Imaging In Diagnosis Pancreatic Cancer Health And Social Care Essay

Pancreatic malignant neoplastic disease and its patterned advance, Drake et Al ( 2005 ) suggest pancreatic malignant neoplastic diseases are aggressive and occur most frequently in the caput, cervix and uncinate procedure of the pancreas. Malignant tumor of the pancreas affect more work forces than adult females and are associated with intoxicant maltreatment, diabetes, familial pancreatitis and smoke. Neoptolemos ( 2009 ) goes onto explain that age is an overpowering factor sing pancreatic malignant neoplastic disease which accounts for approximately 5 % of all malignant neoplastic disease instances. Harmonizing to Hanno et Al ( 2008 ) pancreatic malignant neoplastic disease is thought to impact 10 people in 100,000 every twelvemonth. Marieb and Hohhn ( 2010 ) suggest that malignant neoplastic disease of the pancreas is serious as it seldom causes symptoms until it is really advanced and hence is difficult to observe and handle. As pancreatic malignant neoplastic disease is frequently advanced by the clip it is diagnosed, often metastases are present. Due to this the forecast of pancreatic malignant neoplastic disease is frequently really hapless and is associated with a high mortality rate ( Jackson & A ; Thomas, 2005 ) . Imaging Pancreatic Cancer Johnson ( 2005 ) suggests that one time a patient has presented with a suspected pancreatic carcinoma, they should instantly have an Ultrasound Scan ( US ) of the liver, bile canal and pancreas. Harmonizing to Jackson and Thomas ( 2005 ) ultrasound scans use high-frequency sound moving ridges, that when returned from variety meats create a signal. After transporting out an ultrasound scan, if the findings suggest a malignance may be present farther imagination would be recommended. A Assortment of surveies are available, including: Endoscopic Ultrasound ( EUS ) Computed Tomography ( CT ) Magnetic Resonance Imaging ( MRI ) Endoscopic Ultrasound ( EUS ) Europiums can be used in the diagnosing, presenting and resectability of pancreatic carcinomas ( DeWitt et al, 2004 ) . EUS is considered to hold a higher sensitiveness when observing tumors located in the caput of the pancreas compared to observing tumors located in the organic structure or tail of the pancreas ( Shami & A ; Kaheleh, 2010 ) . Legmann et Al ( 1998 ) suggest that EUS has high sensitiveness when observing little pancreatic tumors. Many writers support this and DeWitt et Al ( 2004 ) travel on to explicate that EUS is superior to other modes as it can pick up tumors even smaller than 25mm. By observing little tumors early on, EUS can find whether farther trials are needed and hence set uping the patient ‘s direction. EUS contributes to the direction of the patient by assisting to be after and steer drainage processs ( Dietrich, 2006 ) . EUS is considered to hold a high sensitiveness when turn uping lymph node metastasis and vascular infiltration ( Shami & A ; Kahaleh, 2010 ) . Each relevant construction that can be affected by pancreatic malignant neoplastic disease can be assessed utilizing EUS. Gress and Savides ( 2009 ) further explain that EUS can be used to separate the relationship between the mass and next vascular constructions to measure the resectability. Harmonizing to Faigel et Al ( 1997 ) EUS guided all right needle aspiration is used for both local theatrical production and accurate tissue diagnosing in one process. Williams et Al ( 1998 ) support this and explicate that the process is a superior mode for the sensing of metastases and provides an accurate diagnosing of pancreatic malignances. An ultrasound transducer is attached to the caput of an endoscope and passed through the patient ‘s oral cavity to obtain images of the internal variety meats. EUS provides the chance to look at the GI wall beds and the surrounding variety meats ( Shami & A ; Kahaleh, 2010 ) . Rosch et Al ( 1991 ) explain that because of the close propinquity of the transducer to the internal organ of involvement, accurate and elaborate images are produced. Harmonizing to Lowry et Al ( 2008 ) pancreatic malignant neoplastic diseases often appear hypoechoic and arise from the bright, hyperechoic parenchyma of the pancreas. The lodgers of a malignance are frequently irregular ; nevertheless, there is normally a differentiation between a normal and malignant pancreas ( Figure 1.0 & A ; 1.1 ) . Despite showing a malignance, Lowry et Al ( 2008 ) further explains that its visual aspect can on occasion mime an inflammatory procedure of the pancreas. Figure 1.0 Figure 1.1 Figure 1.0 EUS showing a mass in the organic structure of the pancreas with engagement of the superior mesenteric vena. ( Taken from: Kwon & A ; Scheiman, 2006 ) . Figure 1.1. EUS showing a mass of the caput of the pancreas blockading the common gall canal. ( Taken from: Erickson, 2010 ) . Guidelines mentioning to pancreatic lesions issued in 2005 suggest that any lesion found in the pancreas, irrespective of its size requires further diagnostic rating. The guidelines go on to state that EUS findings entirely are non sufficient when naming lesions within the pancreas as it is unable to find whether they are malignant ( Barclay, 2005 ) . Guidelines set out by the British Medical Ultrasound Society ( 2009 ) say that Ultrasound equipment sound should merely by used by people who are to the full trained and have an apprehension of the thermal and mechanical bio-effects of ultrasound. Prior to EUS scrutinies, patients will be required to be nil by oral cavity for 6 hours. Patients will be given instructions sing the process and asked relevant inquiries associating to their wellness and allergic reactions. EUS processs are carried out under witting sedation, a cannula will be inserted into the patient ‘s arm so this and any other medicine can be inserted intravenously ( Soper et Al, 2008 ) . During the process, patients will be required to lie on their side. Harmonizing to Soper et Al ( 2008 ) scrutinies of the pancreas require high frequence echography ( 7.5- 12 MHz ) and get down by turn uping the aorta at the degree of the gorge to measure the pancreatic canal. Soper et Al ( 2008 ) further explain that the organic structure and the tail of the pancreas can so be visualised. Harmonizing to Soper et Al ( 2008 ) one time patients have recovered, they are discharged and able to restart their usual diet. Current research suggests that developments in EUS will travel beyond all right needle aspiration. Enerson ( 2005 ) believes that less invasive endoscopy equipment, which is capable of imaging variety meats next to the GI piece of land, will be developed and offer a new way sing the intercession procedure. Europiums can raise some issues with respects to the patients. First, the process requires patient engagement ; nevertheless it can be really uncomfortable and do the patient to experience ill doing the scan to be abandoned ( Shami & A ; Kahaleh, 2010 ) . It is besides necessary to calm the patients when set abouting a EUS process, doing patients to go really dying. Talley ( 2007 ) besides suggests that patient medicines are an issue as they may non be able to take it at the regular clip due to the readying for the test ; these include diabetes and anti-coagulant medicines. Computed Imaging Kwon and Scheiman ( 2006 ) suggest that Computed Tomography ( CT ) is the mode of pick when diagnosis and presenting pancreatic malignant neoplastic disease. CT provides outstanding word picture of the abdominal variety meats and is widely used to place abdominal multitudes. Jackson and Thomas ( 2005 ) correlative this by composing how CT provides first-class anatomical item when imaging primary tumors and environing local invasions. In relation to the direction of patients, it is necessary to find the resectability which can be established by the presence of vascular engagement ( Kwon & A ; Scheiman, 2006 ) . CT is considered the preferred mode for presenting due to the usage of contrast sweetening. Kwon and Scheiman ( 2006 ) explicate how a big endovenous dye bolus which enhances venous and arterial constructions is injected into the patient to accurately foretell surgical resectability. CT presenting can find how advanced the malignant neoplastic disease is and hence alter or dete rmined patient direction. The information acquired from a CT scan is interpreted and displayed on a computing machine as an image. Harmonizing to Jackson and Thomas ( 2005 ) every pel is assigned a CT figure that is compared to that of H2O and displayed on a graduated table of units know as Hounsfield units. Each figure represents a shadiness of Grey which demonstrates the composing, nature and denseness of tissues. The graduated table below ( Figure. 