Sunday, October 6, 2019
How to take risks in business Research Paper Example | Topics and Well Written Essays - 1250 words
How to take risks in business - Research Paper Example Every business in the competitive world has to take charge of its own operations specifying clearly, what they really want to achieve (Ferrell etal, 2011, p.89). Whatever the specifications, they have to be in form of plans and in fact lifelong plans and future aspirations and endeavors. The plans have the impact of helping the business in question visualize in the manner in which to attain the enjoyable heights in operations that have since only been dreams. Risk taking plan process only brings business dreams to a clear view in terms of how they could be achieved (Rees, 1977, p.53). It is a fact that any merits that are normally realized in the life of any business normally only opens the doors to the realities that such forms of businesses are faced with. The realities to achieve greater heights of business operation, realities to make greater profitability, realities for future business expansions and even the realities of the likelihood of beating all the fierce competitors in t he market of their operations and become the giants, holding closer to if not 100% of the market share (Rees, 1977,p. 53). Assumptions, procrastinations, and fears are normally the sole and foremost obstacles to the attainment of the above aspirations. As it is always very clear that fear is the first step and sign towards failure (Ferrell etal, 2011, p. 90). The momentââ¬â¢s one individual decision maker in any form of business takes the first step geared towards what the individual really wants for the business. Then in such instances, the individual must as well be prepared to accompany the relevant decisions with an equal amount of risks. The risks that we are referring to in such a case are the risks that are likely to help the business be recognized, get the required attention, and forcefully propel it forward in its operations. They are the risks that the business really
Saturday, October 5, 2019
What is the Electoral College Essay Example | Topics and Well Written Essays - 500 words
What is the Electoral College - Essay Example This paper illustrates that the Electoral College attempts to propose and elect districtsââ¬â¢ representatives, statesââ¬â¢ governors and the President and vice president of the United States of America. The Electoral College comprises of 538 electors selected from all over the states of the US. The number of electors in each state always coincides with the number of the district representatives and the two senators usually representing a state. The Electoral College was established with the sole aim of neutralizing the conflicts of interest among various states fighting to forward their particular candidate for the presidential position. The Electoral College was also established to facilitate the election of preferred candidates at each state level in order to avert .cases of corruption, bribery, and foreign influence. The Electoral College was also set to address issues of imbalance between the legislative and executive federal branches of federal governments by prohibiting Congress and employees of the federal government from voting. Furthermore, the Electoral College was designated to prevent citizens from electing sons of their regions by commissioning voting for two presidential candidates one of whom is from another state. It is worth acknowledging the significant roles played by the Electoral Colleges in the election ââ¬Ësystem of the US since its formation. One of the significant roles played by the Electoral College involves a contribution to the reconciliation and cohesiveness the by advocating and backing for a popularly elected candidate.
Friday, October 4, 2019
The lifting of the blockade Essay Example for Free
The lifting of the blockade Essay Further negotiations took place between Malik and the representatives of the United States, Great Britain, and France on May 2 and May 4. Finally, on May 5, 1949, an agreement was reached and a communique was issued by the four countries. Under their agreement, the USSR would lift the Berlin Blockade on May 12, 1949. Then the Council of Foreign Ministers would meet on May 23, 1949 in Paris to ââ¬Å"consider questions relating to Germany and problems arising out of the situation in Berlin, including also the question of currency in Berlin. â⬠Finally, the barriers which stopped the rail, road, and water traffic to Berlin were removed a little after midnight of May 12, 1949. As a result, supplies started entering Berlin by road, rail, and water for the first time since the start of the Berlin Blockade (Giangreco and Griffin [a]). The aftermath When Clay learned that the