tag:blogger.com,1999:blog-41417151238956842042024-02-19T23:44:19.236-08:00Writing and drawing paperMikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.comBlogger185125tag:blogger.com,1999:blog-4141715123895684204.post-67839413578490959842020-08-26T16:27:00.001-07:002020-08-26T16:27:04.599-07:00Managing Organizational Change - Project proposal EssayOverseeing Organizational Change - Project proposition - Essay Example While experiencing literary works, I discovered dazzling that ââ¬Ëresistance is an asset, a chance and a powerââ¬â¢ (Palmer, Dunford and Akin, 2009 and Ford and Ford, 2009) as obstruction can assist administrators with increasing more thoughts and input about the proposed changes. The course venture paper will think about this as an individual model for explicit change the executives and portray its hypothetical points of view and down to earth confirmations dependent on important written works. Exploratory examination will be utilized in the paper to portray the change the board idea of ââ¬Ëresistance to changeââ¬â¢ and to investigate vital activities to oversee opposition, in light of checking on different significant literary works in the field, taken from books and diaries got to from sources like EBSCO, Emerald and so forth. Aside from the course reading material, diaries will be utilized to audit the writing that investigates hierarchical protection from change. Out of diary sources, the insightful articles, Decoding Resistance to Change: Strong pioneers can hear and gain from their faultfinders by Ford and Ford (2009) and Navigating Organizational Change: Change Leaders, Employee Resistance and Work-based Identities by Dijk, R. V and Dick, R. V (2009) will be of more prominent use in the examination paper as these sources have nitty gritty much about overseeing opposition and moving toward it as force and Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-2750889969967488782020-08-22T08:48:00.001-07:002020-08-22T08:48:17.368-07:00Case of Dell in Australia Essay Example | Topics and Well Written Essays - 1000 wordsInstance of Dell in Australia - Essay Example B2B and B2C become the primary models utilized by organizations to arrive at their intended interest groups gesture satisfy clients needs (Bearden et al 2004). It appears to be likely that immediate selling from the producer will develop exponentially. In reality, it is this very transferability of data which for all intents and purposes ensures the death of conventional industry limits. Organizations are progressively finding that, in the event that they join their data resources with those of different organizations, the consolidated data asset is significantly increasingly helpful to all sides: two and two, in this example, can make much more than four. Set up a government managed savings or duty database with another database of individuals who owe obligations and you have a methods for following individual indebted individuals over extensive stretches of time and gathering the obligation from them when they at long last have the cash to reimburse it (a procedure is known as obli gation reconnaissance and right now being offered by certain organizations) (Dedrick and Kraemer 2001). The corporate destinations of Dell are to make self improvement increasingly valuable and simpler to utilize, improve client care and direct client connections. The unmistakable and viable methodology permits an organization to reclassify itself â⬠at all levels, from procedure to the activity of individual procedures (Drejer, 2002). Dell, an organization that is nearly unconstrained by physical geology (a dealer of administrations over the Internet, for instance) can reconfigure its conveyance to exploit the changes in residential expense systems at essentially no cost: it doesn't have any physical resources of any result that should be migrated. For dell, its worth chain can be viewed as a progression of interrelated capacities inside any association that connect its sources of info (crude materials to an industrial facility, inbound coordinations to a retail outlet) to its yields (outbound coordinations, the offer of merchandise to clients), the virtual worth chain alludes to t he worth that can be created by abusing the data produced by any phase of thisâ process. Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-5609046555442134642020-08-21T05:43:00.003-07:002020-08-21T05:43:20.444-07:00PSA The 2016 Siemens Competition is now openPSA The 2016 Siemens Competition is now open As Ive blogged before, many students who are interested in MIT are also interested in high school research competitions, including (but not limited to) those listed on our enrichment opportunities page. One of these is the Siemens Research Competition. MIT is a University Partner for Siemens, which means that we host a (virtual) regional event and provide volunteer judges to review student projects. All students in grades 9-12 during the 2016-2017 school year are eligible to win up to $100,000 in college scholarships through their participation in the competition. Siemens encourages all students, working as individuals or in teams, to submit research they are currently working on or to begin research now with the goal of applying. You can review the student entrant toolkit, as well as competition flyers, in both English and Spanish at the Siemens Research Competition Resources page. The deadline for submission is September 20th, 2016. Just wanted to share a PSA! Sorry I havent blogged much over the last few weeks. Ive been mostly traveling since ISEF and it took me awhile to get back and then to get my life back together. Will have more stuff for you all soon! Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-85691300773309636602020-08-21T05:43:00.001-07:002020-08-21T05:43:17.354-07:00PSA The 2016 Siemens Competition is now openPSA The 2016 Siemens Competition is now open As Ive blogged before, many students who are interested in MIT are also interested in high school research competitions, including (but not limited to) those listed on our enrichment opportunities page. One of these is the Siemens Research Competition. MIT is a University Partner for Siemens, which means that we host a (virtual) regional event and provide volunteer judges to review student projects. All students in grades 9-12 during the 2016-2017 school year are eligible to win up to $100,000 in college scholarships through their participation in the competition. Siemens encourages all students, working as individuals or in teams, to submit research they are currently working on or to begin research now with the goal of applying. You can review the student entrant toolkit, as well as competition flyers, in both English and Spanish at the Siemens Research Competition Resources page. The deadline for submission is September 20th, 2016. Just wanted to share a PSA! Sorry I havent blogged much over the last few weeks. Ive been mostly traveling since ISEF and it took me awhile to get back and then to get my life back together. Will have more stuff for you all soon! Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-22442491645872816932020-05-13T23:23:00.001-07:002020-05-13T23:23:06.057-07:00Taxonomy Lab to Show Organism Relationships - 995 Words Name: Date: March 16, 2014 Instructorââ¬â¢s Name: Professor Tyra Hall ââ¬â Pogar Assignment: SCIE207 Phase 5 Lab Report Title: Taxonomy Lab to Show Organism Relationships Instructions: You will need to fill out the data table and answer a set of questions. When your lab report is complete, post it in Submitted Assignment files. Part 1: Using the lab animation, fill in the following data tables to help you answer the questions that follow: Table 1: Samples 1ââ¬â5 Phylum/Division | Sample 1: Chrysophyta | Sample 2: Annelida | Sample 3: Arthropoda | Sample 4: Amphibia | Sample 5: Aves | Common Feature | Unicellular, primary producers| Segmented body | External skeleton and segmented body | Can obtain oxygen fromâ⬠¦show more contentâ⬠¦| Diffusion | Nephridia in each segment; solid waste exits through the anus | Malpighian tubules | Kidneys, intestines, anus | Kidneys, intestines, anus | Growth and Development Does the organism go through metamorphosis, develop in an egg or uterus, or grow from seeds? | Start as small cells; grow bigger until division | Start out as fertilized eggs, hatch into little worms that continue to grow, and then mature sexually into adults | Complete (egg, larvae, pupae, adult) or incomplete (egg, nymph, adult) metamorphosis | Metamorphosis: Egg, tadpole, adult | Develop in egg | RegulationHow does the organism control body processes (hormones, nervous system)? | The nucleus directs protein synthesis. Euglena ha ve eye spots that can detect light | Tiny anterior brain, ganglia, and the nerve cord runs the length of the body | Tiny anterior brain, nerve cord, ganglia, and extremely well-developed sensory organs | Brain, nervous system, good reflexes | Nervous and endocrine systems | Sample organism | Phytoplankton * Chrysophyta | Earthworm * Annelida | Fruit fly * Arthropoda | Frog * Amphibia | Bird * Aves | Table 2: Samples 6ââ¬â10 Phylum/Division | Sample 6: Reptilians |Show MoreRelatedLab : The Different Types Of Living Organisms805 Words à |à 4 PagesChandini Shirupalli Date of Lab performed: 9/14/15 Date it was submitted: 9/21/15 Lab 1# Systematics and Taxonomy Pages 2-10 Purpose of the Lab: The purpose of the lab is to show the different types of living organisms. Also, to show how Woeseââ¬â¢s system of classification, was used to organize information about many types of organisms. So that you can define the organisms. This shows what the purpose is for the Systematics and Taxonomy Lab. Background information: Classification systems startedRead MoreWeek 5 Lab Systematics1297 Words à |à 6 Pagesï » ¿Virtual Systematics Lab: Introduction to Systematics Worksheet Learning Goal: To learn how biologists classify species based on their evolutionary relationships. Prerequisite Knowledge: Before beginning this lab, you should be familiar with these concepts: why biologists today use the three-domain system of classification how evolutionary trees depict biologistsââ¬â¢ understandings about the evolutionary relationships among groups of organisms Introduction: Almost every place on Earth, from the surfaceRead MoreThe Taxonomy of a Frog Essay1080 Words à |à 5 Pagesfunction like many other organisms. The systems that were analyzed through dissection were the epidermis, muscles, digestive, urogential, circulatory, and respiratory system. 