Monday, September 30, 2019

Adolf Hitler

Adolf Hitler was born on 20th April 1889 at the Gasthof zum Pommer, a hotel in Braunau am inn in Austria. He was the fourth child in the family of six children. Adolf Hitler had a very troubled relationship with his father but was close to his mother.His father, Alois Hitler, was an authoritarian figure who frequently beat his son. He is said to have told his secretary that he once resolved never to cry when his father whipped him. Hitler was a relatively poor student, a fact that he later attributed to his rebellious nature towards Alois. In his early years lived a life characterized by the love of intellectual and artistic tendencies.From 1905, Adolf led a bohemian lifestyle in Vienna, Austria. He applied twice in the Academy of Fine Arts Vienna but was rejected. The Academy cited that he was unfit to paint and was told to try architecture instead. Apparently, he had fascination for architecture. It was in Vienna that Adolf Hitler became an anti-Semite.Vienna had a large Jewish com munity among them Orthodox Jews who had fled Russia. It is said that those who may have influenced Hitler during his early years include politician Karl Lueger, anti-Semite ideologist Lanz von Liebenfels, Georg Ritter von Schonerer, and composer Richard Wagner. (Lukacs 110)First World WarAdolf Hitler served in the sixteenth Bavarian Regiment in Belgium and France in the First World War. By the end of the war he was the equivalent of American army private first class. A private first class, or a Gefreiter in German, was a runner and was frequently exposed to enemy fire. Though his position was dangerous, Hitler served in key battles on the Western Front. These include:First Battle of Ypres Battle of the Somme Battle of Arras Battle of Passchendaele The first Battle of Ypres gained the name Massacre of Innocent and about forty thousand men were killed in twenty days. Between October and December, Adolf’s company of two hundred and fifty men was reduced to forty two men. His bio grapher noted that the Battle of Ypres made Adolf withdrawn and aloof for the remainder of the war.He was however rewarded for his bravery by being awarded two decorations. He was awarded the Second Class Iron Cross in 1914. He also received the Iron Cross, First Class in the year 1918. This honor was rarely awarded to a private first class.The regimental staff though thought that he lacked leadership skills and was never promoted to the position of corporal. Another reason cited for lack of promotion was because his citizenry was in question. While at his regimental headquarters, Hitler found time to practice his artwork. He contributed to the army newspaper by drawing cartoons and instructional drawings.During the Battle of Somme, Hitler was wounded in the groin area. This was in 1916 but by 1917 he had returned to the front. Due to his injury, Hitler received a wound badge in 1917. Adolf Hitler was temporarily blinded following a mustard gas attack and was admitted to a field hos pital.Some people later suggested that Hitler was blinded as a result of a conversion disorder. According to him, the blindness experience led him to be convinced that his life’s purpose was to save to Germany. Some scholars indicate that his objective and intention to eliminate Jews in Europe was formed in his mind during this time. (Lukacs 118)PoliticsAdolf Hitler was a passionate German patriot and had admired Germany for a long time. He however became a citizen in 1932. He regarded war as his greatest experience and received many praises for his bravery from various commanding officers. Hitler was shocked and angered by Germany’s agreement to surrender in November 1918.What made him angrier was the fact that their army still held enemy territory. As a staunch nationalist, he believed in the ‘dagger stabbed legend’. The legend argued that the undefeated Germany army in the field had been betrayed (stabbed in the back) by Marxists and civilian leaders. T hese Marxists and civilian leaders were later branded November Criminals.The German capitulation deprived the nation a number of territories and demilitarized the Rhineland. The Treaty of Versailles also imposed economically damaging sanctions on Germany. The Versailles treaty restored Poland, a move considered an outrage even to a moderate German. It also criminalized Germany for all horrors experienced during the World War One.Since Germany was culpable, reparations were imposed on the nation. The Treaty of Versailles humiliated Germany in a number of ways. The German army for instance was almost fully demilitarized. They were not allowed to have submarines, an air force, armored vehicles, and were only allowed six battleships and an army of a hundred thousand people.The treaty played a significant role on Germany’s political and social conditions. It was an important basis on which the Nazis and Hitler sought power.Adolf Hitler remained in the army after the end of the Fir st World War. He went back to Munich and attended the funeral procession of the murdered Prime Minister Kurt Eisner. He was part of the ‘national thinking’ courses led by the Bavarian department of propaganda and education.Hitler and those of the same sentiments be regarded Germany woes to be as a result of international Jewry, politicians, Communists, and Marxists. In 1919, Adolf Hitler was appointed as a police spy of the Intelligence Commando of the Reichswehr.The Reichswehr was later formed the defense force of Germany. He was required to infiltrate the German Workers’ Party (a small party then) and influence other soldiers. The factors that impressed Hitler to join the party include: ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   It was anti-Semitic ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   It was nationalistic ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   It was anti-capitalist ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   It was anti-Marxist ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The party favor ed a strong and active administration ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The party advocated for   a non Jewish version of Socialism ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Solidarity for all members of the societyThe above beliefs and characteristics guided Adolf Hitler for the rest of his life and administration. Adolf Hitler was made the seventh member of the executive committee of Anton Drexler’s German Workers Party. This was mainly due to the fact that the party founder was impressed by his oratory skills. Hitler also met another founder of the party Dietrich Eckart who will become his mentor.Dietrich taught Hitler how to dress and speak exchanged ideas with him and introduced him to many people. So as to improve the party’s appeal, it was renamed the National Socialist German Workers Party. After being discharged of his military duties in 1920, Hitler together with his former superiors concentrated his efforts in the party’s activities. He became very effe ctive at speaking to large crowds. (Lukacs 110)Adolf Hitler was a gifted orator and used his talent to the maximum. In February 1921, he addressed nearly six thousand people assembled in Munich. He advertised the gathering using two truckloads filled with supporters holding swastikas and throwing leaflets. He used polemic and rowdy speeches to criticize the Treaty of Versailles, politicians, Marxists and Jews.His party was based in Munich (a German nationalist’s hotbed then) and was determined to undermine the Weimer republic party and end Marxism. Some of his party members considered him to be domineering. This group formed alliance with other socialists leading to the resignation of Adolf Hitler from the party in July 1921.The exit of Hitler meant the end of the party. He however declared his return if he was given the position of chairman of the party with unlimited powers. Some original members of the party were infuriated by Hitler’s decision. They wrote a pamphle t attacking Hitler as a traitor and criticizing him as power hungry and violent. Hitler sued for libel and was awarded a small settlement.The party members were later made to vote on Hitler’s demand. He won through landslide victory with five hundred and forty three votes against one. On July 29 1921, he was declared the Fuhrer of his party. This was the first time the term Fuhrer was used.He made enemies by attacking communists, capitalists, Jews, liberals, and reactionary monarchists. His initial followers include army captain Ernst Rohm, air force pilot Herman Goring, Rudolf Hess and wartime General Erich Ludendorff.Adolf Hitler together with his wartime general friend staged a coup on November 8 1983. Hitler and the NAZI paramilitary organization SA stormed a public meeting led by Kahr. The following day Hitler and party supporters marched from a large beer hall in Munich to the Bavarian War Ministry.Their intention was to overthrow the Bavarian government. This event is popularly known as the Beer Hall Putsch. They were however dispersed and sixteen party members killed. Some scholars indicate that Hitler contemplated suicide after the beer hall putsch event. Adolf Hitler was later arrested and charged with high treason. His trial transformed Hitler from a local Munich figure to a national figure.He used his unlimited time during the trial to voice his nationalistic sentiments in the defense speech. He was sentenced to five years imprisonment on 1st April 1924. The Bavarian Supreme Court handed Hitler an early release on 20th December 1924. He dedicated his time at Landsberg Prison writing an autobiography and explanation of his ideology titled Mein Kampf. It sold close to a quarter million copies between 1925 and 1934.Rise to powerHitler faced various obstacles in his efforts of rebuilding his party. Some of these obstacles included improved economy in Germany, collapse of the putsch and his ban on public speaking. He devised a new ‘legalâ⠂¬â„¢ strategy of gaining power. Hitler’s turning point came when Germany was hit by the Great Depression in 1930.The Centre Party of Chancellor Heinrich Bruning lacked majority in parliament leading to instability. The premature elections of 1930 saw the Nazis win unexpected 107 seats and eighteen percent of the vote. They rose from one of the smallest party in the parliament to the second largest.Hitler appealed to war veterans, the middle class, and German farmers. His niece Geli Raubal committed suicide using Hitler’s gun in September 1931. Geli, who was nineteen years younger than Hitler was believed to have been in a romantic relationship with him.This event was a source of intense and lasting pain to Adolf Hitler. After attaining citizenship in 1932, Hitler ran for president against the incumbent Paul von Hindenburg but came in second with a remarkable 35%. (Rees 62)After Bruning resigned in1932, the July election saw the Nazis become the largest party in the pa rliament with 230 seats. The parliament was later dissolved and new elections were called. The Nazis lost some seats but still remained the party with the majority seats. Through a power sharing deal, Adolf Hitler was appointed chancellor of the German government and sworn in on January 30th, 1933.On February 1933, the parliament building was set on fire leading to the government Reichstag Fire Decree. The Nazis used their paramilitary unit to spread violence against communists. The Enabling Act gave the Hitler administration legislative and executive powers.He used this position to suppress any remaining opposition and on July 14 1934, his party was declared as the only legal party in the nation. He used the SA paramilitary power to force for Hugenberg’s resignation and the abolition of state governments. After the death of the president, new elections were not held.His cabinet passed a law making the office dormant. Hitler transferred all the powers to himself and declared himself the Fuhrer and Reichskanzer or the leader and the chancellor. He therefore became the commander of the German armed forces.

