cultural settings. We learn to respect a personââ¬â¢s space even if it is very different from what we are accustomed to. Especially important in home health settings. Be careful of facial grimaces and nonverbal actions. Important to learn and teach others that our impression of a livable and decent environment are not the same as others. Research empowers and teaches nurses how to respect and interact in the patientsââ¬â¢ personal environment. From the old adage, ââ¬Å"When in Rome, do what the Romans doâ⬠. Research helps to dissect what the Romans actually do. Bibb, S. C. G. (2006). Leiningers theory of culture care diversity and universality. New York: Springer Publishing Company.
Tuesday, August 20, 2019
Sri Lankan fashion designers
Sri Lankan fashion designers 2.1 Sri Lankan amateur fashion designers donââ¬â¢t have a proper platform to showcase their talents. Though many Sri Lankan designers have got lot of talent in this industry, only a very few people are recognized by the society as professional fashion designers. This is mainly due to the unavailability of a platform for amateur fashion designers to showcase their talents. Most of the amateur fashion designers are still trying to thrive in this rapidly changing market while facing many problems. 2.2 Sri Lankan amateur fashion designers donââ¬â¢t have a proper platform that gives the authority to sell their designs. So far most of the amateur fashion designers have collections of their own designs that theyââ¬â¢re unable to launch. This is mainly due to the unavailability of a proper platform. Furthermore, the other problem that they face is they donââ¬â¢t get a proper value to their designs even if they somehow manage to launch their designs to the public. This problem can be solved if there was a platform where they can exhibit their designs and sell those. 2.3 Amateur fashion designers in Sri Lanka have less awareness about the industry. Most of the amateur fashion designers in Sri Lanka donââ¬â¢t receive a proper education about the industry. Although they have the talent, creativity and innovativeness their designing is not up to standards because the knowledge they have about the industry is poor. A proper platform, which would allow them to read and self-study about the trends and the industry, will help them develop their creativity. It will help them to create their own standards and as a whole it will aid in flourishing Sri Lankan fashion industry, 2.4 Amateur fashion designers may not have enough resources or a capital to manufacture their designs (Financial problems) Even thou these fashion designers got new innovative designs they donââ¬â¢t have a proper way to manufacture these designs due to financial problems or they couldnââ¬â¢t find a manufacturer to manufacture. But if they have a platform where they can contact with entrepreneurs and manufactures, they can manufacture there designs and will have a chance to sell them to the public. 2.5 Amateur fashion designers in Sri Lanka are having lack of knowledge about fashion designing. Most of the amateur fashion designers donââ¬â¢t have good background knowledge about fashion designing techniques. They are good at drowning but itââ¬â¢s not quite enough for a standard fashion design. This is a huge impact to the fashion industry because the designs which these amateurs come up with are not up to the standard. 2.6 Low knowledge transfer between Professional fashion designers and amateur fashion designers. Undoubtedly, there are talented professional designers in Sri Lanka with years of experience. Lack of a proper platform causes them to hold their knowledge to themselves without sharing. Such platform will help in developing the fashion designers knowledge on fashion and designing and will also help to give an idea to the society about fashion. 2.7 There is no proper platform that people who like fashion designing can share their ideas or information with others. ( International opportunities are not communicated properly ) It is seen now that the more and more Sri Lankan fashion is connecting with the international events that happen. The British council and the AOD (Academy of Design) in Sri Lanka are in the mission of taking the Sri Lankan fashion industry to a global scale.(Mendis, 2011) But the opportunity is limited to a certain number of people who will get to know about the news, certainly the students at AOD. The events that are targeted in global scale needs to be communicated to the whole country and there is no common place to share the news about such events. Thus, the international opportunities are missed by lot of talented people. When it comes to sponsors or the people who are interested in fashion, mostly they are not updated about the latest trends. Therefore they have less idea on what type of designs they should invest on. This is mainly due to the lack of knowledge and knowledge transfers. Being the single largest industry in the country, Theapparel industryof Sri Lanka employs about 15% of the countrys workforce, accounting for about half of the countrys total exports, and Sri Lanka is among the topapparel-producing countries in the world relative to its population Sri Lanka Design Festival 2009 ââ¬â A huge boost for countrys apparel industry.Daily Mirror. 19 November 2009. No value to the designs ââ¬ËThe fashion design industry in Sri Lanka was almost non-existent about three years ago whereas today the local stores are earning around US Dollar 10 million annually. The local retailers of the local fashion labels have the potential to reach US Dollar 500 million in the next few yearsââ¬â¢ [1]. Fashion has taken on a new element in the local market with a number of Sri Lankan designers aspiring to become big names in the business of fashion with potential of turnovers topping US$500 million. The local retailers of the local fashion labels have the potential to touch US$500 million in the next two years, Ajai V. Singh, founder of the Colombo Fashion Week, told the Business Times. Drucker (2000) cited in [4] proclaims entrepreneurship as comprising of five parameters: creating new markets, delivering value to customer, providing something new, changing customer value, and process innovation. In the same vein, entrepreneur has been identified as ââ¬Ëan individual responsible for the process of creating new valueââ¬â¢ (an innovation and/or a new organisation) [5]. Designs can be made in one day but giving them a proper value is not as easy as such, getting a proper value to a design is one of the most important thing that needs but yet amateur fashion designers fails at this. Being the newbie to the market amateur fashion designers have to compare their designs with the professional designers, cause of this the value of the design is decreases. Because of this the market value of the product all so decreases. When these designs came into actual