2.0 ) shows the Hounsfield units assigned to each tissue type. Figure 2.0 The Hounsfield graduated table of CT Numberss. Taken from: Jackson & A ; Thomas ( 2005 ) . Harmonizing to the Hirshberg Foundation ( 2010 ) utilizing a scope of Greies and associating them to the Hounsfield graduated table, creates a elaborate image of the pancreas. Von Hoff et Al ( 2005 ) further explains that on a CT scan compared to the normal pancreas, pancreatic carcinomas typically appear hypodense ab initio and so isodense in the ulterior phases. Secondary marks of a pancreatic carcinoma are clear on a CT scan, such as dilation of the pancreatic canal and the common gall canal, wasting of the pancreas and narrowing of next vascular constructions. Figure 2.1 A CT scan showing a ill enhanced mass in the caput of the pancreas. Taken from: Jackson & A ; Thomas ( 2005 ) . Due to the usage of ionizing radiation, guidelines province that CT scans are merely to be carried out if requested by an appropriate accredited wellness supplier and supply sufficient medical information to warrant the scan ( Berland, 2006 ) . Guidelines suggest that when transporting out a CT scan steps should be put in topographic point to cut down the patient dosage and when possible, an alternate scan should be carried out ( Radiation protection, 2000 ) . The guidelines go on to province that CT scans of the venters should non be carried out on pregnant patients unless sound clinical grounds are given. Pancreas protocols for CT scans say patients should imbibe a liter of H2O 20 proceedingss prior to a scan. Pretorius et Al ( 2006 ) says patients should be changed into a gown and take all jewelry. Patients will so be asked to reply relevant inquiries associated with their wellness. Bruening et Al ( 2006 ) add that patients are positioned supine on the bed with their weaponries raised above their caput. Patients have a cannula inserted in their arm in order to shoot contrast intravenously. Lowry et Al ( 2008 ) suggests that scans should get down at the xiphoid and coating at the iliac crests. Scans are carried out pre-contrast and so at a 40 and 70 2nd hold one time the contrast has been added. Bruening et Al ( 2006 ) further explain that 120 Kv and between 165 and 240 ma should be used to transport out the scans. Developments in CT scanning allow for it to be combined with Positron Emissions Tomography ( PET ) to supply extra information. Although they are non used routinely for pancreatic malignant neoplastic diseases they can assist to polish a intervention program ( O'Reilly, 2010 ) . PET scanning combined with CT scanning can be used in the diagnosing and theatrical production of pancreatic malignant neoplastic disease by showing sites of malignant neoplastic disease or redness in the organic structure ( figure 2.2 ) ( O'Reilly, 2010 ) . Figure 2.2. A combines PET/CT image showing an increased consumption in the pancreas CT can do issues sing the patient as it provides the patient with high doses of ionizing radiation and involves the disposal of endovenous contrast stuff. Lisle ( 2007 ) further explains that the iodized contrast media used in CT scanning can do jobs from the patient if their nephritic map is deficient or if they have an allergic reaction. Magnetic Resonance Imaging ( MRI ) Magnetic Resonance Imaging involves the debut of a radiofrequency pulsation to excite the H protons. Harmonizing to Jackson & A ; Thomas ( 2005 ) once the radiofrequency pulsation is turned off, the protons relax and return a signal to the sensor spiral which when paired with a computed creates an image. Harmonizing to Miura ( 2006 ) MRI offers first-class soft tissue contrast and besides the ability to analyze the pancreatobiliary system non-invasively. Miller et Al ( 2006 ) correlative this and suggest that MRI scans are utile in the rating of elusive, non-contour deforming pancreatic multitudes. Miura ( 2006 ) suggests that Gd enhanced scans are superior to CT when observing little tumors in the pancreas. Greenberger et Al ( 2009 ) further suggests that ; MRI has high sensitiveness when picturing the degree and features of a mass. MRI scanning is utile when measuring local tumor extension and vascular engagement and Miura ( 2009 ) suggests MRI has equal or better truth when presenting pancreatic carcinomas. Harmonizing to Neoptolemos ( 2009 ) MRI scanning can lend towards the direction of the patient by supplying information about the best attack for drainage and stenting. MRI is used in the appraisal of intervention response and the sensing of complications and return. This farther contributes to patient direction by finding the extent of the intervention needed ( Von Hoff et Al, 2005 ) . MRI scans can farther assist to find the appropriate intervention as it is better able to place surgical campaigners by qualifying little liver metastases every bit good as peritoneal and omental metastases ( Miller et al, 2006 ) . A normal Pancreas shows every bit high signal strength on a T1 fat suppressed scan due to the presence of acinous proteins ( Miller et al, 2006 ) . Typically on pre-contrast and post-contrast T1 weighted images, pancreatic carcinomas show lower signal ( hypointense ) compared to normal pancreatic parenchyma ( Figure 3.0 ) . Characteristics of a pancreatic carcinoma on a MRI scan consists of the expansion of the pancreatic caput with distension of the pancreatic and common gall canal and wasting of the organic structure and tail of the pancreas ( Semelka, 2010 ) . Harmonizing to Van Hoff et Al ( 2005 ) tumors are best visualised straight after the disposal of Gd as they stand out against the normal pancreas as hypointense ( Figure 3.1 ) . Fatty abnormalcies within the pancreas can frequently look as a malignant neoplastic disease on CT and EUS scans, MRI nevertheless can distinguish the features and separate a fatty abnormalcy from a malignant neoplastic disease ( Miller et al, 2006 ) . Figure 3.0 A Magnetic resonance image showing a carcinoma affecting the pancreatic caput and falsifying the superior mesenteric vena. ( Taken from: Van Hoff et Al, 2005 ) . Figure 3.1 A Gd enhanced, T1 weighted fat suppressed scan shows several pealing enhanced liver lesions ( short white pointers ) proposing liver metastases. Dilated pancreatic canals are besides demonstrated ( white pointer ) every bit good as a ill defined mass in the pancreatic caput ( black pointer ) . The white pointer caput shows a bilious stent. ( Taken from: Miller et al, 2006 ) . Figure 3.0 Figure 3.1 Magnetic Resonance Cholangiopancreatography scans ( MRCP ) can be performed as an option to Endoscopic retrograde Cholangiopancreatography ( ERCP ) . MRCP scans examine the ductual constructions of the liver and the pancreas and are a critical procedure when looking at dilation of the canals in peculiar ( Jackson & A ; Thomas, 2005 ) . MRCP scanning is a utile tool when exposing the ‘double canal ‘ mark in patients with clogging icterus which can bespeak a mass in the caput of the pancreas, nevertheless MRCP provides no information in the theatrical production of a pancreatic carcinoma. Siegelman ( 2010 ) suggests that vascular engagement and liver metastases are better detected on non-MRCP pulse sequences. Roth and Seeram ( 2002 ) state how guidelines province that anyone being scanned should be carefully screened in order to guarantee their safety within the MRI scanner. This should affect questionnaires to find whether patients have any metallic implants or gait shapers that could be affected by the magnetic environment. FDA guidelines besides province that as the safety of MRI when imaging a fetus has non been identified, patients should be advise in order to do an informed determination about go oning with the scan ( Roth & A ; Seeram, 2002 ) . Prior to a MRI scan, patients will be changed into a infirmary gown and take lose jewelry. Roth and Seeram ( 2001 ) explain that patients will make full out questionnaires in order to declare themselves fit for the scan. Patients will be fitted with a working venflon in order to administrate contrast. The patient will be supine on the tabular array with the respiratory bellows underneath them and connected at the top. The cardiac spiral will be placed onto the patient at the degree of the liver. The patient will come in the scanner pess first and be centred at the xiphoid. A assortment of sequences are so carried out including: Axial and coronal T2 weighted scans Axial T1 gradient reverberation scan Axial and coronal unenhanced fat suppressed T1 weighted scan Axial and coronal fat suppressed Gd enhanced T1 weighted scans MRCP ( Miller et al, 2006 ) . Semelka ( 2001 ) suggests that the hereafter will see the correlativity of CT and MRI images in the diagnosing of pancreatic malignant neoplastic disease. Semelka ( 2001 ) further explains that by uniting CT and MRI images, a better and more comprehensive nature of look intoing the pancreas will be available. Lisle ( 2007 ) suggest that issues rise as patients are unable to be scanned if they are fitted with a cardiac gait shaper as the magnetic current can do it to halt. Patients that have metallic implants, such as joint replacings are besides unable to be scanned as the magnetic Fieldss are so strong. In add-on to this, claustrophobia proves to be a great patient issue as the scanner is narrow and scan times are long. Overall, Miller et Al ( 2006 ) suggest that even though CT is the constituted imagination techniques for the rating of pancreatic carcinomas, the superior contrast declaration of MRI may break detect lesions of the pancreas. They go on to propose that MRI is superior to CT as it can be used without the demand of iodized contrast. Besides, MRI is able to set up the nature of the mass unlike EUS and CT. CT nevertheless, is quicker and more tolerable than MRI scanning and uses the Hounsfield graduated table to supply accurate images of the pancreas and the environment vascular engagement. Due to the intimacy of the transducer to the internal variety meats, EUS provides elaborate images that can find whether a mass is present. However, it is invasive and uncomfortable for the patient and can non distinguish between a malignance and a fatty mass. Word count: 2,898 ( Not including images amounting to merely over half a page ) .