Sunday, September 29, 2019

Case 35: Stock Repurchase Program Recommendation

Memo To:Rajat Singh, managing director at Hudson Bancorp From: Date:08/01/2002 Re:Stock Repurchase Program Recommendation The purpose of this memo is to examine whether Deluxe Corporation should increase borrowings to buyback stocks. After considerable analysis of the company’s financial position, we recommend that Deluxe Corp. to borrow up to $1. 023 billion to buy back 34,175 shares. In order to achieve this, Deluxe will need to lower its bond rating from A rating to BBB , which results in a decrease in WACC from 11. 47% to 9. 5%. By doing this, Deluxe ’s WACC is minimized, yet the bond rating is still at investment –grade rating; plus, the firm will have a financial flexibility of $872 million, and an increase in its equity value per share by $35. 34. This memo explains in detail the calculation of the current WACC, the current intrinsic equity value, the unused debt capacity at different ratings, and the recommended WACC as well as the estimated increase in e quity value with respect to the new WACC at the recommended debt borrowing level.Current WACC Based on our calculation, the current WACC is 11. 47% as of August 01, 2002. In this calculation, for the borrowing rate, we use 5. 70% regarding Deluxe’s bond rate A from Exhibit 8. The marginal tax rate is is projected to be 38%. We use 5. 41% for the risk free rate of return with respect to the 20 years U. S Treasury bond. The equity risk premium and beta are given at 6% and . 85, respectively.Since the beginning of 2002, Deluxe had retired all of its long term debt, we calculate the total debt by adding the short-term debt and the long-term debt due within one year to arrive at $151 million; for the total equity, we multiply the number of shares outstanding which is given in the company’s 2001 Financial Summary, by the market adjusted close price per share which we look up in yahoo finance to get to $1,568 million. For the small stock risk premium, we use 1. 73% as Deluxeà ¢â‚¬â„¢s total equity is between $1. 05 billion and $1. 6 billion. Current intrinsic equity valueDeluxe’s intrinsic equity value as of August 1, 2002 using a discounted cash flow analysis and the current WACC of 11. 47% has a premium of $2. 38 over the current market value. We estimate the terminal value growth rate to be at -2%; we make this assumption by taking the average of the industry’s annual decline growth rate between 1% and 3%. The free cash flows for 2002-2006 are taken from the company’s Financial Forecast; and, to calculate the terminal year’s free cash flows, we grow it by -2% and divide it by the difference between the WACC and the long term growth rate.Since August 1st is our evaluation date, there is still 5 months left for 2002, the cash flow to be received for 2002 is calculated by taking the total cash flow times 5/12, and for the remaining years, the cash flow to be received is equal to the total cash flows. And, finally, for the midy ear factor ,we also take same caution that t are 5 months left to receive cash flows, and payments are made semiannually . Thus, our mid-year factor for 2002 is 5 over 24, and (5+6) over 12 for 2003, and for the remaining years we add 1 to the prior year’s midyear factor.Flexibility by rating Our analysis of the flexibility in allowed debt under each bond rating provided us the maximum allowable unused debt for each rating. We calculated this figure by considering both the interest coverage ratio as well as the leverage ratio, and then using the smaller of the two figures. We calculated the maximum allowable debt using the leverage ratio by multiplying the five-year EBITDA average times the required leverage ratio under each credit rating. The lower the credit rating the larger the allowable debt becomes.By choosing the lower of the two calculations, the maximum allowable debt under credit rating AAA is 278. 9 million and ranges up to 2,456. 6 million for bond rating B. In or der to maintain an investment grade rating, Deluxe’s maximum allowable debt would be 1,023. 5 million. Recommended WACC In calculating the WACC for each bond rating, we altered several components for each. First, the borrowing rate increases as the bond rating decreases. These figures were provided in Exhibit 8. Second, we recalculated beta taking into account the changes in the debt/equity capitalization structure using.The re-levered beta was calculated using the levered and unlevered information. Third, as ratings declined their debt/equity ratio increased and altered their weighted cost of debt. Fourth, their equity/debt ratio decreased as their bond rating declined. Our final calculations of the WACC for each bond rating went from 11. 47% at AAA down to 9. 95% at BBB and back up to 11. 02% at a B rating. We recommend using the debt level allowed under the BBB rating since it maintains our status as investment grade bonds and also provides the lowest possible WACC. Estima te increase in equity valueTo determine the number of shares to be repurchased in the upcoming repurchase program, we used the maximum allowable debt under the BBB bond rating and subtracted our current debt to determine the total funds to be used to repurchase shares. In order to determine the number of shares that could be repurchased, we divided the total allowable debt by the current market per share price. This resulted in a recommended repurchase of 34,175 shares. Next, we conducted a free cash flow analysis to determine the intrinsic enterprise value of Deluxe Corporation.This analysis is similar to the one conducted for the Current intrinsic equity value. However, we lowered the WACC to reflect our recommended credit rating. In estimating the total increase in shareholder value from this repurchase program, we took enterprise value minus the maximum allowable debt at the BBB rating. This gave us the equity value of Deluxe Corporation. Then, we divided the equity value by the current outstanding shares net of the repurchase program. This gave us equity per share value of $63. 24. In comparing this to the old equity per share value, we found an increase of 127%.This is a highly favorable move for the shareholders of Deluxe Corporation. Concluding Recommendation We believe Deluxe Corporation should borrow funds in the amount of $872 million for the stock repurchase program. By borrowing these funds, Deluxe Corporation will be able to increase their equity value per share by 127% while still maintaining investment grade status. Deluxe is aiming for a flexible capitalization structure, and by borrowing more debt we believe they can achieve this due to the high cost of equity. If you have any question or concern, please feel free to contact us via emails:

Saturday, September 28, 2019

Critical analysis of page 41-42 of the Great Gatsby

Fitzgerald describes the ‘music’ coming from Gatsby’s house which is effectively used to foreshadow the images of music in the party later in the passage. He also uses the term ‘summer nights’ which presents the reader with the impression of a continuous party and demonstrates more clearly the hedonistic world that the rich inhabited in 1920s America which is further confirmed when Fitzgerald refers to the ‘champagne’ in the next sentence suggesting this expensive delicacy was the normality at these lavish parties. The ‘blue gardens’ in the following sentence gives the reader a vivid picture of the evening light whilst also using the metaphor to evoke a feeling of beauty regarding Gatsby’s party within the readers mind. The image of the comings and goings being ‘like moths’ gives the idea of the fleetingness of the upper class guests that have no real purpose or aims but to drift at these parties. Fitzgerald uses the term ‘men and girls’ as opposed to referring to the ‘girls’ as women, perhaps suggesting at the immaturity of these women, so much so that they appeared to be like little girls. The use of the word ‘whisperings’ creates a sensual feeling in the reader as it appears romantic and furtive but also could refer to the gossiping ways of the wealthy party guests. The image of ‘the stars’ induces both a vision of peaceful night sky, which contrasts the lively atmosphere of the party and therefore highlighting this further to the reader, but also presents an image of the affluent party guests as stars, some in their own rights, and some whom only saw themselves this way. Fitzgerald describes ‘his [Gatsby’s] raft’, ‘his beach’ and ‘his two-motor boats’ in the following sentence to portray the sense of wealth and affluence of Gatsby and this detailed visual imagery enables the reader to relate with the narrator as they share in his feeling of awe at Gatsby’s affluence. The warm light imagery of the ‘sun on the hot sand’ adds to the ongoing sense of romance in the passage, which reflects the numerous romances and affairs within the book, primarily that of Gatsby and Daisy. Fitzgerald effectively uses a metaphor to describe the Rolls-Royce, a relatively small car, becoming an ‘omnibus’ to further emphasize to the reader the massiveness of these parties and the copious people that attended. The simile of the station wagon scampering ‘like a brisk yellow bug’ not only makes the inanimate object more realistic to the reader but reflects the urgency of the guests to attend these magnificent parties. The immensity of Gatsby’s parties is further shown through the statement that ‘eight servants, including an extra gardener’ had to work all of Monday to restore the mansion to its former grandeur and to get rid of the after effects of the party. The image of ‘several hundred feet of canvas’ being used just for Gatsby’s party once again indicates his enormous wealth and success and makes it more realistic to the reader by using measurements. Fitzgerald uses colour imagery to describe the party food such as ‘glistening hors-d’oeuvre’, ‘salads of harlequin designs’ and ‘turkeys bewitched to a dark gold’. This creates a more realistic and physical aspect to the food that makes it more vivid for the reader. The use of the ‘dark gold’ image also symbolises Gatsby’s wealth and the grandeur of the party. Fitzgerald combines the visual images of the ‘gin’, ‘liquors’ and other drinks with the sound imagery of the ‘oboes’, ‘trombones’ and other orchestra instruments in the following paragraph in order to appeal to more of the readers senses. By using sound imagery alongside visual imagery, the party appears more realistic to the reader and they instantly become more involved. The listed instruments depict to the reader the vastness of the orchestra, suggesting it was in competition with the ‘chatter’ and the vast amounts of party guests. During this paragraph, Nick also changes tense from past to present, as he describes that ‘the bar is in full swing’. This also makes the passage more realistic to the reader as it is more inclusive and engages the reader to feel like they are also attending this party. The use of the image of ‘Castile’ a wealthy Spanish town, indicates the affluence of the people at the party as their fashion was ‘beyond the dreams’ of even the most wealthy towns. Fitzgerald describes the cocktails as ‘floating rounds’ indicating how insignificant the party guests thought of the servants, so much so that they appeared to be invisible. This shows the shallow, snobbish nature of the wealthy Americans of the time. Personification is used effective to describe the air as ‘alive with chatter’ highlighting to the reader the enormity of the noise of the party that must have been audible for miles around. The idea of the ‘enthusiastic meetings’ of women who ‘never knew each other’s names’ compels the reader to consider how genuine this enthusiasm was in someone they did not know or whether it was fake interest from possibly fake and shallow women of the time. There is further light imagery as it grows ‘brighter’ mentions of the ‘sun’ which evoke images of wealth and beauty. Fitzgerald creates both visual and sound imagery when he describes the ‘yellow cocktail music’ in which the light imagery again indicated wealth to the reader and also creates a soft, sensual feel. The ‘opera of voices’ further highlights the noise of the party and connects both the orchestra noise and that of the guests conversations. The groups changing ‘swiftly’ gives the impression of elegance and restlessness, as people are reluctant to stay in the same place as groups ‘dissolve and form in the same breath’. Fitzgerald stresses the self obsessed, egotistical nature of the party guests when he reveals their aim; to become centre of attention which, when fulfilled, makes them ‘excited with triumph’. The passage comes to a close with the ever recurring light imagery of the ‘constantly changing light’ perhaps symbolising not only the beauty of the scene but also the fleetingness of the people that inhabit it.