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Microbial diversity can be defined as the different kinds of microorganism which includesRead MoreIdentification Of Unknown Organisms And Two Eukaryotes3349 Words à |à 14 PagesIdentification of Unknown Organisms Benjamin Nibarger Professor Hoffman Monday 11:15 AM Group Members - Jamie Jerome, Natalie Perez, Ruth Pinzon September 27, 2014 ââ¬Æ' Introduction The purpose of this study is to identify four unknown organisms. The unknown organisms have been assigned randomly to six-research groups by Professor Hoffman. Each research group was provided two eukaryotes and two prokaryotes. The unknown organisms will fall into the following classifications: bacteria, algae, fungiRead MoreRio bio4115 Words à |à 17 PagesWATER WILL MOVE INTO THE CELL 12. CHLOROPLAST 13. GREEN 14. IN THE STROMA 15. H20 16. IT EXCITES ELECTRONS IN CHLOROPHYLL 17. Making sugar 18. pigment, then to chlorophyll A 19. WATER SPLITTING 20. ELECTRONS ARE PASSED DOWN DEPENDENT REACTIONS Lab 5 1. a. What is the name of the pigment that captures light? (2 points) b. Why does the pigment appear green? (2 points) --Answer below: A. Chlorophyll B. Due to wavelengths of light that appear green to the human eye. 2. List two variablesRead MoreRat Dissection1914 Words à |à 8 Pagesother. For example, the capital letter T and an isosceles triangle are bilaterally symmetrical. The biology term is to organisms that have two symmetrical halves when divided along only one plane. 11. What is dissection? Dissectionà is the process of disassembling and observing something to determine its internal structure and as an aid to discerning the functions and relationships of its components. 12. Why would a scientist do a dissection? Scientists perform dissections in order to view the anatomyRead MoreGreat Minds: The Essential Guide for Teachers7827 Words à |à 32 PagesGuide Educational philosophies are complex and wide-ranging. In this TES Essential Guide, James Williams, a lecturer in education at the University of Sussex, makes sense of it all. Theory and practice 4 What itââ¬â¢s all about. Bloomââ¬â¢s taxonomy of learning 8 Bloomââ¬â¢s theory links the knowledge we have to how to we think, explains how attitude affects motivation and how our ability to do practical things changes the way we learn. Behaviourist approaches 12 Behaviourist theoriesRead MoreThemes in the Study of Life5755 Words à |à 24 PagesChapter 1 Introduction: Themes in the Study of Life Lecture Outline Overview: Inquiring About Life â⬠¢ Organisms are adapted to the environments they live in. â⬠¢ These adaptations are the result of evolution, the fundamental organizing principle of biology and the core theme of this book. â⬠¢ Posing questions about the living world and seeking science-based answers are the central activities of biology, the scientific study of life. â⬠¢ Biologists ask a wide variety of ambitious questions. Read MoreHbr When Your Core Business Is Dying74686 Words à |à 299 Pages66 90 The Leadership Team: Complementary Strengths or Conï ¬âicting Agendas? Stephen A. Miles and Michael D. Watkins When members of a leadership team play complementary roles, the whole is often greater than the sum of its parts ââ¬â but such relationships may also result in confusion, especially when members move on. Organizations can learn to enjoy the advantages and minimize the risks of complementarity without sowing the seeds of disaster during succession. 100 100 Avoiding Integrity Land Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-25805903092540584292020-05-06T14:26:00.001-07:002020-05-06T14:26:14.641-07:00The Downside Risk of Illustration Essay Thesis That No One Is Talking About The Downside Risk of Illustration Essay Thesis That No One Is Talking About The Illustration Essay Thesis Cover Up Etc then there's summary conclusion at which you will give a brief review of the whole essay. It's probable that, whatever your educational objectives, you will gradually compose a book report. A book review provides the opinions of the author and includes his personal views. It is not the same as a book report, and the distinction will be made between the two. The One Thing to Do for Illustration Essay Thesis Writing a thesis is easily the most challenging undertaking for the majority of students. Methodology is the part that also can bring about trouble even in the event that you think that you are aware of how to do it. Key Pieces of Illustration Essay Thesis Then you'll need to revise your thesis statement while you're writing the paper. No wonder it's as vital as writing the essay itself. If it comes to writing essays in college, all of us need somewhere to begin. Furthermore, the biographical essay may present exceptional challenges to them. The Appeal of Illustration Essay Thesis All you have to do is consult with an expert customized essay writing service like ours that is guaranteed to submit all of your assigned work in time. You're able to use our papers as the ideal guides whenever you're attempting to accomplish similar works. Getting help is cheap despite what you might have heard about expert writing services. On the flip side, there isn't anything wrong with getting assistance from a very good consultant on the right outline format. In the quick prelude, give couple of examples which ought to be described in the subsequent paragraphs. It is critical to commit to paper the principal points that you are likely to discuss in introduction, body paragraphs, and conclusion. An outline is a short description or a most important point of something. Interestingly, in addition, there are cases where you are requested to take care of biography about yourself essay. Look carefully at the types of evidence the author has used to show the argument. At times, a thesis statement is widely shared, while others might be more controversial. It is usually only one sentence and is made up of the topic, focus, and three main points of the essay. It is not easy to begin your essay whenever you do not understand what it is you are handling. 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Top Choices of Illustration Essay Thesis You are able to check our top-notch biographical essay example to have a glimpse of the way to organize your work. The quotes demonstrate the point you're making at that moment. Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-92125084063146291392020-05-05T15:18:00.001-07:002020-05-05T15:18:26.175-07:00Journal Vascular Interventional Radiology -Myassignmenthelp.Com Question: Discuss About The Journal Vascular Interventional Radiology? Answer: Introducation In the emergency department, establishing vascular access is the most common procedure. However, handling patients with difficult vascular access becomes a challenge for nurses. Certain conditions like obesity, vasculopathy, hypovolemia and chronic vascular access increase the likelihood of difficult vascular access. The review of research studies on interventions for difficult intravenous access has revealed that CVC (Central Venous Catheterization) is an alternative approach for the management of difficult access and achieving cannulation (Crowley et al. 2012). Although CVC helps in providing vascular access for different medical purpose, however there are many evidence which shows the risk associated with CVC cannulation. Kornbau et al. (2015) has revealed that CVC increases large number of complications in patient. Immediate complications include vascular, cardiac and pulmonary complication and some of delayed complications include catheter infection. Parienti et al (2015) also s howed that CVC is associated with infectious and thrombotic complications and catheter related bloodstream infection has negative implications on health care cost, morbidity and mortality of patient. These evidences points out to the uncertainties in management of difficult access by CVC method. However, there is also abundant evidence regarding the effectiveness of ultrasound guided venous access in increasing success rate in cannulation and decreasing complications. Hence, it would be beneficial to review PICO question based on area of practice: Population (P): Patients with suspected or known difficult venous access Intervention (I): Ultrasound-guided Intravenous access Comparison (C): Traditional techniques Outcome (O): Improved intravenous access and less complications In patients with suspected or known difficult venous access, does Ultrasound-guided Intravenous access compared to traditional technique improve intravenous access and lessen complication? Search for highest level of evidence: While looking at highest level of evidence related to the research topic, it is necessary to start from the top of the 6S pyramid. The 6S pyramid consists of systems, summaries, synopses of syntheses, syntheses, synopses of single studies and single studies (Murad et al. 2016). When seeking to find answer to the above research question, the main focus was to find highest level of evidence and then move down the list. The electronic databases that can help in getting answer to healthcare and clinical questions include Google Scholar, CINAHL, PubMed, Cochrane Library and PyschINFO (Kable, Pich and Maslin-Prothero 2012). On the basis of hierarchy of evidence, systematic reviews comes at the top of the list followed by evidence syntheses, article synopses, RCTs (Randomized Controlled Trial), Cohort Studies, case controlled studies and expert opinion (Hansen 2014). While searching relevant articles related to ultrasound guided intravenous access, the focus will be to start finding article s from highest level of evidence. To answer the PICO questions, Google Scholar, CINAHL, PubMed, Cochrane Library and PyschINFO databases were search. These databases were selected as it provides peer-reviewed articles on health care research. The