Bank of America Case Study Essay

Problem Statement Can Bank of America initiate, renew or terminate different sponsorship opportunities. Which of the different sponsorships will have the biggest ability to help the bank’s business segments accomplish there business objectives, and which ones could damage them. Background Bank of America was operating in 29 states, District of Colombia and 43 foreign countries, serving individual customers, small to middle market businesses and large corporations. They provided a diversified range of financial assistances, such as banking, investing and asset management. All this through three business segments: Global Consumer and Small Business Banking, Global wealth and Global Corporate and Investment Banking. The headquarters of Bank of America is located in Charlotte, North Carolina. One of the banks business strategies is to serve as a leading financial partner and advisor across all major sports. Owners, leagues and franchises can turn to them with all banking needs. The bank spent more on sponsoring sports then any other bank in the US based bank. Sports such as major and minor baseball, the PGA-tour, NASCAR and NFL. Bank of America actually grew from many smaller banks, as regional banks where acquired the bank got sport relationships along with the smaller banks; which were kept to show their commitment to serving its customers and communities. Official Bank of Baseball Since 1880 Baseball was generally considered a part of America’s heritage and also a part of Bank of America’s culture that sponsored their employee baseball teams. And in 2004 the bank became the first company ever to be designated the Official Bank of Baseball. Sports Sponsorship Philosophy and Selection Criteria In 2006 Ray Bednar joined the Bank of America as senior VP and global sponsorships executive, he was there to oversee the strategy and activation deployment for the company’s expansive sport sponsorships portfolio. His largest responsibility lied with the application of more difficult and  explicit business criteria, beyond his employment to the traditional marketing/promotional considerations and making sponsorships decisions. Bednar explained: We are a Bank. If we sponsor, we expect banking relationships. We are concerned about getting banking business instead of just generating brand awareness and brand association, or generating more retail traffic. Sponsorships for Bank of America is ultimately a banking business decision- a decision to help our line of business. NASCAR With a broad reach as 1800 racing events and more than 110 tracks in 36 states it is ranked number one corporate involvement and per-event attendance, and number two in television viewership. Given Bank of America’s long involvement with NASCAR, they could continue to expand their association with the sport and benefit and build excitement for fans across the country. But is this an appropriate and effective platform for targeting multiple customer segments. U.S Olympic Committee The banks involvement with the Olympic team gores back to 1921. But in 1992 another bank, Bank America became the Official Bank Sponsor of the U.S Olympic team. What Bank of America now faced was whether the USOC and the Olympic Games remained a good strategic fit with the bank? Should the bank renew its sponsorship beyond its 2008 commitment? Would global reach associate well with the banks philosophy and selection criteria? Dallas Cowboys Bank of America had been involved in the financing of the Dallas Cowboys. Bednar faced the decision of whether or not to renew the sponsorship with the NFL-team, how had to consider on how the return on investment on objectives approaches could be applied. Bank of America PGA tournaments Two of their major sponsorships in golf were the Bank of America Championship  in the Boston area and the Bank of America Colonial in Fort Worth, Texas. They recognized the risk of losing the relationships with club members, but not as enough to justify the continued investment. How could the implement this exit strategy and still maintain existing banking relationships Recommendations The name of the company clearly states who the costumers should be. My recommendations would be to focus on the sponsorships within the America. NASCAR, NFL and Baseball are great opportunities to create relationships with their costumers. They might even try to become the Official bank of NFL one day. With that said I think the bank should try and sponsor less of the global sporting events such as the Olympic committee. The PGA tour, while it is played in the US it is televised in the whole world and since they are not reaching towards that market, I think less sponsorship should be put in this event as well. As for the Chicago marathon they should sell the event but stay as sponsor. Question If Bank of America would like to go global, would they have to change their name to something less patriotic?

Plato's parable allegory of the cave expresses his doctrine of Ideas Essay

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What is System Security - Term Paper Example   The researchers are going to define what a secure system is, components of a secure system as well as the advantages of having a secure system in an organization. That notwithstanding, with the advancement of technology our systems are prone to a number of threats that are out to jeopardize organizational system security. This essay is going to elaborate on a number of threats to system security as well as the mitigation that can be taken to prevent against those threats. Data is a very expensive resource for any organization; thus, elaborate measures must be put in place to ensure it is safeguarded at all times against unauthorized intrusion by third parties. System security is not limited to security mechanisms being employed on computers and its related peripherals but is a broad field that also includes encryption of data and also training of the personnel handling data on security measures. This makes system security a primary goal for any organization as elaborate security measures will ensure that the data resources of an organization are secured and can only be used to the advantage of that particular organization. System security is a broad field that includes almost every facet of computer security and cryptography. System security can be defined as the mechanisms and techniques that are implemented to ensure organizational data and information maintains confidentiality, integrity at the same time is always available whenever it’s needed.

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Control a People's Language - Essay Example Instead, they start by using sign language to communicate with their significant others. They learn such signs from the people who take care of them, thus highlighting their dependence on such individuals. Consequently, the caregivers of such children have the capacity to control the children as they take charge of their language. A look at the deaf community also highlights this important aspect. When children are born deaf, their caregivers take up the role of using signs that the young ones can use as their language of communication. Therefore, the caregivers control the deaf children as they teach them a unique and informal language unknown to other people. This creates a form of control since other people outside the circle of the caregivers may not understand the language. At the national and international levels, the people in charge of formulating such languages as the American Sign Language also control the communities that use the sign language. This is because the people invent signs that apply on a national level. Consequently, the deaf community, for instance, is compelled to use the language for them to contribute to nation building. The most conversant people in this language also possess the ability to advocate for the rights of such people. They can do this by raising awareness of the challenges faced by such people, thus promoting their voice in the nation. Such actions lead to greater recognition of the deaf communities, and may stop them from being classified as minorities (Jaspers, Verschueren & Ostman, 2010). P. 187. On the other hand, the people who possess such skills, as well as the ability to advocate for the rights of the deaf can choose to keep silent, thus hindering the ability of the deaf to get equitable opportunities. This explains that being in control of a people’s language leads to their control as the people get to decide what is to be done, and what should not be done. In

Decision support systems Essay Example | Topics and Well Written Essays - 1500 words

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Write a literature review on the reliability of the clinical Essay

Write a literature review on the reliability of the clinical assessment of the 1st Ray - Essay Example aluation is carried out through the use of one hand to stabilize the four lateral metatarsals while the other hand of the examiner applies pressure on the head of the first metatarsals to cause a plantar or dorsal displacement. Even though this method is vague with reference only to inter-examiner reliability, manual testing could be adequate enough for a personal clinician to categorise the motion of the foot as being hypermobile, normal or stiff. Several comparisons with other patients are beneficial in assisting the clinician to determine whether the first foot is normal or not. First Ray Examination: essentially, the first ray is an important part of the foot as it contributes to the movement and gait of a person. Since clinical evaluations have often found first ray abnormalities to be associated with the hillux rigidus, hallux valgus and metatarsus primus varus. Medical practitioners believe that there is a mechanical explanation for these pathologic conditions (Glasoe et al 1999). The mechanical movement of the foot is imperative to locomotion and therefore, abnormality will cause difficulties in movement. Diagnosing a problem in the mobility of the first ray by using the manual model is achieved in this manner; with the ankle placed at a neutral position, a slight pressure is applied to dorsiflxion just below the first ray metatarsal head, there will be an inferior portion of the first metatarsal brought to the sagittal plane level of the smaller metatarsal heads (Cornwall et al (2004). In case the inferior element of the heads of the first ray metatarsal do not contact the smaller metatarsals’ plane, then the first ray is considered as stiff. However, in case the features of the first metatarsal head go beyond the smaller metatarsals plane, then the first Ray can be described as hypermobile (Voellmicke & Deland 2002). Since theses diagnoses are critical in a clinical setting, their reliability and validity is equally important. This is because

Facebook Essay Example | Topics and Well Written Essays - 3750 words

Facebook - Essay Example The co-founder of Facebook, Mark Zuckerberg, had been accused of stealing the concept of Facebook from three students in Harvard University. However, he won his case against them and cleared any misconceptions about the source of the concept. Facebook was launched when the idea of social networking sites had already been circulated on the web in the form of MySpace, Orkut etc. These competitors were overshadowed by the inventive ideas and features of Facebook. It is a matter of time until another interesting idea makes its way to the top rank and supersedes Facebook. External and internal analysis has been conducted regarding Facebook to facilitate the continuation of the achievement of its goals and objectives. Other than the constant threat of the initiation of an even more inventive idea, Facebook is starting to face ‘Facebook Fatigue’ from the users due to the extensive usage of the same features. Few strategies have been proposed in the report that can be useful for Facebook to improve their service and achieve their goals and objectives. The need of the hour is to inhibit the adaptation of third party applications to ensure greater security, offer new features and functions to handle ‘Facebook Fatigue’ and reduce the number of advertisements display for the users. Facebook 1. Introduction Facebook is a social networking site that has leaped mankind to a new level of social networking; in terms of greater interactivity and communication. It is not only considered as a mechanism to communicate, but also an effective medium to share different types of multimedia, like videos, images, documents etc. It enables the users to stay in touch with their friends, colleagues, family and strangers who might have similar interests or hobbies. It is a global platform where an individual from any race or religion can become a member to communicate with his peers. Facebook has become the most commonly adopted social networking site in the prevail ing times since they have greater number of registered users every day; Facebook shows records that on average, 100 million users access the respective website every day. This report discusses different aspects of the social networking site and how the respective company has gained the status of one of the leading companies in the world. The core objectives and mission statement of the company has also been included to communicate the core values of the company. External, as well as internal analysis has been done for the company to identify the strengths, weaknesses, threats and opportunities for the company. An important and final aspect of this report is the proposal of effective strategies to facilitate the achievement of the goals of the company, along with the strategic plans to implement the propositions in the company. The financial impacts of the propositions have not been analyzed in the report due to the unavailability of extensive financial information from Facebook. It is also recommended that some of the proposals should be implemented after attaining feedback from the user to ensure that the tedious task of implementing the changes would cause a positive effect on the users, such as the provision of customization options, lessening of advertisements on profile pages. 2. Company Overview Mark Zuckerberg is one of the main founders of the company. Womack stated that the annual revenues of 2010 amounted to around $2 billion. It has been ranked as the 3rd largest IT company in the world, behind Microsoft and Google. Womack also provided the information that the founder was named as the â€Å"Person of the Year† by Time Magazine in 2010. The value of the company has

Finance Assessed Coursework Essay Example | Topics and Well Written Essays - 2000 words