Friday, September 27, 2019

Finance HW Assignment Example | Topics and Well Written Essays - 250 words

Finance HW - Assignment Example The stock s dividend is expected to grow at a constant rate of 8%, and it currently sells for $50 a share. Which of the following statements is CORRECT? d. When stock in a closely held corporation is offered to the public for the first time, the transaction is called "going public, or an IPO," and the market for such stock is called the new issue or IPO market. d. Limited liability is an advantage of the corporate form of organization to its owners (stockholders), but corporations have more trouble raising money in financial markets because of the complexity of this form of organization. Schalheim Sisters Inc. has always paid out all of its earnings as dividends, hence the firm has no retained earnings. This same situation is expected to persist in the future. The company uses the CAPM to calculate its cost of equity, its target capital structure consists of common stock, preferred stock, and debt. Which of the following events would REDUCE its

Thursday, September 26, 2019

Management Accounting Essay Example | Topics and Well Written Essays - 1500 words - 3

Management Accounting - Essay Example This report covers considerations for management accounting system like the suitable costing technique, pricing method and budget preparation. It also points out certain behavioural, organisational and management factors that need to be considered for design, implementation and functioning of a management accounting system for the company. Process costing is one of the best management accounting technique for Watson Circuits plc because this company manufactures products in a multi-stage process. Process costing is ideal for manufacturing concerns where there is a continuous production characterised by transfer of material from one process to another. This costing system is beneficial for Watson Circuits plc also because the company produces in batches and the cost structure of the production remains the same for years. Under process costing, cost is not assigned to individual units of production, rather it is calculated on the average basis i.e. all production costs are spread over the units produced. This costing technique requires establishment of process control accounts for each process allocation of direct and indirect costs to each process. Once a process of production ends, its costs are transferred to the next process and so forth. The calculation of cost, under this method, is thus cumulative i.e. the costs of previous process are added to the cost of current process. The cost accumulation process continues until the production ends. Watson Circuits plc needs such a costing technique because it will provide management accounting information in terms of different processes through which the production runs. This is the best suitable method calculating costs on the basis of processes and batches. Management’s need for unit production costs can be met as this costing technique provide s for calculation of unit costs as well as costs that are incurred in each process. It is very important for the

6.1 Annotated Bibliography Assignment Essay Example | Topics and Well Written Essays - 250 words

6.1 Annotated Bibliography Assignment - Essay Example By studying this article, one can best understand the undercurrents that have pushed distance learning into importance and wide application. The article compels the reader to rethink the tenability of calls that distance learning be subjected to rescission. By reading this article, one is able to appreciate the essence, reasons for and advantages of distance learning. The article enriches this study be discussing formal deliberations and resolutions that have been passed by European Union, so that analysts can appreciate the fact that it is not only Americans who are considering the fate of distance learning programs. The article also compels analysts to consider the need to adopt a comprehensive approach that is inclusive of an international scope when appraising and modifying distance learning. In this article, Farajollahi discusses different modalities and frameworks that can be put in place to ensure that distance learning for the tertiary level of education is more effective, less contentious and comports itself worthy of its putative standards. By studying how Turkey has interwoven certain aspects of traditional classes with distance learning, analysts are able to appreciate many viable alternatives to solving the pitfalls of distance learning. Fritts, Jack & Casey, Anne-Marie. â€Å"Who Trains Distance Librarians: A Study of the Training & Development Needs of Distance Learning Librarians.† Journal of Library Administration, 50.5/6 (2010): 617-627. Print The importance of this article to this study is that it attempts to appraise the disputed quality of distance by looking at its most fundamental aspect. This fundamental aspect is the module’s services providers and their level of training. The rationale herein is that if the fundamentals are in order, then the shortcomings of distance learning are secondary or peripheral and can thus be solved. In this article, Karras discounts the notion that distance or virtual

Wednesday, September 25, 2019

EVALUATION OF RESOURES Essay Example | Topics and Well Written Essays - 1500 words

EVALUATION OF RESOURES - Essay Example Considering the potential impact of ICT in the learning activities of the students, educational researchers have been consistently studying how ICT can be used as a pedagogical tool in improving the learning ability of the students. (Pearson, 2003; National Research Council, 2000) For this study, the researcher will determine the contribution of the following learning resources: digital cameras, Alphasmart key guard, Microsoft PowerPoint presentation and Microsoft Word towards the learning activities of the mainstream and special educational needs (SEN) students by conducting a short literature review. Prior to the conclusion, the researcher will conduct a quantitative and qualitative survey analysis in order to evaluate the impact of these learning resources with the Science learning activities of mainstream and SEN students. In relation to the learning activities of mainstream and SEN students, technology can be used as a teaching and learning tool that enables the school teachers and students to become co-learners by collaboratively constructing knowledge. (Reed & McNergney, 2000) For instance, the use of digital cameras enable the school teachers and students to record educational trip or a specific learning experience to enable both parties to review the learning process on a later date. In line with this matter, technology behind digital cameras make it possible for school teachers and students to experience a real-world examples of ‘learning by doing.’ Depending on the learning ability of these students, students could easily make a school report by recording certain learning events using the digital camera for the purpose of a group or individual class presentation. (Wellington & Wellington, 2002) In the process of being able to make a class presentation using digitalized visual materials, the students will be able to build self-confidence with their work since these materials could enable them to capture

Tuesday, September 24, 2019

Recruitment and Retention. What are the keys Dissertation

Recruitment and Retention. What are the keys - Dissertation Example Evidence from studies and research allude to several reasons why teachers get into, stay within or leave the teaching profession. Of course, the issue is one to be discussed and redressed. One thing worthy of note is that teaching is the leading recruiter in the UK. It is estimated that recruitment of graduates should not fall within a 12 per cent range every year if a steady increase of teachers is to be maintained. Smithers and Robinson1 believed that not just the target of employing teachers that matter, but how these targets are accomplished. They state that: â€Å"Teaching’s lack of success in tapping the widest pool of potential applicants may mean the profile of those accepted on training courses for the secondary age range does not adequately reflect the needs of schools in terms of gender, age, ethnic background and location.† Sometimes, teachers are recruited from migrant or immigrant workforce. This has sometimes been criticised on the basis that it has a neg ative impact on pupil’s academic accomplishments. For example, OFSTED stated that â€Å"Teachers recruited from overseas are often less effective because they lack familiarity with the National Curriculum†2. Hard-to-fill vacancies always require specialists for such positions. For example, it was reported that: â€Å"the quality of mathematics teaching at Key Stages 3 and 4 suffers in many schools because the limited amount of specialist teachers' expertise is deployed largely on post-16 courses. As a result, non-specialist teachers undertake a significant minority of the teaching at Key Stage 3, where they find it difficult to respond effectively to the demands of the Key Stage 3 Strategy high staff turnover and staff shortages are also having a negative impact on Key Stage 3 Strategy development work in science in a minority of secondary science departments. â€Å"3 Employers are seeking for better ways to recruit and retain labour. In most cases, they go in search of general characteristics, skills and qualifications. On the other hand, factors that will determine the retention of labour include the nature of work, characteristics of the employer, job satisfaction, recognition by employer, remunerations as well as similar employment benefits, balance between work and life, the prospect of further training, affiliation with employer and correlation with fellow workers. A former British premier stated that: â€Å"The best defence against social exclusion is having a job, and the best way to get a job is to have a good education, with the right training and experience†4. This is the more reason why problems plaguing the general labour market situation in the United Kingdom will be addressed. It is also imperative to take notice of the fact the recommendations are indispensable, if situation relating to the current recruitment and retention needs some utmost attention. CONTENTS PAGE EXECUTIVE SUMMARY†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚ ¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...01 CONTENTS PAGE†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...03 INTRODUCTION†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦...04 PROBLEM BACKGROUND†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...06 METHODOLOGY†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦

Monday, September 23, 2019

How Have Changes In The World Economy Since 1945 Affected Room For Essay - 1

How Have Changes In The World Economy Since 1945 Affected Room For Maneuver Of Multinational Firms - Essay Example The World War of 1945 proved to be a massive disaster for world’s economy with its most effects on the European countries and Japan. These two countries were considered to be the greatest raw material suppliers throughout the world which significantly fell down in the war years. The countries who were not directly involved in the war were the gainers of the economy soon after the war as they fulfilled the gaps and needs of world economy in that crucial time. However, post war phase that is the recovery period from the war had been quite rapid and remarkable for the affected countries, the reasons being that the civilian production came to a halt in the war period and there was growth in the fields of metal working, engineering, chemical capacity etc that boomed during the period and was utilized in the peace time. The infrastructure of the countries was well established in the pre war phase and had to go through the repairs after the war. Additionally there was ample trained a nd knowledgeable human resource to be mobilized to improve and recover the conditions. All these reasons altogether along with the help from some undamaged countries like USA and Canada helped them in the recovery phase. It was seen after 5 years, in the available statistics of 1950 that the GNP and income levels of most of the affected countries was way more than it was in 10 years before the war in 1930s. USA had played a significant role in world economy after the world war. Right after the world war the European countries faced shortage of fuel, food and resources. The only country who could have helped them with its undamaged economy was USA, but to buy all these resources huge reserves of dollars were required and dollar shortage was faced. It seemed in that era that all the world’s resources were shifting from Europe to North American regions and the US economy boomed and it looked it would be impossible to catch up with such an economy which is richer in resources and is the hub of investment. This era give US the opportunity to utilize its resources to the maximum and US utilized this well. (POLLARD. 1997) Post World War II Period: After the Second World War many imbalances were seen in the world’s economy in technological advancements, investment and consumption policies etc. In the late 1950s the prices of primary commodities in the world started decreasing along with general fall in the world trade which led to accumulation of debts for many countries. These reasons mainly later on accounted for the economic crisis in 1970s. The poverty and problems increased in the world economy with an increasing trend of international division of labor introduced by the uncontrolled activities of multinationals all over the world. The result of this unequal distribution in the world’s economy lead to unequal and imbalanced international relationships among highly industrialized and experts and monopoly of industrial research and technology a nd peripheral countries which were dependent on few industries but were technologically controlled by the transnational companies. The most affected by these imbalances were the developing countries which paved ways to global world crisis in later years. (GONZALEZ, CAMPO URBANO & MESA.1984; TOLENTINO. 2000) The boom in the development of MNCs was a result to various important forces. The economic conditions prevailing in the post world war era were more nurturing. The bad experiences faced in 1930s provided the guidelines for not repeating the economical mistakes. The set of policies adopted were designed to rebuild, strengthen and restore the economies of affected countries during the World War. (COHEN. 2007) Role of USA: A few theorists argue that after 1945 the conditions to ‘