search was first started with broad search terms like Ultrasound-guided Intravenous access and this was typed in Google Scholar. If the search for top two levels failed, then broad search term was also applied in CINAHL, PubMed, Cochrane Library and PyschINFO databases. For searching articles from CINAHL, PubMed and PyschINFO databases, certain specific search terms and Boolean operators like AND, OR and NOT was used. The search result was limited by limiting the search full text and peer reviewed articles. When more than one search term such as Ultrasound-guided Intravenous access and reduction in venous access complication was used, then AND or OR was used. In this way, combination of two search term was added to get relevant and highest quality evidences. After entering d ifferent combinations of search terms in databases and analyzing them according to hierarchies of evidence, three highest piece of evidence was found. One article was a randomized study by Wu et al. (2013) focusing on comparison between two-dimensional ultrasound guidance technique and land mark method in critical patient. The second article was a retrospective analysis done in emergency department Scoppettuolo et al. (2016) and the final included prospective observation study in cancer patients (Cavanna et al. 2010). Comparison of the highest level of evidence found: To effectively apply highest level of evidence to current practice in nursing setting, comparison and critical analysis of three research articles are presented below: The first randomized study by Wu et al. (2013) is considered relevant to answer the PICO question by reviewing at its title, abstract and background. The population, intervention as well as the comparator is evident from the title of the research article. It clearly showed that that real time two-dimensional ultrasound guidance technique for CVC was the main intervention and landmark method was comparator. The population of interest was also evident after reading the methodology and the outcomes of the technique was mainly evaluated in patients undergoing CVC. The landmark method compared in the RCT study also became clear after reviewing the introduction section of the article. Hence, based on this justification, the article is found relevant to answer the research question. Finding such articles specific to the research question also proves that PICO question has been appropriately formulated for clinical research and evidence based practice. Evidence has proved that formulation of clinical question by using PICO format helps in framing questions directly relevant to patient problem or clinical issue. Developing a researchable question facilitates implementing quality research and evidence based clinical practice (Aslam and Emmanuel 2010). Apart from the relevance of the article by Wu et al. (2013) in addressing research question, another attribute that resulted in the selection of this article for critical appraisal includes the position of the evidence in the hierarchy of evidence. As this assessment mainly aimed to finding out the best evidence to inform current nursing practice, taking highest level of evidence has an advantage. The hierarchical system of classifying evidence is one of the cornerstone of evidence based practice and practitioners are mainly encouraged to find highest level of evidence because maximize its effectiveness for particular intervention. The level of evidence helps to prioritize information and providing a guide to effectively evaluate results of the research (Burns, Rohrich, and Chung 2011). The article by Wu et al. (2013) has also been selected for addressing research questions because it is the highest level of evidence as it is a meta-analysis of various RCT study. The main rational fo r regarding systematic reviews and meta-analysis as being the best evidence in informing health care practice is that systematic reviews are synthesis of many good quality evidence. This helps the reviewers having time constraints to get reliable idea about the effectiveness of intervention. In case of meta-analysis, the precision of the result increases because it is a mathematical synthesis of two or more research studies (Gopalakrishnan and Ganeshkumar 2013). After reviewing the first article on the basis of relevance to the research question and hierarchy of evidence, the next goal is to evaluate the article on the basis of informing the effectiveness of ultrasound guided venous access in improving cannulation process and reducing complications. To compare and contrast real time two-dimensional ultrasound (RTUS) guidance technique with anatomical landmark method, Wu et al. (2013) retrieved randomized studies from PubMed, EMBASE, ISI Web of knowledge and OVID EMB reviews. Selection of these databases are commendable because all are updated and versatile medical databases. The methodological rigor in selecting article is seen because Wu et al. (2013) used two reviewers screened articles. One was involved in reviewing the title and abstract and other reviewed the whole article. The assessment of studies has been validated by the use of Jadad tool, which is a reliable tool to assess quality of RCT studies (Zeng et al. 2015). The impact of ultrasound techniques on puncture site, patients age and risk of cannulation failure was evaluated. The final result of the meta-analysis showed that RTUS technique reduced risk of cannulation failure in adult patient, however the same result was not found for pediatric patients. However, it reduced the risk of accidental puncture. Overall the benefits of RTUS in reducing cannulation failure incidence, accidental puncture and hematoma was proved. One significant value of this research is that it has pointed out to the changes in outcome in case of pediatric patient. Hence, while deciding to use this evidence for real pr actice, it would be essential for practitioners to assess the role of RTUS in pediatric patients or find out other approach for them. Such consideration is important in evidence based research because before implementing such evidence, there is a need to address complexity in system of care and different patient group (Hamer and Collinson 2014). The second research article that has been found to address the PICO question include the article by Scoppettuolo et al. (2016) which focused on conducting retrospective analysis for ultrasound-guided short midline catheters for difficult venous access in the emergency department. The congruence of the article to the PICO question is partly understood from reading the title of the article and partly by reading the abstract. The title gave idea about outcome and the intervention. The population of interest became evident by reviewing the background section of the article. The manner in which PICO question has helped to retrieve relevant research article also proves that PICO format is an essential tool to pursue research and explore the validity of research for application in real setting (Riva et al. 2012). On the basis of level and hierarchy of evidence, it can be said that Scoppettuolo et al. (2016) has focused on retrospective analysis comes under level II evidence for clinical studies. Burns, Rohrich and Chung (2011) have proved that for prognostic studies, retrospective analysis comes under level II of evidence. A retrospective analysis is a method that looks back at the outcome of an event that has been already established. In such cases, the data is secondary and the advantage of this method for research is that it helps to further evaluate and identify potential biasness in past studies (Smith 2015). Assessing the hierarchy of evidence is a major factor in evidence based practice and evidence based hierarchies provides the right guidance to determine the quality of evidence. This can be said because hierarchy of evidence in constructed by evaluating the research methods on the basis strength and precision in research design (Greenhalgh, Howick and Maskrey 2014). Hence, selecting research articles on by using evidence hierarchy as a guide provides the best approach to validate the quality of evidence at the first place. The usefulness of the research by Scoppettuolo et al. (2016) in terms of its applicability by nursing practice can be understood by analyzing the results of the study. The retrospectives analysis on ultrasound-guided peripheral venous access in patients admitted to emergency department in 1 year revealed that success rate of insertion of 100% and no thrombotic complications or infection was reported. On the basis of this outcome, it can be said that the research article has addressed and provided answer to the PICO question. The data based on clinical charts has convincingly proved that no complication occurred during cannulation in patient. In terms of comparison of the ultrasound guided venous access technique with traditional palpation approach, it was proved that the ultrasound guided technique was the superior method for successful venous cannulation (Scoppettuolo et al. 2016). The strength of the evidence is that the author has not only defined outcome and superiority of the te chnique, but also gave clear about the reason for positive outcome. The main reason for high success rate was that ultrasound guided technique reduced the rate of percutaneous punctures that occurred in traditional method. However, one limitation that can act as barrier in the implementation of the evidence for practice is that the study showed that success rate is dependent on characteristics of vessel. Secondly, the cost effectiveness of the method has been hampered by short duration limit for the procedure. Hence, this study points out to the need for future research in the area of addressing short duration related challenges for staffs. It also point to the need for simulation based training regarding the technique to maximize the utility of evidence for evidence based practice This points out to the need for simulation based training (Ma et al. 2011) The third article by Cavanna et al. (2010) was also found to address the PICO question and this is evident clearly by looking at the title of the article. The interventions and outcome mentioned