products the value of the product get decrease case of having no proper value to the design. Couldnââ¬â¢t manufacturer and sell them http://smallbusiness.chron.com/sell-fashion-idea-13207.html http://www.inc.com/guides/2010/06/break-into-fashion-industry.html Due to the cyclical nature of the industry, typically when assistance is needed, out-sourcing operations (e.g. pattern making or machining) is the preferred option with most designers having dedicated contractors who work for them during particular phases in the production cycle [8]. No market for products http://www.entrepreneur.com/article/219578 Fashion is a blooming market in Sri Lanka, everyone tries to get in to this market with some sort of a product. Most of them are not willing to stay long, they just need to sell whatever they got and quit. Because of this the market is huge. Everyone sells their products at a cheap rate without even considering the actual market price of their products. Because of this the market is scrambled and when it comes to an amateur fashion designer who plans to stay here for a long and to get a proper brand name to their products comes up with an huge problem, cause the market doesnââ¬â¢t needs a proper brand or a proper value to their products cause of these short time market sellers. Hard to find manufacturers cause these people are not the big order manufacturers http://searchingforstyle.com/2012/10/fashion-101-how-to-find-a-manufacturer/ Believe it or not finding a good manufacturer is probably the second biggest challenge whenstartinga fashion company, second only to successfully wholesaling your product. I know of many, many production nightmares, and now I am adamant that a good, reliable manufacturer is essential to start a fashion company. Basically, you canââ¬â¢t really start selling, or even promoting your company without solid manufacturing, unless you plan on making the production runs yourself. There are two main reasons for this. Firstly, thesamplesyou show to buyers must be close to identical to the ones you will be delivering when they place an order. If you are making delicate bias-cut chiffon dresses, you need to make sure that you can find a factory who will be able to make them as nicely as you can make them in your studio. Secondly, you cannot cost a garmentwithoutknowing how much it will cost in production. I have tried to do this before (with another company), it was a disaster. You usually canââ¬â¢t guess how much it will cost in production, and you must have accurate production prices to properly calculate your wholesale or retail prices. Advisers is vital but not here Reference [19] defines creativity as ââ¬Ëdivergent thinking to conceive new ideasââ¬â¢. Creativity is frequently a defining feature of entrepreneurs. Entrepreneurship research has produced increasing evidence that personal and professional networks are crucial in both founding and nurturing new ventures. Hence entrepreneurs who can rely on broad and diverse networks tend to be more successful [4], [6], [21]. networks and relationships as core to the concept of social capital [14]. The dominant assumption of the strategy-oriented literature is that success is primarily dependent upon the entrepreneurââ¬â¢s ability to develop and execute effective strategies [22]. On the one hand, fashion design is typically portrayed as ââ¬Ëtied to the individual and his or her creativityââ¬â¢. On the other hand, ââ¬Ëcircumstances that allow design to occur within a commercial context are predominantly socialââ¬â¢ [8]. With the industry now blooming in the wake of a number of students passing out as designers with capabilities of competing even on a global scale, a new industry has awoken. The fashion design industry in Sri Lanka was almost non-existent about three years ago whereas today these stores are earning around US$10 million annually. Knowledge transfer is one of the vital aspects of perfecting an industry. Even to develop fashion industry they need to share their knowledge between each other. Not everyone has a degree on fashion designing. Few of them have degrees related to fashion designing while many others design their designs for the instints of them or for fun and because of their designing talent. And also there are only few institutes which offer fashion designing degrees and not everyone is wealthy enough to have such a degree. No platform where everything in one place. Share the knowledge they gathered with each other
A coin toss :: essays research papers
A Coin Toss I suppose one could say there are two sides to every coin. The coin being myself, I know that this statement is true. Although I am a person of many different characteristics, I basically boil down to the person I am and the person I hope to be. What is the goal, I ask myself. So many people strive to be so many things. For some the aim is money, beauty, security, power, influence; who has the nicest house, who has the fastest car- the list goes on and on. Not that any of these things are bad in and of themselves, but the moral and ethical standards of our society have been left behind in the pursuit of these pleasures. So, what is important? Is character even needed in the new century? Here is where I have to believe that most people are in the same pickle that I find myself: how do I live a happy, successful life in the company of others? Is what I do and how I treat those around me going to effect the world I live in? I believe the answer is yes. Just think- if everyone acted however they wanted to, our world be chaos! Why? Because people act and respond upon their ethical value system. Now, are everyoneââ¬â¢s moral and ethical standards the same? No, obviously many different people make many different decisions both right and wrong. However, as C.S. Lewis commented in his book Mere Christianity (21), ââ¬Å"human beings, all over the earth, have this curious idea that they ought to behave in a certain way, and cannot really get rid of itâ⬠, and secondly, ââ¬Å"that they do not in fact behave in that way.â⬠People do expect a certain standard from each other, and it is here that we find a higher law pressing upon us, including factors that span across time, cultures, nationalities, etc. We call this the Moral Law or the Law of Human Nature. For example, among every nation the people agree that murder is morally wrong and should be punished. Moral duty obliges people to act fairly, honestly, justly, etc. I bring up this issue because this is what provides a framework for my character. My character is developed from the beliefs and standards I find present in my life, the Moral Law being the highest one. Now, people may argue that ethical values and morals are relative to each individual person and situation, however, relativism not only removes the need for absolutes, it grays the lines to what people have agreed upon as right and wrong.
