Ashton DeShazier Essay

My name is Ashton DeShazier. I was born in Selmer, Tennessee. I am now from the small town of Lexington, Tennessee, but my dreams have never been small. I cannot remember ever wanting any other career than that of a doctor. Soon after my birth, Mother became a single mom. She had to work full-time to support us. I learned early the value of hard work, but this is just a small part of what she has given me. Throughout my life, my mother has been there for me at all times, through all circumstances, and especially when no one else was. She is my Rock of Gibraltar whenever a problem occurs. She has taught me the importance of motherhood, dedication to work, and loyalty to those you love. I learn quickly, and academics come easily to me. I also began setting other goals for myself in elementary school. In the sixth grade at Caywood Elementary, my goal was to be a cheerleader. I not only met, but also exceeded my goal by becoming the Junior Varsity Cheerleading squad captain. I continued in the sport of cheer leading, once again becoming captain in the eighth grade. I was chosen for the Junior Beta Club in seventh and eighth grade as well. During this same time period, I became a member of â€Å"Show Choir,† a musical group at Caywood that performed Christmas and spring shows for the community-at- large, and the elderly in nursing homes in particular. My junior high years ended with me joining Drama, receiving one of the leading parts in an important play, and receiving the honor of Homecoming Princess. I began my high school career at Lexington High School. I continued to set goals for myself, but now with college in my sites. I reaffirmed my dedication to becoming a doctor, knowing I would never let this dream slip away. Vanderbilt is looking for prospective students who are leaders. I demonstrated throughout high school that leadership is one of my greatest assets. I attended Lexington High School the entire four years. From my freshman through my senior years, I was on the Competition Dance Team and an active member in D. A. R. E. For three years I was in both Drama and Beta, an organization requiring a cumulative GPA of at least 95. My ability to accept more responsibility resulted in me committing to additional groups and committees throughout the four years. These groups included World Travelers, Spanish Club(as President), Beta Upsilon Mu Sorority, Senior Committee, and Annual Staff. Additionally, I joined Renaissance. Admittance is based on academic excellence, superior behavior, and attendance records. I am a member of both the Honor Society and the Future Community and Career Leaders of America(FCCLA). At the end of my junior year, it was time to choose my classes for the next year. While many of my friends chose to end their high school years with easy classes, I chose many of the hardest classes offered. I knew that to achieve my goals of attending Vanderbilt and medical school, I could not take the easy road. I know the work will be hard and the challenges great, and I am anxious to prove myself worth. Acceptance at Vanderbilt is very important to me, and I will not accept anything less. I have considered many different schools, but I always return to Vanderbilt University as my only choice. What attracts me most is Vanderbilt’s high standards and reputation for excellence, traits I have honed and maintained throughout my schooling. Preparing to become a doctor means many more years of education, and I must learn from the best. My name is Ashton DeShazier. I was born in Selmer, Tennessee. I am now from the small town of Lexington, Tennessee, but my dreams have never been small. I cannot remember ever wanting any other career than that of a doctor. Soon after my birth, Mother became a single mom. She had to work full-time to support us. I learned early the value of hard work, but this is just a small part of what she has given me. Throughout my life, my mother has been there for me at all times, through all circumstances, and especially when no one else was. She is my Rock of Gibraltar whenever a problem occurs. She has taught me the importance of motherhood, dedication to work, and loyalty to those you love. I learn quickly, and academics come easily to me. I also began setting other goals for myself in elementary school. In the sixth grade at Caywood Elementary, my goal was to be a cheerleader. I not only met, but also exceeded my goal by becoming the Junior Varsity Cheerleading squad captain. I continued in the sport of cheer leading, once again becoming captain in the eighth grade. I was chosen for the Junior Beta Club in seventh and eighth grade as well. During this same time period, I became a member of â€Å"Show Choir,† a musical group at Caywood that performed Christmas and spring shows for the community-at- large, and the elderly in nursing homes in particular. My junior high years ended with me joining Drama, receiving one of the leading parts in an important play, and receiving the honor of Homecoming Princess. I began my high school career at Lexington High School. I continued to set goals for myself, but now with college in my sites. I reaffirmed my dedication to becoming a doctor, knowing I would never let this dream slip away. Vanderbilt is looking for prospective students who are leaders. I demonstrated throughout high school that leadership is one of my greatest assets. I attended Lexington High School the entire four years. From my freshman through my senior years, I was on the Competition Dance Team and an active member in D. A. R. E. For three years I was in both Drama and Beta, an organization requiring a cumulative GPA of at least 95. My ability to accept more responsibility resulted in me committing to additional groups and committees throughout the four years. These groups included World Travelers, Spanish Club(as President), Beta Upsilon Mu Sorority, Senior Committee, and Annual Staff. Additionally, I joined Renaissance. Admittance is based on academic excellence, superior behavior, and attendance records. I am a member of both the Honor Society and the Future Community and Career Leaders of America(FCCLA). At the end of my junior year, it was time to choose my classes for the next year. While many of my friends chose to end their high school years with easy classes, I chose many of the hardest classes offered. I knew that to achieve my goals of attending Vanderbilt and medical school, I could not take the easy road. I know the work will be hard and the challenges great, and I am anxious to prove myself worth. Acceptance at Vanderbilt is very important to me, and I will not accept anything less. I have considered many different schools, but I always return to Vanderbilt University as my only choice. What attracts me most is Vanderbilt’s high standards and reputation for excellence, traits I have honed and maintained throughout my schooling. Preparing to become a doctor means many more years of education, and I must learn from the best.

Yahoo! Internal Analysis

The Company When Yahoo! was founded in 1994 by Stanford Ph. D. students, David Filo and Jerry Yang, it began as their hobby and has evolved into a global brand that has changed the way people communicate with each other, find and access information, and make purchases. Today, Yahoo! Inc. is the Internet's leading global consumer and business Services Company, offering a comprehensive network of essential services for Web users around the globe as well as businesses of all sizes. As the first online navigational guide to the Web, Yahoo! www. yahoo. com) is the leader in traffic, advertising, household and business user reach. Yahoo! is also the most recognized and valuable Internet brand globally, reaching over 345 million unique users in 25 countries and 13 languages. The Only Place Anyone Needs To Go Find Anything, Communicate With Anyone, or Buy Anything Serving the world's largest Web audience, Yahoo! remains focused on becoming increasingly essential to the lives of consumers. St arting with its comprehensive, hand-built directory as well as the popular My Yahoo! ervice, Yahoo! offers a broad and deep array of communications, commerce and content services in over 100 distinct properties that lead consumers to make Yahoo! their home on the Internet and wireless devices. Fitting the lifestyles of the mobile consumer, Yahoo! offers an increasing array of essential, personalized, localized and timely information on wireless devices, including wireless phones, two-way pagers and personal digital assistants. Committed to extending content and services beyond the desktop, Yahoo! as the largest global mobile audience and the greatest breadth of wireless products and services of any Web content provider. Becoming Increasingly Essential to Businesses & Enterprises Worldwide As the No. 1 Internet network on corporate desktops, surpassing a 70 percent reach in the U. S. workplace, Yahoo! also offers a range of services for businesses and enterprises of all sizes. Corpor ate Yahoo! is an information portal solution that enables companies to communicate and interact directly with their employees, customers and shareholders over a secure and scalable platform. Yahoo!Broadcast Services is the leading provider of Internet audio and video streaming solutions for corporate and consumer communications, delivering thousands of live and on-demand, corporate events including: product launches, marketing programs, training/distance learning, keynote addresses, annual shareholder meetings, and quarterly earnings calls. Yahoo! ‘s Small Business services enable small businesses and professionals to establish and grow a business presence with services such as Yahoo! Domains, Yahoo! Website Services, Yahoo! Servers and Yahoo! Store. An industry leader in online advertising, Yahoo! ffers an integrated set of marketing services through Yahoo! Fusion Marketing that unite Yahoo! ‘s media, e-commerce, direct marketing, broadcast, and communication tools to a llow clients to find any audience, connect with anyone, and sell anything. Yahoo! ‘s data driven services provide unparalleled targeting and measurement capabilities far beyond banners, clicks, and conversions. Customized to integrate clients' traditional marketing programs online, Yahoo! Fusion Marketing programs generate greater customer acquisition and retention, extended brand value, and increased sales in today's global marketplace. SWOT AnalysisThe external environment includes all the factors outside the organization which provide opportunities or pose threats to the organization. The internal environment refers to all the factors within an organization which impart strengths or cause weakness of a strategic nature . The environment in which an organization exists can be, therefore defined as the opportunities and threats operating in the external environment apart from the strengths and weakness existing in the internal environment. A systematic approach to understand the environment of Yahoo is the SWOT analysis. Internal Factor Analysis (IFA) of the Yahoo CorporationStrengths The strength is an inherent capacity which an organization uses to gain a strategic and competitive advantage. The strengths of Yahoo Corporation are: * Yahoo! ‘s Overture is a tremendously profitable Internet advertising business. It focuses on affiliate advertising for large advertising accounts, in the same way as Google's Adsense programme. This is an important income stream for Yahoo!. * Yahoo! has over 500 million users of its services and solutions. This makes it a very powerful marketing company, with a very well known brand. Some reports indicate that it is the most popular website in the World. A key long-term strength is Yahoo! ‘s international business presence. As the Internet expands and it is adopted by more nations the opportunities for Internet brands begin to emerge. Yahoo! is well placed to take advantage of these opportunities with its strat egic business units in Asia, Europe and Australia. * The Yahoo! Directory is an original source of structured information. It has built over the last decade, and unlike mainstream search engines, its content is moderated (i. e. sites are vetted before their inclusion). Weaknesses: A weakness is an inherent limitation or constraint which creates strategic disadvantages for the company.It is overdependence on a single product line, which is potentially risky. The weaknesses of Yahoo are: * As per Jan 2012 data, a survey says yahoo’s market share in search engine is only 6% * Google already has more than 50% market share and the immediate competitors are Baidu which has same 6% and bing has 4% in search engine * Google being the leading the service provider on the internet , is grabbing the revenues from advertisements * Most of the services provided by Yahoo are unknown in the internet space. * Yahoo is ranked 5th in visitors among video sites. YouTube was first owned by Google .There has been near about 3 % slump per year in Yahoo’s image search. * Google search results produce double revenues as compared to Yahoo. * Yahoo is losing its market share in mailing services very gradually due to Google’s strong presence in search engine market and it related product portfolio complementing to search engine services * For Yahoo, differentiation is difficult. Almost all of its services are available from other sources such as Mail services, news, shopping, financial data and business directory services are provided by many others like MSN, CNN, e-bay, Money control etc. The future of Yahoo is uncertain as the technology develops and new unforeseen advertising media emerges. * Financial health of the company is not so promising for the investors. The company’s assets both in terms of intangible and tangible are on the declining side. Matching analysis Match the external factors against the internal factors of YAHOO! Opportunities| Threats| * Internet video advertising spending expected to increase by 82% to $610 million by 2009. * Yahoo! Inc has purchased Flickr. * Broadband expansion. * Yahoo! as a strong and talented employee base. * Yahoo! has penetrated markets that are still untouched by competitors. | * Google commands about 50% of all online searches and Yahoo! has only 24% according to Neilson/NetRating. * Consumer attitudes towards online advertising may become more negative. * Increasing strength of competitors. * Social websites such as MySpace and Facebook are now breaking into the online advertising market. * Google is surpassing Yahoo! in revenues. | Strengths| Weaknesses| * Yahoo! Inc. has beaten Google in the mobile market. * Yahoo!Inc. has many more auxiliary products compared to the competition. * Yahoo! Inc. has strong brand recognition. * Partnerships with MLB, VISA and NFL. * Access is available to anyone with internet access. | * Yahoo! is ranked 5th in visitors among video sites. YouTube which is owned by Google is ranked 1st. * Yahoo! image search has been declining 3% per year. * Google search results generate twice as much revenue as Yahoo!. * Advertising revenues are falling due to Google and other competitors in the market. | Alternative strategies or RecommendationsIt is clear that the Yahoo Corporation has faced some major challenges in staying on top of the Internet market. It is suggested that the corporation should continue to grow its customer base. The corporation can grow its customer base by successfully capturing the international market. In addition, Yahoo can enlarge its target customer statistics by including customers outside the age group of 18-34 like people of above 55 years. Yahoo has to distinguish itself from the rest of its competitors in the Internet market in order to successfully accomplish these objectives.The alternative strategy that the Yahoo Corporation can adopt is: Capturing the international market: In capturing the international market, Yahoo has been comparatively unsuccessful. Though, Yahoo provides its services in a variety of languages but it has been unable to contend with national companies of other countries. For example, in China, Yahoo holds less than 5% of the total Chinese market share. The majority of the China market is dominated by Chinese search engine known as Baidu. com. In August 2005, Google, the American rival has captured a significant portion i. . approximately 33% of the Chinese market. Moreover, near about 71. 3% of the overall international market has been captured by Google. Some of this percentage was grabbed from Yahoo. Yahoo must ensure that internet access is available to its target market in order to strategically grow its customer base. If the target market does not have the means or ability to access services, Yahoo will not be successful. It is important for Yahoo Corporation to capture international customers during the exposure to the Internet. This can create a comfort-zone for its new users.Yahoo also, should become familiar with the likes, dislikes, habits and other characteristics of each niche of the international market. The company should use appropriate marketing channels to create the demand in international market. The marketing techniques like sales promotion, advertising, publicity, etc. will work more effectively to capture international market. Expanding the target market: To become successful, it is important for the Yahoo Corporation to expand its target market. It is important that Yahoo tries to capture those who are its first-time Internet users.Through partnerships with telecommunications providers and cable companies, Yahoo should work to become a primary part of a new Internet service package. Yahoo can successfully get new web users to begin their Internet use. The users use the internet because it allows them to communicate with their friends and family members who are separated geographically. Furthermore, people like the Internet b ecause it allows them to find information and items that they can’t find elsewhere. With this demographic, travel, leisure and financial information tend to be popular.Yahoo should promote its different offerings in publications and media to achieve the best reach and to focus on the particular areas. Yahoo should publicize itself as a source of health information as well as a site that provides travel information for those who plan for retirement. Yahoo should portray itself as a portal of information. Differentiation: To remain competitive, Yahoo should adopt and initiate new projects. The company should begin as a search engine and expand its offerings by including finance, personals and hot Jobs and other activities.For example, Yahoo has realized that the potential users of Yahoo music consequently acquire a significant share of the online music industry. The ability to differentiate itself from its competitors is the main reason for the success of Yahoo. To promote new products, Yahoo is able to take advantage of its brand equity and its large user base. Yahoo should not limit itself to fixed media sites. Yahoo should attempt to commence a multimedia Internet project called runner. This video-intensive and web-based reality TV project will focus on a fugitive crisscrossing the country.Yahoo Corporation should also expand its Internet-based market to compete against traditional media. Conclusion Thus, it is concluded that in the dynamic Internet market, Yahoo is a strong and relatively established company. Its core competence includes focus on young adult users, regularly improving fixed web sites, driving advertising revenue and encouraging employees to be practical. All this points have been a formula for its success. Yahoo must apply aggressive strategies and maintain healthy financial statement to remain competitive.It is important that Yahoo carefully review all these strategies and examine the timing of its initiatives. The company can achiev e its target and growth by hiring competent managers and experienced consultants as well as by remaining focused on its core competencies. By maintaining the strategies, Yahoo will be able to position itself to become a leader in the race for multimedia domination. An understanding of the external environment in terms of opportunities and threats and the internal environment in term of strengths and weaknesses is important for the existence, growth and profitability of Yahoo Corporation.