in the title matches with the PICO question. The title is not matching the population group as the study has been done with cancer patients. However, still the research is significant to inform practice because evidence has showed that risk of complications in central venous access mainly increases in patients with chronic illness (Tapson et al. 2017). Hence, the research work on cancer patient is considered inform to inform practice in clinical setting because central venous access is necessary for all cancer patients. In terms of hierarchy of evidence, Cavanna et al. (2010) occupies the level I hierarchy as it is a prospective study (Burns, Rohrich and Chung 2011). The strength of this methodology for research is that it helps in analysis of subjects based on outcomes over a long period of time. This evidence is also found fewer biases and confounding factors compared to retrospective study. Hence, such results obtained from such study are reliable. Cavanna et al. (2010) mainly conducted the research with cancer patients requiring CVC. The Seldinger technique was used to place the catheter and 16 needle was placed under real time ultrasound guidance. Within two hours of the procedure, any CVC related complication was recorded. The outcome study done on participants for 9 years showed no bleeding and nerve puncture, however self limiting hematoma was observed. The study is found useful because it also answers the PICOT question and proves that ultrasound guidance can reduce complications in cancer patients. The strength of this evidence is that this research performed the procedure on largest number of patient thus enhancing the reliability and credibility of the result. It is the most accurate prospective trial as it has been carried out over a longer period of time. Such piece of evidence can readily applied in practice after providing some period of training to nurses. Among the three evidence, two was highest level of evidence and one was II level of evidence. In case of meta analysis and prospective study, the prospective study by Cavanna et al. (2010) is found to be the most strongest level of evidence from the three articles. This is because the methodology is free from biasness compared to other methods and analysis of outcome for long period has further enhanced the validity of the study for application in real setting. The other two studies are not reliable for application in real setting because of limitations in methodology and research outcomes as explained in sections for respective studies. Barrier to implementing EBP Among the three evidences, Cavanna et al. (2010) can be implemented as evidence based practice (EBP) in current setting because the article has clearly discussed the procedure and also addressed the limitations related to short time limit in implementing the procedure. This can be said because Seldinger technique was applied to address this shortcoming in the procedure (Goldstein et al. 2015). However, while trying to implement this evidence, certain barriers may arise in practice setting. For instance, nurses may feel reluctant to adopt the new method and abandon the traditional technique of cannulation. To address this barrier, it will be necessary to hold two or more session with nurses so that they understand the effectiveness of evidence for patient safety and reducing health care cost. This will help to address individual level barrier and changes the attitude of nurses towards EBP (Jordan, Bowers and Morton 2016). Another barrier to the implementation of EBP may include lack of time in learning about the new technique. This barrier can be addressed once the organization realize the need to change traditional practice and provide support to nurses so that they can manage their work priorities as well as attend training for effectively implementing new intervention in real setting. Such barrier can be addressed by clinical leader in organization as they can develop strategic climate for implementation of EBP (Aarons et al. 2014). Reference Aarons, G.A., Ehrhart, M.G., Farahnak, L.R. and Sklar, M., 2014. Aligning leadership across systems and organizations to develop a strategic climate for evidence-based practice implementation.Annual Review of Public Health,35. Aslam, S. and Emmanuel, P., 2010. Formulating a researchable question: A critical step for facilitating good clinical research.Indian journal of sexually transmitted diseases,31(1), p.47. Burns, P.B., Rohrich, R.J. and Chung, K.C., 2011. The levels of evidence and their role in evidence-based medicine.Plastic and reconstructive surgery,128(1), p.305. Cavanna, L., Civardi, G., Vallisa, D., Di Nunzio, C., Cappucciati, L., Bert, R., Cordani, M.R., Lazzaro, A., Cremona, G., Biasini, C. and Muroni, M., 2010. Ultrasound-guided central venous catheterization in cancer patients improves the success rate of cannulation and reduces mechanical complications: a prospective observational study of 1,978 consecutive catheterizations.World journal of surgical oncology,8(1), p.91. Crowley, M., Brim, C., Proehl, J., Barnason, S., Leviner, S., Lindauer, C., Naccarato, M., Storer, A., Williams, J. and Papa, A., 2012. Emergency nursing resource: difficult intravenous access.Journal of Emergency Nursing,38(4), pp.335-343. Goldstein, S.D., Pryor, H., Salazar, J.H., Dalesio, N., Stewart, F.D., Abdullah, F., Colombani, P. and Lukish, J.R., 2015. Ultrasound-guided percutaneous central venous access in low birth weight infants: feasibility in the smallest of patients.Journal of Laparoendoscopic Advanced Surgical Techniques,25(9), pp.767-769. Gopalakrishnan, S. and Ganeshkumar, P., 2013. Systematic reviews and meta-analysis: understanding the best evidence in primary healthcare.Journal of family medicine and primary care,2(1), p.9. Greenhalgh, T., Howick, J. and Maskrey, N., 2014. Evidence based medicine: a movement in crisis?.Bmj,348, p.g3725. Hamer, S. and Collinson, G., 2014.Achieving Evidence-Based Practice E-Book: A Handbook for Practitioners. Elsevier Health Sciences. Hansen, H.F., 2014. Organisation of evidence-based knowledge production: Evidence hierarchies and evidence typologies.Scandinavian Journal of Social Medicine,42(13_suppl), pp.11-17. Jordan, P., Bowers, C. and Morton, D., 2016. Barriers to implementing evidence-based practice in a private intensive care unit in the Eastern Cape.Southern African Journal of Critical Care (Online),32(2), pp.50-54. Kable, A.K., Pich, J. and Maslin-Prothero, S.E., 2012. A structured approach to documenting a search strategy for publication: a 12 step guideline for authors.Nurse education today,32(8), pp.878-886. Kornbau, C., Lee, K.C., Hughes, G.D. and Firstenberg, M.S., 2015. Central line complications.International journal of critical illness and injury science,5(3), p.170. Ma, I.W., Brindle, M.E., Ronksley, P.E., Lorenzetti, D.L., Sauve, R.S. and Ghali, W.A., 2011. Use of simulation-based education to improve outcomes of central venous catheterization: a systematic review and meta-analysis.Academic Medicine,86(9), pp.1137-1147. Murad, M.H., Asi, N., Alsawas, M. and Alahdab, F., 2016. New evidence pyramid.Evidence-based medicine, pp.ebmed-2016. Parienti, J.J., Mongardon, N., Mgarbane, B., Mira, J.P., Kalfon, P., Gros, A., Marqu, S., Thuong, M., Pottier, V., Ramakers, M. and Savary, B., 2015. Intravascular complications of central venous catheterization by insertion site.New England Journal of Medicine,373(13), pp.1220-1229. Riva, J.J., Malik, K.M., Burnie, S.J., Endicott, A.R. and Busse, J.W., 2012. What is your research question? An introduction to the PICOT format for clinicians.The Journal of the Canadian Chiropractic Association,56(3), p.167 Scoppettuolo, G., Pittiruti, M., Pitoni, S., Dolcetti, L., Emoli, A., Mitidieri, A., Migliorini, I. and Annetta, M.G., 2016. Ultrasound-guided short midline catheters for difficult venous access in the emergency department: a retrospective analysis.International journal of emergency medicine,9(1), p.3. Smith, J.A. ed., 2015.Qualitative psychology: A practical guide to research methods. Sage. Tapson, V.F., Hazelton, J.P., Myers, J., Robertson, C., Gilani, R., Dunn, J.A., Bukur, M., Croce, M.A., Peick, A., West, S. and Lottenberg, L., 2017. Evaluation of a device combining an inferior vena cava filter and a central venous catheter for preventing pulmonary embolism among critically ill trauma patients.Journal of Vascular and Interventional Radiology,28(9), pp.1248-1254. Wu, S.Y., Ling, Q., Cao, L.H., Wang, J., Xu, M.X. and Zeng, W.A., 2013. Real-time Two-dimensional Ultrasound Guidance for Central Venous CannulationA Meta-analysis.The Journal of the American Society of Anesthesiologists,118(2), pp.361-375. Zeng, X., Zhang, Y., Kwong, J.S., Zhang, C., Li, S., Sun, F., Niu, Y. and Du, L., 2015. The methodological quality assessment tools for preclinical and clinical studies, systematic review and meta?analysis, and clinical practice guideline: a systematic review.Journal of evidence-based medicine,8(1), pp.2-10 Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-24671694360196373242020-04-03T03:21:00.001-07:002020-04-03T03:21:02.296-07:00Total Quality Mangement free essay sample What is Total Quality Management (TQM)? TQM is a management strategy that attempts to maximize the competitiveness of a organization through continual improvement of quality in its products and services. The ultimate goal is to increase customer satisfaction. They premise in this method is that everyone involved is the responsibility of everyone involved in the process; this includes management, workforce, suppliers and even customers. [ (Wikipedia, 2012) ] We will examine two test cases and examine how TQM can help them improve. We will examine their failures and examine how TQM would help them overcome them. In the book ââ¬Å"Out of the Crisisâ⬠, by Dr Deming he points out fourteen points that manager must use in order to follow a successful TQM strategy. They are: 1) Create constancy of purpose for improvement of product and service. Management must change from a preoccupation with the short run to building for the long run. This requires dedication to innovation in all areas to best meet the needs of citizens or clients. We will write a custom essay sample on Total Quality Mangement or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page 2) Adopt the new philosophy. Americans have been too tolerant to poor performance and sullen service. We need a new philosophy in which mistakes and negativism is unacceptable. 