USSR had already agreed to the lifting of the blockade, he recommended that the airlift should be continued until the Council of Foreign Ministers had concluded their meeting. He said that the airlift was still necessary for the purpose of building up vital reserves of supplies of fuel and food just in case the Soviets decided, for any reason, to reinstitute the blockade. Washington agreed with him and the airlift continued. Finally, the United States, Great Britain, and France issued another official announcement on July 30, 1949, stating that the airlift of supplies into Berlin would officially end on October 31, 1949 (Barlow). The meeting of the Council of Foreign Ministers took place as scheduled on May 23, 1949 in Paris. The United States delegation was headed by Dean Acheson. The British delegation was headed by Bevin while the leader of the French delegation was Robert Schuman. Finally, the head of the Soviet delegation was Andre Vyshinsky. The delegations of the four powers came to the conference with official positions which essentially guaranteed the division of the German nation. The formal division of Germany occurred when the zones occupied by the western powers were unified to give rise to the Federal Republic of Germany while the Russian zone became the German Democratic Republic (Giangreco and Griffin [a]). Works Cited Barlow,Jeffrey G. ââ¬Å"The U. S.Navyââ¬â¢s Participation in the Berlin Airlift. â⬠Naval Historical Center. 5 February 1998. 12 May 2009. http://www. history. navy. mil/download/berlin-n. htm BBC Bitesize. ââ¬Å"The Berlin Blockade and Airlift. â⬠12 May 2009. http://www. bbc. co. uk/schools/gcsebitesize/history/mwh/ir2/berlinblockaderev1. shtml ââ¬Å"Berlin Blockade. â⬠12 May 2009. http://www. secmyl. com/uploads/BerlinBlockade1948. pdf Berlin Information Group. ââ¬Å"The Berlin Airlift. â⬠12 May 2009. http://www. berlinfo. com/Traveltime/Sights/sights/divided_city/hist. htm Byrnes, Rebecca. ââ¬Å"The Berlin Blockade: The First Major Battle of the Cold War. â⬠4 July 2008. 12 May 2009. http://militaryhistory. suite101. com/article. cfm/the_berlin_blockade Giangreco, D. M. and Griffin, Robert E. ââ¬Å"Airbridge to Berlin ââ¬â Background. â⬠Harry S. Truman Library Museum. 12 May 2009. . http://www. trumanlibrary. org/whistlestop/study_collections/berlin_airlift/large/ Giangreco, D. M. and Griffin, Robert E. [a]. ââ¬Å"Airbridge to Berlin ââ¬â The Berlin Crisis of 1948, Its Origins and Aftermath. â⬠Harry S. Truman Library Museum. 12 May 2009. http://www. trumanlibrary. org/whistlestop/BERLIN_A/BLOCKADE. HTM PBS Online. ââ¬Å"Berlin Blockade. â⬠12 May 2009.
Thursday, October 3, 2019
Psoriasis Case Study
Psoriasis Case Study Case Study P.D. a twenty-three-year-old female presents with symptoms of psoriasis. She has several thick scaly, well defined, erythematous plaques, which are silvery in color. The patient reports that she has just returned from a twelve-day trip to southern Louisiana to work the ecosystem as part of her education as an environmental engineer. During the trip, she had significant solar exposure, although she wore sunscreen. The expanded and prominent plaques cover her elbows and thighs, and there is a patch on her scalp. Her lesions cover about fifteen percent of her body. She occasionally applies moisturizing lotion or witch hazel if it becomes too irritating. All other body systems are normal. Patient states ââ¬Å"I have always had some rashes, although usually not this bad.â⬠Past Medical History ââ¬Å"Some rashes, otherwise non-contributory Social History Recent trip to southern Louisiana for ecosystem work related to studies as an environmental engineer. Physical Examination Several thick scaly, well define, erythematous plagues, silver in color. Expanded plague and prominent plagues cover elbows and thighs, with an area on the scalp. Plague coverage is fifteen percent of the body. Significant sun exposure All other body systems are within normal limits. Reviewing the symptoms, the primary diagnosis is plague psoriasis. Psoriasis is a chronic inflammatory disease of the skin in which the production of epidermal cells occurs at a rate that is faster than normal. The cells in the basal layer of the skin divide too quickly, and the newly formed cells move rapidly to the skin surface and become evident as profuse scales or plagues of epidermal tissue. The psoriatic epidermal cell may travel from the basal cell layer to the stratum corneum and be cast off in three to four days, which is in sharp contrast to the normal twenty-six to twenty-eight days. As a result of the increased number of basal cells and rapid cell passage, the normal events of cell maturation and growth cannot take place. This abnormal process does not allow the formation of the protective layers of the