Finance Assessed Coursework - Essay Example ct with each other and how the reporters of financial information struggle to strike a balance among these attributes to ensure the usefulness of information for the user. According to the U.S. GAAP Codification of Accounting Standards, financial statements of an enterprise comprise of profit/loss statements, balance sheets, statement of cash flows and an account of stockholders' equity. These statements, combined with additional financial analysis tools and formulae constitute the financial information which in turn serves the needs of the wide range of users of financial information. ... he financial performance of organizations or the general public which might be interested in gathering information for various reasons (Gibson, 2011). In order to satisfy the needs and requirements of the users of financial information, the accountant's job is essentially to maximize the usefulness of the information to facilitate the users and to fulfil the expectations of the users with regard to the accuracy of the information. Along with the reporting being simply and evidently comprehensible, analogous and unswerving, it should also be relevant, reliable, material, neutral and definitely prudent (Rich et al. 2010). In the following paragraphs, I shall proceed to discuss the latter five characteristics mentioned in an orderly fashion along with highlighting the challenges faced in ensuring the effective implementation of these qualities. Relevant financial information is that which has the ability to influence decision-making of the users and is meaningful. It assists them to mak e informed judgments on the basis of past events, accurate decisions in relation to the present scenarios and wise forecasts about future events along with facilitation in correct evaluation of situations. Data that fails in influencing the decisions in the appropriate manner is futile for the users regardless of whether it represents external phenomena or whether it conforms to the other user-oriented criteria (Rosenfield, 2006). For example, a supplier who is planning to sell goods to a company on credit will find the total cash balance in the cash flow statement of that company relevant since it will enable him to assess the liquidity position of the company. Likewise, a prospective shareholder of a company would surely desire to discern the profitability state of the company so that he

Speech on Everyone Is Human Being Essay Example for Free

Speech on Everyone Is Human Being Essay Sir,Madam.. I am here to present the speech which is about â€Å"Every One is a Human Beign†. My story begins like this. A mother gives a birth to a living creature and We called it as â€Å"An infant†. You, Me and We all were borned because of a mother. When we were in our infantry age, We didn’t know so much things. There had very few things with us. We knew how to smile, how to cry and how to get loved. After becoming older.. Humans learn lot of things. They learn science, Maths, Religion and Languages.. But they forget the initial facts which had with them in born.. They try to cover their real smile, they try to show fake smile, fake feelings and they are running like rats for searching money. They don’t care each others. They don’t like to thing we all are human beigns and they haven’t time too to think so. Everyone is entitled to all the rights and freedoms set forth in this Declaration, without distinction of any kind, such as race, colour, sex, language, religion, political or other opinion, national or social origin, property, birth or other status. Furthermore, no distinction shall be made on the basis of the political, jurisdictional or international status of the country or territory to which a person belongs, whether it be independent, trust, non-self-governing or under any other limitation of sovereignty. Everyone has the right to life, liberty and security of person. They are human just like you and me. They have emotions just like you and me. sadness, happiness, loneliness put it this way, whatever you are feeling everyone in the world can and will feel. so instead of putting them in your mind as better than me put in your mind your as good as they are. We all want to live by each other’s happiness, not by each other’s misery. We don’t want to hate and despise one another. In this world there is room for everyone and the earth is rich and can provide for everyone.The way of life can be free and beautiful.But we have lost the way. Reality is what you believe in. There is no such thing as a fish as fals e reality! So if you put in your mind that everyone else is human, all lonely individuals looking for other people to meet. well then that is exactly what they are.

Importance Of Palliative Care Nursing Essay

Importance Of Palliative Care Nursing Essay Palliative care improves quality of life of patient and families who face life threatening disease, by provide pain and symptom relief, spiritual, psychosocial support to diagnosis to end of life, In most of world, majority of cancer patient are in advances stages of cancer when first seen by medical professional. For them, only factual treatment option is pain relief and palliative care. Effective approaches to palliative care are available to improve quality of life for cancer patient. Cancer pain release is diffusion of the world health organization global communication program for improve cancer pain control and palliative and supportive care (World Health Organization, 2011). Lung cancer is a disease which consists of uncontrolled cell growth in tissues of the lung. This growth may lead to metastasis, which is the invasion of adjacent tissue and infiltration beyond the lungs. The vast majority of primary lung cancers are carcinomas of the lung, derived from epithelial cells. Lun g cancer, the most common cause of cancer-related death in men and women, is responsible for 1.3 million deaths worldwide annually, as of 2004.The most common symptoms are shortness of breath (WIKIPEDIA,2011). Which nursing problem does lennart have? Pain and Irritation upon draining of tubes. Nausea and diarrhea. Loss of energy. Loss of appetite. Eelevated blood pressure How would you prioritize his problem? Diarrhea Pain and irritation upon draining tube Loss of appetite Nausea Loss of energy Eelevated blood pressure NURSING CARE PLAN Assessment: Objective data: he has an elevated blood pressure and diabetes. Subjective data: diarrhea. Nausea, pain. Take medical history. Patient complained of abdominal pain, bowel movement cramping. Increased frequency of stool, increased frequency of bowel sounds loose, liquid stools, diarrhea. Assess onset and patterns of diarrhea Assess and identify individual stress factors and coping behaviors. Assist thorough diagnosis including neurologic and psycho logic Assess patients attitude toward pain. .Discuss with patient, family and other medical team the treatment and medical Diagnosis: diarrhea, pain, nausea related to lung cancer. Intervention: Observe and record frequency, characteristic, amount, time of day, and precipitating factors related to occurrence of diarrhea Observe pain associated with episodes Observe nausea and vomiting. Every day make blood test for diabetes and give medication and give diabetes food. Give treatment to hypertension and cheek blood pressure and give low salt food advice patient make exercises every day. Auscultate abdomen for presence, location, and characteristic of bowel sounds observe for associated factors such as fever / chills, abdominal pain / cramping .Determine diet and nutritional status. Review drug intake. Determine recent exposure to different / foreign environment, change in drinking water, food intake and illness of other. Note concurrent illnesses, treatment, food and drug allergic, lactose intravenous and therapy side effects. Eliminate: relaxation techniques to decrease stress / anxiety. Provide for changes in dietary intake to avoid diarrhea. Limit caffeine and high fiber foods, avoid milk and dairy products. Recommended change in drug therapy as appropriate (eg. Antacid) Assess baseline hydration, note postural hypotension, tachycardia, skin cracks, and condition of mucous membranes. Review laboratory work. Administer drugs as indicated to decrease gastrointestinal motility and minimize fluid losses. Administer IVF as indicated. Maintain skin integrity (ointment skin as needed) .Promote returns to normal bowel functioning: Increase oral fluid intake and return to normal diet with assist from his family members. Give medication as ordered, for example to decrease motility and to absorb water and explain that to the patient and to his family. Patient maintains normal bowel function with good hydration. Understanding of causative factors and rationale for treatment regimen .Demonstrates appropriate behavior to assist with resolution of causative factors like proper food preparation or avoidance of irritating. Verbalization of pain upon draining of tube Distraction behavior (moaning, crying, pacing, seeking out other people or activities, restlessness .Autonomic responses like diaphoresis , blood pressure and pulse changes . Papillary dilatation increased or decreased respiratory rate. Pain, Alleviate patient from pain, Provide comfort while draining of tube Explain procedure to the patient and family and when it hurt to reduce concern of the unknown .Nursing priority: assess etiology / precipitating and c ontributory factor. Determine possible pathophiysiologic / psycho logic causes of pain eg( inflammation , thrombosis ,grief ,fear and anxiety ) Nursing priority: evaluate patientà ¢Ã¢â€š ¬Ã¢â€ž ¢s response to pain. Observe patients walk, how patient holds body, sits ,facial expression ,cool finger tips / toes , which can mean constricted useless . Determine pain characteristics; dull, throbbing, constant , sharp ,intermittent Assess for referred pain. Monitor vital signs as usually it increase in acute pain, Review patients previous experience with pain. Nursing priority assist patient to explore methods for alleviation and control of pain: Instruct patient to report pain as soon as it begins ,encourage verbalization of feelings about the pain ,provide quiet environment , calm , activities . provide comfort measures ( eg. Back rub , change of position , use of heat or cold if indicated ) and encourage his family to do it .encourage relaxation exercise with the use of individualized tapes ( eg. Music and instructional ) .encourage to use diversirnal activities ( eg, TV ,radio and socialization ) ,assist in treatment of the cause of pain and evaluate effectiveness .encourage rest to prevent fatigue ,identify ways of avoiding or minimizing pain ,review ways to lessen pain ,discuss with significant others ways in which they can assist patient and can reduce precipitating factors that may cause or increase pain . Evaluation: Patient reports that he is relieved from pain. He follows prescribed pharmacologic regimen. Verbalizes methods that provide relief . Demonstrate use of relaxation skills and dimensional activities. Conclusion: Cancer patient has severe pain the nurse should be observer this pain and give medicine and attention to case of spiritual psychical through palliative care. Cancer patient need to support from teamwork and family is the source of light and hope of the patient, I think support depend on family. Teamwork is foundation palliative care and everywhere cooperative teamwork will outcome become high for palliative care. Communication is contact the most powerful factor in palliative care causes it is a point of communication between teamwork and family and between patient, teamwork, good communication is the secret success palliative care.