3) Cease dependence on mass inspection. Inspection is equivalent to planning for defects; it comes too late, and it is ineffective and costly. Instead, processes must be improved. 4) End the practice of awarding contracts on the basis of price tag. Purchasing departments customarily operate on orders to seek the lowest-priced vendor. Frequently, this leads to supplies or services of low quality. Instead, they should seek the best quality and work to achieve it with a single supplier for any one item in a long-term relationship. 5) Improve constantly and forever the system of operations and service. Improvement is not a one-time effort. Management and employees are obligated to continually look for ways to reduce waste and improve quality. 6) Institute modern methods of training on the job. Too often, employees learn their jobs from other employees who were never trained properly. They are forced to follow unintelligible instructions. They cannot do their jobs because no one tells them how. ) Institute modern methods of leadership. Lower-level managers must be empowered to inform upper management about conditions that need correction; once informed, management must take action. Barriers (such as reserved parking places for top management) that prevent employees from doing their jobs with pride must be removed. 8) Drive out fear. Many employees are afraid to ask questions or t o take a position, even when they do not understand what the job is or what is right or wrong. People will continue to do things the wrong way or to not do them at all. The economic loss from fear is appalling. It is necessary for better quality and productivity that people feel secure. 9) Break down barriers between staff areas. Often staff areas, departments, units, and so on are competing with each other or have goals that conflict. They do not work as a team so they can solve or foresee problems. Worse, one departments goals may cause trouble for another. Each discipline must stop optimizing its own work and instead work together as a team for the company as a whole. Multidisciplinary quality control circles can help improve design, service, quality and costs. 0) Eliminate slogans, exhortations, numerical goals and targets for the work force. These never helped anybody do a good job. Let people put up their own slogans. Although workers should not be given numerical goals, the organization itself must have a goal: never ending improvement. 11) Eliminate work standards and quotas. Quotas focus on quantity not quality. They are usually a guarantee of inefficiency and high cost. To hold a job, a person meets quotas at any cost, without regard to damage to the organization. 12) Remove barriers to pride of workmanship. People are eager to do a good job and distressed when they cannot. Too often, misguided managers, faulty equipment, and defective material stand in the way. These barriers must be removed. 13) Institute a vigorous program of education and training. Because quality and productivity improvements change the number of people needed in some areas and the jobs required, people must be continually trained and retrained. All training must include basic statistical techniques. 14) Create a structure in top management that will push every day on the above 13 points. (Demings, 2000) The Nightmare on Telecom Street In our first test case James Harrington attempts to make a flight reservation by calling a major airline. His experience is an excellent example of a company trying to be so efficient that they alienate their customers. Efficiency is very important to a company, but not at the cost of losing customers. The service failures started even before the phone was answered; the phone rang five times before the auto attendant answered. From there the customer was given an endless amount of choices to get routed to the right department. Once there she was on hold before a live person finally answered the phone. This person asked the caller for the same information they just provided to the auto attendant. Once the caller was verified, the person tells them they have reached the wrong department and gives them another phone number to call so they can start the process all over again. In order for this airline to solve their service failures they need to think of their customers. It is okay to have an auto attendant to direct traffic in the right direction, but maybe only one or two choices before reaching a live person. They also need to give the option of pressing zero and speaking to an operator that would forward the call to the right department. The airline must realize that people like to speak with people, not computers. The phone call is the first impression that the potential client will have of the airline. They need to make this phone call as enjoyable as possible so they will not hang up and call a competitor. The State University Experience The second case study is about a student that is very excited to go to a certain State University and his enthusiasm is diminished by the universities actions. This case is another example where there the customer is an afterthought. In this case it is obvious that there was no thought given to the customer experience. There were difficulties starting with the campus tour and throughout the entire enrollment process. The service failures started the school tour. It is obvious that the university just paid any student to take potential enrollees on a tour of the school; they did not provide them any formal training on what to say or design a specific tour of the school that highlights the schools best features. They did not even make sure that the lights in all the buildings on the tour were on during the tour. It only went downhill from there. The enrollment process was painful, the student kept having to send in the same documentation; the university kept losing stuff. The student sent in everything requested several times and they still ended up enrolling him into the wrong program. A total disaster! This case study is an example of a program that has to be revamped from the beginning. They need to start with meeting and exceeding customer satisfaction. If the tour is going to be in the middle of the summer, they need to make sure that the tour does not spend too much time outside; you need to make sure that people are comfortable. The tour guide needs to go through training on the message the university wants potential students to hear. Finally, the enrollment process has to be more efficient. They need to use technology to make their enrollment process smoother. He should not have to send in the same documents more than once. Conclusion In both test cases you see examples of potential clients being really let down. In todayââ¬â¢s competitive environment firms have to make sure that potential clients have a good overall experience. In does not take many unhappy clients to post on their facebook page before you have a nightmare. I believe companies can use the 14 points to improve their TQM and improve their customer experience. Works Cited Demings, W. E. (2000). Out of the Crisis. The MIT Press. Wikipedia. (2012, 3 4). Total quality management. Retrieved 2012, from Wikipedia: http://en. wikipedia. org/wiki/Total_quality_management Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-5395059275131211902020-03-08T07:33:00.001-07:002020-03-08T07:33:02.340-07:00Free Essays on My Last DouchessThe Duke of ââ¬Å"My Last Duchessâ⬠Outline Thesis: The Duke of Ferrara, the speaker is a jealous, arrogant and hypocrite man who was very controlling over his dead wife I. The Dukeââ¬â¢s desire of control is displayed with each one of his actions A. He shows off the portrait of his dead wife B. He monopolizes his conversation with the envoy C. He tells the envoy when to sit and when to rise II. There is an irony in the control the Duke wants to impose over other people. He really does not have much control. A. He could not control his wifeââ¬â¢s smiles B. He cannot control what the envoy will inform the count III. Arrogance is manifested by the Duke The Duke of ââ¬Å"My Last Duchessâ⬠Murder, arrogance, hypocrisy, jealously and possessiveness are some of the main themes we can find in ââ¬Å"My Last Duchessâ⬠. Robert Browning's poem, "My Last Duchess," features a sixteenth century Duke engaged in dialogue with an arbiter of a Count. "My last Duchess" is spoken from the perspective of the Duke and conveys the Dukeââ¬â¢s personality through the literary form of a dramatic monologue. The subtitle of ââ¬Å"My Last Duchessâ⬠is ââ¬Å"Ferraraâ⬠, which makes a historical reference to the Duke of Ferrara. ââ¬Å"The poem, "My Last Duchess" is based on incidents in the life of Alfonso II, duke of Ferrara in Italyâ⬠(Lombardy). According to Hecimovich ââ¬Å"the situation is take [sic] from the life of an actual sixteenth-century, but Browning has imagined the specific incidentâ⬠. The Duke of Ferrara, the speaker is a jealous, arrogant and hypocrite man who was very controlling over his dead wife. By talking about his previous wife, the Duke s hows of his power and the requirements his next wife should meet. His diction reveals his personality very clearly. The poem begins with the Duke pointing at the painting on the wall that portrays his last duchess. The reader is directed to imagine the Duke walking with the countââ¬â¢s agent through his art gall... Free Essays on My Last Douchess Free Essays on My Last Douchess The Duke of ââ¬Å"My Last Duchessâ⬠Outline Thesis: The Duke of Ferrara, the speaker is a jealous, arrogant and hypocrite man who was very controlling over his dead wife I. The Dukeââ¬â¢s desire of control is displayed with each one of his actions A. He shows off the portrait of his dead wife B. He monopolizes his conversation with the envoy C. He tells the envoy when to sit and when to rise II. There is an irony in the control the Duke wants to impose over other people. He really does not have much control. A. He could not control his wifeââ¬â¢s smiles B. He cannot control what the envoy will inform the count III. Arrogance is manifested by the Duke The Duke of ââ¬Å"My Last Duchessâ⬠Murder, arrogance, hypocrisy, jealously and possessiveness are some of the main themes we can find in ââ¬Å"My Last Duchessâ⬠. Robert Browning's poem, "My Last Duchess," features a sixteenth century Duke engaged in dialogue with an arbiter of a Count. "My last Duchess" is spoken from the perspective of the Duke and conveys the Dukeââ¬â¢s personality through the literary form of a dramatic monologue. The subtitle of ââ¬Å"My Last Duchessâ⬠is ââ¬Å"Ferraraâ⬠, which makes a historical reference to the Duke of Ferrara. ââ¬Å"The poem, "My Last Duchess" is based on incidents in the life of Alfonso II, duke of Ferrara in Italyâ⬠(Lombardy). According to Hecimovich ââ¬Å"the situation is take [sic] from the life of an actual sixteenth-century, but Browning has imagined the specific incidentâ⬠. The Duke of Ferrara, the speaker is a jealous, arrogant and hypocrite man who was very controlling over his dead wife. By talking about his previous wife, the Duke s hows of his power and the requirements his next wife should meet. His diction reveals his personality very clearly. The poem begins with the Duke pointing at the painting on the wall that portrays his last duchess. The reader is directed to imagine the Duke walking with the countââ¬â¢s agent through his art gall... Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-7184754062709656332020-02-20T21:57:00.001-08:002020-02-20T21:57:03.710-08:00Reflection essay Example | Topics and Well Written Essays - 750 words - 11Reflection - Essay Example Thus, a respectable woman is to be a good housewife and a careful mother, while her husband must maintain family. It seems to be an old-fashioned stereotype now. A huge number of modern families may illustrate this. The task of many husbands is to take care of children, while their wives adopt a role of breadwinners. Statistic data may illustrate this: Thus, precious few people are surprised to hear that a wife earns more than her husband does. It seems to me that this tendency roots in adolescence or even in childhood. The aim of most young people is to build up a successful career in future. Earlier it was accepted to think that high ambitions are more typical and even natural of men, rather than of women. This is not the case in our time. I notice such a tendency among my friends ââ¬â girls usually pay much more attention to their studies than guys. As they say, they must think about their future career in advance. At the same time, most guys seem to be quite careless about this. Such a tendency may partially be prescribed to the fact that girls are proven to grow up faster than boys, both physically and mentally (Bergland, 2013). It seems to me, however, that certain feminist ideas exert much more influence in this case. Anyway, such girls are quite likely to become successful business-ladies in future. One more thing which helps girls and guys become friends is their similar hobbies. Surprisingly, a lot of my female friends adore football, basketball, and even hockey, though all these games are traditionally associated with men. For example, as statistics show, in 2012 soccer was the third most played team sport by high school girls ââ¬â almost 1,5 million school girls tried this game only in the US (NFHS, 2011). When it comes to pastime, it is also necessary to mention computer games and computer skills in general. People are used to think that computer games are only for narrow-minded and not really responsible Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-53192581043889200352020-02-05T01:20:00.001-08:002020-02-05T01:20:02.912-08:00Economic of a Security System Essay Example | Topics and Well Written Essays - 500 wordsEconomic of a Security System - Essay Example airline and airport security. It provides trained federal employees for passenger and baggage screening and it supplies sky marshals (air marshals) for unnamed commercial flights (Salant, 2002). With all the increased taxes because of additional airport security undertaken by our government, is it still viable for airports to further add their own measures in security Will these measures not affect passenger's willingness to travel by air, given an additional $ 5 to their tickets and more minutes waiting in line The federalization of commercial aviation resulted in the removal of contract private security personnel from passenger- and baggage-screening points. They were replaced with twice as many federal TSA employees, who earn almost two times the salary of their private-sector counterparts. The impact of this transition has yet to be measured. Some have argued that federalized passenger screening has not delivered a noticeable improvement in air passenger safety (Dalton, 2003). Also, wages of airport security personnel have been increased and are now comparable to police and fire protection jobs. Entry-level pay starts at around $20 an hour plus U.S. federal employee benefits (GAO, 13 June 2003). As airline security is now a national concern, it is the standard operating procedu Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-31947642992142063542020-01-27T21:41:00.001-08:002020-01-27T21:41:07.371-08:00Bergers Disease: IgA NephropathyBergers Disease: IgA Nephropathy Sarah A. Poorman IgA nephropathy, or Bergers disease, is one of the most prevalent, primary, and chronic glomerular disease and an imperative cause of renal failure (Mayo Clinic, 2017). IgAN is one of the most common renal diseases present in todays world. It can occur at any age, perceiving first evidence of renal disease when people are in their teens to late 30s (Wyatt and Julian, 2013). It is twice more likely to appear in men than women, being the most common amongst Asian and Caucasian populations (Wyatt and Julian, 2013). Early stages of Bergers Disease may not have symptoms. It can be silent for years, sometimes even decades before a single symptom shows. The most common symptom witnessed is hematuria, or bloody urine (NIDDK, 2015). This is a definite sign of a damaged glomeruli. Usually, the tint of urine will become a hue of pink or resemble the color of tea or cola (National Kidney Foundation, 2016). Another common symptom to arise is albuminuria. This is when urine contains an overabundance or albumin. Albumin is a protein, typically found in the blood, which maintains fluid balance throughout the human body (Nephcure, 2016). Blood loses its capacity to absorb fluid from the body once albumin leaks into the urine. Due to the lost blood supply, low blood albumin levels will occur. Too much fluid will let to edema, or swelling, of various body parts. The most common body parts to experience edema are the legs, feet, and ankles, leaving the face and hands to be the least commonly affected (NIDDK, 2015). Foamy urine is a signal of albuminuria. The least common symptoms associated with IgAN are high blood pressure and high cholesterol levels (NIDDK, 2015). Glomerulus is a system of capillaries situated at the beginning of a nephron in the kidney (Wyatt and Julian, 2013). Its focal objective is to assist as the first phase of the filtration process of the blood, which is carried out by the nephron in the creation of urine (Mayo Clinic, 2017). IgA nephropathy, or IgAN, is considered an autoimmune disease that affects the glomeruli of the kidneys. Glomeruli are tiny filtering units where the blood is cleared. As the IgA deposits build up in the glomeruli, it causes the kidneys to leak blood and protein into the urine. Human IgA antibodies have two subclasses, IgA1 and IgA2, while IgA1 constitutes 85% of the total IgA in the circulation, starting in the bone marrow (Wyatt and Julian, 2013). Predominantly, these deposits consist of IgA, but they can also exhibit IgG and IgM antibodies by themselves or combined. As the IgA deposits build up in the glomeruli, it causes the kidneys to leak blood and protein into the urine. IgA in the glomerular deposits are exclusively of the IgA1 subclass and are in the polymeric form (Wyatt and Julian, 2013). IgA1 exhibits galactose deficiency in the O-linked glycans in the hinge region of the heavy chain (Suzuki et al, 2011). Going all the way back to basic chemistry, galactose, or Gal, is a monosaccharide sugar that is composed of the same element as glucose, but has a different arrangement of atoms (Maillard et al, 2015). The Fc receptor will blind the GD-IgA1 to create immune complexes that leads to the complement activation. The transcription of IgG and IgM trigger the pathways of complement activation, containing immune complexes (Maillard et al, 2015). Eventually, over time, the massive discharge of ctyokines, components of the ext racellular matrix, and oxidants that disrupt the function of the glomerular basement membrane will induce apoptosis (the product of TGF-B and IL-6) and glomerular scarring (Maillard et al, 2015). This creates the destruction of the kidneys which leads to the major development of end-stage renal disease. To put it simply, T cell-dependent activation of B Cells is initiated by APCs, which processes the antigen, and creates peptides to present, in MHC 11, to CD4+ T cells. This results in the production of T Helper cells. With the interaction of B and T cells, the expression of CD40L, a protein apart of the TNF (tumor necrosis factor) family, begins. Isotype switching of naà ¯ve B cells towards IgA1 and IgA2 producing plasma cells takes place. The B cells carry the antigens to the surface of the cell by Ig expression. They present this to MHC II, which aids in the recruitment of T cells. With the expression of CD40L and cytokines and signals from APCs will begin the regulation of production for IgA the IgA immunoglobulin will typically bind oneself to an antigen or infection found in the body. This will result in the activation of an immune response, which will find a way to rid the body of the infection. People with IgAN have an augmented blood result of IgA that signifies less galactose than what is considered normal. This galactose-deficient IgA, or GD-IgA1, in the blood, is recognized as foreign by the other antibodies circulating the blood. But, when an individual has IgAN, a flawed arrangement of IgA antibodies attach their selves to another IgA antibody, as an alternative of an infection or antigen, resulting in the creation of immune complexes. These immune complexes turn out to be jammed in the kidneys glomeruli, causing damage to the filters. Inflammation takes place, which causes blood and proteins to leak out of the kidneys and into the urine. Eventually, this will lead to end-stage renal disease (ESRD) and total kidney failure, resulting in death or the dire need of a kidney transplantation. Currently, there is no known cure for IgA nephropathy, with no ultimate way of knowing what path the ailment will take. Once the kidneys are scarred, they cannot be repaired. Therefore, the vital goal of IgA nephropathy treatment is to inhibit or delay the inevitable, end-stage renal disease. Some people experience complete remission and others live normal lives with low-grade blood or protein in their urine. Treatment with numerous of medications can slow the progress of the disease and help manage symptoms such as high blood pressure, protein in the urine, and swelling. Some of the medications that are currently being used to treat IgAN are as follows: 1) Angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) which lowers blood pressure and reduces the amount of albumin in the urine. 