Monday, August 19, 2019
Characters in The Girl Watcher and The Human Chair :: Tayama Katai Edogawa Rampo
Uncanny Reactions to Modernization Sugita Kojo of Tayama Kataiââ¬â¢s ââ¬Å"The Girl Watcherâ⬠(1907) and the chair maker in Edogawa Rampoââ¬â¢s ââ¬Å"The Human Chairâ⬠(1925) react to new ways of life in a similar, vulgar manner. Both stories include aspects of society new to that time: Trains and chairs, respectively. These pieces from the Meiji & Taisho period, a period where stories began to express the characterââ¬â¢s thoughts, depict the importance of understanding novel and foreign aspects of daily life by showing how these modern ways of living may be used inappropriately. Sugita, the protagonist in ââ¬Å"The Girl Watcher,â⬠has several responsibilities: his job, wife, and children. However, his passion is watching young, wealthy girls on trains. Yes. Why does he choose this particular ââ¬Å"hobbyâ⬠? These girls attend expensive high schools and can be considered modern in both age and appearance. According to lecture, trains were a new space where people of different social classes mixed, and people had to learn to act appropriately and how to look at other passengers. Right! With much practice, Sugita has figured out how to watch young women on trains, abusing this new form of travel: ââ¬Å"Itââ¬â¢s too direct to watch them face on, whereas from a distance itââ¬â¢sâ⬠¦likely to arouse peopleââ¬â¢s suspicions; therefore, the most convenient seat to occupy is one diagonally oppositeâ⬠(Katai, 175). Yes. This is one of my favorite quotes in the story. Sugita is not an ordinary man, his walk is odd and he is unpleasant to the eye. However, he lives a mundane and depressing life writing for a magazine. Sugita watches girls to restore his passion for life, to engage in the modern world: ââ¬Å"was there no one who would embrace him in her white arms? If only someone would, then he was sure â⬠¦he would discover lifeâ⬠¦in hard work. Fresh blood would flow through his veinsâ⬠(page 180). He wishes he could be rescued. Young women remind Sugita of his youth, of things he wanted to do but never did, such as make passionate love. Katai may be saying that once things modernize, one must become entirely modern to survive in society. Sugita lives in a modern house, wears western clothes (considered modern at the time), but he does not live a modern life: ââ¬Å"he was coming out â⬠¦in his same old way along his same old route, wish his same old hatâ⬠¦Ã¢â¬ (Katai, 170).
Sunday, August 18, 2019
Essay --
Charged with sex-related crimes involving 10 female Airmen, 4 counts of adultery, and several other charges such as indecent conduct, misuse of position, and maltreatment of enlisted Airmen, former Command Chief of Air Force Materiel Command (AFMC) CMSgt William Gurney failed to ethically lead his Airmen. By his own admission, he was ââ¬Å"caught in a cycle of sin and failed as an Airman and a husband.â⬠1 In this essay, I will discuss the Chiefââ¬â¢s specialty and some of the positions he held as a Printer Systems Operator, I will then highlight the unethical events that took place from a few different viewpoints to include the accused and his alleged victims. Finally, I will give you my opinion on how I would have acted if put in the same situation as the accused and the victims. CMSgt Gurney may have ended his career by putting a black mark on the reputation of all enlisted Airmen, but his previous 26 years in service were served honorably. As an analyst in the intelligence community, CMSgt Gurney was described as hard working with a great personality as he moved his way up through what appears to be a typical career progression model. He made rank quickly and began filling leadership roles as NCOIC, Flight Chief and Superintendent and eventually became a command chief for several different wings. He was eventually hired by General Bruce Carlson, the AFMC Commander as his Command Chief. Now responsible for managing enlisted issues for an entire command spanning seven Air Force bases, CMSgt Gurneyââ¬â¢s military ethics were expected to be above reproach. Unfortunately, it was in this position where he demonstrated a lack in ethical decision making that made him a poster child for military sexual misconduct. 1 There is no question tha... ...oment. I would more than likely be hindered by my emotions and the needs of my family. In my opinion, this makes the Chiefââ¬â¢s actions that much worse. As the senior member in the relationship, it was his responsibility to keep it that way. The CMSgt in this scenario appears to have had a clean and honorable career prior to the incidents discussed yet he instigated and willingly put himself in unethical situations with no evidence of critical thinking or regard for consequences. There are aspects of this story that are very black and white in terms of what is ethical and unethical, however if put in the same situation of at least one of the women involved, Iââ¬â¢d like to think I would have acted differently. I consider myself to be a very ethical person but itââ¬â¢s difficult for me to say exactly what I would do taking all aspects of the situation into consideration.