Sunday, September 22, 2019

Lawn Care Case Essay Example for Free

Lawn Care Case Essay 1) A) Currently Lawn Care focuses on quality and innovation. Their product is said to be the best available with the highest quality grass seed and fertilizer in the world. They are also a very well known company which is another competitive advantage. They specialize in providing the best and quickly delivering the product to the customer demanding the product. B) The company perceives the quality of their products, and their direct delivery to be the order winner for the company. They provide what is expected, in terms of high quality seed and fertilizer, making this also an order qualifier. Another company, such as their competitor may consider the installation they proved to be the order winner, in that it sets them apart from their competition. C) CBP 2) A) Lawn Cares competitor’s current strategic mission is to provide a bundle package. Their competitive advantage is that they also install the product. They save the customer time, and create convenience for the customer because they do not have to find and contact and plan with a third party to have the work done. B) The competitor perceives the need for seed, fertilizer, and sod as the order qualifier, and the installation and additional yard work they provide as the order winner because it sets them apart from their competition, Lawn Care. 3) If Lawn Care were to add the application business to their existing business they would need to secure more employees. They would need employees who have experience in landscaping and are able to do the physical labor. This could take months to find and train the new employees. They would also need to purchase equipment such as lawn mowers, trucks, trailers, etc. to  assist in the application side of the business. This would involve using some of their assets to purchase and later on repair and manage upkeep, but they would achieve a gain in capital equipment assets. Lawn Care would also have to use additional resources to market their new service bundle. The addition of installation would not do the company any good if nobody knew they were now offering the service. It may be beneficial to the company if they contacted previous customers as well to tell them of the changes and see if they need any more work done. Changing advertisements and adding new advertisements and promoti ons would also take months, but would benefit the company in the long run. 4) Lawn Care would have to consider how the community and previous customers would react to the changes and whether they would find the change beneficial and take advantage of the new services offered. Stakeholders would be affected as well with the relocation of assets and the risks being taken by Lawn Care to add such a substantial portion to their business. The changes and how they will effect stock in the company is an important economic sustainability factor for the company to consider. The company was accused of pollution and other damage application mistakes before implementing this new service bundle. The company should consider environmental sustainability and because they would have more control of the application process than they did previously they will need to be more aware of how they are affecting the environment and what they can do to prevent any future claims against them. The company should also determine how they will market the product and how this will affect social sustainability. What can they do to make everyone aware of the products and gain back any customers they lost to their competition before offering the service? Lawn Care needs to consider how sustainable the service will be and make sure that it will be a lasting effort before purchasing the new equipment and implementing new processes.

Saturday, September 21, 2019

Public Health Disease Management of Tuberculosis

Public Health Disease Management of Tuberculosis This essay critically examines the effectiveness of policy frameworks and assessment tools in public health disease management of tuberculosis. The essay discusses the role of the community nurse and multidisciplinary teams in empowering individuals and populations in reducing health inequalities. The essay also explores the nursing and public health frameworks that assist in holistic assessment, planning implementation and the evaluation of care in the community, primary and public health sector. The essay also discusses how environmental, epidemiological and demographic data can influence policies and tackle the underlying social determinants of the health of populations. The essay also discusses strategies that enable the empowerment of individuals and groups, to make them responsible for their own health. The essay also identifies key issues emerging from the health and well-being of communities and discusses the impact that these will have on the role of the nurse and the multid isciplinary team. The main policy framework that has been put forward to combat tuberculosis is contained within the 2004 Department of Health document entitled Stopping tuberculosis in England: An Action Plan from the Chief Medical Officer, which outlines the goals of the programme, namely the long-term reduction and ultimately elimination of tuberculosis from England, with the immediate aims of reducing the risk of people being newly affected by tuberculosis, providing high quality treatment for all people living with tuberculosis and maintaining low levels of drug resistance to tuberculosis, through careful usage of antibiotics (DoH, 2004). This framework has dictated how health professionals treat cases of tuberculosis but has, in practical terms not stopped the drastic rise in tuberculosis in England: in 2002, for example, 6638 people were diagnosed with tuberculosis (DoH, 2004), whereas in 2005, the number of people infected by tuberculosis rose by 10.8% to 8113 (HPA, 2005; BBC, 2006), with the largest increases being in inner cities, particularly London (HPA, 2005; BBC, 2006). The public health management of tuberculosis includes: vaccinating uninfected at-risk groups; minimizing the chances of spreading the infection through minimizing contact of humans with cattle, for example; actively seeking infected individuals from within those groups most at risk; thoroughly investigating outbreaks of the disease when they occur; having appropriate measures in place to ensure that those with the disease do not infect health professionals; developing more rapid diagnostic techniques and creating an effective and easy-to-use national monitoring and surveillance system which functions within a legal framework (NICE, 2006). The spread of tuberculosis is not, seemingly, therefore being effectively managed as per the outlines in the policy framework in the 2004 Department of Health document entitled Stopping tuberculosis in England: An Action Plan from the Chief Medical Officer nor by the public health management schemes that are currently in place. Increases in tuberculosis are consistently most notable in the poorest sectors of the population (Bhatti et al., 1995), and for this reason, tuberculosis has been described, as it was historically, as a disease of the poor. There is, therefore, a massive socioeconomic influence over the spread of tuberculosis (Bhatti et al., 1995). Given this, then, it is important that the community nurses working in the ‘poorer’ sections of inner city areas are fully trained in how to diagnose, and how to best treat, tuberculosis, within the general framework as specified by the Department of Health (2004) policy document. In terms of the role of the community nurse and multidisciplinary teams in empowering individuals and populations in reducing health inequalities, as identified by Palacios et al. (2003), nurses play a key role in the management of tuberculosis cases in the community, with nurses being responsible for, amongst other things, identifying patients, evaluating patients prior to treatment starting, managing emergencies, educating patients and other health professionals, and providing coordination, for example overseeing other health workers and communicating between the members of a multidisciplinary team. Not only do the community nurse and the multidisciplinary teams they are involved with have a duty to identify and treat tuberculosis cases, but there is also an implicit obligation (built in to the framework for controlling tuberculosis as outlined by DoH (2004)) that health professionals should also educate individuals at risk as to how to minimize the risk that they would contract tu berculosis. Health inequalities, such as the greater likelihood of contracting tuberculosis if one comes from a poor background, need to be first recognized by health professionals and then treated, through treating the diseases as they manifest themselves, and through education programmes, which would aim to minimize the risks of contracting such diseases. Obviously this is approach does not treat the root causes of the inequalities, which is a political matter. In terms of exploring the nursing and public health frameworks that assist in holistic assessment, planning implementation and the evaluation of care in the community, primary and public health sector, there is a national framework for dealing with tuberculosis which offers guidelines as to how tuberculosis should be managed on the ground as it were (Singh et al., 2002). Tuberculosis care is generally undertaken on an out-patient basis with only emergency (usually previously undiagnosed) cases being dealt with on an in-patient basis (White et al., 2002). There is a system in place that ensures that any patients with suspected tuberculosis are seen by a tuberculosis team as soon as possible, following their first presentation to a health care professional, and that the presence of tuberculosis is noted on the national database and then managed according to national guidelines (i.e., those from the British Thoracic Society) (DoH, 2004). This national database of tuberculosis cases is p art of the Health Protection Agency’s surveillance scheme for tuberculosis, through the Statutory Notification of Infectious Diseases (NOIDs) scheme. The current best practice in terms of managing tuberculosis is the allocation of the patient with tuberculosis to a named case manager, who provides routinely supervised care to ensure that the medication is taken correctly and that the disease is being managed properly (DoH, 2004). In terms of how environmental, epidemiological and demographic data can influence policies and tackle the underlying social determinants of the health of populations. There are many organizations that collect data on various diseases that are present in the UK, and who then relate this data to socioeconomic factors. The Rowntree Foundation is one such organization, for example. Tuberculosis is a pertinent example of how environmental, epidemiological and demographic data can be used to effect changes to the political structures in place. As has been seen, it is known that socioeconomic variables can predict the presence of tuberculosis in the population, with those individuals from poorer areas more likely to suffer from a higher incidence of tuberculosis than those individuals from more affluent areas (Bhatti et al., 1995). The fact that there are still such diseases, with a strong socioeconomic aspect, present in the UK is cause for concern, and as many reports from the Joseph Rowntree Foundation have pointed out (for example, North et al., 2007; Dorling et al., 2007), the UK is facing higher levels of inequality than for four decades, which has major health implications for those living in the poorer sectors of society. These studies have been listened to, as the Government embarks on their social justice programme that aims to provide social equality for all members of society, in terms of health and education, for example. Thus, the use of environmental, epidemiological and demographic data can be responsible for directly influencing policies and tackling the underlying social determinants of the health of populations. If, for example, the poorer sectors of society were lifted out of this poverty, it is likely that ‘diseases of the poor’ such as tuberculosis would decline in frequency i n the UK. In terms of strategies that enable the empowerment of individuals and groups, to make them responsible for their own health, such strategies take many and varied forms, according to the disease under consideration. For tuberculosis, this entails, amongst other things, educating the patients as to why it is important to continue to take their medication even when they ‘feel’ better, to ensure that the disease does not recur and, more importantly, that antibiotic resistance is not developed. Most strategies for patient empowerment are based around patient education, in terms of bringing about changes in their immediate environment, or in their patterns of thinking, that will effect changes to their lifestyle and the ways in which they view their lives and, through this, will effect direct positive changes to their health; patient empowerment is generally a necessity for preventative medicine to be fully effective (Wensing, 2000). Empowering patients through education and t hrough better communication in the media, for example can lead to much higher levels of conformity with healthcare plans and to greater adherence to preventative medicine schedules (Wensing, 2000) which, in a disease like tuberculosis, which is notoriously difficult to treat if medicine schedules are not followed, is crucial to gaining control of the disease. In terms of the key issues emerging from the health and well-being of communities and the impact that these will have on the role of the nurse and the multidisciplinary team, it has been seen that tuberculosis is a disease of the poor, occurring most commonly in poorer areas in inner cities. Firstly, these health professionals have to recognize the socioeconomic aspect of such diseases, and to work within this context. For health professionals working in such situations, it is imperative that these health professionals are aware of all the current guidelines and policy frameworks with regards to such diseases, to ensure that they are aware of the necessity of conforming to these guidelines and frameworks. The impact that this has on the role of the nurse and the multidisciplinary team is to focus the health professionals attention to the diseases that are associated with poverty, and to focus their attention on treating these diseases in the optimum manner, and to empower their patie nts, in an attempt to manage, as effectively as possible, the incidence of such diseases. In conclusion, this essay has looked at the issue of tuberculosis in the UK, finding that whilst there is a policy framework in place aimed at reducing the incidence of tuberculosis, this is not wholly effective. The socioeconomic aspect of tuberculosis was discussed, as were the treatment options, the need for patient empowerment and the ways in which treating tuberculosis impacts health professionals. It is recognized that dealing with the root cause of diseases such as tuberculosis, which are generally known as ‘diseases of the poor’ is a political and not a health, matter, in terms of smoothing the inequalities that lead to the conditions where such diseases develop. References BBC (2006). Sharp rise in tuberculosis cases. 2nd November 2006. Available from http://news.bbc.co.uk/2/hi/health/6109228.stm [Accessed on 27th January 2008]. Bhatti, N. et al. (1995). Increasing incidence of tuberculosis in England and Wales: a study of the likely causes. BMJ 310, pp.967-969. DoH (2004). Stopping tuberculosis in England: An Action Plan from the Chief Medical Officer. Department of Health. Dorling, D. et al. (2007). Poverty, wealth and place in Britain, 1968 to 2005. Joseph Rowntree Foundation. Available from http://www.jrf.org.uk/bookshop/eBooks/2019-poverty-wealth-place.pdf [Accessed on 26th January 2008]. HPA (2005). Annual report on tuberculosis cases reported in England, Wales and Northern Ireland. Available from http://www.hpa.org.uk/infections/topics_az/tb/pdf/2003_Annual_Report.pdf [Accessed on 26th January 2008]. NICE (2006). Tuberculosis: clinical diagnosis and management of tuberculosis, and measures for its prevention and control. Available from http://www.nice.org.uk/nicemedia/pdf/CG033niceguideline.pdf [Accessed on 26th January 2008]. North, D. et al. (2007). Interventions to tackle the economic needs of deprived areas: analysis of six policy case studies. Joseph Rowntree Foundation. Available from http://www.jrf.org.uk/bookshop/ebooks/2137-devolution-governance-deprivation.pdf [Accessed on 27th January 2008]. Palacios, E. et al. (2003). The role of the nurse in community-based treatment of multidrug-resistant tuberculosis. The International Journal of Tuberculosis and Lung Disease 7(4), pp.343-346. Singh, S. et al. (2002). Tuberculosis in primary care. British Journal of General Practice 52, pp.357-358. Wensing, M. (2000). Evidence-based patient empowerment. Quality in Healthcare 9, pp.200-201. White, V. et al. (2002). Management of tuberculosis in a British inner-city population. Journal of Public Health Medicine 24(1), pp.49-52.