Sex, Gender and Society Essay Example | Topics and Well Written Essays - 2500 words

Sex, Gender and Society - Essay Example The fact of gender stereotyping therefore has put the spotlight back on the Caribbean male. (Lewis, 1994, p 76). In other words, it has become one of the most perceptible gendered realities that the men in the Caribbean territory are in crisis in the modern world and the Jamaican realities of gender regarding the marginalisation of black male substantiate the argument. In fact, the marginalisation of black male in the Caribbean territory, especially in Jamaica, has emerged one of the pertinent discourses in the contemporary discourses of Sex, Gender and Society. "Central to this discourse is the notion that men are increasingly missing from the higher echelons of the family, the classroom and the labour force. The marginalization thesis prompts a variety of understandings. On the one hand, the increased presence of Jamaican women in education, the labour force and as household heads suggests that the nation's traditional patriarchy is being reordered to produce a new female-dominated gender hierarchy." (Lindsay, 2002, p 56). This paper undertakes a reflective analysis of the thesis, with reference to the territory of Jamaica, that Caribbean men are in crisis examining the relevance and accuracy of this argument and finding the most illumining recommendations as resolution. One of the salient recent developments in feminist and gender studies in the Caribbean region is the emergence of studies of masculinities and the most appealing argument, based on the marginalisation thesis, is that the Caribbean male is an endangered species. There have been convincing data evidences and empirical supports to this significant argument by Lindsay, and the evidences from the education sector best substantiate the point. Thus, "the Anglophone Caribbean is one of the few regions where secondary school enrolment of girls exceeds that of boys. Additionally, by the 1986-87 academic year, total female enrolment at the University of the West Indies slightly exceeded that of males. By the end of 1992, 70 per cent of all graduates from the University of the West Indies Mona campus were female." (Reddock, 2004, p ix-x). Therefore, it is obvious that there are stunning empirical evidences to prove the accuracy of the argument which states that Caribbean men are in crisis. Accor ding to Lindsay, a clear understanding of the data regarding Caribbean women's participation in different areas of the family, workplace and classroom rarely suggests the increasing female dominance and converse male marginality. To her, the marginality of males in the land results not from any concrete material reality, but from a gender based methodological frame which identifies some data source and ignores others. That is to say, there are arguments in favour as well as against the data evidences of male marginalisation. "While a number of scholars have been able to challenge the marginalization thesis successfully, it continues to have great impact, causing expressions of concern from the highest levels of government and from quasi-governmental institutions at national and regional levels." (Reddock, 2004, p ix-x). Therefore, it is all but easy to conclude that there is great accuracy of the marginalizati

The purpose of this assignment is to discover the roles of an Essay

The purpose of this assignment is to discover the roles of an operations manager (first-line, middle or top) in Singapore and ho - Essay Example In this study the focus has been on the study of the roles and responsibilities of the operation manager working for Wilmar International Ltd. headquartered at Singapore. The study shows that the role of the operations managers are becoming more and more challenging due to the globalization that is making the organizations to open their businesses in other nation across the border. Table of Contents Executive Summary 2 Table of Contents 3 Introduction 4 Company Profile and Background 5 Company Mission and Vision 5 Integrity 6 Excellence 6 Passion 6 Innovation 7 Teamwork 7 Safety 7 Manager’s Profile 8 Interview Transcript 9 Analysis of the responses given by the Operations Manager 11 Conclusion 13 REFERENCES 15 Introduction In modern organizations the role of the operation managers in framing the strategy of the firm is gaining huge importance. The decisions related to operations is also playing significant role in achieving the competitive advantage. The responsibility of an o perations manager of an organization is to oversee the process that transforms the input into a greater value output. The main concern areas of the operations manager is manufacturing, development of new products, procurement, distribution, research, technology, customer service and distribution. The business strategy of the firm is implemented in the operations. ... long with willingness to change is required, which needs to be relentless and continuous process to improve the performance of the firm (Bruner, 2003). As emphasized by Wild (1979) the decision of the operations manager influences not only the entire organization but also the work with it and the way all the functions are managed. In case of manufacturing firms Armistead and Mapes (1992) claimed that the roles of the operation manager in a manufacturing farm are more beleaguered towards the corporate target rather than the performance measures. This follows the consequence that the focus of the manager should be shifted from scheduling, production planning and control (Gerwin, 1993) to coordination and design of network of knowledge (Mak and Ramaprasad, 2003) or to organization of task connected to marketing and production. The study focuses on in depth analysis on the role of the operational managers of Wilmar International Limited. The analysis will be based on interview that will be conducted on the operation managers of the organization. Company Profile and Background Wilmar International Limited was founded in the year 1991 and is headquartered at Singapore, which is the leading agribusiness group of Asia. Wilmar is ranked as the largest listed company in the Singapore Exchange with regards to the market capitalization. The business activities of Wilmar International includes oilseed crushing, oil palm cultivation, edible oil, specialty fats, sugar milling and refining, biodiesel, oleo chemicals, grain processing and fertilizer manufacturing. The core strategy of Wilmar International is a flexible incorporated agribusiness model that surrounds the whole value chain of processing business dealing with agricultural commodity staring from processing to distribution,

MANAGEMENT DECISION MAKING Essay Example | Topics and Well Written Essays - 3000 words

MANAGEMENT DECISION MAKING - Essay Example To harmonize the shareholders’ activities and achieve optimum perspectives within the organization, there exists need for exceptional attention towards strategy of group decision-making. For instance, the personnel must adopt a broader and a more dynamic perspective to enable the full integration of all functions of the organization. Further, the strategies of group decision-making need to designate the collection of lasting goals and objectives concerning the organization’s staff members. The strategies must put in place the modalities to ensure that goals set are achievable. Moreover, necessary resources to guarantee the organizational structure, culture, and value alongside the utilization of personnel to fulfill the organization’s objectives should remain implemented. (Emanoil and Nicoleta, 2013, p. 1526). In the recent past, the decision-making process in CCHT slightly improved. Despite this step, the CCHT management is seemingly not fully involved in the decision-making process, and the situation is bringing up confusion as notable consultant partners seem to make unilateral decisions that run the hospital. Delivery of the health care services in CCHT hospital often remains confined in a situation of inefficiencies and resentment. Therefore, it is imperative to consider an integrated form of group decision-making to ensure smooth and coordinated running of the hospital’s functions. A shared understanding is crucial to ensure effective collaboration of the health care practitioners. In order to integrate an understanding among a diverse group of individuals, there is a need for heterogeneity of the work group to remain effected. (Bittner and Leimeister, 2014, p, 111). The report has a foremost objective of enhancing identification of group-decision makers among the health care professionals. During setting up of a group, confidence of

Extra credits Essay Example | Topics and Well Written Essays - 500 words

Extra credits - Essay Example Dith Pran had suffered a great deal for approximately four years before he was able to escape to a refugee camp. Here he was later rescued and reunited with his friend Schanberg. The evacuation from Saigon led to clearing of and falls in Phnom Penh paved way for a more ruthless Khmer Rouge that led to the ruthless genocide in which a lot of people lost their lives (Dawn, Remsing, Hmong Folklore). The film tried to preserve the historical accuracy and ideologies and the portrayal of events as they happened. A lot is learned from the film, even though, the producers skipped some issues that occurred. They try to keep the most important issues like cultures to give the film the touch of Cambodia setting and portray the genocide picture in a clear way especially when panic and desperation arises when violence breaks out. This is an American film that talks about Hmong American community and a retired auto worker Walt Kowalski. Kowalski is a lonely man since his children do not really care about him. In addition, the neighbours he was used to had moved to other places and others passed away and misplaced by Hmong immigrants from Southeast Asia who he hated so much. His life was a quiet one until someone tried to still his Gran Torino. From this event, a young man called Thao is introduced to Walt’s life when his gang forces him to go and steal Walt’s Gran Torino. However, he was caught red-handed, and Walt decided not to shoot him. When Thao’s mother and sister Sue discover what Thao had planned to do they forced him to work for Walt as a way of apologising, he was forced to do odd jobs. This relationship of Walt and Thao lead to the change of their lives. They treated each other as a family to a point where Walt includes Thao in his will leaving him the Gran Torino in a condition that he will never try to modify it in any way. He also