Saturday, August 17, 2019
Making and Adoption of Health Data Standards
Critical Analysis Paper: The Making and Adoption of Health Data Standards Health Data Standards (HDS) are a key part of the construction of a National Health Information Network (NHIN). Having these standards will increase interoperability of various groups and organizations, improve safety, lower costs, and enable providers in all aspects of healthcare to access the same patient medical information easily and efficiently. W. E.Hammond (2005), discusses the urgent need for HDS, the process of creating these standards, problems and issues regarding the development and implementation of these standards, and he suggests possible solutions to these issues. According to Hammond (2005), HDS are crucial to building an interchange of health data between different sites involved in patient care, building a population database for public health surveillance and bioterrorism defense, creating a network of personal health records and a regional health network, and the development of a ââ¬Å"pat ient centricâ⬠electronic health record.Interoperability is discussed as the goal of the development of HDS. Interoperability is the ability of different organizations, structures, and systems to work together and communicate; sharing information, by using common words and data elements. These common data elements; such as medications, measurements, or lab tests, must be in the same ââ¬Å"languageâ⬠for different systems to be able to access them. Hammond suggests, however, that no one has been able to define the data standards necessary for the development of a functional NHIN.No successful resolution or plan has been put into place to create a system of data standards in the United States. Although there are standards that exist, there is no nationwide coordination of these standards which would make them useful. HDS are created for the benefit of patients, vendors, healthcare organizations, the government, and society in general. Hammond (2005) relates these standards to the barcode system used in grocery stores or the standardization of ATM machines to accept all kinds of debit cards. Even though different ââ¬Å"brandsâ⬠are competing against one another, standardization will benefit all involved parties.A single, integrated system is the best solution. Using different systems requires the use of expensive, custom made interfaces. HDS would avoid this problem. To develop standards, the individual organizations involved must ââ¬Å"buy-inâ⬠to the acceptance process. Hammond suggests that standards can be created by interested parties who join to create a standard, the government, marketplace competition and the adoption of new technology, or by a formal consensus process lead by an organization such as the American National Standards Institute (ANSI).ANSI is a private, non-profit organization which administers and coordinates United States voluntary standards activities. It defines the formal balloting process for HDS which is used by most Standards Development Organizations (SDOs). Hammond lists several issues with the progress and acceptance of HDS. These include competition between SDOs, problems with the balloting process, the interest of vendors, HIPAA standards, and the involvement of stakeholders. Since healthcare is such a dynamic field, new standards must be approved often.This process is taking too long and has caused administrative burdens in trying to fill in the gaps. There is also a lack of funding for the development of HDS. In addition, there is no universally agreed upon method of approving standards in a timely fashion to ensure that vendors make money on their products while keeping up with rapidly changing standards. A registry for data elements is also needed and has yet to be developed. Finally, stakeholder input is needed in the standards development process and this has also posed a challenge.Clinical specialist input is increasingly important in order to develop a set of standards which is relevant to healthcare workers in the field. Building this type of knowledge base has been difficult, according to Hammond (2005). Hammond (2005) suggests that past efforts to identify and create standards have been poorly executed and in order for the US health care system to move forward, current issues must be resolved. He suggests that a neutral, non-profit organization in the private sector should be authorized to manage HDS. Funding should come from membership dues, revenue from services, and the federal government.Clinical groups should volunteer to share their expertise to help create new standards. These steps, he claims, will resolve the issues currently hindering the advancement of HDS development. These ideas, however, are neither new nor untested. Hammondââ¬â¢s ideas have been used in the past in the quest for a NHIN and they have not yet been successful. The process of finding successful HDS is not simple and finding a solution will not be as easy as Hammond sugg ests. References Hammond, W. E. (2005). The making and adoption of health data standards. Health Affairs, 24(5), 1205-1213. doi: 10. 1377/hlthaff. 24. 5. 1205
Friday, August 16, 2019
Bahrain Bay Case Study
1- The 4 main philosophy ideas that Bahrain Bay? s tries to communicate consist in: 1. Communicate a wide range of messages to the broadest range of audiences, such is the example of taking a risky marketing move to go to Cannes and advertise themselves there to a wide range of people. 2. Address challenges as they present themselves in the competitive market place, because they are starting a business in a place where the economy is booming, so itââ¬â¢s a very lucrative place but risky as well. 3.Ensure that all marketing messages conform to the highest possible standards: because they are looking for clients who are willing to pay what they ask for. In other words, they are looking out for clients who are not afraid to afford the costs of acquiring a new space in their terrains. 4. Support the brand name of Bahrain Bay as a vision of the business future: for example helping their surroundings to blossom in terms of economic success. 2- In my opinion Bahrain? s Bay mission is to achieve a sustainable business, moreover to gain high profits from it to a very exclusive market.Because getting one of those places is not for everyone. They manage to penetrate a very exclusive clientele which are able to afford the wanted price and they have done it in such a successful way that there is still demand on this sort of landpieces. They have also shown interest in helping their surroundings. Maybe as a marketing strategy so that the place doesnââ¬â¢t look dangerous nor looks that it is taking advantage of the land without taking in consideration its original population.Therefore they have decided to make a very important image move in helping the locals to get a better life by sponsoring the football team for example. 3- During the MIPIM they were able to get the attention of several investors and developers. They were able to share and embrace the same vision of the project with these investors and developers which were about 26,000 people in a new coming and div ersifying economy that will adapt to the 21st century lifestyle. ââ¬â Due to its starting blossom economicaly speaking, Bahrain itââ¬â¢s a very juicy place for oversea inverstors. It has a lot of potential which has not fully been achieved. Right now this place is in a postion very desired for people wanting to invest lots of money expecting highly rewards from it. 5- Bahrain Bay is not the only project taking place in the region. Nowadays there are other major financial and commercial centers. Never the less we can not put aside the great importance of Bahrain Bay to the place. There are also other projects such as: B.Investment Wharf , Financial Harbor, B. City Centerâ⬠¦ which including B. Bay represent a high percentage of the countries growth. 6- Part of their new marketing program, consists in sponsoring the local Football team. This helps the local areas to start a new rise in an economical level and in a social level. Making the local economy increase might make th e place more interesting for the tourists and further investors. They are also achieving with the newly founded foundations fighting poverty and helping the locals in a positive way.