Rock And Roll :: Music

When Rock arrived on the music charts in the 1950's, a merging of African-American and White music, it made a huge impact on society. As a general rule I am not heavily into music, but I was drawn to Rock for some inexplicable reason. It is just the music I like. This genre will be difficult to write about because the origin of Rock is unclear; there are traces of Rock's style back into the 19th Century. It is also a very broad subject and I will have to compress a lot of information into as few pages as possible. Be that as it may, Rock is, in my opinion the best music genre on the charts. There is so much information on Rock that I will have to have questions I want to find the answers to about the music. My first question will be, "What instruments are commonly used in a rock band?" This will not be hard to answer as it is a very easy question that has a definite answer. The next question will be, "Who were the first artists to produce Rock music?" This is also an easy question were I will discuss the first Rockers. Continuing on, my next question will ask, "How was the term ‘Rock and Roll' created, and by who?" This may turn out to be a hard question to answer because I am sure there a multiple answers. "Has Rock become more or less popular since its inception?" will be my next question. For this question I will have to look for a survey or poll of some type and present its data. My final question will be, "How has the Music been changed over the years and who changed it?" This will also be an easy question, albeit a long answer. For that question I will be referring to Alternative and Grunge Rock, my preferred form of the music. For my information I will mainly be using the internet. I also may get some of my answers from a dictionary or encyclopedia. My main sources on the internet will be the online encyclopedia at wikipedia.org, and anything I can find at google.com. I will also be asking my father who is more into classic rock, but a fan none the less. He has been listening to rock since the 60's when he was about my age.

Fate in Shakespeares King Lear :: King Lear essays

Fate in King Lear "There's a divinity that shapes our ends, rough hew them how we will." These words from Hamlet are echoed, even more pessimistically, in Shakespeare's play, The Tragedy of King Lear where Gloucester says: "Like flies to wanton boys, are we to the gods, they kill us for their sport". In Lear, the characters are subjected to the various tragedies of life over and over again. An abundance of cyclic imagery in Lear shows that good people are abused and wronged regardless of their own noble deeds or intentions. Strapped to a wheel of fire, humans suffer and endure, prosper and decline, their very existence imaged as a voyage out and a return. The movement from childhood to age and back again, the many references to fortune whose wheel spins humans downward even as it lifts, the abundance of natural cycles which are seen as controlling experience, even perhaps the movement of play itself from order to chaos to restoration of order to division again. Throughout the text, the movements of celestial bodies are used to account for human action and misfortune. Just as the stars in their courses are fixed in the skies, so do the characters view their lives as caught in a pattern they have no power to change. Lear sets the play in motion in banishing Cordelia when he swears "by all the operation of the orbs from whom we exist and cease to be" that his decision "shall not be revoked". How like the scene in Julius Caesar wherein Caesar says "For I am constant as the Northern star" Lear vows to be resolute but dies regretting his decision at the hands of his daughters who claim love him "more than word can wield" and are "alone felicitate" in his presence. That Edmund disbelieves in the influence of the stars adds to the play's recurring theme that part of our fate is our character; that we choose our lot in life by how we choose to act. Similarly, in Lear Gloucester's feelings predict what is to come when he says "These late eclipses of the sun and moon portend no good..." And because of this Gloucester begins to envision a world where "Love cools, friendship falls off, brothers divide..." While his father misunderstands the importance of the celestial bodies, his bastard son, Edmund denies the importance of the movements of the heavenly bodies. He calls it "an excellent foppery" to "make guilty of our disasters the sun, the moon and stars." (Just as in Julius Caesar we learn that "... The fault .

Personality Analysis

Personality Analysis Shannon C. Chavez PSY/405 March 5, 2013 Dr. Barry Brooks Personality Analysis This paper will include personality analysis between the learning theory and the humanistic and existential theories. The learning theory is referred to as the process by which all individuals learn and how they acquire a change or potential change in behavior (Feist & Feist, 2000). The learning theories involved are Skinner's behavioral analysis, Bandura's social cognitive theory, and Rotter and Mischel's cognitive social learning theory.The humanistic approach is focused on the individuals potential and stresses the importance of self-actualization and the belief that people are innately good. Humanistic psychology assumes that mental and social problems are a direct result of one’s natural tendencies (Cherry, 2013). Existentialism stresses the importance of free will, freedom of choice by each individual, and the responsibility one takes on his or her own life. This theory emp hasizes the responsibility each person takes on the choices they make and what they make of themselves (Cherry, 2013).Combining these theories with the knowledge they possess outlines the basics of human nature and personality as it develops by the environment, particularly within the social aspect while accommodating the powerful affects of one's own internal ideas. Affects on Situational Behavior According to learning theory, individuals behave according to their environmental, cognitive, and behavioral conditions. In Bandura’s social cognitive theory, he argues that people can learn new information and behaviors by watching what others do.This type of learning known as observational learning is explained in most behaviors (Cherry, 2013). In the behaviorist learning theory, learning takes place by trial and error, with individuals trying different types of behaviors until they engage in one that is reinforcing. Learning theory states individuals apply previously learned mat erial as a means to find familiar reward values in similar situations (Feist & Feist, 2009). Behaviors produced within new situations allow the individual to review similar experiences to determine the best course of action and will then choose the one with a similar outcome.In some learning theories, the learner may become passive, thus responding to environmental stimulus. Cognitive learning theory assumes all people are logical beings whose behavior is determined by choices that make the most sense to them (Fritscher, 2011). Rotter believed humans interact with their environments through reinforcement. He assumed people's situational behavior is a combination of their expectations of reinforcement and the amount of influence their needs demand in any given situation.His predictions of human behavior stem from one’s expectancy, reinforcement value, behavior potential and psychological situation (Feist and Feist, 2009). Mischel's personality theory suggests that an individua l’s cognitive activities and situations play a vital role in behavior determination. Although he acknowledged this stability, he explained the environment has a powerful influence on behavior. Other’s theories suggest people are motivated by particular drives and traits that would make a person’s behavior consistent (Feist and Feist, 2009).Humanistic approach from Roger’s person-centered theory believes learning is implemented as an act to fulfill one’s fullest potential. The actions of individuals in situational behavior are derived from their potential from which an individual is capable. In humanistic theory, people have cognitive needs by which they respond to certain situations. Within a supportive environment, individuals learn and react appropriately in any situation based on what they have learned previously (Feist and Feist, 2009).According to a humanist approach, responses to a specific situation are directly regarded towards personal gro wth fulfillment of current needs and satisfaction (McLeod, 2007). The individual will always respond in a way that will ultimately fulfill current needs. Personality Characteristic of Theories The learning theories suggest that personality is a combination of learned inclinations that continue throughout one’s life. Learning theories are believed to have present awareness, which guides the development of personality according to how individuals anticipate specific events, thus ll human behavior is influenced by anticipation (Feist & Feist, 2009). Skinner believed that human behavior was shaped by three forces: natural selection, cultural practices, and an individual’s history of reinforcements. Ultimately, Skinner believed that one’s geographical environment and personal physical strength helped shape humans personality in general, however, the environment would be vital in the uniqueness of each individual’s personality (Feist and Feist, 2009). Skinner d efined personality as â€Å"at best a repertoire of behavior imparted by an organized set of contingencies† (2009, p. 72). Bandura described the act of human nature as â€Å"self-regulating, proactive, self-reflective, and self-organizing† (2009, p. 486). He recognized that observational learning allows individuals to learn without performing the behavior. Rotter believed an individual’s personal history and experiences was more powerful in shaping their personalities and goals, but emphasized the similarities in everyone, whereas Mischel considered an individual’s differences and variations in behavior as more significant.He believed human behavior, through the cognitive-active personality system, adapts to the interaction of â€Å"stable personality traits and the situation, which includes a number of personal variables† (2009, p. 546). Kelly's theory explains the idea that all people anticipate events by the meanings placed on those events and b elieves these constructs of the world are how an individual’s behavior is shaped. People see the world in their own way and believe that every construction is open to revision (Feist and Feist, 2009).Skinner’s learning theories have been criticized for neither accommodating â€Å"individual differences, intelligence, genetic factors, nor the whole realm of personality† (2009, p. 472). Humanistic psychology believes in the natural drive toward personal development, and the idea that people make decisions regardless of environmental factors. Free will is one of the most important factors in the development of one’s personality, and the drive toward self-actualization is a powerful motivation for the creation of one’s personality (Feist and Feist, 2009).According to the idea behind humanism, people make their own choices and are actively involved in the creation of their personalities. Rollo May theory includes three relationships that form the basis for personality: one's relationship with the environment, with others, and with oneself. The influence of all three relationships helps create and contributes to the personality's ongoing reconstruction (Feist ; Feist, 2009). Maslow believed that biological components provided the basic parameter for the individual; however, environmental and cultural affects shaped the ego identity or personality (Feist ; Feist, 2009).Explanation of Interpersonal Relations The humanist/existential perspective assumed people associated with others to engage in productive and healthy relationships, although ultimately, they may be alone. Maslow believed in fulfilling love and belongingness first and fulfilling this was a primal need filled by friendship, family, having a mate, and ultimately maintaining associations with others. He proposed fulfillment at this level was essential for other levels of human success, through his hierarchy of needs (Feist ; Feist, 2009).Rogers believed growing up in a lo ving environment, having a caregiver who had positive regards, fostered positive self-regard, which in turn promotes psychological growth. Positive experiences from others are also essential for an individual’s development in mental health, thus success towards self-actualization (Cherry, 2013). May's existentialism proposed that even though people associate with others, forming healthy relationships, they would ultimately choose who and what they will become.The basic idea of humanism and existentialism views interpersonal relationships as an integral part of human life. Humanism views interpersonal relationships as an important factor in the development of personality. Maslow believed once an individual’s fulfillment of interpersonal relationships was completed, they will have more confidence and esteem in social situations and will experience the reciprocity of love from those of importance to them (Feist and Feist, 2009).From a learning perspective, people tend to associate with others because they receive some type of reward for doing so. Humans originally formed groups within their families to use as protection from enemy tribes and animals. This happens today when people form associations with those of the same interest group and are reinforced for the particular behaviors of that group. Even when not reinforced, people will continue to maintain close associations because of personal connections within the group from which they receive reinforcement (Feist & Feist, 2009).Social constructivism is defined as the knowledge, behavior, and personality constructed from social interactions and people build new ideas and concepts that are based on current and past knowledge or experience (Feist & Feist, 2009). Bandura believed people learn from their experiences, although much of human learning is taken from the observation of others. Rotter believed human behavior is â€Å"best predicted from an understanding of the interaction of people with th eir meaningful environments† (2009, p. 510).Mischel also believed that an essential component of one’s personality development was dependent on observations of others within the environment. Mischel and Rotter stressed the importance of learning within a social context, but Mischel continued to maintain his belief in the importance of genetic factors in the development of personality. Kelly believed social influences were much more significant in determining one’s personality than biological ones. He believed humans are influenced by each other and in constructing their own personality, involving other influences from the environment (Feist and Feist, 2009).Kelly stated â€Å"the actions of others do not mold their behavior; rather, it is their interpretation of events that changes their behavior† (2009, p. 572). Conclusion Learning theories define learning and its resulting behavior and personality as a response to the environment in which its consumed in cluding biological considerations, whereas humanistic theory believes in a greater tendency for internal human drive toward a goal and ultimately self-actualization.The different perspectives regarding the effectiveness of personalities on situational behavior, the distinct characteristics of personality and human nature, and the understanding of interpersonal relations all provide an abundance of thought and a more dimensional understanding of humanity within psychological thought process and its applications toward humankind. References Cherry, K. (2013). What is Existentialism? Retrieved from http://psychology. about. com/od/eindex/g/def_existential. htm Cherry, K. (2013).Humanistic Psychology: the â€Å"Third Force† in Psychology. Retrieved from http://psychology. about. com/od/historyofpsychology/a/hist_humanistic. htm Feist, J. and Feist, G. (2009) Theories of Personality (7th ed. ). Retrieved from the University of Phoenix eBook Collection online. New York: McGraw Hill Fritscher, L. (2011). Cognitive Theory. Retrieved from http://phobias. about. com/od/glossary/g/cognitivethedef. htm McLeod, S. (2007). Humanism. Simply Psychology. Retrieved from http://www. simplypsychology. org/humanistic. html