Venezuelan Economiocal Situation Research Paper

Venezuelan Economiocal Situation - Research Paper Example His leadership has been heavily protested ever since that time. The economic crisis in the country is exhibited by several problems that the country experiences. These problems are food shortages, lighting and communication problem, insecurity, political prisoners, government expropriations, poor US Venezuelan relationship and inflation and black market dominance. It is highly ironical that a rich country such as Venezuelan has no food. The daily battle of the country in search of food is not new but it is getting worse especially with the presence of the rainy season. The country retailers have to battle flooded avenues, upturned manhole lids and heavy traffic jams in its quest for milk, oil, and sugar. Many of the locals in the country have a problem getting access to healthy food, not that they lack sufficient cash to afford them but the scarcity of the food makes them lack. This factor causes the little available food presented in the market to retail at extremely high prices leaving the low-income households at a disadvantage since they cannot afford. The locals of the country are forced to queue for long hours in a bid to purchase some of the low quality rice that is present in the country. The spending of many hours in the queues just to buy food wastes plenty of time and many people prefer substituting the consumption of rice with man ioc regardless of their quality. Venezuela used to produce high quality rice and excellent coffee but it stopped. The lack of the country’s staple food, rice, in the shelves explains the extent of food shortage in the country (Lopez). The government of Venezuela nationalized the lighting and communication sectors. They are no private firms in the sectors. The government departments monopolize the lighting and communication sectors to the extent that exploit the country’s citizen. Since the government does not get

Employee Training Term Paper Example | Topics and Well Written Essays - 2000 words

Employee Training - Term Paper Example Some of the main force that influence a company’s training and developments are: ‘economic cycle, globalization, additional emphasis on intangible assets and human capital, focus on link to business strategy, changing demographics and delivery of work force, talent management, customer service and quality management, new technology, high-performance work systems’ (Noe, 2010, p. 10). Influence of Technology on Employee Training: As it has been just seen, that one of the forces that can influence training and development of employees in an organization is new technology. The discussion, here, is about the influence of technology on employee training and development. A look around us will show how people are getting trained on/off-jobs by computers, i-pods, i-pads; and through internet. Therefore the impact of technology is mainly on delivery of training programs. Methods of training employees also have gone through many changes due to the advancement of technology. But use of technology also follow the same basic principles of learning as the traditional methods do . for example, technologies like multimedia, interactive software etc. ‘appeal to multiple senses and allow employees to pace themselves, receive feedback and reinforcement, and find information from experts on as need basis’ (Noe, 2010, p. 337). ... Training could be delivered anywhere: at office or at home, a distant location or at hometown. Technology has given freedom to the employees of choosing when or where they receive training. They can access their training materials on need basis. A simulation of work environment at the learning environment can make employees better equipped for their job. Keeping training records, documentations and other formalities involved in employee training and development could be taken care of by computers. This will cut a lot of paperwork and official activities. Employee’s progress in the training could be better monitored (Noe, 2010, p. 297). Influence of Technology on Learning Environment: The traditional classroom learning environment is linear and not as dynamic as the technology learning process. In the traditional learning process the instructors gives information to the learners; and practice and use of the information is done after the instruction process is finished. This lea rning environment includes only the trainers and the trainees, not the experts or the resources. The learners are passive and the instructors are active members. There is a one way communication from the trainer to trainees. The learners have to wait for the instruction to end to access the resource materials and the experts that is beyond their course material. The communication among the learners happens only outside the training environment. But in a technology based learning environment the training process is dynamic and multidirectional. Here, the learner plays an active role; and the instructor plays minor role. In this learning environment the resource matter and experts are also included. Internet has made a technology based learning environment possible. Internet

Christinity and Culture Essay Example | Topics and Well Written Essays - 750 words

Christinity and Culture - Essay Example Kierkegaard, in his book 'The Sickness unto Death' likens the fears of the Christian to those of a non-believer in the Christian religion to the fears of an adult and those of a child; children fear things that might not be harmful to them like darkness and some creations of their minds, while the adult fears what is really terrifying. It is evident from this that Kierkegaard believes that the world view of Christianity is different from that of other religions, cultures and philosophies, and - according to Kierkegaard - is superior. Kierkegaard is a Christian who is not willing to compromise any aspect of his religious belief. Some Christians however, either for making their religions more popular and applicable or for a conflict within them between their cultures and their religions, have sought to bring Christianity's view of the world closer to their cultural one. There has been many tries to do this while maintaining harmony with the Christian view, such as arguing that culture is the creation of God and so it is not against his will to follow it. All these views however fail to maintain logical consistency for a simple reason; Christianity claims to be from an all-wise God and thus claims perfection, it also claims that every human has free will but is required to follow the path set by God. To argue that man is imperfect and should follow his imperfect path is at bottom saying that Christianity is a perfect law that has no use to us humans, that for some reason God asked us to follow this law and rewards and punishes based on the following of this law, and in the same breath saying; God wants us to ignore this law. Nietzsche's famous quote 'Only something which does not have a history can be defined' means that something that has evolved over time and will probably continue to evolve cannot be limited to a certain definition since it is in constant change. Morality is one such thing, and so, for Nietzsche, the Christian - or any religious - attempt to define the morality of all time fails. This can be contrasted with Kierkegaard's view that Christianity is superior to any other philosophy, morality or culture. There is no middle ground, and trying to seek in holy books a hint for going against them is like asking God to give us orders and ask us not to follow them. What if these tries do succeed, and so one of the orders given to us by God would be 'don't follow my orders', what then should we do Back to the problem that initiated this ethical religious problem, if Catholicism is to be taught in Catholic schools, then a kid with lesbian parents will definitely suffer in that school from hearing that his own parents are going against the very teachings of his religion. If, however, Catholicism must be changed to suite the needs of people who both want to claim to follow a religion and go against it then we are left with something that is not Catholicism but that has the same name. Some people act as if one should be given the right to be Christian and have a belief system that goes against Christianity, but I believe that if someone has a belief system that goes against a religion then he is, by that fact alone, not belonging to

Pacific Healthcare Essay Example for Free

Pacific Healthcare Essay He now has the opportunity to authorize the use of any X ray film other than Kodak. An investigation was complete in where Mr. Rubble had a reason to believe that the current Kodak price was above that of possible competition. There was an existing agreement with Kodak calls for furnishing X ray equipment along with maintenance and service, at a considerable discount for using Kodak as a single supplier of the X ray film. Kodak refused to provide those services if they were not their only source for X ray film. II. Major Problem Kodak has been Pacific HealthCare’s main supplier for X ray film. Now that Mr. Howell has pasted it is Mr. Rubbles’ responsibility to either decide to keep the Kodak for the X ray film or change to a different X ray film supplier. What needs to be kept in mind is that Kodak was also offering Pacific Healthcare discounts for furnishing X ray equipment along with maintenance and service. This was all because they were their only X ray film supplier. If Pacific Healthcare switches to a different X ray film supplier they will lose those discounts. Obtaining the highest quality with the best service at the lowest price is Pacific Healthcare’s supply strategy for medical supplies. Their objective is to find a single source supplier for a one year contract. III. Possible Solutions A. There are four other companies that make X ray films DuPont, Agfa, Fugi, and 3M. The quality of DuPont and Agfa are consistent with Kodak. Mr. Rubble can choose to go with DuPont since it holds the standard of Kodak and cost less than Agfa. The price of DuPont $1. 50 per sheet of X ray film. B. There are four other companies that make X ray films DuPont, Agfa, Fugi, and 3M. The quality of DuPont and Agfa are consistent with Kodak. Mr. Rubble can choose to go with Agfa since it holds the standard of Kodak. The only real issue I see here is that there is another company that makes the same quality of X ray film than both Kodak and Agfa. DuPont make the same quality of film for a lower price. The price of Agfa is $1. 58 per sheet of X ray film and DuPont offers it for $1. 50 per sheet. C. Mr. Rubbles can choose to stay with Kodak. The price for Kodak is higher than the other competition but they give Pacific Healthcare discounts on other services. Kodak furnishes Pacific Healthcare with X ray equipment, along with maintenance and services at a substantial discount for using Kodak as a single supplier for X ray film. I have found three issues with this possible solution. One, I do not know how much of a discount they are getting for the X ray equipment, along with the maintenance and services they are receiving from Kodak. With that I also need to know how much the competitors are willing to give Pacific Healthcare for those additional services that Kodak is offering to them. Last, but not least there are other competitors that are at a lower price range with the same quality as Kodak. DuPont offers their X ray film for $1. 50 per sheet and Agfa offers theirs at $1. 8 per sheet. Kodak is charging Pacific Healthcare $1. 80 per sheet of X ray film. With this solution we have to keep in mind that Pacific Healthcare uses approximately 1,500 sheets of X ray film per day. That is approximately $2,700 per day. If Mr. Rubbles chooses to go with DuPont which is the same quality as Kodak that would be approximately $2,250 per day. By choosing DuPont Pacific Healthcare with be saving about $450 a day. That is $3,150 per week and $12,600 a month by switching to DuPont. That is a huge saving for Pacific Healthcare. Pacific Healthcare can save money as well as keeping the same high quality as Kodak. IV. Choice and Rationale After reviewing all of the possible choices I chose to go with choice A. I chose A, because it saves Pacific Healthcare a lot of money as discussed in choice C. By choosing DuPont the company would save $450 a day compared to Kodak. That is $3,150 per week of savings and $12,600 a month by switching to DuPont. Also in choosing Agfa which is the same quality as Kodak, Pacific Healthcare would save $330. Keep in mind that Agfa and DuPont have the same quality as Kodak. Why choose Agfa over DuPont if they have the same quality of X ray film? That is why I chose DuPont. It is a smart solution, because it saves Pacific Healthcare money while also keeping the same quality as Kodak. Moving on two the other choices Mr. Rubble has. In the beginning I mentioned that there were four competitors that offered X ray films at a much lower rate than Kodak. The competitors were Agfa, DuPont, Fugi, and 3M. I have discussed Agfa and DuPont. The reason for not adding Fugi and 3M to my possible solutions is because Pacific Health care wanted to keep the same high quality in X ray film. Even though Fugi and 3M met minimum requirement they were thought of as having lower quality. Pacific Healthcare was looking for obtaining the highest quality with the best service at the lowest overall cost. To me they did not meet the requirement of Pacific HealthCare’s goal. V. Implementation I would let Pacific Healthcare know of my overall decision. In this brief, I would brief all my possible choices I had and why I chose to go with my choice. If we are in agreement my next step would be to contact DuPont and request their service for X ray film. From there I would let Kodak know that we appreciate their business, but we no longer are in need of their X ray film service. Of course I would make sure that DuPont has agree to be our single source supplier for X ray film prior to finishing the contract with Kodak. Appendix A What alternatives should Barney Rubbles consider when addressing the problem? Barry Rubbles should consider the high quality that Pacific Healthcare would like to keep as well as the best service with overall lower cost. He should consider which one would give the overall high quality as well as trying to save money. Should Pacific’s’ supply policies allow for any medical staff personnel to control sourcing decisions? In my personal opinion no, because they may not have the proper training or know what the companies needs are. I would like the professionals handle that. This case does not show a good example, because Mr. Howell chose the highest competitor. I would definitely have had both Mr. Howell and Mr. Rubbles work together. Sometimes one may come up with a different solution. What are the advantages and disadvantages of staying with Kodak—or changing suppliers? How would you evaluate these? If the Pacific Healthcare would stay with Kodak they could keep receiving their discount for the other services that Kodak provides. This includes the X ray equipment, maintenance and, service for being their only source for X ray film. Like previously stated, I am not sure exactly how much that discount was. Nor did I know how much the competitors were willing to give those services to Pacific Healthcare. With changing suppliers Pacific Healthcare would definitely save a lot of money. This would include changing to DuPont or Agfa. With DuPont the company would save $450 a day and by switching to Agfa the company would save $330 a day. Mr. Rubble has to keep in mind that both have the same quality of X ray film as Kodak. What action could Mr. Rubble have taken prior to Mr. Howell’s death to obtain reduced film prices? Mr. Rubble should have conducted a research just like he did when they put him in charge of the X ray film ordering. He should have presented this information to Mr. Howell and if he had disagreed Mr. Rubble should have taken it up to the company.