Friday, September 20, 2019

Luteolin and Kaempferol From Cassia Alata

Luteolin and Kaempferol From Cassia Alata LUTEOLIN AND KAEMPFEROL FROM CASSIA ALATA, ANTIMICROBIAL AND ANTIOXIDANT ACTIVITY OF ITS METHANOLIC EXTRACTS ANEELA WAHAB, TAHIRA, SABIRA BEGUM, ANJUM AYUB, IFFAT MAHMOOD, TALAT MAHMOOD, AQEEL AHMAD  AND NIDA FAYYAZ Abstract Cassia alata also known as candlebush is a medicinally important plant. In the present investigation we are reporting the isolation and structure elucidation of two flavonoids kaempferol (1) and luteolin (2) isolated from methanolic extract of its beans through bioassay guided fractionation. The structure of isolated compounds were characterized by spectroscopic techniques such as EIMS, 1H-NMR and 13C-NMR. In this article we are also presenting the antibacterial, antifungal and antioxidant activity of the methanolic extract of its leaves (CA-L), stem (CA-S) and beans (CA-BN). All the extracts showed remarkable antibacterial and weak antioxidant activity whereas moderate antifungal activity was only found in stem (CA-S) and beans (CA-BN) extracts. Introduction Cassia alata (Synonym; Senna alata) belonging to the family Leguminosae and subfamily of Fabaceae, commonly known as seven golden candlesticks, and ringworm senna (Quattrocchi U., F.L.S., 2012). This plant is native to the West Indies, tropical America, found wild almost throughout India and Pakistan (Khare C.P., 2007). C. alata with golden blooms is a summer bloomer and a striking spring that last for several weeks but prefer cooler month for flowering (Ray A.B., et al., 2010, Krishnan M. K. S., 1992). This shrub may grow up to 3 meters tall with irregular, angled, glabrous branches. Flowers have bright yellow colour. It has long, membranous, dehiscent pods with 25 or more seeds per pod (Ross I.A., 2003, Bhattacharjee S.K., 2004). Cassia alata is widely used as traditional medicine in India and Southeast Asia ( Reezal I., et al., 2002 ). This plant is reported to possess insecticidal, anti-inflammatory, hydragogue, sudorific, diuretic, pesticidal properties. Fresh leaves juice is used for ring worm, snakebite, scorpion bite, skin diseases, impetigo, syphilis sores, itching, mycosis (washerman’s itch), herpes and eczema. Roots, leaves and flowers of this plant possess many biological properties such as antibacterial, antifungal, anti-inflammatory, antitumor, expectorant and also useful in urinary tract problems (Quattrocchi U., F.L.S., 2012), asthma, bronchitis and constipation (Joshi S.G., 2000). The ethyl acetate extract of C. alata leaves possess hypoglycaemic activity (Ray A.B., et al, 2010). This plant also has hepatoprotective property. The main constituents of C.alata are flavonoids, alkaloids, anthraquinone derivatives, tannins, sterols and triterpenes (Neharkar V.S., Gaikward K.G., 2011). The pr esent paper describe the isolation and characterization of kaempferol (1) and luteolin (2). Herein we are also reporting the antimicrobial and antioxidant activities of the methanolic extract of leaves, stem and beans of this plant. All the extracts showed significant antibacterial (Table 2) and weak antioxidant activity (Table 4). Antifungal activity (Table 3) was only observed in the extract of stem and beans. Experimental Materials and Methods General: Silica gel PF254 (Merk) was used for vacuum liquid chromatography (VLC). Thin layer chromatography (TLC) was performed on pre-coated silica gel F254 (Merck). Gel permeation chromatography was performed on sephadex LH-20 (Pharmcia). The EIMS (electron impact mass spectrometery) were scanned on Jeol-JMS HX-110 mass spectrormeter. The 1H and 13C-NMR (Nuclear Magnetic Resonance) spectra were recorded on a Bruker spectrometer operating at 300 and 75 MHz respectively. The chemical shift values are reported in à ¯Ã‚ Ã‚ ¤ (ppm) relative to SiMe4 (Tetra methyl silane) as an internal standard. The coupling constant (J) is given in Hz. Plant Material: The Cassia alata was collected from Karachi (Sindh) and identified by Mr. Ghulam Rasool. A voucher specimen (86464) has been deposited in the herbarium at Department of Botany, Faculty of Science University of Karachi, Sindh Pakistan. Extraction and Isolation: The air dried leaves (7 kg), stem (5 kg) and beans (5 kg) of Cassia alata were extracted repeatedly with methanol at room temperature. The solvent was evaporated under vacuum to give 2 kg crude extract of leaves (CA-L), 3 kg crude extract of stem (CA-S) and 750 g crude extract of beans (CA-BN). The dark greenish brown gummy crude extract of beans (CA-BN) was partitioned with ethyl acetate (EtOAc), water (discard) and n-butanol fractions. Each fraction was concentrated in vacuum to have 15 g EtOAc and 15 g n-butanol soluble fractions. The EtOAc soluble fraction was further partitioned with n-hexane to obtained n-hexane soluble fraction and n-hexane insoluble fraction. The n-hexane soluble fraction (14 g) was subjected to vacuum liquid chromatography (VLC) (n-hexane: n-hexane: EtOAc in order of increasing polarity) which furnished 22 fractions (Fr-1-Fr-22). The Fr-15 was subjected to reverse-phase column chromatography using sephadex column LH-20 (CHCl3;CHCl3:MeOH in order of increasin g polarity) which yielded 12 fractions (Fr-15-1-Fr-15-12). The Fr-15-9 was further subjected to reverse phase column chromatography using sephadex column LH-20 (n-hexane:CHCl3:MeOH in order of increasing polarity) furnished 18 fractions (Fr-15-9-1-Fr-15-9-18). The Fr-15-9-10 eluted with n-hexane:CHCl3:MeOH (0.5:3:1.5) gave yellow amorphous powder which showed single spot on TLC using CHCl3: MeOH (9.2:0.8) as a solvent system was identified as kaempferol (1) (37 mg). The Fr-15-9-9 was further subjected to reverse-phase column chromatography using sephadex column LH-20 (n-hexane:CHCl3:MeOH in order of increasing polarity) which yielded 13 fractions (Fr-15-9-9-1 to Fr-15-9-9-13). The Fr-15-9-9-3 eluted with n-hexane:CHCl3:MeOH (0.5:3:1.5) showed single spot on TLC (CHCl3:MeOH, 9.2:0.8) appeared as yellowish powder and was identified as luteolin (2) (27 mg). Biological assay: Screening of antibacterial activity: The disc diffusion method (Bauer et al, 1966) was used to determine the antibacterial activity of methanolic extracts. 100 mg/ml of stock solution was prepared by dissolving extracts in DMSO. Sterile filter discs containing 10 à ¯Ã‚ Ã‚ ­l of stock solution were used for screening. The Mueller Hinton agar (Oxoid) plates were seeded with 24 hours old culture grown in Mueller Hinton broth (Oxoid). The prepared discs were placed onto the surfaces at different positions and plates were incubated at 37à ¯Ã¢â‚¬Å¡Ã‚ °C for 24 hours. Results were recorded by measuring the zone of inhibitions in mm. Gentamicin was used as a standard. Screening of antifungal activity: Antifungal activity was also determined by disc diffusion method (Bauer et al, 1966) as above. Briefly, a small amount of culture was transferred to 2-3 ml distilled water or normal saline in a screw capped tube with few glass beads (1 mm in diameter) and vortexes for 5-10 minutes to make a homogeneous suspension of fungal culture. Sabouraud dextrose agar (SDA) plates were seeded with this suspension. Sterile filter discs containing 10 à ¯Ã‚ Ã‚ ­l of stock solution were placed onto the surfaces at different positions. Plates were incubated at room temperature for 1 week. Results were recorded by measuring the zone of inhibitions in mm. Gresiofulvin was used as a standard. Determination of minimum inhibitory concentration (MIC): MIC of methanolic extracts were determined by the disc diffusion method ( Bauer et al, 1966). Sterile discs containing different concentrations of samples varying from 0.98 to 1000 à ¯Ã‚ Ã‚ ­g per disc were prepared. The MIC of those extracts showing maximum zone of inhibition against microorganism were calculated ( Table 2 ). Antioxidant activity: Antioxidant activity was determined by using the method described by Lee et al. (1998). 