skin (PubMed Health, 2012). Psoriasis, one of the most common skin diseases, affects approximately two percent of the population. There appears to be a hereditary defect that causes overpopulation of keratin. The primary defect is unknown. A combination of specific genetic makeup and environmental stimuli may trigger the onset of the disease. There is evidence that the cell proliferation is mediated by the immune system. Periods of emotional stress and anxiety aggravate the condition, and trauma, infections, and seasonal and hormonal changes are trigger factors. The onset may occur at any age, but is most common between the ages of ten and thirty-five years. Psoriasis has a tendency to improve and then recur throughout life (PubMed Health, 2012). The clinical manifestation The lesions appear as red, raised patches of skin covered with silvery scales. The scaly patches are formed by the buildup of living and dead skin that results from the vast increase in the rate of skin-cell growth and turnover. If the scales are scraped away, the dark red base of the lesion is exposed, producing multiple bleeding points. These patches are not moist and may or may not itch. The lesions may remain small, giving rise to the term ââ¬Å"guttate psoriasis. Usually, the lesions enlarge slowly, but after many months they coalesce, forming extensive irregular shaped patches (PubMed Health, 2012). Psoriasis may range from a cosmetic source of annoyance to a physically disabling and disfiguring affliction. Particular sites of the body tend to be affected by this ailment; they include the scalp, the area over the elbows and knees, the lower part of the back, and the genitalia. Psoriasis also appears on the extensor surfaces of the arms and legs, on the scalp and ears, and over the sacrum and intergluteal fold. Bilateral symmetry is a feature of Psoriasis (Brunton, Chabner, Knollman, 2011). The disease may be associated with arthritis of multiple joints, causing crippling disability. The relationship between arthritis and psoriasis is not understood. Another complication is an exfoliative psoritic state in which the disease progresses to involve the total body surface (Brunton, Chabner, Knollman, 2011). Management The goals of management are to reduce the rapid turnover of the epidermis and to promote resolution of the psoriatic lesions. Thus, the goal is limited to control of the problem, because there is no cure (Brunton, Chabner, Knollman, 2011). The therapeutic approach should be one that the patient understands; it should be cosmetically acceptable and not too disruptive of life-style. It will involve a commitment of time and effort by the patient. First, any precipitating or aggravating factors are removed. Then as assessment is made of life-style, since psoriasis is significantly affected by stress. The patient must also be advised that treatment of severe psoriasis can be time-consuming, expensive, and esthetically unappealing at times. Treatment will begin with Vectical ointment (calcitriol) 3mcg/g, topical use only. Apply twice daily, once in the morning and once in the evening, the maximum weekly dose should not exceed 200 gram (National Institute of Health, 2012). Treatment will extend to eight weeks, with follow up in office at that time. Each gram contains 3 micrograms of calcitriol. Vectical should not be applied to the face, eyes, or lips. It should be used with caution in patients receiving medications known to increase calcium serum levels, such as calcium supplements, vitamin D supplements, and thiazide diuretics. Vectical may cause sunburn more easily, avoid the sun, sunlamps, or tanning beds while using Vectical ointment. Use a sunscreen or wear protective clothing when having to be outside for more than a short time (National Institute of Health, 2012). Vectical ointment is indicated for the topical treatment of mild to moderate plague psoriasis in adults eighteen years and older. Calcitriol (Vectical) contains 1,25-dihydroxycholecalciferol, the hormone active form of vitamin D3. Calcitriol 3-mcg/g ointment is similar in efficacy to calcipotriene 0.005-% ointment for the treatment of plague type psoriasis on the body and is better tolerated in intertriginous and sensitive areas of the skin (Katzung, Mastes, Trevor, 2012). Vectical contains calcitriol, which studies have shown to be fetotoxic, and should be used in pregnancy only if the potential benefits justify the potential risk to the fetus. It is not known if calcitriol is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Vectical ointment is used by nursing women. If the patient thinks she may be pregnant, they will need to discuss the benefits and risks of using Vectical ointment while pregnant (Katzung, Mastes, Trevor, 2 012). Patient Education Use only