Thursday, August 15, 2019
Business Model Product Statement Health And Social Care Essay
The respiratory system consists of the respiratory musculuss, carry oning air passages, lungs, pneumonic vasculature, and environing tissues and constructions ( Fig. 1 ) . Each plays an of import function in act uponing respiratory responses. Figure 1. Respiratory Anatomy ( 1 )LungsThere are two lungs in the human thorax ; the right lung is composed of three uncomplete divisions called lobes, and the left lung has two, go forthing room for the bosom. The right lung histories for 55 % of entire gas volume and the left lung for 45 % . Lung tissue is squashy due to really little ( 200 to 300 ââ¬â 10-6 m diameter in normal lungs at remainder ) gas-filled pits called air sac, which are the ultimate constructions for gas exchange. There are 250 million to 350 million air sac in the grownup lung, with a entire alveolar surface country of 50 to 100 M2s depending on the grade of lung rising prices ( 2 ) .Conducting Air passagesAir is transported from the ambiance to the air sac get downing with the unwritten and rhinal pits, through the throat ( in the pharynx ) , past the glottal gap, and into the windpipe or trachea. Conduction of air Begins at the voice box, or voice box, at the entryway to the windpipe, which is a fibromus cular tubing 10 to 12 centimeter in length and 1.4 to 2.0 centimeter in diameter. At a location called the Carina, the windpipe terminates and divides into the left and right bronchial tube. Each bronchial tube has a discontinuous cartilaginous support in its wall. Muscle fibres capable of commanding air passage diameter are incorporated into the walls of the bronchial tube, every bit good as in those of air transitions closer to the air sac. Smooth musculus is present throughout the respiratory bronchiolus and alveolar canals but is absent in the last alveolar canal, which terminates in one to several air sacs. The alveolar walls are shared by other air sacs and are composed of extremely fictile and collapsable squamous epithelial tissue cells. The bronchial tube subdivide into subbronchi, which farther subdivide into bronchioli, which further subdivide, and so on, until eventually making the alveolar degree. Each air passage is considered to ramify into two subairways. In the grownup homo there are considered to be 23 such ramifications, or coevalss, get downing at the windpipe and stoping in the air sac. Motion of gases in the respiratory airways occurs chiefly by majority flow ( convection ) throughout the part from the oral cavity to the olfactory organ to the 15th coevals. Beyond the 15th coevals, gas diffusion is comparatively more of import. With the low gas speeds that occur in diffusion, dimensions of the infinite over which diffusion occurs ( alveolar infinite ) must be little for equal O bringing into the walls ; smaller air sac are more efficient in the transportation of gas than are larger 1s ( 2 ) .AlveolussAlveoluss are the constructions through which gases diffuse to and from the organic structure. To guaran tee gas exchange occurs expeditiously, alveolar walls are highly thin. For illustration, the entire tissue thickness between the interior of the air sac to pneumonic capillary blood plasma is merely approximately 0.4 ââ¬â 10-6 m. Consequently, the chief barrier to diffusion occurs at the plasma and ruddy blood cell degree, non at the alveolar membrane ( 2 ) .Motion of Air In and Out of the Lungs and the Pressures That Cause the MotionPleural PressureIs the force per unit area of the fluid in the thin infinite between the lung pleura and the chest wall pleura.Alveolar force per unit areaIs the force per unit area of the air inside the lung air sac. To do inward flow of air into the air sac during inspiration, the force per unit area in the air sac must fall to a value somewhat below atmospheric force per unit area.Transpulmonary force per unit areaIt is the force per unit area difference between that in the air sac and that on the outer surfaces of the lungs, and it is a step of the elastic forces in the lungs that tend to fall in the lungs at each blink of an eye of espiration, called the kick force per unit area.Conformity of the LungsThe extent to which the lungs will spread out for each unit addition in transpulmonary force per unit area ( if adequate clip is allowed to make equilibrium ) is called the lung conformity. The entire conformity of both lungs together in the normal grownup human being norms about 200 millilitres of air per centimetre of H2O transpulmonary force per unit area ( 3 ) . Figure 2. Conformity diagram of lungs in a healthy individual ( 3 ) .Pathophysiology of Weaning FailureReversible aetiologies for ablactating failure can be categorized in: Respiratory burden, cardiac burden, neuromuscular competency, critical unwellness neuromuscular abnormalcies ( CIMMA ) , neuropsychological factors, and metabolic and endocrinal upsets.Respiratory burdenThe determination to try discontinuance of mechanical airing has mostly been based on the clinician ââ¬Ës appraisal that the patient is haemodynamically stable, wake up, the disease procedure has been treated adequately and that indices of minimum ventilator dependence are present. The success of ablactating will be dependent on the