Childhood setting in enacting the rights of children

Childhood setting in enacting the rights of children One basic human rights principle laid down in the Universal Declaration of Human Rights, 1948 is that all human beings are born free and equal in dignity and rights (Article 1 UDHR). However, specifically vulnerable groups such as women, indigenous people, and children have been assigned special protection by the UN legal framework (Steiner Alston, 2000). The UN Convention for the Rights of the Child (UNCROC), 1989 remind us that children, whilst retaining their entitlement to the full range of human rights, are often marginalised or excluded, and represent a special case required additional safeguards (DCI, 1995). In this 21st century, the status of children in Australia needs to be improved nationally and internationally for economic and political success in the future (Nyland, 1999). Teachers and caregivers have opportunities to incorporate rights education into any part of their program that creates openings for teaching children about rights (Waters, 1998). In this essay, I will discuss the role of early childhood settings in enacting and promoting the children rights envisaged in the UNCROC and in making these rights available to Australian children. Childrens Rights: Setting Standards Legal conceptions of children The adoption of the Convention on the Rights of the Child marked a fundamental shift away from past conceptions of children and childhood to a new one. Until then, the law had seen a child as property the property of the father to be dealt with and disposed of as he saw fit (Hart Pavlovic, 1991). However a conceptual shift took place during the 19th century, based on the perception of children as vulnerable and so in need of protection from poverty, the voices of industrialization, immigration and urban living. In addition, to being considered property, the child began to be considered as a resource to society (Hart Pavlovic, 1991). The human rights movement of the 20th century, previously focused for adult rights was extended to children (Hart Pavlovic, 1991) though children were still seen as vulnerable and in need of protection but this status was subsumed in a broader understanding of children as full human beings with all the human rights and fundamental freedoms that all human beings have. Their need for protection was transformed into a right to protection. Now children are considered as rights-holders (CRC GC7, 2005) like adults. The UN Convention on the Rights of the Child, 1989 The UN Convention on the Rights of the Child is the universal statement of this new conception of rights-holders. The United Nations General Assembly on Nov 20, 1989 adopted the UN Convention on the Rights of the Child (UNCROC). In 1990 Australia ratified the UNCROC and to date 191 countries have ratified the Convention, while USA and Somalia have become signatories. The Convention is the most full and complete international legal document on childrens rights, covering their protection, growth and wellbeing (Alston, 1991). The Convention deals with child-specific needs and rights, and requires that states act in the best interests of the child (Nyland, 1999). The objective of the Convention is to protect children from discrimination, neglect, abuse and to promote childrens rights and serves as a focus point and a useful tool for civil society and individual people (Nyland, 1999). The widespread ratification of UNCROC by the international community has made it a powerful catalyst for action on behalf of young children and has gradually become embedded within the policies and practices of all who works with children. According to Arnold (2004) The CRC has more signatories than any other international convention, and it is important for us to recognize the legal implications of this achievement in how we position our work (p.4). The effect of the Convention for Children in Australia From the ratification of the UNCROC in 1990 by Australia until the present, we can say that the Convention has realised neither the brightest hopes of its supporters nor the most terrible fears of its opponents. The ratification of an international instrument by Australia, such as the Convention, does not ipso facto make that instrument part of domestic law hence the UNCROC is not part of Australian domestic law. Therefore, it has not revolutionised public policy making for children, nevertheless it has led to many very significant initiatives and reforms. Thus for the purpose of human rights and equal opportunity, the Convention has been affirmed an international instrument relating to human rights and freedoms (Alderson, 2000). Consequently, the Convention has provided the legal and conceptual basis for the establishment of childrens commissioners in most Australian jurisdictions. Childrens rights and early childhood settings Early childhood, the period from birth to 6-8 years, is a significant and unique time in the life of every individual. Children mainly stay at home, schools and recreational institutions in their everyday lives during these years (Rasmusen, 2004). These environments have been created by adults therefore adults play a powerful and unique role in building quality early childhood practice. Quality experiences for each child are supported and ensured by the experience, qualification and competencies of adults, in addition to their capacity to reflect upon their role (Wyatt, 2004). This challenging and vital role in the life of the young child needs to be appropriately supported, resourced, and valued. Therefore, quality early childhood care and education must value and support the role of parents as well as that of the staff (Thorpe Thomson, 2003). The best interest of the child is promoted by the open, honest and respectful partnership with parents. Basing early childhood services on childrens rights Childrens rights are relevant to early childhood education and care. The Convention on the Rights of the Child is directed towards the well-being of every child and the full development of every child to her or his full potential (Butler, 1993), and early childhood education and care settings share that direction and commitment. The Convention states that the first objective of education is the development of the childs personality, talents and mental and physical abilities to their fullest potential (Art. 29 (1)). Quality Early childhood education and care contributes to the full personal development of children. Early childhood institutions contribute to implementation of the requirements of the Convention in relation to the childs right to the highest attainable standard of health care (Art. 24), the right to education (Art. 28), the right to protection from exploitation, abuse and neglect (Art. 19), the right to play and recreational activities appropriate to the age of the child and to participate in cultural life (Art. 31). Institutions also have particular regard for the specific needs and rights of particular groups of children specified in the Convention: refugee and asylum seeker children (Art. 22), children with disability (Art. 24), children of ethnic and religious minorities and indigenous children (Art. 30), children placed in alternative care (Art. 20), children who are the victims of abuse and neglect (Art. 39) (Alderson, 2000). In Australia, the importance of childrens rights to early childhood care and education is recognised in many of the key documents that express the values and goals of the sector. The first commitment to children in its Code of Ethics is to act in the best interests of the child and the second commitment is a more general one, to respect the rights of children as enshrined in the UNCROC and commit to advocating for these rights (ECA Code of Ethics, 2006). Its policy positions are based on principles that reflect adherence and commitment to the Convention on the Rights of the Child (ECA position statement consulting with young children). Childrens rights issues for early childhood institutions Early childhood education and care institutions address childrens immediate needs and well-being, that is, childrens lives as children (Rasmusen, 2004). They provide children with opportunities for learning, play and socialisation. They provide the foundations for literacy, numeracy, later learning, and future life opportunities. They also focus for addressing the rights of particular groups of children such as indigenous children, refugee and immigrant children, and children with disabilities. The way childrens rights are interpreted and acted upon in early childhood institutions has some cultural/social implications (Nyland, 1999). For example, when children interact in the complex cultural environment of a day care setting that can provides us with insights into how they construct their views of the world and culture. Therefore as adults we should observe children very closely in order to understand what they are trying to tell us about their surroundings. Mostly caregivers support childrens developmental activities on observed activities that focus mainly on the individual child and areas of development and divide children into developmental areas which is a problem because one area or dimension can not exist by itself. Therefore practitioners should be motivated to plan for the different areas of development and therefore move away from play-based curriculum since tasks are developed to aid a particular area of development and overlook or neglect the ideal of whole child (Nyland, 1999). Another constraint of current mode of recording children behavioural observation is that we record observed behaviour meaning something already has been done by a child (Nyland, 1999) so we look at the child of yesterday and not at the child potential in upcoming future. In a child care centre caregivers can create an environment focusing on strengthening childrens development in a more holistic way, which will give to the caregivers a better understanding of the physical and social settings of children from where they belong. In the child care centre the caregivers can also identify culturally regulated customs (Nyland, 1999). The adult/caregivers role in these developmental areas/physical and social settings is one of scaffolding the child experiences through an environment that is carefully considered in relation to three metaphorical zones (Cole, 1996) i.e. zone of free movement (ZFM), the zone of promoted activity (ZPA) and the zone of proximal development (ZPD) (Valsiner, 1987). ZFM is understood as the childs access to the environment, objects, events and ways of acting (Cole, 1996). ZPA covers a childs particular action, or response which encouraged him/her to give by a more competent member of the culture or from the same physical environmen t (Nyland, 1999). But when the ZPA is matched to the childs present development state which guides further development then it is referred as ZPD (Cole, 1996). For better understanding of the role of early childhood settings for the protection of children rights, the caregivers role is more important and dynamic since s/he can use the metaphorical zones as guide for designing and providing space, objects and interactions. The caregiver own role can be deliberately designed for enhancing the perceived developmental potential in an articulated cultured environment. The cultural activity where development is most likely to occur in a cultured environment is known as leading activity and such activities can be accomplished through manipulation for infants and spontaneous play for children (Bodrova Leong, 1996). At one hand the role of caregiver demonstrates a childs competence for understanding changes and on the other hand the early childhood setting as a learning environment. Such an approach moves away from the straitjacket of areas of development and affords the child a voice while giving the caregiver a more meaningful role within the relationship (Nyland, 1999). Early childhood workers as leaders in childrens rights advocacy Early childhood educators have a vital role in advocating childrens rights by taking a proactive approach for recognizing their rights and responding appropriately to policies and systems which adversely affect childrens rights. Child advocacy emphasizes on giving due status to children, increasing their self-determination and the responsiveness and accountability of institutions affecting them (Melton, 1987). We (caregivers), then are needed as advocates for childrens well-being and not only advocates but leaders in advocacy. The basis of our advocacy should be childrens rights, as recognised in the UN Convention on the Rights of the Child. Why we? Because as early childhood professionals, we have responsibilities and opportunities that require we to be advocates. Our responsibilities come from our role as workers with children. We know them and their needs well (Nyland, 1999). We know what promotes their development and their happiness. We know the importance of services for them being of the highest quality. We also know the consequences of children not receiving the services and support they need for their full development and the consequences of poor quality services. Advocacy cannot be left to others when we have so much expertise and experience. Since children cannot look after their own interest and grossly disadvantaged in protecting their interest, rights and freedoms, therefore, they need advocates (Australia. LRC. HREOC, 1998). Conclusion The legal obligations of the Australian government under the UN Convention on the Rights of the Child are still to be realised, almost 20 years after its ratification. We can move beyond frustration, anxiety and despair and embrace the possibility of hope if we are willing to do so. Children have few choices. We adults and professionals have many. The challenge is to choose to place ourselves at their service and in the service of their rights. Children have the ability to construct their own images and now it is up to society to help them realize these images. The early childhood practices, like child study, provide a strategy for listening to the very young. A belief in childrens rights and an understanding of childrens strength and competence can be used as a basis for improving the quality of childrens daily lives (Nyland, 1999). By this our early childhood institutions would provide to the children with opportunities for learning, play and socialisation. So the emerging vision is one of an actively participating and socially competent young child. This young child is ecologically situated: within family and caregiving environments; in relationship with peers; as part of a community; and as a member of society. This young child is to be considered holistically: as a being whose emotional, social physical and cognitive capacities are evolving in various social and cultural settings (CRC GC7, 2005). Therefore require us to reconsider young, active, participant children in the broadest possible sense, both as individuals and as a constituency.