as directed, for external use only. Vectical is to be applied only to areas of skin affected by psoriasis. Vectical should be gently rubbed into the skin so that no medication remains visible. As you may sunburn more easily, avoid the sun, sunlamps, or suntan beds/booths while using Vectical ointment. Use a sunscreen with an SPF of 30 or greater; wear protective clothing when you must be outside for more than a short time (Brunton, Chabner, Knollman, 2011). All medications may cause side effects, but many have no, or minor, side effects. Minor skin discomfort at the application site is the most common side effect of Vectical ointment. Notify the medical provider if these side effects occur; rash, hives, itching, difficulty breathing, chest tightness, swelling of the face, mouth or lips, new or worsening skin irritation ( blistering, flushing, burning, severe discomfort, or redness), symptoms of hypercalcemia (weakness, nausea, confusion, constipation, excessive thirst, fast, slow or irregular heartbeat) (National Institute of Health, 2012). Treatment Plan Vectical (calcitriol) 3mcg/g, 100 G tube; twice daily. Follow up appointment in eight weeks. Laboratory testing to include calcium serum levels and hCG testing now and at followup visit. Additional laboratory testing to include skin biopsy for fungal infection. Patient education on use and precautions of medications, and supplements. Referral to psoriasis support group for emotional support and education. Differential Diagnosis Review of symptoms and history of working in the environment leads to questioning if the patient presentation is a case of Tine Corporis and Tina Capitis. As the patient was in an environmental area that is subject to large fungal growth and exposure to a wet climate increases the risks for fungal infestation, this is the differential diagnosis (Brunton, Chabner, Knollman, 2011). Tina capitis is a contagious fungal infection of the hair shafts. Microsporum and Trichophyton species are dermatophytes that infect hair. Clinically, one or several round patches of redness and scaling are present. Tinea Corporis or Tina circinata begins as an erythematous macule advancing to rings of vesicles with central clearing. The lesions appear in clusters, usually on exposed areas of the body. These may extend to the scalp, hair, or nails. As a rule, there is an elevated border consisting of small papules or vesicles. Coalescence of individual rings may result in large patches with bizarre scalloped borders. Use of a woods lamp will help in the diagnosis. The fungal infection will glow under the light. Skin biopsy will confirm the presence of fungal infestation (Katzung, Mastes, Trevor, 2012). References Brunton, L., Chabner, B., Knollman, B. (2011). Goodman Gilmans: The pharmacological basis of therapeutics (12 ed.). McGraw-Hill. Katzung, B., Mastes, S., Trevor, A. (2012). Basic Clinical Pharmacology (12 ed.). McGraw-Hill. National Institute of Health. (2012, January). Vectical ointment. Retrieved from U.S. National Library of Medicine: http://www.dailymed.nlm.nih.gov/dailymed/druginfo.cfm PubMed Health. (2012, November). Psoriasis. Retrieved from PubMed Health: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001470
Wednesday, October 2, 2019
John Stuart Mills Essay On Liberty -- John Stuart Mill On Liberty
John Stuart Mill's Essay On Liberty The main theme of on liberty was the individual. Everything else, society, education,government and so forth had their basis in the individuals rights to his own liberty. No one, no member of society, government, even God, if he appeared before an individual, could inforce his will upon him. That is not to say that you couldnt change someones mind through discussions, but instead, that no one had a right to force his views upon another. Your happiness is yours(individual) to enjoy without any infringements. Conversations between individuals or groups of individuals is essential in developing the notion of liberty. Mill claims that you should feel free to convey your views openly without forcing them onto others. After all, a man who learns from no one but himself has a fool for a teacher. There is however an exception to this rule. That is, if an individual in any way harms or comes onto anothers rights to liberty, or causes a social threat, hence he or she is subjected to forced inclinations by other members of society. For example, walking around nude on the streets of Cairo might be your cup of tea, alas, in Cairo they prefer coffee. In other words, if you offend other individuals, you are in fact infringing on their rights as free citizens who poses a sovereign mind. However if you choose to remain nude while in the comfort of your hotel room in Cairo, then there is no reason why you shouldn't....