2) Omega 3 Fatty acids, which aid in the reduction of inflammation throughout the body, in this case the glomeruli, leaving no harmful side effects. 3) Immunosuppressants such as corticosteroids medication (prednisone) will suppress the immune system response, allowing to protect kidney function. However, these can cause serious side effects such as high blood pressure and high blood sugar. 4) Statin therapy are cholesterol lowering medications that are known to help slow the damage to the kidneys. 5) Mycophenolate mofetil, or CellCept, has been successfully used in some pati ents who have had persistent protein in the urine, however, most studies so far have failed to show the benefit for using this medication. There are no sources in the current document. à à Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-61326301122177459692020-01-19T18:05:00.001-08:002020-01-19T18:05:03.842-08:00Carbon Sinks and Global Climate Change :: Environment Earth PapersCarbon sinks have been a hot topic surrounding global climate change. To understand this debate it is first essential to understand what carbon sinks are and what they do. Plants have the natural ability to soak up carbon dioxide from atmosphere, storing it as carbon. In relation to global climate change, plants, especially trees, can help to absorb some of the carbon dioxide that humans have emitted into the atmosphere. This becomes one possible solution in mitigating climate change. As with many possible solutions to climate change, there are positive and negative sides of carbon sinks as a mitigation option. There is also quite a divergence of viewpoints between countries. The issue of carbon sinks continues to be debated today. Is this an area in which consensus and cooperation can occur? Unfortunately, this has just been another area in which there has been controversy in global environmental politics. After an in depth look at the negative and positive aspects of carbon sinks i n relation to global climate change, it seems at this time the negative aspects outweigh the positive. Due to scientific uncertainty, an inadequate monitoring and measuring system, as well as a lack of rules and guidelines, the use of carbon sinks will prove to be more of a problem than a solution to the global climate change problem. First of all, what are carbon sinks? The earth contains various natural stocks or reservoirs of carbon. These stocks can be found in the ocean, forests, soils, and the atmosphere. When one of these stocks releases carbon, such as when a forest is reduced by fire, decomposition, or deforestation, it is known as a source of carbon. When these stocks absorb carbon they are called sinks (Sedjo, 4). The ocean can hold the most carbon; it contains about fifty times as much carbon as the atmosphere. Forests and soils contain about 3.5 times as much carbon as the atmosphere (Kolshus, 2). This paper mostly focuses on carbon sinks in forests because it is currently the subject under debate in the climate change regime. Sinks can be used to mitigate global climate change in two ways: either by producing new forests to absorb the carbon, or by preventing the release of carbon into the atmosphere through actions such as deforestation (Pagiola, 25). However, currently there is a lack of consensus as to how much carbon can actually be absorbed by these sinks. Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-3522146233522984422020-01-11T14:29:00.001-08:002020-01-11T14:29:03.317-08:00Dream of the Rood EssayIn the poem The Dream of the Rood, many parallels between a seemingly inanimate object directly correlates with the crucifixion and resurrection of Christ. Although, Christ is mentioned in the poem he is never the speaker, rather the Rood is personified and is the central speaker and theme of the poem. The poem begins with the dreamerââ¬â¢s account of what he experienced as he saw the rood ââ¬Å"gloriously gracedâ⬠then bleeding as the tree spoke directly to the dreamer. Like Christ has done in biblical stories, the ââ¬Å"treeâ⬠speaks him in a dream, depicting the first parallel of the Rood and Christ. The rood tells of how soldiers were forced to carry ââ¬Å"himâ⬠on their shoulders and set him up on a mountain, just as Christ was forced to do before his crucifixion. The rood continues to display his bravery as he stands steadfast even though the earth was trembling, for he ââ¬Å"dare not act against the Lordââ¬â¢s word. â⬠This depiction of bravery in the rood is to parallel the bravery Jesus showed and his experience as there was an earthquake during his crucifixion. He expresses how he was ââ¬Å"piercedâ⬠just as Christ was pierced, and how he was mocked just as Christ was mocked by onlookers. The cross seems to physically suffer as it ââ¬Å"raised up a mighty king, the heavenââ¬â¢s lord; I dared not bow in homage. â⬠This scene represents all the suffering that Christ endured, yet his bravery prevailed. The rood continues his account as he illustrates his and Christââ¬â¢s death; ââ¬Å"Finally men brought axes to fell us to earth. That was a frightful destiny! They buried us in a deep pit. Although in the biblical account of Christââ¬â¢s crucifixion the cross was not buried, the author choose to show a connection between Christ and cross by showing they both perished that day. In the same likeness as Christ, the rood is resurrected and adorned by ââ¬Å"friends ââ¬Å"who learned about him, just as Christ was adorned after his resurrection. The rood announces to the dreamer that he must tell others of his triumph ââ¬Å"so that far and wide men worship me everywhere on earth, and all creation pray to this sign. This metaphor shows the correlation between the rood and Christ, and the reason for which Christ endured all the suffering, so that all those who worship him shall have everlasting life. The rood states: ââ¬Å"On me the son of God suffered a time; therefore I now tower in glory under heaven, and I may heal any of those in awe of me. â⬠The rood explains that he is adorned above all other trees, just as Christ was after his resurrection. He continues to tell the dreamer that he must let all know about Christ and use the rood as a tool to explain his second coming and mankindââ¬â¢s salvation. Although no biblical stories tell of Christ coming to one in a dream, this was to represent Godââ¬â¢s plan in sending his Son to tell of Godââ¬â¢s plan and their salvation through his crucifixion and resurrection. This idea is clearly displayed when the rood professes ââ¬Å"And on this earth each soul that longs to exist with its savior forevermore must seek His kingdom through that cross. As the dialogue of the poem switches back to the dreamer, he states that he was renewed with hope and joy as he ââ¬Å"prayed to that tree. â⬠Again another depiction of a parallel between Christ and the rood, instead of being described as a rood or crucifix, itââ¬â¢s described as a tree, something unlikely for one to worship. Perhaps the tree is to symbolize Christ, as the tree of life who should be worshiped and adorned with ââ¬Å"gold and gemstonesâ⬠just as the tree gleamed at the opening of the poem. Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-7262276199005018722020-01-03T10:53:00.001-08:002020-01-03T10:53:03.080-08:00Taking a Look at Interpersonal Communication - 1139 Words I do not need to copy many definitions from books, use plagiarism, or check thousands of websites to w honestly write about the concepts taught in this course. Concepts that have modified many of my ways of thinking that were previously erroneous. The contents of this class have helped me learn more about the verbal, and non-verbal communication among different cultures, ethnic groups and societies. We all practice communication some how, but I feel privileged of learning more details about the concepts of interpersonal communications after finishing the course. Each chapter of the book offers a very interesting, and educational instruction about social problems in relation to communication. I enjoyed reading about the roots of the different types of human behaviors. I consider the study of interpersonal communication as a very intellectual discipline that is essential in our daily lives. I each unit, different concepts were described, but the five of them that captured most of my attention are the following: Internal Tensions The book describes internal tensions as ââ¬Å"relationship stresses that grow out of peoples needs, and peoples interactions.