Foundation, Foundation and Empire, and Caves of Steel, by Isaac Asimov

Everyone is faced with difficult obstacles at some point in his or her life, whether or not they are able to overcome them can define them as a person. Every story has a plot, but a plot is determined by the characters and their actions to events that take place in the story. According to the article â€Å"Science Fiction Images of Computers and Robots† written by Patricia S. Warrick, many of the plots in Asimov’s novels depend on â€Å"computers and robots [along with] space exploration and development† (54). Characters in the novels written by Isaac Asimov have to figure out the capabilities of new technology, understand other characters, and find solutions to problems with no end in sight. Characters’ actions and responses to problems play large roles in the plot of a story. The characters in Asimov’s novels have to solve problems that could affect the future of humankind. With such great advancements in technology, the humans begin to worry tha t technology such as robots will take over and become the primary race. In Isaac Asimov’s novel, Foundation and Empire, one of the themes is deception and some characters use deception to get what they want, and in a world of power, they became the most powerful of all. When the structure of organizations and countries begin to fall apart in the world, there are some people who will do almost anything to gain power. In Asimov’s eyes, the future world is going to be enormous expanding across galaxies, having unlimited technology, and billions of people. Asimov is one of few writers who has had success writing novels containing science fiction and mystery. Isaac Asimov depicts similar themes of power and deception by using the plot, characters, and setting, while the use of all these makes him an i... ...simov. Ed. Joseph D. Olander and Martin Harry Greenberg. N.p.: Taplinger, 1977. 32-58. Rpt. in Contemporary Literary Criticism. Ed. Jean C. Stine. Vol. 26. Detroit: Gale, 1983. 41-45. Print. Short, Sue. "The Measure of a Man? Asimov's Bicentennial Man, Star Trek's Data, and Being Human." Extrapolation 44.2 (2003): 209. General OneFile. Web. 12 Mar. 2014. Warrick, Patricia S. "Science Fiction Images of Computers and Robots." The Cybernetic Imagination. N.p.: The MIT, 1980. 53-79. Rpt. in Contemporary Lieterary Criticism. Ed. Jean C. Stine. Vol. 26. Detroit: Gale, 1983. 53-56. Print. Watt, Donald. "A Galaxy Full of People: Characterization in Asimov's Major Fiction." Isaac Asimov. Ed. Joseph D. Olander and Martin Harry Greenberg. N.p.: Taplinger, 1977. 135-73. Rpt. in Contemporary Lieterary Criticism. Ed. Jean C. Stine. Vol. 26. Detroit: Gale, 1983. 45-50. Print.

Comparing To Kill a Mockingbird with The Man Without a Face :: comparison compare contrast essays

"Fighting Fear and Tradition† Michael Jordan can't single-handedly win a basketball game. Wayne Gretzky can't win hockey games by himself either. It takes a team effort to be successful. That was exactly the case in Harper Lee's To Kill a Mockingbird and The Man Without a Face. Even though the time period of To Kill a Mockingbird (1930s) and The Man Without a Face (1960s) were vastly different, everyone needed help, no matter how dangerous. It is no easy task and takes a lot of courage, but it is not impossible, it is achievable.   Although Jem Finch and Charles Norstadt both matured over time, Jem had no real goal except to be a better all-around person, while Charles' goal was to make it to the military school. In Jem's situation, he believed one of the steps to success was to escort his little sister, Scout, back home. He did, but he paid a sacrificial price. A complete surprise attack would have left Jem lifeless like a fish on dry land if Boo Radley, the outcast, had not saved Jem's life. Jem even took the humiliation of apologizing after destroying the garden of Mrs. Dubose because of his lack of self control. Charles Norstadt matured a lot as well and was rewarded with entry to a top military school. He learned to accept the fact that people were no longer supporting him. For example, when McLeod ordered Charles to dig a 3x3x3 hole, he refused to do it. He later learned that this was his geometry lesson. Also, when Charles attempted to shortcut through his essay assignment, he was caught and acco!   rding to McLeod "a high class cheat now". Perhaps, Charles' biggest maturity step was his ability to see the person behind the burnt face of Justin McLeod. The news was biased, and McLeod would not answer, so he was forced to take facts from his personal experiences and interpret them "I didn't teach you the whole summer so you could cheat on this question!" yelled Justin McLeod. Even though both Jem and Charles fought against society's perspective, they both blossomed admirably and were later able to take a stand against a community with large prejudices. Despite the prejudices that both communities had, the community in To Kill a Mockingbird was racist towards Tom Robinson while the media portrayed the negative image of Justin McLeod in The Man Without a Face. Because of Tom Robinson's racial disadvantage in court, Atticus Finch became his lawyer. Atticus felt that everyone, including people of all colors, should be equal. "^ our courts are the great levelers,

Philosophy of Nursing Essay

One cannot achieve overall health unless they are physically, mentally, emotionally, and socially well. All of these aspects must be at optimal best allowing one to function well in life. Physical health is obtained by following a healthy diet, exercising regularly, and limiting exposure to toxins (drugs, alcohol, pollution). It is also important to have oral and physical examinations at regular intervals and to practice preventative measures to combat possible illnesses. Mental and emotional health can be referenced interchangeably. They are different in theory but encompass some of the same factors. Managing daily stressors such as work, relationships, and finances can prevent the occurrence of stress induced mental health issues such as depression and anxiety. A socially healthy individual is able to coexist among different types of people without experiencing harmful conflict. It involves the ability to compromise and contribute to meaningful relationships. Social well being is also exemplified through good communications skills, maintaining meaningful relationships, respecting oneself and others, and creating a support system that includes family members and friends. Illness has a physical or mental effect. If a person is diagnosed with a physiological ailment or disease, that person is physically ill. If a person suffers from a mental disorder or disease such as depression, anxiety, or substance abuse, that person is mentally ill. When a person is ill it can simply be described as the opposite of the above mentioned states of well being, however, illness can occur (even if an individual takes all the necessary preventative measures) simply as a result of genetic predisposition. Person There is a broad range of nursing patients. The commonality of most nursing care recipients is they are ill or have been altered from their mental or physical normalcy. The most common nursing client is a patient in a doctor’s office. Individuals with previous hospitalizations and those who have never been hospitalized most likely have had visits to their doctors office which involves contact with a nurse. Characteristics or traits that most patients have in common are fear, anger, powerlessness, humility, and appreciation. Often patients are uneducated of the nursing process, thus not able to identify the purpose of the nurse and how influential nurses are to the healing process. If and when the patient has the capacity and willingness to learn, care plans are the most effective method to inform the patient of what is going to happen and the contributions expected of them during their hospitalization. Environment There is a wide variety of environments where nursing is practiced. Hospitals are most populated by patients receiving skilled nursing care. The environment is usually conducive to providing care while focusing primarily on patient satisfaction. While some hospitals strive to implement magnet programs, few have achieved magnet status. Magnet status is the staple of excellent nursing care. An increasing number of patients are familiarizing themselves with the term â€Å"Magnet† and broadening their expectations. Hospitals are usually fast paced as nurses collaborate with other nurses, physicians and case managers to implement an individualized care plan upon admission. Home care is of growing interest for many nurses mainly in response to the autonomy this field offers. Nurses are able to generally schedule their visits around demands of their private lives. Patients’ homes differ greatly.  Cleanliness or lack there of, many family members present or the patient lives alone with no support system, safe neighborhoods or high crime areas are some factors that contribute to the environment, influencing nursing care in the home. Some home health agencies provide the nurse an abundance of supplies to deliver patient care, however some agencies do not have the same budget capabilities. In this case the patients’ care can be compromised or postponed until the nurse is provided necessary items. A negative connotation is primarily given to skilled nursing facilities (or SNF’s) by patients and their families. This is mainly due to expectations of receiving an abundance or RN level care. Patients are not aware that SNF’s are usually staffed with mostly LVN’s and CNA’s with one or two RN’s to manage the facility through communication with physicians, delegating tasks to nursing staff, and utilizing critical thinking skills in emergent situations. Nursing During nursing school interviews, nurses are posed the most commonly asked question, â€Å"Why do you want to become a nurse? † The usual response, â€Å"Because i like helping people†, is often given without hesitance. This is the easy, less thought provoking answer to this question and usually from an inexperienced nurse. Helping people is what nurses do, however it is a result of carrying out the many tasks required throughout a day of nurse duties. Nursing is not just about helping people, it is not just about being a caring and nice person. Nurses are highly intelligent individuals who encompass and apply an abundance of knowledge throughout their day of work while perfecting the art of prioritizing. Engaging in â€Å"dirty work† while understanding multi system failure is among the many gifts of nurses. The stereotype of nurses is a woman who almost fearfully respects and answers to doctors; carrying out doctors orders with the mannerisms of servants. Actually, nursing is the contrary of that belief. Nurses are trained to question physicians when in doubt of the accuracy of their orders. Nurses are trained to be concerned with the patient as a whole and to address all of their needs, promoting wellness throughout all realms of life and not just the physical illness. An excellent nurse understands that a patient needs to be well physically, mentally, and socially in order to be considered healthy. The nurse will attempt to address and settle theses issues before nursing care ceases. Communication plays a big role in nursing and is one major difference between nursing and medicine. Nurses generally spend more time with patients than doctors, either during a shift or frequent visits, thus increasing communication and familiarity with patients. While there are many different theories of nursing, all nurses must have one thing in common. Nurses must greatly enjoy helping others to deliver excellent nursing care.