jesus, the business man :: essays research papers
Purpose/Vision: To restore salvation to a lost world. Background Information: "In the beginning, God created the heavens and the earth" (Genesis 1:1). The earth was His vision, His company. He invented everything in the earth and the placed a man and a woman in charge of the business. Their duties, at the time, included naming the animals and multiplying the population with their seed. Although God had a plan for the way he wanted His company run, the people He put in charge had their own agendas. They rebelled against the owner and tried to take over the business. Due to the insubordinate nature of His employees, He terminated their positions and hired other workers. From then on, under the supervision of different men, the fate of the company went down hill. Money and agricultural profits were at a loss, and the values that the employees once had, decreased with each successor. After seeing His business gradually decline from it's original standpoint, God took up a partnership with His Son, Jesus. He sent Jesus into the world to restore the company back to it's original purpose. Knowing the He needed a qualified staff under Him, Jesus employed twelve men to work with him. Chain of Command: Level 1-Owners: God, Jesus, (Holy Ghost-Silent Partner) Level 2-Supervisors: Peter, Paul, John Level 3-Employees: James, Andrew, Phillip, Bartholomew, Matthew, Thomas, Lebbaeus, Simon, Judas Employee Qualifications: 1. Must already be employed * Matthew- tax collector (2:14) * Simon- fisherman (1:16) * Andrew- fisherman (1:16) * James- fisherman (1:19) * John- fisherman (1:19) 2. Must be willing to leave everything and relocate * "And immediately He called them and they left their father, Zebedee in the boat with the hired servants and went after Him" (1:20). Services: Healing Ministries: * Sickness and Fevers: "Simon's wife's mother lay sick with a fever and they told Him about her at once. So He came and took her by the hand and lifted her up and immediately the fever left her" (1:31). * Leprosy: "As soon as He had spoken, immediately the leprosy left him, and he was cleansed" (1:42). * Withered Hands: "He said to the man, "Stretch out your hand." And he stretched it out and his hand was restored whole as the other" (3:5). * Demon Possession: "Then they came to Jesus, and saw the one who had been demon-possessed and had the legion, sitting and clothed and in his right mind" (5:15). * Issues of Blood: "And He said to her, "Daughter, your faith has made you well. Go in peace, and be healed of your affliction" (5:34). jesus, the business man :: essays research papers Purpose/Vision: To restore salvation to a lost world. Background Information: "In the beginning, God created the heavens and the earth" (Genesis 1:1). The earth was His vision, His company. He invented everything in the earth and the placed a man and a woman in charge of the business. Their duties, at the time, included naming the animals and multiplying the population with their seed. Although God had a plan for the way he wanted His company run, the people He put in charge had their own agendas. They rebelled against the owner and tried to take over the business. Due to the insubordinate nature of His employees, He terminated their positions and hired other workers. From then on, under the supervision of different men, the fate of the company went down hill. Money and agricultural profits were at a loss, and the values that the employees once had, decreased with each successor. After seeing His business gradually decline from it's original standpoint, God took up a partnership with His Son, Jesus. He sent Jesus into the world to restore the company back to it's original purpose. Knowing the He needed a qualified staff under Him, Jesus employed twelve men to work with him. Chain of Command: Level 1-Owners: God, Jesus, (Holy Ghost-Silent Partner) Level 2-Supervisors: Peter, Paul, John Level 3-Employees: James, Andrew, Phillip, Bartholomew, Matthew, Thomas, Lebbaeus, Simon, Judas Employee Qualifications: 1. Must already be employed * Matthew- tax collector (2:14) * Simon- fisherman (1:16) * Andrew- fisherman (1:16) * James- fisherman (1:19) * John- fisherman (1:19) 2. Must be willing to leave everything and relocate * "And immediately He called them and they left their father, Zebedee in the boat with the hired servants and went after Him" (1:20). Services: Healing Ministries: * Sickness and Fevers: "Simon's wife's mother lay sick with a fever and they told Him about her at once. So He came and took her by the hand and lifted her up and immediately the fever left her" (1:31). * Leprosy: "As soon as He had spoken, immediately the leprosy left him, and he was cleansed" (1:42). * Withered Hands: "He said to the man, "Stretch out your hand." And he stretched it out and his hand was restored whole as the other" (3:5). * Demon Possession: "Then they came to Jesus, and saw the one who had been demon-possessed and had the legion, sitting and clothed and in his right mind" (5:15). * Issues of Blood: "And He said to her, "Daughter, your faith has made you well. Go in peace, and be healed of your affliction" (5:34).