1,1-diphenyl-2-picrylhydrazyl (DPPH) was prepared in ethanol (300  µM). 10  µL of each extract and 90 ÃŽ ¼L solution of stable radical, 1,1-diphenyl-2-picrylhydrazyl (DPPH) was added in 96 well micro titer plates and incubated at 37 º C for 30 minutes. Absorbance was measured at 515 nm by using a spectrophotometer. Percent inhibition of radicals by treatment of test sample was determined by comparison with a DMSO treated control group. % Inhibition = (absorbance of the control-absorbance of the test sample) x 100 Absorbance of the control Ascorbic acid was used as standard control. The EC50 value calculated denotes the concentration (in ug/ml) of sample required to scavenge 50% of DPPH Characterization of Kaempferol (1) Yellow amorphous powder. 1H-NMR à ¯Ã‚ Ã‚ ¤ (300 MHz, CD3OD): 8.09 (2H, d, J = 8.7 Hz, H-2’, 6’), 6.91 (2H, d, J = 8.7 Hz, H-3’, 5’), 6.43 (1H, d, J = 1.8 Hz, H-8), 6.19 (1H, d, J = 1.8 Hz, H-6). EIMS m/z: 286 [M]+. 13C-NMR (see Table 1). All data were identical with that of reported in literature (Hadizadeh F., et al, 2003, Gangwal A., et al, 2010). Characterization of Luteolin (2) Yellow amorphous powder. 1H- NMR à ¯Ã‚ Ã‚ ¤ (300 MHz, CD3OD): 7.39 (1H, dd, J = 9.0, 1.8 Hz, H-6’) ,7.36 (1H, d, J = 1.8 Hz, H-2’), 6.88 (1H, d, J = 9.0, Hz, H-5’), 6.53 (1H, s, H-3), 6.43 (1H, d, J = 1.8 Hz, H-8), 6.19 (1H, d, J = 1.8 Hz, H-6). EIMS m/z: 286 [M]+. 13C-NMR (see Table 1). All data were identical with that of reported in literature (Saeidnia S., et al, 2009). Results and discussion: The phytochemical investigation of the methanolic extracts of Cassia alata beans resulted in the isolation of kaempferol (1) and luteolin (2). Compound (1) showed molecular ion peak at m/z 286 having molecular formula C15H10O6. Its 1H-NMR spectrum showed the characterstic peak of H-2’ and 6’ as a doublet at à ¯Ã‚ Ã‚ ¤Ãƒ ¯Ã¢â€š ¬Ã‚  Ãƒ ¯Ã¢â€š ¬Ã‚ ¸Ãƒ ¯Ã¢â€š ¬Ã‚ ®Ãƒ ¯Ã¢â€š ¬Ã‚ °Ãƒ ¯Ã¢â€š ¬Ã‚ ¹Ãƒ ¯Ã¢â€š ¬Ã‚  with ortho coupling of 8.7 Hz whereas H-3’ and 5’ with similar ortho coupling appeared at à ¯Ã‚ Ã‚ ¤Ãƒ ¯Ã¢â€š ¬Ã‚  6.91 as a doublet.1H-NMR spectrum of 1 further displayed signals of aromatic protons as a doublet at à ¯Ã‚ Ã‚ ¤Ãƒ ¯Ã¢â€š ¬Ã‚  Ãƒ ¯Ã¢â€š ¬Ã‚  6.19 (H-6) and at à ¯Ã‚ Ã‚ ¤Ãƒ ¯Ã¢â€š ¬Ã‚   6.43 (H-8) showing meta coupling of 1.8 Hz. The EIMS spectrum of compound (2) is similar to (1) having same molecular mass (m/z 286) and formula (C15H10O6). In the 1H-NMR spectrum of 2 characterstic peak of H-3 appeared at à ¯Ã‚ Ã‚ ¤Ãƒ ¯Ã¢â€š ¬Ã‚  6.53 as a singlet. Other important signals observed at à ¯Ã‚ Ã‚ ¤Ãƒ ¯Ã¢â€š ¬Ã‚  6.88 (d, J = 9.0, Hz, H-5’), à ¯Ã‚ Ã‚ ¤Ãƒ ¯Ã¢â€š ¬Ã‚  7.36 (d, J = 1.8 Hz, H-2’) and à ¯Ã‚ Ã‚ ¤Ãƒ ¯Ã¢â€š ¬Ã‚  7.39 (dd, J = 9.0, 1.8 Hz, H-6’). The aromatic protons H-6 and H-8 showed same à ¯Ã‚ Ã‚ ¤Ãƒ ¯Ã¢â€š ¬Ã‚  and J value as in compound 1. The 13C-NMR spectrum (Table 1) of both compounds 1 and 2 displayed signals of nine quaternary and six methine carbons . All the 13C assignments are in agreement with the reported data (Gangwal A., et al, 2010, Saeidnia S., et al, 2009). The results of antibacterial activity indicated that all the methanolic extracts of C. alata (CA-L, CA-S and CA-BN) have potential to kill various pathogenic gram+ve and gram-ve bacteria (Table 2), whereas good antifungal activity was observed in CA-S and CA-BN extracts against Fusarium specie (Table 3). All the extracts (CA-L, CA-S and CA-BN) showed less than 50% inhibition of DPPH radicals in antioxidant activity (Table 4). CONCLUSION: The known flavonoids kaemferol (1) and luteolin (2) were isolated from the methanolic extracts of C. alata beans. The structure of the isolated compounds were elucidated by various spectroscopic techniques. Pharmacological investigations have indicated that all the extracts (CA-L, CA-S and CA-BN) of this plant possess significant antimicrobial and weak antioxidant activity. References: Bauer, A.W., Kirby, W.M.M., Sherris, J.C., Turck, M. (1966). Antibiotic susceptibility testing by a standardized single disk method. American Journal of Clinical Pathology, 45, 493–496. Bhattarchrjee, S.K. and Michael,A.M. (2004). Hand Book of Medicinal Plants. Pointer Publishers Jaipur 302003 (Raj), India, pp. 77-78. Gangwal, A., Parmar, S.K., Sheth, N.R. (2010). Vol. 2(1). Triterpenoid, flavonoids and sterols from Lagenaria siceraria fruits. Scholars Research Library. pp. 307- 317. Hadizadeh, F., Noaman, K., Hossein, H., Randa, K.A. (2003). Kaempferol from Saffron Petals. Iranian Journal of Pharmaceutical Research. pp. 251-252. Joshi, S.G. (2000). Medicinal Plants. Oxford and IBH publishing Co.Pvt. Ltd, New Delhi, Calcutta, India, pp. 117. Khare, C.P. (2007). Indian Medicinal Plants.Springer.New Delhi, India, pp.126. Krishnan, M.K.S. (1992). Vol.3. The Wealth of India. Council of Scientific and Industrial Research New Delhi, India, pp. 328. Lee, S. K., Zakaria, H., Chuyng, H. L., Kuyengl, L.,Games, E. J. C., Mehta, R. J., Kinghorn, D., and Pezzuto, J. M. (1998). Evaluation of the antioxidant potential of natural products.Combinatorial Chemistry and High Throughput Screening.1: 35-4 Neharkar, V.S., Gaikwad, K.G. (2011). Vol. 2(1). Hepatoprotective activity of Cassia alata (Linn.) leaves against Paracetamol-induced hepatic injury in rats. Research Journal of Pharmaceutical, Biological and Chemical Sciences: pp. 783-788. Quattrocchi, U., F.L.S. (2012). Vol.5 R-Z: CRC World Dictionary of Medicinal and Poisonous Plants. CRC Press Taylor Francis Group Boca Raton New York, USA, pp. 236-237. Ray, A.B., Chansouria, J.P.N. and Hemalatha, S. (2010). Medicinal Plants: antidiabetic and Hypoglycaemic Activities. ibdc Publishers Lucknow, India, pp. 95. Ross, I.A. (2003). vol.1. Medicinal Plants of the World. Humana Press, Totowa, New Jersey, pp. 165-166. Reezal, I., Somchit, M. N. and Abdul Rahim, M. (2002). Vol.1. In vitro Antifungal Properties of Cassia alata (GELNGGANG BESAR). Proceedings of the Regional Symposium on Environment and Natural Resources. pp. 654-659. Saeidnia, S., Yassa, N., Rezaeipoor ,R., Shafiee, A., Gohari, A. R., Kamalinejad, M., Gooderzy, S. (2009). Vol. 17(1). Immunosuppressive principles from Achillea talagonica, an endemic species of Iran. Journals.tums.ac.ir: pp. 37-41. Table 1. C13-NMR spectral data of kaempferol (1) and luteolin (2) in CD3OD (ppm) at 75 MHz Table 2. Antibacterial activity of different extracts of Cassia alata (zone of inhibition in mm) CA-L= Cassia alata Leaves, CA-S = Cassia alata Stem, CA-BN = Cassia alata Beans. Table 3. In Vitro Antifungal activity (zone of inhibition in mm) Table 4. Antioxidant activity of Methanolic extracts of C.alata