Johnson and Johnson

TERM PAPER For STRATEGIC OPERATION MANAGEMENT Submitted by: ANALIZA T. CEDILLO BSBA 4-1 (OM) Submitted To: Prof Avila JOHNSON & JOHNSON COMPANY INTRODUCTION * The Company supports the United Nations’ Millennium Development Goals to improve the health of mothers and children in developing countries. As a founding sponsor, Johnson & Johnson helps launch the United States’ first free mobile health service, providing health information via text messages for Pregnant women and new mothers. * They are the world’s sixth-largest consumer health company There are the world’s largest and most diverse medical devices and Diagnostics Company. * They are the world’s fifth-largest biologics company. * And the world’s eighth-largest pharmaceuticals company * Johnson & Johnson was a biggest company that caring the world and enduring strength they consistent approaching and to managing  they Business. * They have more than 250 operating companies in 60 coun tries employing approximately 129,000 people. Our worldwide. * Johnson  &  Johnson Family of Companies work with partners in health care to touch the lives of over a billion people every day, throughout the world.HISTORY: Johnson & Johnson,126 years more than a century caring. Its start on 1886 with the three brothers, Robert Wood Johnson, James Wood Johnson and Edward Mead Johnson, found Johnson  &  Johnson in New Brunswick, New Jersey, U. S. 1901, is a Part of its commitment to first aid, Johnson  &  Johnson publishes the first Aid Manuals, using proven best practices from leading physicians. 1910, James Wood Johnson takes over the leadership of Johnson  &  Johnson until 1932. The first overseas operating company opens in the United Kingdom was on 1924. And they expand to Mexico and South Africa.On 1932, Robert Wood Johnson II. He begins leadership of Johnson  &  Johnson. Known as General Johnson, he transforms the Company into a global decentralized Family of Companies. 1963-1973, Under Chairman and CEO Philip B. Hofmann's leadership, operating companies launch new treatments for schizophrenia, family planning and personal care. Also, 1963 marks the last year that JOHNSON'S ® Baby Powder is sold in tins. They announce plans to build our new World Headquarters in New Brunswick, New Jersey, and form a public-private partnership to revitalize the city. 2002, William C.Weldon becomes Chairman and CEO of Johnson  &  Johnson, only the eighth person to lead the Company since its founding. Under his leadership, the Company enters new therapeutic areas such as HIV/AIDS, and health and wellness. 2011, They celebrates 125 years of caring and looks to the next 125 years of transforming care for patients, consumers and communities around the world. In the year of 2012, Alex Gorsky is appointed Chief Executive Officer of Johnson  &  Johnson. As only the seventh CEO in our history, he continues a legacy of leadership. Company OverviewJohnson & Johnson's commitment to innovative health care products has resulted in consistent financial performance. The Company has 29 consecutive years of adjusted earnings increases and 50 consecutive years of dividend increases. Johnson ; Johnson, through its family of companies, employs approximately 129,000 people worldwide and is engaged in the manufacture and sale of a broad range of products in the health care field in many countries of the world. Johnson ; Johnson's primary interest, both historically and currently, has been in products related to health and well-being.Johnson & Johnson was organized in the State of New Jersey in 1886. Johnson & Johnson is organized on the principles of decentralized management. The Executive Committee of Johnson & Johnson is the principal management group responsible for the strategic operations and allocation of resources of the Johnson & Johnson family of companies. Johnson & Johnson's operating companies are organized into three business segmen ts: Consumer, Pharmaceutical and Medical Devices and Diagnostics.A Group Operating Committee, composed of managers who represent key operations within the segment, as well as management in specialized functional departments, oversees and coordinates the activities of domestic and international companies related to each of the business segments. However, in line with the principle of decentralized management, senior management groups at U. S. and international operating companies are each responsible for their own strategic plans, as well as the day-to-day operations of those companies, and each international company is, with some exceptions, managed by citizens of the country where it is located.HR/MANAGEMENT Johnson ; Johnson Strategic Framework They believe that in serving. those who sell their product, they serve himself. Foundation The Strategic Framework starts with Credo, the guide to help navigate way through challenges and opportunities. From Credo, there Aspiration emerges – by caring, one person at a time; they are help billions of people around the world live longer, healthier and happier lives. Strategic Planning/Principles From the foundation they build a unique kind of a set.They based on a health care, First they focus on managing for the long term. Second they operate under a decentralized management approach. And then do all this through a unique culture that values and fosters the development of people. Executive management of Johnson ; Johnson, with the support and approval of the Board of Directors, has set the fundamental strategic direction of the Company to remain a broadly-based human health care company for the consumer, pharmaceutical and medical device and diagnostics markets.Strategic planning is guided by the ethical principles embodied in Our Credo, unifying our people worldwide behind a set of common values and providing a constant reminder of the Company's responsibilities to all of its constituents. With over 250 operati ng companies located in 60 countries throughout the world, Johnson & Johnson is organized on the principle of decentralized management. Each international company is, with some exceptions, managed by citizens of the country where it is located. Senior management groups at U. S. nd international operating companies are each responsible for their own strategic plans. On an on-going basis throughout the year, at meetings of the Board and Committees of the Board, management of the Company and Board members discuss the strategic direction and major developments of the Company's various businesses. The process is an interactive/on-going dialogue which provides the Directors with insight into the activities and direction of the Company's businesses. Accounting/Finance Department Corporate Governance The values embodied in the Credo guide the actions of the people of theJohnson & Johnson Family of Companies at all levels and in all parts of the world. They have done so for more than 60 year s. These Credo values extend to our accounting and financial reporting responsibilities. Management is responsible for timely, accurate, reliable and objective financial statements and related information. Such as: * Maintain a well-designed system of internal accounting controls. * Encourage strong and effective corporate governance from our Board of Directors. * Continuously review our business results and strategic choices. Focus on financial stewardship. Accounting Controls The professionally trained internal auditors travel worldwide to monitor system of internal accounting controls. This system is designed to provide reasonable assurance that assets are safeguarded and that transactions and events are recorded properly. The internal controls include self-assessments and internal and external audit reviews of operating companies, which concludes â€Å"Management's Report on Internal Control over Financial Reporting,† printed in Annual Report.Johnson  &  Johnson is gu ided by the values set forth in Credo, created by General Robert Wood Johnson in 1943. Credo and the principles have been woven into the fabric of the Company. The values articulated of Credo extend to accounting and financial responsibilities to Johnson  &  Johnson shareholders and investors. The Johnson & Johnson SWOT: Strengths * Worldwide sales have grown 14% indicating a strong position for the global group. * The business model adapted by Johnson and Johnson fundamentally uses the adaptation of entrepreneurial values in order to retain an edge within the market place. Working with intensive scientific notions Johnson and Johnson utilize a varied expanse of problem solving techniques in order to challenge the standard practice and capitalize on growth through emerging markets which enables associated growth. * The use of independent offices working as standalone units provides the opportunity to develop concepts with cultural considerations which can prove important when ta king a product to global markets. Weaknesses There is increasing pressure within pharmaceutical markets to reduce prices in line with medical budgets and maintain patent expirations to ensure generic programmers are updated within critical path movements. * Challenges have been faced within Johnson and Johnson where a reduction in the market demand for key products has been identified; some of these products were branded and have been replaced by generic programmers at the end of patent time lines. * Internal weakness across the industry and not isolated to Johnson and Johnson would be the level of theft and counterfeiting of drugs managed through internal personnel.Opportunity * Whilst the recent acquisition of Pfizer Consumer Healthcare will act as an opportunity in its own right to promote growth for the organization through alternative routes there is the added value capitalized through the return on investment which will be realized 12 months before plan releasing funds back in to the bottom line. * Johnson and Johnson have highlighted new developments in pharmacy products with five undergoing regulatory review which provides the opportunity to grow the existing product portfolio. Development into new functions of medical devices and diagnostics will provide new markets to entry which will result in business growth. * With the development of WTO rules to prevent the availability of cheap generic drugs there is the opportunity to reduce the level of lost profit due to generic introduction as patents run out. Whilst this will aid Johnson and Johnson where they own the brand where they are looking to capitalize on introducing generic drugs to market this ruling will become a hindrance. Threats Generally within the main pharmaceutical companies there is a high level of competition for the generics markets where patents finish and it is the first to entry where success will generally be determined. * Technological developments with bio-tech concepts will potent ially move the traditional pharmaceutical methods out of the market place in the long term although there is an economical argument that this form of development can be segregated to run alongside traditional methods and complement as opposed to replace.

Go Blank Yourself Essay

Why students flunk out of college can not be pin pointed to one thing. There are very many reasons why people drop out of college like for instance, a student may be too overwhelmed with his or her whole college schedule. Also, a student may also be overwhelmed with his or her work schedule on top of their busy college classes. Another reason students may drop out of school is because of personal problems, whether it may be family related or a relationship problems, they to can be very stressful on a student. Why students flunk out of college can not be pin pointed to one thing. There are very many reasons why people drop out of college like for instance, a student may be too overwhelmed with his or her whole college schedule. Also, a student may also be overwhelmed with his or her work schedule on top of their busy college classes. Another reason students may drop out of school is because of personal problems, whether it may be family related or a relationship problems, they to can be very stressful on a student. Why students flunk out of college can not be pin pointed to one thing. There are very many reasons why people drop out of college like for instance, a student may be too overwhelmed with his or her whole college schedule. Also, a student may also be overwhelmed with his or her work schedule on top of their busy college classes. Another reason students may drop out of school is because of personalWhy students flunk out of college can not be pin pointed to one thing. There are very many reasons why peWhy students flunk out of college can not be pin pointed to one thing. There are very many reasons why people drop out of college like for instance, a student may be too overwhelmed with his or her whole college schedule. Also, a student may also be overwhelmed with his or her work schedule on top of their busy college classes. AnothWhy students flunk out of college can not be pin pointed to one thing. There are very many reasons why people drop out of college like for instance, a student may be too verwhelmed with his or her whole college schedule. Also, a student may also be overwhelmed with his or her work schedule on top of their busy college classes. Another reason students may drop out of school is because of personal problems, whether it may be family related or a relationship problems, they to can be very stressful on a student. er reason students may drop out of school is because of personal problems, whether it may be family related or a re lationship problems, they to can be very stressful on a student. ple drop out of college like for instance, a student may be too overwhelmed with his or her whole college schedule. Also, a student may also be overwhelmed with his or her work schedule on top of their busy college classes. Another reason students may drop out of school is because of personal problems, whether it may be family related or a relationship problems, they to can be very stressful on a student. Why students flunk out of college can not be pin pointed to one thing. There are very many reasons why people drop out of college like for instance, a student may be too overwhelmed with his or her whole college schedule. Also, a student may also be overwhelmed with his or her work schedule on top of their busy college classes. Another reason students may drop out of school is because of personal problems, whether it may be family related or a relationship problems, they to can be very stressful on a student. problems, whether it may be family related or a relationship problems, they to can be very stressful on a student.

C++ Programming Essay

In 1970 C programing was created by Dennis Richie and ken Thompson was made to create portability in UNIX Pascal was invented in 1970 by niklaus wirth a small but very precise language meant to promote good programming practices. Smalltalk created by Alan Kay Dan Ingalls Adele Goldberg ted kaehler scoot Wallace in the 1980s was created to be mainly educational use, Prolog was invented in 1972 by roussel Kowalski and colmerauer was the first logic programming language. Was meant for general programming branching with AI and computer linguistics ML was invented by robin Milner in 1973 pioneered statically typed functional programming languages, 1980 C++ was invented at bell laboratories the cool thing about c++ is it has low lever and high level machine languages. 1990 java was developed by James gosling it turned out to be one of the more popular programming languages. Visual basic was invented in 1990s it creates all windows based applications.Pt1420 – Unit 1 Assignment 1 UNIT 1 – BOOK REVIEW QUESTIONS (PAGE 26, SHORT ANSWER QUESTIONS #1–6) 1. Why is the CPU the most important component in a computer? a. Without the CPU, the computer could not run software. The CPU is the part of the computer that actually runs the programs. (pg. 3) 2. What number does a bit that is turned on represent? What number does a bit that is turned off represent? b. 1 represents a bit that is turned ON. 0 represents a bit that is turned OFF. (pg. 8) 3. What would you call a device that works with binary data? c. A device that works with binary data is called a DIGITAL device. (pg. 11) 4. What are the words that make up a high-level programming language called? d. The words that make up a high-level programming language are known as KEY WORDS or RESERVED WORDS. (pg. 17) 5. What are the short words that are used in assembly language called? e. The short words that used in assembly language are called MNEMONICS. (pg. 14) 6. What is the difference between a compiler and an interpreter? f. A COMPILER is a program that translates a high-level language program into a separate machine language program. An INTERPRETER is a program that both translates and executes the instructions in a high-level language program. (pg. 17-18) 7. What type of software controls the internal operations of the computer’s hardware? g. An operating system controls the internal operations of the computer’s hardware. (pg. 20)