ability of the respiratory musculus pump to digest the burden placed upon it. This respiratory burden is a map of the opposition and conformity of the ventilator pump. Excess work of take a breathing ( WOB ) may be imposed by inappropriate ventilator scenes ensuing in ventilator dysynchrony ( 4 ) . Reduced pneumonic conformity may be secondary to pneumonia, cardiogenic or noncardiogenic pneumonic hydrops, pneumonic fibrosis, pneumonic bleeding or other diseases doing diffuse pneumonic infiltrates ( 5 ) .Cardiac burdenMany patients have identified ischemic bosom disease, valvular bosom disease, systolic or diastolic disfunction prior to, or identified during, their critical unwellness. More elusive and less easy recognized are those patients with myocardial disfunction, which is merely evident when exposed to the work load of ablactating ( 5 ) .Neuromuscular competencyLiberation from mechanical airing requires the recommencement of neuromuscular activity to get the better of the electric resistance of the respiratory system, to run into metabolic demands and to keep C dioxide homeostasis. This requires an equal signal coevals in the cardinal nervous system, integral transmittal to spinal respiratory motor nerve cells, respiratory musculuss and neuromuscular junctions. Disruption of any part of this transmittal may lend to ablactating failure ( 5 ) .Critical unwellness neuromuscular abnormalciesCINMA are the most common peripheral neuromuscular upsets encountered in the ICU scene and normally affect both musculus and nervus ( 6 ) .Psychological disfunctionCraze, or acute encephalon disfunction: Is a perturbation of the degree of knowledge and rousing and, in ICU patients, has been associated with many modifiable hazard factors, including: usage of psychotropic drugs ; untreated hurting ; drawn-out immobilization ; hypoxaemia ; anemia ; sepsis ; and kip want ( 7 ) . Anxiety and depression: Many patients suffer important anxiousness during their ICU stay and the procedure of ablactating from mechanical airing. These memories of hurt may stay for old ages ( 8 ) .Metabolic perturbationsHypophosphataemia, hypomagnesaemia and hypokalaemia all cause musculus failing. Hypothyroidism and Addison's disease may besides lend to difficulty ablactating ( 5 ) .NutritionCorpulence: The mechanical effects of fleshiness with reduced respiratory conformity, high shutting volume/functional residuary capacity ratio and elevated WOB might be expected to impact on the continuance of mechanical airing ( 5 ) .Ventilator-induced stop disfunction and critical unwellness oxidative emphasisVentilator-induced stop disfunction and critical unwellness oxidative emphasis is defined as loss of diaphragm force-generating capacity that is specifically related to utilize of controlled mechanical airing ( 9 ) .Clinical Presentation of PatientsPatients can be classified into three g roups harmonizing to the trouble and length of the ablactation procedure. The simple ablactation, group 1, includes patients who successfully pass the initial self-generated take a breathing test ( SBT ) and are successfully extubated on the first effort. Group 2, hard ablactation, includes patients who require up to three SBT or every bit long as 7 yearss from the first SBT to accomplish successful ablactation. Group 3, prolonged ablactation, includes patients who require more than three SBT or more than 7 yearss of ablactation after the first SBT ( 5 ) .Clinical Outcomes and EpidemiologyThere is much grounds that ablactating tends to be delayed, exposing the patient to unneeded uncomfortableness and increased hazard of complications ( 5 ) . Time spent in the ablactation procedure represents 40-50 % of the entire continuance of mechanical airing ( 10 ) ( 11 ) . ESTEBAN et Al. ( 10 ) demonstrated that mortality additions with increasing continuance of mechanical airing, in portion because of complications of drawn-out mechanical airing, particularly ventil ator-associated pneumonia and airway injury ( 12 ) . The incidence of unplanned extubation ranges 0.3-16 % . In most instances ( 83 % ) , the unplanned extubation is initiated by the patient, while 17 % are inadvertent. Almost half of patients with self-extubation during the weaning period do non necessitate reintubation, proposing that many patients are maintained on mechanical airing longer than is necessary ( 5 ) . Addition in the extubation hold between readiness twenty-four hours and effectual extubation significantly increases mortality. In the survey by COPLIN et Al. ( 13 ) , mortality was 12 % if there was no hold in extubation and 27 % when extubation was delayed. Failure of extubation is associated with high mortality rate, either by choosing for bad patients or by bring oning hurtful effects such as aspiration, atelectasis and pneumonia ( 5 ) . Rate of ablactating failure after a individual SBT is reported to be 26- 42 % . Variation in the rate of ablactating failure among surveies is due to differences in the definition of ablactating failure. VALLVERDU et Al. ( 14 ) reported that ablactating failure occurred in every bit many as 61 % of COPD patients, in 41 % of neurological patients and in 38 % of hypoxaemic patients. Contradictory consequences exist sing the rate of ablactating success among neurological