Thursday, September 19, 2019

Ling :: essays research papers

a) The underlined group of words is a noun phrase I know it is a noun phrase because a cat is a thing and fits the description of a noun. The grammatical function of the underlined group of words is subject. I applied a tag question to determine this was the subject. In absence of an operator I used the base do. So the sentence now reads The cat did fall out of the tree. Because the operator is the first word of the verb phrase it takes the tense. To get a question I move the operator to the front of the sentence so it now reads Did the cat fall out of the tree? Any words that are between the movement is the subject. So the cat is the subject. b) The subject The cat is a patient. I know this because fell is an intransitive verb so nothing is suffering the effect of the cat. It is not an experiencer because it is not attributed any emotional response. The cat is suffering an action. This sentence could be the response given by a child to the question ‘What happened to the cat?’ Knowing he would be in trouble if he admits he shot the cat with a bb gun the child tries to distance himself from the act by telling his parents ‘The cat fell out of the tree.’ Under this interpretation it is a patient subject.   Ã‚  Ã‚  Ã‚  Ã‚  B. The senator was praised by several members of the press. a) The underlined group of words is a prepositional phrase. The test I used to determine it was a prepositional phrase was the ‘airplane and cloud’ test. That is if the beginning of the phrase is an action a plane would with a cloud it is a preposition. In this case a plane can fly ‘by’ a cloud. The grammatical function of the prepositional phrase is predicate. b) The semantic role of the underlined group of words is agent. The subject The senator is the recipient of the action of the press. Also the voice of this sentence is passive so I know the prototypical agent/patent semantic roles are reversed.   Ã‚  Ã‚  Ã‚  Ã‚  C. The waiter forced the rowdy customers to leave the restaurant. a) The underlined group of words is a noun phrase I know it is a noun phrase because the rowdy customers are people and fit the description of a noun.

Wednesday, September 18, 2019

The Effect of Concentration on Osmosis :: Papers

The Effect of Concentration on Osmosis Introduction Osmosis is the diffusion of water molecules that occurs only when there is a movement of water molecules from a region of higher concentration to a region of lower concentration through a partially permeable membrane. The process ends only when the two concentrations are equal or the cell is unable to take any more water because the cell is turgid. For osmosis to take place a partially permeable membrane is required to allow water movement to take place and to prevent such a transfer between other molecules. If a cell is in contact with a solution of lower water concentration than its own contents, then water leaves the cell by osmosis, through the cell membrane. The living contents of the cell contracts and eventually pulls away from the cell wall and shrinks, this is known as plasmolysis. If you put a plant cell in water, water enters by Osmosis, and then swells up. However, the cell will not burst. This is due to the fact that the cell walls are made from cellulose, which is extremely strong. Eventually, the cell stops swelling, and when this point is reached, we say the cell is turgid.

Tuesday, September 17, 2019

Uganda

1. What is the nature of OpenMRS and why was it developed? Why were US universities, US National Institute of Health (NIH) and US donors involved in developing this system? 2. What were the impacts of using OpenMRS in ISS Clinic? How did the healthcare system improve? 3. What were the problems encountered in using OpenMRS? Discuss the battle of forms and why there were disagreements about what forms to use. Make a distinction between research vs. clinical objectives, US researcher vs. local objectives. 4. Why the OpenMRS project is in danger of failure? Why did the clinicians at ISS clinic say that â€Å"we didn’t ask for it.It is your problem†? Why MOH and US researchers are at odds about the value of OpenMRS? 5. What can be learned from this experience when implementing IT projects in developing countries? Do culture and world politics have a role? Why? 1. The OpenMRS is an electronic medical record system (EMRS) that was developed to track of patients medical records across a variety of different countries to be used in different types of clinics. Having the software as open source also meant that the source code could be assessed by anyone and customized to fit their particular need.In the ISS Clinic in Uganda it was used for patients being treated for HIV/AIDS. The system was developed to replace paper records which would make the work of researchers and clinic workers easier. The EMRs was used to track patient progress and track the inventory of antiretroviral drugs. US donors were most interested in the system as it made the retrieving information on patients that is needed for their research on AIDS, antiretroviral treatment, and other disease research much more accessible. 2.The impact of using OpenMRS was that it had greater storage capacity than Microsoft excel and it could be customized for their own particular use. Using the new system clinicians were able to able spend less time reviewing patient data and more time with patients as w ell as reducing wait times. Since patients usually did not see the same clinic staff. The data also allowed them to analyze patient trends and reduce the instance of drug stock outs. They could also use the data base to generate random samples for new research studies. 3. The problem with the Open MRS system is that not everyone in the clinic was on board.Clinic workers generally thought of the system as more for the US researchers. Clinicians did not have much access to the system either as their primary tool was still paper forms. Another bump in the road was the Ministry of Health standardizing all forms for HIV clinics meant that ISS needed to redo their system to match the new forms, which also were lacking room the for the additional data needed for UCSF and MGH research. The Ministry of Health in Uganda was concerned with making the reporting of HIV treatment standard for all patients across all the different health platforms, public or private.For the US researchers they wan ted to include additional data for their various studies. Both the clinic and the researchers goal was to better and more efficiently treat the AIDS epidemic, however for the researchers they also needed to report back to their grant funders and publish studies in order to keep the program running. 4. The OpenMRS system was in danger of failure in 2010 because there was not enough financial support to cover the operational cost of the program. Funding was being stretched thinner and thinner and one of the clinics big grants was about to expire.The Ugandan Ministry of Health was also not willing to cover the gaps as they did not see the value in the system for their own objectives. The Clinicians didn’t see the immediate value of the system for themselves because they thought of it as a tool of the US researchers (US Researchers were the only ones publishing papers using the data) not thinking about how it’s effect on the day to day operations of the clinic. 5. I think that there is definitely a cultural element to the problem in developing support for the OpenMRS project. The US stakeholders seemed to come in and set up shop without any input from the local people or government.They thought that the government should automatically throw their support behind their efforts. The US stakeholders should have really engaged the local people more with the project, getting them more involved in developing the system and training them to use the system and showing clinicians why it is important for them. The Americans should have also gotten Ugandan researchers involved in using the system to publish their own papers. Having more of a local participation in the project and making it a collaborative effort would have made Ugandan government and workers see the system as their own.

Monday, September 16, 2019

Essay about email Essay

EXPLAIN ELECTRONIC MAIL? Electronic Mail Is The Most Polular And Most Misused Service Of Internet Electronic mail or simply E-mail is very much popular now-a-days for its speedy transmission of information’s and cost effectiveness. Hence information provided by a sender is delivered asynchronously to a point where it can be retrieved and processed later on by one or more recipients of the sender’s choice. In an E-Mail system, there is a number and the sender keeps on dialing the desired number till he/she is successful. Once it is connected, the PC terminal of the sender sends the message to the PC terminal of the recipient at a very high speed. There is no need of any physical presence of both the sender and the receiver. The sender can enter the message and the receiver can retrieve it whenever he/she is free. The message will remain in PC’s memory. The transmission of messages is usually done through landlines (telephones) or satellite communications or through marine cables. E-mail has lot of advantages to its credit. Advantage Of E-Mail (i) It is cost effective. Very less money is required In comparison to other transmission device. (ii) It is time saver. Within very short time messages can be sent, (iii) There is no need of presence of either the sender or the receiver. Once the message is entered into PC’s it will remain in the receiver PC’s memory. (iv) E-mail transmission is very speedy. It is four times faster than FAX and ten Times faster than telex, (v) There is the system of using password which each subscriber can choose to use. Hence E-mail gives security of message. Disadvantage Of E-Mail (i) Emails may carry viruses. These are small programs that harm your  computer system. They can read out your email address book and send themselves to a number of people around the world. (ii) Many people send unwanted emails to others. These are called spam mails. It takes a lot of time to filter out the unwanted emails from those that are really important. (iii) Emails cannot really be used for official business documents. They may be lost and you cannot sign them. (iv) Your mailbox may get flooded with emails after a certain time so you have to empty it from time to time.