Prevention Of Pressure Ulcer Health And Social Care Essay

Pressure ulcers, or bed sores, or have been impacting worlds for ages, and turn toing the overall bar of force per unit area ulcers is now a outstanding national health care issue. Despite of all the progresss in medical specialty, surgery, nursing attention, force per unit area ulcers still remains a major cause of mortality. Pressure sore is a common job among old people and those who are immobilise or limited activity like post-operative and other bedfast patients. ( Bergstorm, 2005 ) Many surveies province that aged are prone for force per unit area ulcer throughout the universe and its going a important issue ( Nakagami et al. , 2007 ) . Pressure ulcer can be defined as a type of hurt that affects countries of the tegument or implicit in tissue of the organic structure due to application of excessively much force per unit area on it. ( Grey et al 2006 ) It develops as a consequence of tissue mortification of the tegument over the bony prominence, due to the obstructor of the blo od vass flow caused by the application continual force per unit area on it. ( Lyder, 2003 ) The entire outgo for the bar of force per unit area ulcer is well less when compared to its intervention ( Lapsley H M and Vogels R, 1996 ) . It can do terrible frailty and high health-care outgo. The estimated one-year disbursal for the bar and intervention of force per unit area ulcers has been expected about ?1.4 to ?2.1 billion in the United Kingdom and is measured as a monolithic economic job ( Bennet et al. , 2004 ) . After malignant neoplastic disease and cardio vascular disease, force per unit area ulcers are the 3rd most money devouring disease ( Schoonhoven et al. , 2002 ) Harmonizing to European Pressure Ulcer Advisory Panel ( EPUAP ) the happening rates of force per unit area ulcers are runing from 8-23 % . In acute attention infirmaries in the western states the reported prevalence has wide-ranging between 9-22 % . Bettering the criterion of force per unit area ulcer attention could ini ¬Ã¢â‚¬Å¡uence the estimated one-year outgo and quality of life ( Tannen A et al. , 2004 ) . Harmonizing to Whittington et Al ( 2000 ) the prevalence of 15 % of force per unit area ulcers are recorded on admittance, whereas for the 60 % of the persons there was no specific information about the presence or absence of the force per unit area ulcers. In another survey, it is clear that 12.8 % have already had the frailty on their admittance. Harmonizing to Rycroft-Malone, ( 2000 ) A force per unit area ulcers can develop at any country of the organic structure, but normally occurs over cadaverous prominences. ( Murdoch, 2002 ; Jones, 2001 ) The countries can supposed to develop force per unit area sores are sacrum, heels, cubituss and dorsum of the caput. The visual aspect of force per unit area sore is really fast and therefore the early appraisal and stairss to forestall is really necessary ( George and Malkenson, 2008 ) . Pressure strength and continuance are the two chief factors for the force per unit area ulcer formation because of force per unit area. Pressure strength is the volume of external force per unit area applied on internal tissues whereas continuance is the sum of external force is sustained by internal tissues ( Cullum et al. , 2000 ) Harmonizing to NICE guidelines ( 2003 ) the hazard factors act uponing to develop force per unit area ulcer in an single includes intrinsic hazard factors and extrinsic hazard factors. The intrinsic hazard factors such as decreased mobility or stationariness, centripetal damage, acute unwellness, degree of consciousness, extremes of age, vascular disease, terrible chronic or terminal unwellness, old history of force per unit area harm, malnutrition and desiccation. And extrinsic hazard factors are force per unit area, shear, and clash. Shear is defined as the applied force that can do an opposite, parallel skiding gesture in the planes of an object. The sum of force per unit area exerted has got a direct affect on Shear. ( Pieper B, 2007, Nix DP, 2007 ) . Clash is defined as a superficial, mechanical force directed against the cuticle, ensuing in increased susceptibleness to ulceration ( Pieper B. , 2007 ) . Pressure ulcers are classified harmonizing to different phases as defined by the National Pressure Ulcer Advisory Panel ( NPUAP ) . Originally there were merely four phases, but in February 2007 these phases were revised and two more classs such as deep tissue hurt and unstageable were added to it. Phase IA -Redness of a localised country, normally over a cadaverous prominence. Darkly pigmented tegument may non hold seeable blanching ; as its coloring material may differ from the environing country. Phase IIA – loss of partial thickness corium demoing as a shallow unfastened ulcer with a ruddy or tap lesion bed, without any gangrene. It may besides show as or open or ruptured serum filled blisters. Phase IIIA – The bed of hypodermic fatA may be seen but bone, musculus or sinews are non exposed. Slough may be present but does non cover the deepness of tissue loss. Phase IVA – exposure of bone, sinew or musculus. Slough or may be present on some parts of the lesion bed. UnstageableA – Loss of the thickness of the tegument in which in which the base of the ulcer is covered by gangrene ( xanthous, tan, grey, green or brown ) in the lesion bed. Deep tissue InjuryA – Purple or maroon localised country of discolored tegument or blood-filled blister due to damage of implicit in soft tissue due to force per unit area. The country may be preceded by tissue that is house, painful, and mushy compared to next tissue. ( NPUAP 2007 ) To forestall the formation of force per unit area sores nurses are following a assortment of steps such as hazard appraisal and hazard appraisal tools, altering the place of the bedfast patients on a regular basis, inspecting the force per unit area country on a regular basis and while making personal attention, using unctions or picks over the force per unit area countries, supplying comfy mattresses such as air bed, H2O mattress for the bedridden and immobilise patients, puting pillows under the topographic points prone to organize force per unit area ulcer for the vulnerable peoples, maximise nutritionary position, etc. However the efficiency of all these methods is in treatment and statement. This essay study will collate all the assorted available literatures sing the bar of force per unit area ulcer and suggest the better and good pattern to forestall the formation of force per unit area sore among the high hazard people. The criterion of nursing attention is really of import for the bar and direction of force per unit area ulcers. The lovingness of patients, who are at hazard with force per unit area ulcer, is the chief challenge for nurses ( Sinclair et al. , 2004 ) . Harmonizing to Lewis M et Al 2003 the first measure nurses should do out is the hazard appraisal of patients and it is better to place the patient at hazard in the early phases, so we can forestall the force per unit area sores. It consists of degree of mobility, nutritionary position, degree of consciousness and neurological position, incontinency, centripetal damage, complete patient history, and physical and psychosocial scrutiny measuring mental position and cognitive ability. To back up health professionals there are assessment graduated tables to place the patients at hazard. Harmonizing to Walker D K et Al 2010 tegument attention and wet are indispensable to forestall force per unit area sore. Keeping skin unity is of import for the patient`s at hazard. Furthermore inordinate of wet and waterlessness can breakdown the skin`s opposition. Wherever wet is present, it is of import to clean the part exhaustively. Patients identified at hazard should be bathed one time a twenty-four hours. PH balanced cleansing agent is used to protect the tegument from wet and waterlessness, it is a natural protection mechanism of a tegument. When cleansing the skin day-to-day or in the presence of wet, it is necessary non to utilize utmost force or clash. Eventhough wet can non be controlled, usage skin barriers to protect tegument from wet. Dry tegument besides needs to be prevented by utilizing a pH-balanced moisturizer. The surveies conducted by saleh et Al, ( 2008 ) and Lindergren et al. , ( 2002 ) evidenced that usage of hazard appraisal graduated table is successful in foretelling the formation of force per unit area sore ( Decubitus Ulcer ) .The surveies substantiated the function of hazard appraisal graduated tables and their utility in the bar and direction of force per unit area sores. Harmonizing to Lindergren et al. , 2002 states the dependability of hazard rating graduated table in the anticipation of force per unit area sore formation. However, the alteration conducted by saleh et Al. ( 2008 ) , argues about the decrease in the happening of clinical acquired force per unit area tonss through the regular application of hazard appraisal graduated tables. Their acquisition besides states that opinion of clinical appraisal is besides same valuable as associate with the sensing of force per unit area sore through hazard appraisal graduated table. In add-on, Defloor and Grypdonck, ( 2004 ) besides stated that appraisal tools have a critical function for the bar of force per unit area sore. There are many restrictions for the hazard appraisal tools which may take to supply incorrect positive consequences. The dependability, specificity and feeling of the graduated table are influenced by the preventative method applications. Nurses are utilizing a assortment of hazard appraisal tools based on practical experience they acquired. The hazard appraisal tools are assessed by agencies of numerical tonss. The variables like degree of continency, medicines and nutritionary position will give an mean mark for the hazard patients ( Whitening, N. L. , 2009 ) . Braden graduated table is the universally used hazard appraisal graduated table which includes the variables like centripetal perceptual experience, activity, mobility, wet and the nutritionary position. The hazard appraisal graduated table works in such a manner that every bit shor tly as the patient admitted in the infirmary two measure rating is carried out within the first six hours. The two stairss include the skin appraisal and the hazard appraisal to place the possibility of formation of force per unit area sore ( O ‘ Neil, 2004 ) . Frequent rating and appraisal should be done in every consequent rating at every 12 hours on patients who are at high hazard.In the same manner patients who are at low hazard besides needs to be evaluate often to detect or to place any new hazard factors and supplying suited preventative steps ( O ‘ Neil, 2004 ) . The most normally used tool measuring the force per unit area sore in U.K is the Waterlow force per unit area ulcer hazard appraisal tool. And it is user friendly and recommended by the nurses in U.K. Pancorbo-hidalgo et Al. ( 2006 ) , suggests that the Waterlow force per unit area ulcer hazard appraisal tool has good force per unit area sore thinking ability and sensitiveness which may ensue to acquire incorrect positive consequences. With the waterlow force per unit area ulcer hazard assessment tool among the seven assessment surveies conducted by pancorbo-hidalgo, P.L. et Al. ( 2006 ) they got merely few findings with corrects values. Bergstorm et Al. ( 2001 ) agrees that hazard appraisal is done by graduated tables like Braden graduated table or the Norton graduated table in the infirmaries which is more dependable. However there is no universally accepted hazard appraisal tool to be adopted to forestall force per unit area sore. Besides this, the use of the hazard appraisal tools has their ain bounds in clinical systems. Alternatively, Saleh et Al. ( 2008 ) argues that medical opinion is successful as hazard appraisal tools to find the suited to be delivered. Nevertheless, Pancorbo-Hidalgo et Al, ( 2006 ) Braden and Norton graduated tables were noticed to be good once more at hazard computation than the scientific opinions. On the other manus, harmonizing to NICE guidelines ( 2003 ) hazard appraisal tools can merely be used as an aide-memoire and should non replace clinical judgement. Normal supply of O and foods are indispensable for the tissues, to keep wellness. ( Gottrup 2004 ) . When patients sitting or lying, the force per unit area signifier peculiar portion of the organic structure consequences in the lessening of O causes force per unit area sore ( Defloor 2005 ) . The survey conducted by Kaitani et al. , 2010, Vanderwee et al. , 2007 and Pearson et al. , 2010 reveals the importance of altering the place for the bed ridden or immobilise patient in forestalling force per unit area sore happening. Their surveies evidenced the effectivity of shifting in regular intervals among the vulnerable patients. Repositioning is considered as an effectual control method against force per unit area sores ( decubitus ulcer ) . Harmonizing to Vanderwee et al. , ( 2007 ) the effectivity of force of force per unit area greater in sideway place. He besides suggested that supine place is the comfy place to cut down the consequence of force per unit area on the bony prominence . The experiment conducted by Vanderwee et Al. ( 2007 reveals that more regular repositioning does non really diminish the happening of force per unit area sore. But he recognizes that turning of patients is an effective preventative method. The incidence of force per unit area ulcer is more in patients who are