Dulce Et Decorum Est Essay

The poem â€Å"Dulce et Decorum est’ was the work of Wilfred owen’s and in this essay I will be writing how the mood and atmosphere is made and what it is like. I will write about the horrific and sading mood of World War One. ‘Dulce et Decorum Est; is about the soldier’s expedience in the WW1 trenches in France. He writes about how the men are walking and coughing, he talk about how they look and talk, he then gose in to talk about the old lie dulce et decorum est pro patris mori. In the first stanza of the poem he talks about how horrifying the way the soldiers are walking. â€Å"bent double, like old beggars under sacks, knock-kneed, coughing like hags† he gives them impression that the young men are like old men with a bad back and knock kneed, they are like horrible old hags coughing and hacking to clear their throats of smoke and dirt. The startling description of the solders shows them to be in poor healthy creating a black and sad mood. In the second stanza he talks about how the solders are looking like and what is going on behind them. He shows you what they look likes by saying. â€Å"Men marched asleep, many had lost their boots, but limped on, blood-shot†. This make you think the solders are so tired from the war and the horrible fighting, that they look like the=y are all asleep with one shoe on and one off. That the war bad they are so tired, to tired to walk. Later in the stanza he goes on to say. â€Å"All went lame; all blind; drunk with fatigue; deaf even to the hoots of tired, outstripped five-nines that dropped behind.† In this part of the poem he make it sound like they are all blind and all can’t walk, it make the atmosphere that they are all in a terrible condition and are extremely exhausted. In the third stanza is where the writer try to set the atmosphere to be horrifying and sadding, he use lots of words choses and other language techniques to set the mood and atmosphere, a good example is. â€Å"Gas! Gas! Quick, Boys!† with the short sentences is gives you the atmosphere of fear that the gas is coming and they have to be quick or they will die. In the last two stanzas the writer set the atmosphere by taking about after the gas attack. â€Å"If you could hear , at every jolt, the blood come gargling from the forth-corrupted lungs.† It make you think of what the gas can do to you and makes the mood a sading and terrifying, it make you think of the blood is coming from his lungs whenever the van jolts. It make an unsettling mood. Later in the last stanza he says. â€Å"The old lie; Dulce et decorum est pro patria mori† This means it is sweet and fitting to die for you country. This last sentences in the poem makes you see how horrifying, terrifying and sading the war really is, not the sweet or fitting but cruel and terrible. This set the atmosphere for the poem to be terrifying and horrible Overall, I think that the writer has made a particular atmosphere and mood thought out this poem and kept the mood thought out it. he effected use of poetic techniques to creat this atmosphere and to get this important message across.

Mary Shelley’s classic novel Essay

The second narrator we come to is Victor, who is also the central character in the novel. To begin with, Victor is adored by almost everyone: his parents; his siblings; the servants (Justine) and his teachers. For example, he makes this quote about his parents: â€Å"I was their plaything, their idol, and something better-their child†¦ † Even Walton describes him, as a â€Å"Celestial Spirit† who has â€Å"never-failing power of judgement† it is obvious that he is loved. The reader knows that this particular quote is only half true, as Victor has made some very poor judgements in the past. The reader can interpret this to achieve and open minded view of Victor and shows the imperfections and limitations of Walton. For example he must have very poor judgement to be able to describe Victor thus. The reader feels ambivalent to Victor. He is portrayed as a typical Byronic hero, a tragic, brooding hero whose personality traits make him great and powerful but also lead to his destruction. Walton describes his as † a noble creature in his better days, being even now in wreck so attractive and amiable†. He has a â€Å"thirst for knowledge† with a child’s blindness†-a dangerous combination. This is also a trait, which we see in Walton. Whilst he is buried in his work he neglects everything else, leading him to become isolated. Victor is partially aware of his faults or else unable to admit them. His ambition and passion for glory seem to be his own worst enemies. This idea is re-enforced by the quote â€Å"when younger, I believed myself destined for some great enterprise†¦ † he then goes on to describe his passion whilst creating the monster and his â€Å"senseless curiosity. † However, he still blames others for his downfall. He like Walton sees himself as a victim, the implication being that he swears to â€Å"pursue the demon, which caused this misery†. This he says without realising it was him who caused the monster to act as such. He seems to feel that fate was inevitable but he hypocritically believes Walton can change his by warning him against ambition. Although he blames the monster for his downfall, Victor alternately blames himself for the deaths of William and Justine. He also seems to believe in destiny and divine judgement, yet has no guilt over grave robbing to create his monster and believes him destined for happiness even though he has sinned. This leads us to believe that Victor is full of self-contradiction. Our feelings alter towards Victor throughout the novel. From chapter five onwards we see him as a lonely spirit, plagued by sorrow and remorse. This creates pity and in keeping the monster a secret, tension. Yet, when we meet the monster, we realise that Victor has not faced up to his responsibilities and we dislike and feel critical of him. Towards the end of the novel we dislike and pity both of them. Victor is portrayed as a typical Byronic hero right until his death. His tragic demise is very Romantic, the quote â€Å"I have myself been blasted in these hopes, yet another may succeed† as he parts from the world implies that he has the Romantic hope that some may succeed in ambition where he has failed. He cannot abandon his noble character, even in the face of death. Towards the middle of the novel, the monster relates his story and becomes the third narrator. Constructed from parts of corpses, Victor achieves the impossible by bringing him to life. Victor describes his appearance as such: â€Å"his yellow skin scarcely covered the muscles and arteries beneath; his lustrous black hair; teeth of pearly whiteness; watery eyes; shrivelled complexion; and straight black lips. † This description of his gruesome appearance fills the reader with both disgust and pity. His physical strength is greatly enhanced, subsequently making him invulnerable to anything but a violent death. This is how he is able to survive the dreadful conditions of the North Pole. Fitting in with his monstrous appearance, Shelley uses satanic imagery to depict the creature’s emotions, for instance, he says, â€Å"I bore a hell within me. † Victor also calls him â€Å"demon† and â€Å"devil† at various points in the novel. This emotive language describing the monster implies that he is an evil and demonic character who deserves to be hunted and feared. He seems to enjoy the murders of William and Justine, as if it justifies in some way, Victor’s neglect and hatred of him. He is only satisfied when he reduces Victor to complete despair, the same level as himself. Evidence of this is when Frankenstein has sworn to hunt the monster, he quotes â€Å"I am satisfied: miserable wretch! You have determined to live and I am satisfied. † His merciless killing of Clerval is the consequence of Victor’s destruction of his half finished female companion. He seeks to destroy Victor emotionally and mentally, rather than physically at first. This massacre of Frankenstein’s family and his fury are the result of the creature’s loneliness and rejection. He begins life as an innocent creature; a theory held by many philosophers at the time the novel was written, including Jean-Jacques Rousseau. He influenced the young Mary Shelley in his novel Emile. His natural attraction to humans and child-like wonder at the world around him excites our attention and evokes sympathy as we realise he is just like an innocent child struggling through the world alone. This great appreciation of nature, society and literature is evidence that the Romantic Movement influenced Shelley’s writing too. We see goodness in him when he collects wood for the DeLacey’s and saves a girl from drowning. The DeLacy family call him the â€Å"good spirit†, a total contrast from the imagery Shelley first describes him with. Our sympathy is again evoked with his desire for friendship and the prejudice he suffers from. The barrier between the monster and humans is ugliness, and the way in which Shelley writes reminds the reader of how cruel we ourselves are and makes us feel guilty. In being blind, DeLacy can accept him for who he is, but when this dream is shattered; Victor is his only hope at fulfilling his demand for a companion, subsequently providing justice, which Victor denies. The way he is mistreated turns him from an innocent creature into a vindictive, bloodthirsty monster. The three narrators are described by each other in great detail to help us understand more clearly their personalities and their characters. As the novel deals with some rather fantastical, disturbing ideas, it is understandably difficult to comprehend. However, the use of three narrators helps the reader to understand the complex ideas and breaks the novel down into sections which helps us to appreciate the complicated time and structure. It also shows us a more open-minded view of the characters. We see things from one perspective that we would not see from another, and therefore are able to independently have an opinion of the characters. Although I found the language and structure of the novel hard to comprehend, I did enjoy reading the novel and it has influenced the way in which I view the world, and brought awareness against ambition and isolation.