Sunday, September 15, 2019

Ethical Issues In The ICU Essay

Medical practitioners are faced with the challenge of making decisions on whether to withhold or withdraw a patient’s life sustaining therapy in the intensive care unit. Intensive care units are departments which provide high quality and advanced forms of therapies to very ill patients in the intensive care unit at an increased cost. These patients’ expectations are high with regard to modern medicine, and as a result, have led to the rise of complex ethical issues in the ICU. Clinicians managing patients in the intensive care unit face many ethical problems during the patient’s routine care. This is seen in cases of withholding life sustaining therapy, withdrawing life sustaining therapy, informed consent and making decisions that affect the patients. Introduction Ethical related issues in the intensive care unit are a dilemma facing medical practitioners and nurses. This has affected the quality of care given to the patients in the ICU. Nurses responsible for caring for critically ill patients are faced with many ethical problems in the ICU due to the lack of enough full time critical care personnel and lack of enough funds to facilitate and run the intensive care units. A guideline on ethical issues in the intensive care unit demands that nurses offering critical care to patients apply the care with humanity by showing respect for the emotions and choices of the patients and their families. Nurses in this field are required to provide all necessary information to the patients and the family, counsel them and assist in interpreting the results so they can make well informed decisions. Nurses must consult with all physicians involved in the patients’ management. ethical problems facing nurses in he intensive care unit range from aggressive forms of treatment, following the wishes of the patients families to using extreme forms of reducing pain and assisted suicide and euthanasia.. Care of patients in the intensive care units involves aggressive forms of treatments with high risks associated with them and high-tech modern medicine which has higher risks than improving the patients’ prognosis. Critically ill patients and terminally ill patients who should be left to die in the comfort of their homes like in the earlier days are now made to undergo last minute aggressive treatments which may end up being no significant. In such cases when the treatment fails and the patient dies, the patients’ family blames the nurses and doctors for being insensitive to their wishes. Nurses are faced with the burden of not knowing where to draw the line between extending the natural process of dying by applying aggressive forms of medical care and when to apply life support systems. Ethics require that medical practitioners and nurses put the interests of their patients and their families’ first rather than applying futile medical technology to save the life of the patient or prolong their dying process against the family’s wishes. Nurses in the care of critically ill patients are required to set proper goals and interventions for terminal are of patients. End of life decisions should be made after consensus with all involved physicians. Critically ill patients in the intensive care unit get the most complex forms of treatment even in cases where their prognosis is poor. These patients also die under the most undesirable situations such as comatose conditions or under ventilatory support. Research studies have shown that critically ill patients are put through very aggressive forms of treatment which the clinicians would not want to undergo. The same studies have shown that the majority of patients in the intensive care unit are on a life-limiting care. Only very few patients in the intensive care unit receive full life support treatment and CPR. Most nurses and medical care givers are faced with the burden of choosing whether to resuscitate a patient or not when their prognosis is poor. Categories of ethical problems Cost reduction Critical care of patients in the intensive care unit is the most expensive form of treatment. Critical patients who die are said to accumulate more expenses than those who survive. This is because aggressive modern medicine for sustaining life is very expensive. Due to this the standard of care give in intensive care units has deteriorated as it focuses more on cost reduction rather than provision of quality health care. Medical care providers are often faced with the burden of how to establish when to provide full life support to patients and when to withdraw life sustaining support. These decisions are usually based on the patient’s age, type of illness or their prognosis. In effect the medical care providers are influenced to make biased decisions. Defining the standards of care to be given in the intensive care units is based on reducing the incurred costs. (Lo B. (2005). Quality of care Most health care institutions have developed strategies of limiting life support on critically ill patients. Families of critical patients may wish to write do not Resuscitate orders if their patient’s rate of survival is low. In case this is done, this category of patients receives less attention from medical personnel and less care from nurses. Strategies of limiting life support have been based on the patients’ age, prognosis and the family wishes. Patients who are categorized as old and with a poor prognosis tend to get less attention from the medical care providers and the care given to them is of less quality. Rather that receiving actual medical care these patients are given sedatives and narcotic analgesia. Terminally ill patients receive fewer medical interventions before death and are usually given narcotic analgesics to mitigate pain and sedatives to reduce their suffering. Ethical guidelines urge that all patients be given quality care irrespective of their condition but medical care providers often base their interventions on biased decisions. The concept of futility Medical care providers use the concept of futile therapy to withhold or withdraw life sustaining treatment. In the clinical practice very few things are of absolute certainty and so physicians must avoid making decisions based on the futility of the treatment. The outcome of CPR application cannot be based on whether the patients’ family signed the Do not Resuscitate order. Every other patient in the intensive care unit should be given quality care based on facts rather than assumptions. Decisions on withholding or withdrawing life support should be discussed with the patients or with their family members. This expresses respect for their rights and wishes and helps in avoiding conflicts which may lead to legal litigations. The medical personnel are faced with a dilemma in cases where the patient’s prognosis is poor and extending the natural process of dying through aggressive treatment would be futile. In such cases some family members could insist on sustaining the patients’ life. The medical personnel thus have no option in deciding what is best for the patient. Putting such a patient through aggressive treatment enables the family to understand the realities of the concept on withholding or withdrawing the life support. Autonomy This principle demands that no form of treatment should be administered to patients without their own approval or that of their family members, except in cases of emergency where immediate intervention is required. Patients and their families have the right to disapprove any form of treatment and their wishes should be respected. These wishes should be indicated on a written consent in form of advance directive. However, when writing the directive the patient may not have anticipated his present condition or he may decide to change his mind. Medical personnel are thus faced with burden of making the best decision for the patient by putting the patient’s interests first. In the intensive care unit, medical personnel deciding whether to apply CPR on a patient with a good prognosis or to follow his family wishes to withdraw life support. The reliability of family members to represent the best interests of the patients is questionable because some family members may want to withdraw the patient’s life support for their own selfish interests. As a result, doctors and nurses are required to make the best decision for the patient irrespective of the family’s wishes. (Pozgar G. D (2005). Euthanasia and assisted suicide Euthanasia is whereby a medical care provider administers a lethal dose to the patient while in assisted suicide the killing drug is self administered by the patient with the help of a physician. This practice is no widespread, although physicians all over the world are engaging in the practice. They justify their actions as a form of relieving their patients from pain and suffering. In some cases patients do not give consent for euthanasia but still physicians practice it. Most family members choose terminal sedation whereby patients are put in a comatose condition and then food and water is withdrawn. (Morton P. G (2005) Organ donation Patients in the intensive care unit requiring critical care may require an organ transplant to assist in sustaining their life. Patients and family members might have advance directives which disapprove the idea of organ transplants. Medical care givers have a difficult time determining whether a patient should receive an organ donation or not. Performing an organ transplant without the patients or family’s consent could lead to a legal litigation. (Melia K. M (2004). The principle of beneficence In this situation the medical care provider is faced with a moral dilemma in making the best decision fro the patient with regard to his interests rather than those of the family. The role of a physician to apply his best judgement for the patient’s interest is hindered by the patients’ family which rejects the concept of futility. Such family members impose unreasonable demands on the physician to extend the natural process of dying. This only prolongs the patient’s pain and suffering. Medical personnel should therefore be able to make the best decisions for the patients. Ethical issues in the nursing field hinder the ability of physicians to administer quality medical care to critical patients in the intensive care unit.  Physicians are urged to shoe humanity and compassion when applying intensive care to critical patients. Nurses and doctors should set goals and objectives when giving end of life care to patients with both good and poor prognosis. In regard to ethical issues in the intensive care unit, medical care givers should know that their duties are both directed towards the patients and the families. Before carrying out any medical treatment and procedure, nurses and doctors should obtain written consents form patients or their immediate family members to avoid ethical dilemmas which may lead to legal litigations.

Saturday, September 14, 2019

Business valuation Essay

†¢One of your friends uses the terms ethics and morality interchangeably. You do not think this is correct. How would you explain the difference between ethics and morality? Provide an example of morality and one of ethics in your explanation. Ethics are more about a set of rules for a specific class of people, or a situation. They are more of a set of rules. While morals are more about an individuals’ set of rules for them, what they hold to be right or wrong that they follow to make decisions or take actions. A good example would be a lawyer who is defending a person who has committed a robbery. The lawyer’s morals tells him that the person is guilty, but his ethics tells him that he must defend the person. †¢Select two major ethical theories covered in your readings for Week One. What are the major differences between these two theories? Which one of these theories best aligns with your personal beliefs? Explain. I choose utilitarian theory and deontological theory. Utilitarian theory is to maximize utility as well as maximize happiness while deontological theory refers to following rules or regulations. Utilitarian can be a scenario where it benefits the individual or group say be given a weekend off even though there is still much work to be done, while within the same scenario the employees could almost be forced to work the weekends, even though they are tired and would like to spend time with their families. I prefer utilitarian as maximizing my happiness is important to me. I have worked with companies predominantly the Navy, whose type of theory is deontological. Duty within the Navy is huge, rules create the structure. Knowing that the happiness of myself and my family are a huge part of my determination when making the decision to take a job. †¢What are examples of virtues, values, and moral concepts? How do each of these relate to one another? In what ways are they separate and in what ways are they connected? Virtues are a person’s thoughts and/or actions that are guided by are morals, are morals are what we hold to be true ranging from honesty to being faithful, while are values are simply what he hold to be valuable. They all go together like cogs, working together to reach the same goal, but if one is not there then the whole thing will not work. They are separate because they’re all slightly different, say like parts of a car engine, and yet they are all required in order for the engine to work. If one is not present the engine will not work. †¢In Ch. 6 of Basic Ethics, the author discusses the relationship of religion as it relates to morality and ethics. Using your own personal experiences as a resource, what, if any, relationship exists between religion, morality, and ethics? Explain your answer. †¢Select a public figure from politics or business. Select an ethical theory that seems to best fit this person. Why does this theory seem best? Which theory seems to least suit this person? Why? Hilary Clinton, she would highly appear to follow a deontilogical ethical theory. It seems to suit her and her political career nicely, it just does not seem to be in the best interest of the citizens. Following utilitarianism she would be putting the happiness of the voters and citizens either above her own or at the very least equally. †¢If a person is described as virtuous, is this the same as saying that person is moral or ethical? Why or why not? How would you explain the relationship between these three concepts? Provide examples. If one has to be called ethical or moral I would not say that it means that they are virtuous, but I would say that if someone has to be called virtuous that they would be both ethical and moral. Being virtuous means having or showing high moral standards, so to be virtuous means one would have to have high ethics and high morals. The three work together, morals is doing what is right, ethics is moral principles that govern a person’s or group’s behavior, and being virtuous is a combination of these two as well as going above and always being moral.

Friday, September 13, 2019

Difficult Language situation Essay Example | Topics and Well Written Essays - 1000 words

Difficult Language situation - Essay Example My friends had gone on to shop in other areas of the store so I was alone. It was a very crowded, busy time at the bakery so the line was long. When I got close to the front of the line, I tried to read the names of the different types of sweet cakes. I did not recognize any of the names. They looked like they were actually written in another language than English. I do not remember many of the names but one was canole and the other gnocchi. I realized that I could not say any of the names of sweet cakes. I tried to listen to how the other shoppers in line said the names and how they ordered, but so many people were talking at one time, I could not hear clearly. I started to get nervous when the person in line in front of me stepped up to make her order. She walked to the glass case and pointed to the sweet cakes and said, â€Å"Give me a dozen.† The baker picked up a handful of sweets and placed them in a small white box. I knew that I did not want a dozen of anything. I deci ded that I would just point to the sweet cake I wanted and would say, â€Å"Two.† When it was my turn I stuck with my plan. But the baker didn’t get my sweet cake. She said, â€Å"Which one?† She could not see what I was pointing at. I pointed again and said, â€Å"Down here.† She waited a moment and then grabbed two sweets. They were not the ones I was pointing at but I did not say anything. I took my sweet cakes and ate them. They were not the ones that I wanted but they were very good. This whole encounter with the baker was frustrating and made me nervous. I wanted to be able to say the names of the sweet cakes but I could not. I felt inferior after the encounter. I realized that I could not just imitate what other people said. I had to really understand what I was saying. I do not want to feel embarrassed because of my language anymore so I am improving. Another encounter I had was with a cab driver that was from