lying down in side manner place. The hazard has been reduced when the patients are lying down in supine place. On the other manus the survey conducted by Peterson et Al. ( 2010 ) argues that the effectivity of shifting is less or non dependable even though it is done by any experient nurse. And he found that after keeping an appropriate force per unit area below 33 millimeter of Hg cut down the incidence of force per unit area ulcer. He states that by making this there is still opportunity of happening force per unit area sore in the hazard countries. While turning the patient they are non droping the all countries prone to coerce consequence with the tegument. Even though the standard methods for forestalling force per unit area sores are maintained the tegument dislocation go oning as the hazard countries are non relieved from force per unit area. The survey conducted by Kaitani et Al. ( 2010 ) evidenced that patients enduring from force per unit area sore have done merely a fewer alteration of placement and turning. In their surveies they states that they did n't noticed any patients with force per unit area sore who has been changed their place often in a regular intervals. From the findings of Hobbs ( 2004 ) besides reveals that there is no diminution of incidence in force per unit area sore in the infirmary due to the everyday repositioning on older people. Similarly Peterson et al 2010 found that still the incidence of force per unit area ulcer are increasing in the clinical scenes where standard turning of patients has already been done. In EPUAP guidelines ( 2009 ) , suggests that shifting is an effectual method which will diminish the extent and happening of force per unit area over susceptible points like sacrum, heels, cubituss and dorsum of the caput bony prominences. However, there was no research survey conducted by any research workers to cipher the clip spread needed to turn the patient that means there is no grounds of turning intervals from any old surveies or researches. It is really of import to inspect the support surface while making shifting. Patient must be repositioned in regularity after inspecting the tissue viability, call uping degree, medical status and rating of skin unity. It is besides subjected by the supportive surface So shifting can cut down the incidence of force per unit area sore to an extent. In infirmaries and wellness attention places it is suggested that shifting to be done in every 4 hours and by the usage of air mattress the incidence of the happening of force per unit area sore can be prevented. Many of the patient ‘s feels really discomfort while turning often, to avoid frequent turning force per unit area cut downing support surfaces can be used to alleviate force per unit area. Importantly force per unit area alleviating support surface devices has critical function in the bar of force per unit area. Harmonizing to Cullum et al. , 2001 it is divided into two, low tech devices and high tech devices. Low tech devices are soothing support surface to distribute the organic structure weight over an country whereas high devices are jumping support surface where inflatable cells consecutively inflate and deflate. Harmonizing to Lewis M, et Al ( 2003 ) if the patients holding a moderate to high possibility of developing force per unit area sore, dynamic support surfaces include a big cell jumping force per unit area mattress, a low air loss or air fluidized bed, or other force per unit area redistributing systems can be recommended. In a survey conducted by Nixon et Al ( 2006 ) found that in operating tabular arraies, specialized froth mattress sheathings are effectual to cut down the incidence of postoperative force per unit area sores while in other scenes, specialized froth and sheathings were the lone surfaces that were invariably better to standard infirmary mattresses in cut downing incidence of force per unit area ulcers. To diminish the contact between bony prominences and support surfaces, pillows and froths are used. In add-on to that for cut downing the clash and shearing harm, raising devices such as slide sheets, slings or arms can be used to travel the patients. On the other manus, it is ill-defined about the grounds for the advantages of higher-specification changeless low-pressure and alternating-pressure support surfaces for forestalling force per unit area sores. However, there is clinical grounds of a difference in hazard of developing force per unit area ulcers when utilizing high-specification froth mattresses, compared to standard infirmary mattresses. ( Nice 2005 ) Decisions for force per unit area alleviating device should find at hazard appraisal. It must include degree of hazard, comfort, patient`s penchants, general wellness and timing of the surgery..The surveies conducted by Holm et Al. ( 2007 ) and Ferguson et Al. ( 2000 ) evidenced the significance of nutrition in force per unit area ulcer bar. This survey suggests that older people are largely affected due to coerce ulcer. This is because of their less skin unity and low nutritionary position. The nutritionary position of the aged people is normally related with the degree of consumption of nutrient and fluids along with assorted nursing intercession methods ( Holm et al. , 2007 ) . Management of force per unit area sore and its intervention closely related with the clients nutritionary position. The people with less nutritionary position have a high hazard of happening of force per unit area ulcer. The nutritionary position of the patient has to be assessed by the nurse ab initio. Adequate measure of proteins, Calories, minerals, vitamins and fluids are necessary to keep the tegument unity and lesion healing publicity ( Ferguson et al. , 2000 ) . The promotion and direction of force per unit area sore extremely influenced by their nutritionary position. For making an successful preventative steps it is indispensable to carried out with proper nutritionary rating techniques and planning ( Ferguson et al. , 2000 ) .pressure sore and nutritionary position are closely related to each other and are straight relative to each other.patients who are with less nutritionary position or malnourished are likely to be more prone to develop force per unit area sore ( Thomas, 1997 ) .To cut down the incidence both dietitians and nurses should work jointly. To measure the nutritionary position of the patient and the degree of undernourishment and proper planning and intercessions to be done to better the position if unequal ( Ferguson et al. , 2000 ) .According to EPUAP ( 2009 ) recommendation every wellness attention system should make testing and rating trials of the nutritionary degree of the vulnerable people who are at hazard of force per unit area sore. Pressure sore in bulk instances are preventable and governable. A targeted control step is far better than indicating on handling antecedently recognized force per unit area sores. Preventive steps to fraudulences ( force per unit area ) sore saves clip and money. By making an effectual preventative techniques can besides understate the loss of energy and decrease in the work burden over the wellness attention bringing force ‘s and staffs chiefly nurses. Bergstrom N. , Braden B. , Kemp M. , Champagne M. & A ; Ruby E. ( 1998 ) Predicting Pressure ulcer hazard. A multisite survey of the prognostic cogency of the Braden graduated table. Nursing Research. 47 ( 5 ) , p.261-26 Bergstrom N, Braden B. A prospective survey of force per unit area sore hazard among institutionalised elderly. J Am Geriatric S Bennett G, Dealey C, Posnett J. The cost of force per unit area ulcers in the UK. Age Ageing 2004 ; 33:230-5 Cullum N, Nelson EA, Nixon J ( 2000 ) Pressure sores. Clinical Evidence: 979-98 Defloor, T. and Grypdonck, M. F. ( 2004 ) Validation of force per unit area ulcer hazard appraisal graduated tables: a review. Journal of Advanced Nursing. 48 ( 6 ) , p. 613-621. Defloor T, De Bacquer D, Grypdonck MH. The consequence of assorted combinations of turning and force per unit area cut downing devices on the incidence of force per unit area ulcers. International Journal of Nursing Studies 2005 ; 42 ( 1 ) :37-46. European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel ( 2009 ) force per unit area Ulcer Prevention Quick Reference Guide. NPtJAP, Washington DC. Ferguson, M. , Cook, A. , Rimmasch, H. , Bender, S. and Voss, A. ( 2000 ) Pressure ulcer direction: the importance of nutrition. MEDSURG Nursing, 9 ( 4 ) . Gottrup F. ( 2004 ) Oxygen in lesion healing and infection. World Journal of Surgery ; 28 ( 3 ) :312-5. Gray, J.E.Enoch, S.Harding, K.G. ( 2006 ) ABC of wound healing.Pressure ulcers.British medical journal.332.p.472-476 Holm, B. , Mesh, L. , and Ove, H. ( 2007 ) . Importance of nutrition for aged individuals with force per unit area ulcers or a exposure of force per unit area ulcers: a systematic reappraisal. Australian Journal of Advanced Nursing, 25 ( 1 ) , p. 77-84. Jones I, Tweed C, Marron M ( 2001 ) A Pressure country attention in babies and kids: Nimbus Paediatric System.A Br J NursA 10 ( 12 ) : 789-95. Kaitani, T. , Tokunaga, K. , Matsui, N. and Sanada, H. ( 2010 ) . Hazard factors related to the development of force per unit area ulcers in the critical attention scenes. Journal of Clinical Nursing, 19, 414-421. Lewis, M. , Pearson, A. , Ward, C. ( 2003 ) Pressure ulcer bar and intervention: Transforming research findings into consensus based clinical guidelines. International Journal of Nursing Practice, 9, p.92-102. Lindgren, M. , Unosson, M. and Krantz, A. M. ( 2002 ) A hazard appraisal graduated table for the anticipation of force per unit area sore development: dependability and cogency. Journal of Advanced Nursing. 38, p.190-199. Lyder, C. , Yu C, Stevenson, D. , Mangat, R. , Empleo- Frazier, O. , Emerling, J. and McKay J. Validating the Braden Scale for the anticipation of force per unit area ulcer hazard in inkinesss and Latino/Hispanic seniors: a pilot survey ( 1998 ) . Ostomy Wound Manage. 44 ( 3A ) p.42S-49S. Murdoch V ( 2002 ) A Pressure attention in the pediatric attention unit.A Nursing standardA 17 ( 6 ) : 71-6 National Institute for Clinical Excellence. ( 2003 ) Pressure ulcer bar. Clinical guideline 7. Nix DP. Support surfaces. In: Bryant R, Nix D, eds. Acute & A ; Chronic Wounds: Current Management Concepts. 3rd erectile dysfunction. St Louis MO: Mosby ; 2007:235-248. Nixon, J. , Nelson, E.A. , Cranny, G. , Iglesias, C.P. , Hawkins, K. , Cullum, N.A. , Philips, A. , Splisbury, K. , Dorgerson, D.J. , Mason, S.,2006b. Pressure alleviating support surfaces: a randomized rating. Health Technology Assessment 10 ( 22 ) Nakagami G. , Sakai K. , Matsui N. , Sanada H. , Kitagawa A. , Tadaka E. and Sugama J. ( 2008 ) Validation and finding of the feeling country of the KINOTEX detector to develop a new mattress with an interface pressure-sensing system. Life science National Pressure Ulce Advisory Panel ( NPUAP ) ( 2007, February ) .A Pressure ulcer definition and phases. Retrieved 4/13/2007, fromA hypertext transfer protocol: //www.npuap.org Pancorbo-Hidalgo, P. L. , Garcia-Fernandez, F. P. , Lopez-Medina, I. M. and Alvarez- Nieto, C. ( 2006 ) Risk appraisal graduated tables for force per unit area ulcer bar: a systematic reappraisal. Journal of Advanced Nursing. 54, p. 94-110. Peterson, J. M. , Schwab, W. , Oostrom, V. H. J. , Gravenstein, N.and Caruso, J. L. ( 2010 ) . Consequence of turning on skin-bed interface in healthy grownups. Journal of advanced Nursing, 66 ( 7 ) , p. 1556-1564. Pieper B. Mechanical forces: force per unit area, shear, and clash. In: Bryant R, Nix D, eds. Acute & A ; Chronic Wounds: Current Management Concepts. 3rd erectile dysfunction. St Louis, MO: Mosby ; 2007:205-234. Rycroft-Malone J and McInnes EA ( 2000 ) Pressure ulcer hazard appraisal and prevention-technical study London, A Royal College of Nursing Saleh, M. , Anthony, D. and Parboteeah, S. ( 2009 ) . The impact of force per unit area ulcer hazard appraisal on patient results among hospitalised patients. Journal of Clinical Nursing. 18, p. 1923-1929 Schoonhoven, L. , Haalboom, J, R, E. , Bousema, M, T. , Algra, A. , Grobbee, D, E. , Grypdonck, M, H. , Buskens, E. ( 2002 ) Prospective cohort survey of everyday usage of hazard appraisal graduated tables for anticipation of force per unit area ulcers. BMJ, 325, p.1-5. Sinclair, L. , Berwiczonek, H. and Thurston, N. ( 2004 ) Evaluation of an grounds based instruction plan for force per unit area ulcer bar. Journal of Wound, Ostomy, and Continence Nursing. 31 ( 1 ) , p. 43-50. Tannen A, Dassen T, Bours G, Halfens RJG. A comparing of force per unit area ulcers prevalence: concerted informations aggregation in the Netherlands and Germany. Int J Nurs Stud 2004 ; 41:607-12 Thomas, D. R. The function of nutrition in bar and healing of force per unit area ulcers. ( 1997 ) . Clinical Geriatric Medicine. 13, p. 497-511. Vanderwee, K. , Grypdonck, M. and Defloor, T. ( 2007 ) Non-blanchable erythema as an index for the demand for force per unit area ulcer bar: a randomized-controlled test Journal of Clinical Nursing.16, p.325-335. Walker D K, Sell S V, Kindred C. ( 2010 ) Pressure Ulcer Prevention Utilizing Unlicensed Assistive Personnel Crit Care Nurs Vol. 33, No. 4, pp. 348-355 Whitening, N.L. ( 2009 ) Skin appraisal of patients at hazard of force per unit area ulcers. Nursing Standard. 24 ( 10 ) , p.40-44. Whittington, K. , Patrick, M. , Roberts, J, L. ( 2000 ) A national survey of force per unit area ulcer prevalence and incidence in ague attention infirmaries. Journal of Wound, Ostomy and Continence, 27, p. 209-215.