Tuesday, October 1, 2019
The Aging Musculoskeletal System
The Aging Musculoskeletal System Crysany Arroyo GE 258 ITT Technical Institute Osteoporosis Osteoporosis is a disease that is described by low bone mass and loss of bone tissue basically thinning of the bones that lead to weak and fragile bones. Bones are always in a state of changing where new bone tissues are replacing the old bone tissue in order to keep the strength. It affects men and women but it is usually a disease that affects mostly women.However when someone is diagnosed with osteoporosis it means that the bone tissue and mass is not replaced as fast with new bone tissue which is one factor of osteoporosis. Another factor that causes osteoporosis is a deficiency in estrogen which typically occurs in menopause causing low bone density because of the drop of estrogen. The probable effects on an everyday life of an 84- year old thin white female maybe critical. Since the bones become so thin and have low bone density, a minor fall can cause a fracture. Osteoarthritis Of all b one deficiencies osteoarthritis is the most common.It typically comes with aging and wearing of the joints. The joints have a protective cartilage(cushion that separates the joint from the bone) on the end of your bones that once you get older wears down damaging the joints. It affects both men and women. Generally before the age of 45 it affects men and affects women normally after the age of 55. The causes of the osteoarthritis are not due to injury or wear and tear of the joint although can have an increase in the severity but mostly has to do with the natural aging of the joint.It mostly affects the hands, feet, knees and hips. In an 84 year old thin white female osteoarthritis can be painful. Stiffness is a symptom of osteoarthritis which cause pain after inactivity of the joint after a period of time. Muscular Atrophy Muscular atrophy unlike the other diseases Iââ¬â¢ve mentioned is specifically targeted at the muscles. It is a disorder that causes progressive deterioration and weakness of the muscles. There are different types of muscular atrophy. There are 3 types that affect children before they turn 1.The most severe of them all occurs before birth, around 30-36 weeks of pregnancy which is called Type 0. The other two types I and II which affect that child at birth or around the first few months. In adults there are two types. Those types are the Finkel type and Type IV which usually affect adults after age 30. Muscular atrophy occurs generally with age, however it can also be caused by injury, birth defects, stroke. Spinal cord injury and sometimes can occur due to osteoarthritis.An 84- year old white, thin small boned white female with muscular atrophy can have back pain, walking problems, and limited range of motion which are some of the many symptoms of the disease.References 1. What is osteoporosis and can it be treated? (2011, Nov 09). Liverpool Echo, pp. 22. http://search. proquest. com/docview/902777135? accountid=27655 2. What causes osteo porosis?. (2010). Osteoporosis: A Guide to Prevention & Treatment (2010), 5. 3. What you should know about osteoarthritis. (2012). American Family Physician, 85(1), 57-58 4. Ask dr. H: What causes osteoarthritis? (2012, Feb 27). Press of Atlantic City, pp. n/a. http://search. proquest. com/docview/923715946? accountid=27655 5. ââ¬Å"spinal muscular atrophyâ⬠A Dictionary of Biomedicine. Oxford University Press Inc. Oxford Reference Online. Oxford University Press. ITT Educational Services. 27 April 2012 <http://www. oxfordreference. com/views/ENTRY. html? subview=Main&entry=t312. e8720> 6. Spinal muscular atrophy: What it is and how to cope. (2008, ). New York Amsterdam News, pp. 37-37. http://search. proquest. com/docview/390101328? accountid=27655
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