Fairchild Water Technologies, Inc. Essay

I. INTRODUCTION Fairchild Water Technologies was founded in 1980 by Eugene Fairchild. The company’s first product was a desalinator used by mobile home parks in Florida to remove salt from well water supplied to residents. As the desalinator became a huge success, the company expanded into the coastal region’s adjacent to the company’s headquarters in Tampa, Florida, and then to desert areas in the southwestern United States. By 2002, they had expanded their product lines to include desalinators, particle filters, ozonators, ion exchange resins, and purifiers. Their products were generally priced higher than their competitors, but regarded to be superior in terms of performance and quality. In the year 2000, Fairchild Water Technologies was expected to have revenues of $400 million, and an estimated profit of $50 million. For the past five years, they posted a 12 percent growth in their annual sales. In 1985, the company managed to start its exports to Mexico, Belize, and later to water bottlers in Germany. By 1990, due to the rapid growth in export sales, the company established its International Division. Sales in the International Division grew to $140 million in 2000. About 50 percent of International sales came from Latin and South America, $30 million from Europe, and $40 million from South Asia and Australia. In 1995, the company’s Frankfurt, Germany office stressed the need to develop and market products that target consumer households. The first idea was to develop a home water filter. By late 1995, the company was able to develop two models that were designed in the U.S. and introduced in Germany, Poland, Hungary, Romania, the Czech Republic, and Slovakia. The products were greatly successful. But, the quality of water in developing countries required a purifier instead of filters. Thus, in late 1999, company executives initiated the development of a water purifier which was given the brand name â€Å"Delight†. The Delight purifier was able to remove â€Å"reasonable levels† of sediments, organic and inorganic chemicals, microbials, cysts, and unpleasant tastes and odors. Reasonable levels are those described by several World Health Organization (WHO) reports as appropriate for potable waters. Also, engineers had repeatedly assured Mr. Chatterjee, the company’s international liaison, that laboratory testing showed no product failure after 5,000 hours of continuous use. Chatterjee used his expertise in the Indian market to direct engineers into pursuing a â€Å"point of use† design instead of a â€Å"point of entry† design. Moreover, Chatterjee provided engineers with some recommendations such as the ability to add a small battery that will act a power source in case of power failure. Additional recommendations included the ability to add fluoride, vitamins, and flavors, flow rates, dimensions, and storage capacity. Through consumer surveys, Chatterjee was able to determine a market preference for the countertop design over the wall- mount design. II MARKETING ISSUES Fairchild Water Technologies is seeking to enter the Indian Market in the water purifier product category. They have had a successful track record in designing and marketing home purifiers in European and South American Markets. In this case, they are trying to enter the market in a developing market that is in the process Liberalization. Accordingly, they are facing multiple marketing issues that are critical for the success or failure of their product. The list of marketing issues includes the following: 1. Select to forgo any entry into the Indian market 2. Enter the market under a licensing agreement 3. Enter the market by utilizing a joint venture and a skimming pricing method 4. Enter the market by utilizing a joint venture and a penetration pricing method In addition to these primary marketing issues, Fairchild Water Technologies had to decide whether they want to target urban areas or rural areas where the quality of water is poorer and where 80% of the population lives. It was  determined earlier that the company would forgo the rural opportunity for now, due to the lack of a much needed infrastructure. Also, the company established an approach to manufacture in India, where labor is much cheaper when compared to the United States. However, the company would import few components that are critical for operations. Finally, it was recommended that Fairchild should seek an Indian partner that is big enough to have a distribution and manufacturing infrastructure, but not too large where it commands the direction of the product line. III. SITUATION ANALYSIS TASKS A. Buyer Behavior Many Indians emphasize the need for and improved water quality. Newspapers, consumer advocates, government officials, and the general public are aware of the poor quality of Indian water. The majority of Indians have no choice but to consumer the water that is accessible to them. But, better educated, wealthier, and health-conscious Indians took some measures to improve the quality of water that is consumed by their families. It is estimated the number of such households is around 40 million. Health-conscious households are similar to middle- and upper-middle class households in the U.S. and Europe. They cherish convenience and product variety, and consider consumption of material goods as a means to higher quality of life. Moreover, Chatterjee’s research suggests that product performance was important consumers. Some product characteristics that were cited include the ability to remove sediments, bacteria and viruses, capacity, safety, and foot print space. Purchase price was important for market segments that boiled water, boiled and filters, or only filtered their water. The third most important factor was the ease of installation and service, along with style and appearance. The least important factor was warranty and the availability of financing. Finally, there was an agreement among all segments that the purifier should have a warranty between 18 and 24 months, and to perform between 5 and 10 years without any issues. B Customer Segmentation The Indian market could be segmented by consumer’s ability and willingness to use a water purification device. Research shows that there are 40 million households that include middle- and upper middle class families, that value quality and a European / American lifestyle. In addition there is an untapped market segment in the rural areas that have a need for water purifiers, but are either isolated or do not have the means to buy a water purifier. C Competitive Market Mainly, Fairchild Water Technologies will be competing for market share with companies that manufacture and sell water purifiers. But, there is also a need to address competitive methods that are currently being used by health-conscious Indian consumers. For instance, fifty percent of the target market utilizes a traditional method to purify water. A maid, cook, or family member would boil two to five liters of water, allow it to cool, and transfer the bottles to a refrigerator. Boiling water is seen as inexpensive, effective against dangerous bacteria, and ingrained in people’s traditions. In fact, many consumers consider it to be more effective than any other product on the market. However, boiling affected the tastiness of water and made it â€Å"flat†. Also, boiling was considered to be burdensome, time-consuming, and ineffective in removing physical residues and unpleasant odors. Ten percent of this target market took an extra step and boiled water through â€Å"candle filters†, despite knowing that recontamination could occur. At the same time, about 40 percent of the target market used a mechanical device to improve the quality of water. Half of this group used candle filters because of their low price and ease of use. The candle filter is made of two containers that sit on top of each other; the top container has one or more porous ceramic cylinders known as candles. Candle filters stored between 15 and 25 liters of water and cost between Rs. 350 for small plastic  models to Rs. 1,100 for a large stainless-steel model. However, candle filter were slow, required cleaning, and needed candle replacement at least once per year. Half of consumers that work on improving the quality of their water use â€Å"water purifiers†, which are considered to be more sophisticated than traditional candle filters. Water purifiers utilize three processing stages. First, sediments are removed, followed by odors and colors, and finally bacteria and viruses. While Fairchild’s engineers were skeptical about the efficiency of these products, they agreed that they are more helpful than candle filters. In fact, candle filters were proven to be ineffective in removing bacteria and viruses. Water purifiers were made from stainless steel and sold anywhere between Rs. 2,000 and Rs. 7,000. Ten percent of the target market did not use any of these procedures and thought that their water quality was acceptable. Overall, Catterjee believed that 90 percent of the target market could be induced to change their current purification method. In addition to traditional water purification methods, it was determined that almost 100 companies competed for share in the Indian home water filters and purifiers market. The most established water purifier was Eureka Forbes, which was established in 1982 as a joint venture between a Swedish company and an Indian company. The company marketed water purifiers, vacuum cleaners, mixers, and grinders. Aquaguard, the brand name used for purifiers, was highly established and many consumers mistakenly used it to refer to the entire product category. Aquaguard was the market leader, but its manufacturing company had introduced a new product called â€Å"Puresip† that used polyiodide resin instead of ultraviolet rays to kill bacteria and viruses, which meant that water, could be stored for later use. Also, â€Å"Puresip† did not require any electricity to operate, but it was sold in small home appliance stores instead of a direct sales force. Aquaguard sold for approximately R s. 5,500, while Puresip sold for 2,000. Puresip sales were growing at a much faster rate than Aquaguard. Aquaguard was mounted on a kitchen wall, and required plumbing and a two  meter long power source. The unit would stop functioning if power supply dropped to 190 volts or lower. The flow rate was considered to be slow at one liter per minute, and had enough carbon to last only for one week. Aquaguard targeted households that make more than Rs. 70,000 per year, and spent 11% of its sales revenues (Rs. 120 million) on sales activities; about Rs. 100 million were spent on sales commissions, and about Rs. 1 million was spent on advertising. Eureka Forbes was well established, had a highly motivated and well managed sales force. However, they had limited reach in rural areas that represents 80% of the country’s population. Another direct competitor is Ion Exchange and its home water purifiers with the brand name ZERO-B (Zero-Bacteria). In 1985, the company became a wholly owned Indian company, and it serves customers in a diverse group of industries including thermal power stations, fertilizers, refineries, textiles, automobiles, and home water purifiers. Zero-B used a halogenated resin technology that was able to remove impurities, eliminated odors and tastes with carbon, and killed bacteria using iodine. The unit stored 20 liters of water for eight hours without the risk of recontamination, and sold for Rs. 2,000, but required a yearly replacement of halogenated resin at Rs. 200. Chatterjee estimated the Zero-B had about 7% market share, and lacked consumer awareness, had limited distribution, and limited advertising. There were rumors that Zero-B intended to implement door-to-door sales strategy with an expected marketing expenditure of Rs. 3 million. The third and most recent competitor to enter the Indian market was Singer, a subsidiary of the Singer Company located in the United States. The company provides a variety of products to the Indian market such as sewing machines, irons, mixers, toasters, and color televisions. The company had estimated sales of about Rs. 900 million. The Singer Company manufactured a home purifier called â€Å"Aquarius†. The product sold for Rs. 4,000, required no electricity, had a single countertop model, had a flow rate of 3.8 liters per minute, and a life span of 4 to 6 years. The product looked impressive, according to Chatterjee, and was  described as â€Å"state of the art† by a trade article. The resin used by Aquarius was developed by NASA and was proven 100 percent effective against bacteria and viruses. Aquarius had hoped to sell 40,000 units over the next two years. Singer’s distribution channels were superior to competitors and included 210 company owned showrooms located in major urban areas around the country. The product was also sold by 3,000 independent dealers, who were supplied by 70 distributors. Distributors earned a margin of 12 percent of the retail price, while dealers earned a margin of 5 percent. Along with many other products, Zero-B and singer accounted for 60,000 units in sales for the year 2000, while the remaining 190,000 units were sold by Aquarius and Puresip. E SWOT 1 Strengths a. Proven track record in exploring and entering new markets b. Superior product quality c. Market knowledge and ability to produce innovative products 2. Weaknesses a. Lack of knowledge about the Indian market b. Large segments in the market live in remote areas c. Variable needs in the market, depending on the city or metropolitan area d. Lack of established manufacturing and distribution capabilities 3. Opportunities a. Return on assets in India averages 18% compared to 11% in the U.S. b. Low wages, and central location to wealthier South Asian Countries c. Liberalization trends in India and market development d. There is no significant dominance by one brand 4. Threats a. Legal environment and expensive litigation b. Large number of competitors c. Some established brands with extensive knowledge about the Indian market IV. STRATEGY A. Strategy recommendation & decision a. Select to forgo any entry into the Indian market ADVANTAGES Avoid the risk of entering the market in a developing country, where there is still some uncertainty about the extent of economic liberalization. Avoid competing with over 100 products that are currently available in India. Expand market presence in countries such as Mexico, Germany, Poland, etc. DISADVANTAGES Forgo the opportunity to sell products for over 40 million households. Lose the opportunity to have large profit margins Lose the opportunity to manufacture in a country where labor is cheap Limited market presence in South Eastern Asia, where the majority of the world’s population lives. Increase market presence and brand awareness. b Enter the Indian market under a licensing agreement ADVANTAGES Low capital investment is required Higher return on investment and lower amount of risk Huge market potential and opportunities to expand in rural areas DISADVANTAGES Limited control of the manufacturing and distribution process Forgo the potential of large gains in exchange of a royalty fee Limited exposure to the selling process in a developing market Limited ability to manufacture additional product lines c Enter the Indian market through a joint venture and by utilizing a skimming pricing approach ADVANTAGES Larger potential gains and a 50/50 split in profits Ability to influence manufacturing and distribution strategies Ability to expand into rural areas and increase manufacturing capacity Develop a market knowledge for growing and developing economies DISADVANTAGES Requires a large investment Higher prices than competitors Uncertainty of markets in developing countries High competition d Enter the Indian market through a joint venture and by utilizing a penetration pricing approach ADVANTAGES Profits are split between the two companies Ability to control manufacturing and distribution Developing market with large potential Higher margins and low manufacturing costs Gain market exposure and proximity to emerging economies DISADVANTAGES Requires a large capital investment Uncertainty of developing markets Lower pricing strategy and lower contribution margin per unit sold Ability to find the right company to partner with Recommended Plan of Action: Fairchild Water Technologies should pursue a licensing agreement with an Indian company. B Goals and Objectives a. Pursue a licensing agreement with a partner that is able to sell at least 75,000 per year b. Increase sales by 10 % on an annual basis C Target Market The target markets for Fairchild Water Technologies are the 40 million households in India, which cherish a comfortable, convenient, and healthy lifestyle, and are similar in many aspects to middle- and upper-middle class households in the U.S. and Europe. Also, Fairfield Water Technologies should target consumers that move from lower to middle class, as the Indian market develops and continues to grow. D Marketing Mix a. Product / Price Strategy Fairchild Water Technologies should manufacture a portable purifier that offers Indian consumers the convenience and effectiveness of a quality purifier. The purifier should have a backup battery, a selling price of Rs. 5,000, and a proven ability to kill bacteria/viruses, fast flow rate, and allow for the ability of storing water without the risk of contamination. b. Distribution and Sales By entering into a licensing agreement, Fairchild Water Technologies decreases the amount of risk, but it has less control over the distribution and sales of its product. Fairchild could seek a partner that is willing and have the capability to sell 75,000 units on an annual basis, with a 10% increase in the units sold for every year. This approach would still guarantee Fairchild Water Technologies some sizable profits. c. Advertising and Promotion By selecting a licensing strategy, Fairchild Water Technologies would not commit itself into having an advertising budget. On the other hand, the licensee would be obliged to advertise the product in order to meet the minimum quota for annual sales. This allows Fairchild to have an average profit of 300 Rs without committing any resources into salaries or advertising budget. E Control Plan The licensing agreement would adopt a language that guarantees Fairchild Water Technologies annual sales of 75,000 units, with a 10% increase in units sold thereafter. The agreement should have an opt out clause for both parties after three years, while holding the licensee to infringe on the technology and patent if they choose to opt out of the agreement. Fairchild must monitor sales on a monthly basis, and conduct meetings in order to ensure that sales in the Indian market are heading in the right direction.