patients. The survey by COPLIN et Al. ( 13 ) demonstrated that 80 % of patients with a Glasgow coma mark of more than 8 and 91 % of patients with a Glasgow coma mark less than 4 were successfully extubated. In 2,486 patients from six surveies, 524 patients failed SBT and 252 failed extubation after go throughing SBT, taking to a entire w eaning failure rate of 31.2 % ( 5 ) . The huge bulk of patients who fail a SBT do so because of an instability between respiratory musculus capacity and the burden placed on the respiratory system. High air passage opposition and low respiratory system conformity contribute to the increased work of take a breathing necessary to take a breath and can take to unsuccessful release from mechanical airing ( 15 ) .Economic ImpactMechanical airing is largely used in the intensive attention units ( ICU ) of infirmaries. ICUs typically consume more than 20 % of the fiscal resources of a infirmary ( 16 ) . A survey that analyzed the incidence, cost, and payment of the Medicare intensive attention unit usage in the United States ( US ) reveled that mechanical airing costs a amount stopping point to US $ 2,200 per twenty-four hours ( 17 ) . One survey shows that patients in the ICUs having drawn-out mechanical airing represents 6 % of all ventilated patients but consume 37 % of intensive attent ion unit ( ICU ) resources ( 18 ) . Another survey corroborates this Numberss besides demoing that 5 % to 10 % of ICU patients require drawn-out mechanical airing, and this patient group consumes more than or every bit much as 50 % of ICU patient yearss and ICU resources. Prolonged ventilatory support and chronic ventilator dependence, both in the ICU and non-ICU scenes, have a important and turning impact on health care economic sciences ( 19 ) .DrumheadTreatment OptionWeaning FailureOverviewThe procedure of initial ablactating from the ventilator begins with an appraisal sing preparedness for ablactating. It is so followed by SBT as a diagnostic trial to find the possibility of a successful extubation. For the bulk of patients, the full ablactation procedure involves verification that the patient is ready for extubation. Patients who meet the standards in table 2 should be considered as being ready to ablactate from mechanical airing. These standards are cardinal to gauge the like liness of a successful SBT in order to avoid tests in patients with a high chance of failure ( 5 ) . Table 2 Standards for Measuring Readiness to Wean Clinical Appraisal Adequate cough Absence of inordinate tracheobronchial secernment Resolution of disease acute stage for which the patient was intubated Objective measurings Clinical stableness Stable cardiovascular position ( i.e. fC ?140 beats*min-1, systolic BP 90-160 mmHg, no or minimum vasopressors ) Stable metabolic position Adequate oxygenation Sa, O2 & A ; gt ; 90 % on ?FI, O2 0.4 ( or Pa, O2/FI, O2 ?150 mmHg ) PEEP ?8 cmH2O Adequate pneumonic map f ?35 breaths*min-1 PImax ?-20- -25 cmH2O Ve & A ; lt ; 10 l*min-1 P0.1/PImax & A ; lt ; 0.3 VT & A ; gt ; 5 mL*kg-1 VC & A ; gt ; 10 mL*kg-1 f/VT & A ; lt ; 105 breaths*min-1*L-1 CROP & A ; gt ; 13 ml*breaths-1*min-1 No important respiratory acidosis Adequate thinking No sedation or equal thinking on sedation ( or stable neurologic patient ) Taken from ( 5 ) and ( 15 ) . fC: cardiac frequence ; BP: blood force per unit area ; Sa, O2: arterial O impregnation ; FI, O2: inspiratory O fraction ; Pa, O2: arterial O tenseness ; PEEP: positive end-expiratory force per unit area ; degree Fahrenheit: respiratory frequence ; PImax: maximum inspiratory force per unit area ; VT: tidal volume ; VC: critical capacity ; CROP: integrative index of conformity. 1 mmHg=0.133 kPa. Harmonizing to an adept panel, among these standards merely seven variables have some prognostic potency: minute airing ( VE ) , maximal inspiratory force per unit area ( PImax ) , tidal volume ( VT ) , take a breathing frequence ( degree Fahrenheit ) , the ratio of take a breathing frequence to tidal volume ( f/VT ) , P0.1/PImax ( ratio of airway occlusion force per unit area 0.1 s after the oncoming of inspiratory attempt to maximal inspiratory force per unit area ) , and CROP ( integrative index of conformity, rate, oxygenation, and force per unit area ) ( 20 ) .Minute VentilationMinute airing is the entire lung airing per minute, the merchandise of tidal volume and respiration rate ( 21 ) . It is step by measuring the sum of gas expired by the patients lungs. Mathematicly, minute airing can be calculated after this expression: It is reported that a VE less than 10 litres/minute is associated with ablactating success ( 22 ) . Other surveies found that VE values more than 15-20 litres/minute are helpful in placing if a patient is improbable to be liberated from mechanical airing but lower values were non helpful in foretelling successful release ( 15 ) . A more recent survey concluded that short VE recovery times ( 3-4 proceedingss ) after a 2-hour SBT can assist in finding respiratory modesty and predict the success of extubation ( 23 ) . When mechanical airing takes topographic point, this parametric quantity is calculated monitoring flow and force per unit area by the ventilator in usage itself or by an independent device attached to the air passage circulation system