Cost Behavior and Allocation Essay

Analyze the complexity of cost behaviors in health care organizations and describe how costs are classified according to their relationship with volume. Health services managers are vitally interested in how costs are affected by changes in volume. Before costs can be managed, one must have an understanding of how and why costs are being incurred. For, example medications dispensed from the pharmacy are variable costs items since the more often medications are dispensed to the patient, the higher to the total medication costs (Lang, 2012). In this example the cost is driven by the prescription of the medication for the patient, which leads to dispensing the medication and incurring the cost. If the medication is not prescribed the total cost would be zero. The salary of the Director of the Pharmacy is a fixed cost, at least over the short run because that person is paid the same salary regardless of how many, or how few, prescriptions they fill. The text defines the relationship between an organization’s total costs and volume as cost behavior or underlying cost structure, is used by mangers in planning, control, and decision making. The primary reason for defining and organization’s underlying cost structure is to provide healthcare managers with a tool for forecasting cost and profits at different volume levels (Gapenski, 2012). The cost structure of both fixed and variable costs- that is some of the costs are expected to be volume sensitive and some are not- is typical in healthcare organizations. Total variable costs increase or decrease proportionately as volume changes, but variable cost rate remains constant as long as volume remains within the relevant range. Fixed, costs, in contrast to total variable costs, remain unchanged as the volume varies. The Academy of Healthcare Management Journal states, when attempting to improve profitability by decreasing or controlling costs, cost behavior is particularly important. If activities are limited or decreased to lower variable costs without consideration of fixed costs profits may actually decrease. In conclusion, total costs are merely the sum of the two. Because total variable costs are tied to volume, total variable costs increase as the volume increases even though fixed costs remain constant. Discuss the importance of cost allocation and how it may be leveraged by health care organizations. Cost allocation is essentially a pricing process within the organization whereby managers allocate the costs of one department to other departments. Cost allocations within healthcare organizations must establish prices that proxy those that would be set under market conditions. Costs within a health services organization must be allocated. Overhead costs of the business, such as those incurred by administrators, facilities management personnel, financial staffs, and housekeeping and maintenance personnel must be allocated to those departments that generate revenues for the organization (Gapenski, 2012). The goal of cost allocation is to assign all of the costs of an organization to the activities that cause them to be incurred. Health services managers track and assign costs by individual patient, physician, diagnosis, reimbursement contract, and so on. Much of the motivation for more accurate cost allocation systems comes from the recipients of overhead services. Mangers at all levels within health services organizations are under pressure to optimize economic performance, which translates into reducing costs. To assign costs from one activity to another, two important elements must be identified: a cost pool and a cost driver. A cost pool is a grouping of costs that must be allocated, while a cost driver is the criterion upon which the allocation is made. Clearly, the proper allocation of overhead costs is essential to good decision making within health services organizations. In conclusion, revenues must exceed the total of both fixed costs and variable costs combines in order for an organization to be profitable.