such as the Respironics NM3à ® by Phillips Medical. Other ways to find minute airing are by mensurating the electric resistance across the thoracic pit ( 24 ) . This method though, is invasive and requires deep-rooted electrodes.Maximal Inspiratory PressureMaximal inspiration force per unit area is the maximal force per unit area within the air sac of the lungs that occurs during a full inspiration ( 21 ) . Is it normally used to prove respiratory musculus strength. On patients in the ICU or those non capable to collaborate, the PImax is measured by obstructing the terminal of the endotracheal tubing for a period of clip close to 22 seconds with a one-way valve that merely allows the patient to expire. This constellation leads to increasing inspirator y attempt mensurating PImax towards the terminal of the occlusion period. However PImax is non plenty to foretell faithfully the likelihood of successful ablactating due to low specifity ( 15 ) . The measuring of PImax can be performed by devices equipped with force per unit area detectors.Tidal VolumeTidal volume is the sum of air inhaled and exhaled during normal airing ( 21 ) . Spontaneous tidal volumes greater than 5 ml/kg can foretell ablactating result ( 25 ) . More recent surveies found that a technique that measures the sum of regularity in a series analysing approximative information of tidal volume and external respiration frequence forms is a utile index of reversibility of respiratory failure. A low approximate information that reflects regular tidal volume and respiratory frequence forms is a good index of ablactating success ( 26 ) . Tidal volume can be measured utilizing a pneumotachographic device.Breathing FrequencyThe grade of regularity in the form of the external respiration frequence shown by approximative information instead than the absolute value of the external respiration frequence is been proven to be utile in know aparting between ablactating success and failure ( 26 ) . The take a breathing rate or frequence is measured by numbering the external respiration rhythms per a defined period of clip.The Ratio of Breathing Frequency to Tidal VolumeYang and Tobin [ 18 ] so performed a prospective survey of 100 medical patients having mechanical airing in the ICU in which they demonstrated that the ratio of frequence to tidal volume ( rapid shoal take a breathing index ( RSBI ) ) obtained during the first 1 minute of a T-piece test and at a threshold value of ?105 breaths/minute/l was a significantly better forecaster of ablactating results However, there remains a rule defect in the RSBI: it can bring forth inordinate false positive anticipations ( that is, patients fail ablactating outcome even when RSBI is ?105 breaths/minute/l ) [ 35-36 ] Besides, the RSBI has less prognostic power in the attention of patients who need ventilatory support for more than 8 yearss and may be less utile in chronic clogging pneumonic disease ( COPD ) and aged patients [ 37-39 ] .The Ratio of Airway Occlusion Pressure to Maximal Inspiratory PressureThe airway occlusion force per unit area ( P0.1 ) is the force per unit area measured at the air passage opening 0.1 s after animating against an occluded air passage [ 42 ] . The P0.1 is attempt independent and correlates good with cardinal respiratory thrust. When combined with PImax, the P0.1/PImax ratio at a value of & A ; lt ; 0.3 has been found to be a good early forecaster of ablactating success [ 11,43 ] and may be more utile than either P0.1 or PImax entirely. Previously, the clinical usage of P0.1/PImax has been limited by the demand of particular instrumentality at the bedside ; nevertheless, new and modern ventilators are integrating respiratory mechanics faculties that provide nu merical and graphical shows of P0.1 and PImax.Air manner ResistanceCropThe CROP index is an integrative index that incorporates several steps of preparedness for release from mechanical airing, such as dynamic respiratory system conformity ( Crs ) , self-generated external respiration frequence ( degree Fahrenheit ) , arterial to alveolar oxygenation ( partial force per unit area of arterial O ( PaO2 ) /partial force per unit area of alveolar O ( PAO2 ) ) , and PImax in the undermentioned relationship: CROP = [ Crs ââ¬â PImax ââ¬â ( PaO2/PAO2 ) ] /f where: PAO2 = ( PB-47 ) ââ¬â FiO2 ââ¬â PaCO2/0.85 and PB is barometric force per unit area. The CROP index assesses the relationship between the demands placed on the respiratory system and the ability of the respiratory musculuss to manage them [ 18 ] . Yang and Tobin [ 18 ] reported that a CROP value & A ; gt ; 13 ml/breaths/minute offers a moderately accurate forecaster of ablactating mechanical airing result. In 81 COPD patients, Alvisi and co-workers [ 39 ] showed that a CROP index at a threshold value of & A ; gt ; 16 ml/breaths/minute is a good forecaster of ablactating result. However, one disadvantage of the CROP index is that it is slightly cumbrous to utilize in the clinical scene as it requires measurings of many variables with the possible hazard of mistakes in the measuring techniques or the measuring device, which can significantly impact the value of the CROP index.Clinical Treatment ProfilesCONCLUSIONS AND RECOMMENDATIONS
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