â⬠(Wood 332) For me, it was very important to learn about the influence of the internal tensions that affect the health of friendships, psycological health, and physical health. All human beings have experienced internal tensions that somehow affected relationships with other people. In our lives, we have experiencedShow MoreRelatedTaking a Look at Interpersonal Communication716 Words à |à 3 Pagesunderstood,â⬠said Ralph Nichols and this thought is agreeable as the interpersonal skills are the skills people use throughout their life to interact with individuals or group of people in the society. It has been believed that the people with good interpersonal skills are generally more successful and get effective fruitful results in both their personal and professional lives. People who work hard to develop strong interpersonal skills can augment many aspects of life and lead to better relationshipsRead MoreMovie Analysis : Crash By Paul Haggis Essay1305 Words à |à 6 Pagessocial issue or things taught in class. In this paper I will talk about the use of interpersonal, intercultural concepts, racism/stereotyping and Knapps conflict strategies. The main characters in this movie all connect with each other and they donââ¬â¢t even know it .In ââ¬Å"Crashâ⬠taking place in Los Angeles, there are 10 Important characters that all end up connected to each other through interpersonal communication. You have two white LAPD officers John and Hansen, the African-American couple CameronRead MoreCharacteristics Of Interpersonal Communication746 Words à |à 3 Pagesdiscusses interpersonal communication and impersonal communication, chapter one also discusses characteristics of a competent communicator. Interpersonal communication is a process where people exchange information using verbal and nonverbal messages and feelings, it is also described as face to face communication. People create meaning and relationships through the exchange of messages often the messages are affected by external, physiological, and psychological noise. Interpersonal communicationRead MoreDear Sacramento Chinese Community Service Center,. I Hav e1409 Words à |à 6 PagesDear Sacramento Chinese Community Service Center, I have been recently taking an interpersonal communication course and have discovered a great deal of information that I believe can be extremely beneficial to our agencyââ¬â¢s communication effectiveness. I invite you all to think back to one of our previous meetings, do you recall any of the following? A lack of eye contact, a lack of enthusiasm, and frustrated looks on faces? How about an overall sense of discontent so much so that people are disengagedRead MoreThe Importance of Studying Interpersonal Communication913 Words à |à 4 PagesInterpersonal communication is an important day-to-day life skill that many people may go their entire life without formally learning about. Interpersonal communication is the communication between two or more people who are sending and receiving verbal or nonverbal language back and forth. The opportunity to study it at a college level is very important in that it can give you a more refined insight into how it works without needing to bre eze over or amend certain segments for the audience. WithoutRead MoreThe Importance Of Skills And Knowledge Of Your Employer829 Words à |à 4 PagesI do believe that skills in todayââ¬â¢s work environment have changed. Getting a job used to be based solely on your Interpersonal skills. Being social and knowing the right people or being in the right place at the right time would give you endless opportunities for employment. While I still believe this is true, employees are looking for more skills. One question during interviews includes your knowledge of the job/position and what the employee can bring to the company. Having basic computer, mathRead MoreThe Blind Side Character Analysis1395 Words à |à 6 PagesIn this relationship, the interpersonal needs, conflict style, and the nonverbal communication shine in the relationships between the Tuohy family and Michael.The three interpersonal needs are the need for inclusion, need for control, and the need for affection(ââ¬Å" William Schutz PH.D. and the Interpersonal Needs Theory.â⬠2015). The theory behind interpersonal needs is how well a relationship is sustained by the three basic needs(ââ¬Å"William Schutz PH.D. and the Interpersonal Needs Theory.â⬠2015). LookingRead MoreInterpersonal Relationships856 Words à |à 4 PagesInterpersonal Relationships Page 1 What are Interpersonal Relationships? Crystal Kinnersley Com 200 Interpersonal Communication Dr. David Koskowitz January 10, 2011 Interpersonal Relationships Page 2 What are Interpersonal Relationships? Do you know what I mean when I say ââ¬Å"What are some things that affect your interpersonal relationships?â⬠Interpersonal relationships are any type of relationship that you have with someone else. I am going to share some tipsRead More Essential Workplace Skills Essay example1596 Words à |à 7 PagesI am referring to are Oral and Written Communication, Interpersonal, and Teamwork skill. These sets of skills have been identified US dept of Labor and other universities and learning Centers as the essential skills every person needs. Oral and Written Communication skills are two of the most important skills a person could have in the workplace. Without the ability to effectively communicate or understand communication in written or auditory form taking and giving direction would be extremelyRead MoreThe Importance Of Interpersonal Communication1091 Words à |à 5 PagesHave you ever taken into consideration how your intrapersonal communication has an impact on your interpersonal communication? Our interpersonal communication is communication that strives us to create and maintain relationships with others in our life. My interpersonal communication is solely based on my self-concept, self-image, how I perceive myself, my bad and good qualities, and my non-verbal communication. My expectations about myself or my self-concept influences how I communicate with others Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-43654605701224160232019-12-26T07:19:00.001-08:002019-12-26T07:19:04.723-08:00Financial Performance Analysis of Amazon - Free Essay Example Sample details Pages: 8 Words: 2521 Downloads: 2 Date added: 2017/06/26 Category Finance Essay Type Analytical essay Did you like this example? Executive Summary Amazon.com, Inc (Amazon) registered strong growth of 36% in 2008 mainly due to increased unit sales and expanded sales base in several categories. Meanwhile during the 3rd quarter of 2009, Amazon managed to report a steady growth despite the recession period. This report reviews and analyse Amazon financial performance as well as comparison with its competitors. All analysis and ratios are derived from data collected from respective companies annual reports and www.reuters.com. Brief Description of the Company Amazon is one of the leading online retailers in the world based in Seattle, Washington, United States of America. The company started its operation in 1995 and has regional involvement in the Asia Pacific, North America and Western Europe. Initially the core business of the company is selling online books however has diversified to products such as apparel, electronic and home improvement products. Donââ¬â¢t waste time! Our writers will create an original "Financial Performance Analysis of Amazon" essay for you Create order The company is involved in the internet retailing industry with 7.5% market share in 2008. The e-commerce industry has gone through major phases of growth and decline however, Amazon persevered and surprised everyone. Amazon achieved its first annual profit in 2003 and has continuously performed better each year. Amazons main competitors are the book retailer, Barnes and Nobles (BN) and third party retailing non-book related good, Ebay.com (Ebay). BN and Ebay are engaged in the similar industry as Amazon, which is online business and catalogue retailing of single and diversified product lines In terms of market capitalisation, Amazon has the highest at $59.57 billion and followed by Ebay and BN at $30.59 billion and $1.21 billion respectively. This indicates that Amazon has greater stability and low risk compared to the competitors. Financial Analysis Profitability The companys performance has improved wherein it has performed above the projections made throughout the four years period. Net sales have increased by 29.2% from $14,835 million in 2007 to $19,166 million in 2008 with net income of $476 million and $645 million respectively. The Cost of Sales (COS) has increased throughout the years partly contributed from the free shipping cost and has affected the net income figure. There was a drop in the net income in 2006 due to increase spending on technology and content and in income tax expenses. However, the said figure has increased thereafter. In terms of sales, Amazon has performed double from the competitors throughout the four-year period. Sales increased tremendously primarily due to low prices, vast selection of products and free shipping offers. However, in terms of Gross Profit Margin (GPM), Ebay operated at 74% has outperformed Amazon at 23% in 2008. The reason behind this is due to Amazons high expenditure on Cost of Sales (COS), which is about 70% of its sales value. The high COS was mainly contributed from the free shipping cost incurred. In comparison to Ebay, the company applies different business model from Amazon and have managed to minimise its expenditure on COS at about 20% of its sales value and therefore reflected to a high GPM. GPM proves that eBay is generating a very large percent of net income from each dollar of sales and this contributes greatly to the growing of eBays overall financial strength. Meanwhile, BN showed a better margin because of its smaller size and the retailer aspect. Amazon and BN have a stable Operating Profit Margin (OPM) of 4% compared to Ebay, which fluctuates within the same period. Its constant operating expenses of 20% from its sales value support the stable growth for Amazons OPM. Ebays fluctuation figures are resulted from high expenses incurred from selling, general and administrative. Based on the industry standard, Amazon and its competitors have performed ahead from the standard, which are 14.1% and 0.53% for GPM and OPM respectively. The low OPM standard can be ascribed to the effect of the recent financial crisis. As of the 3rd quarter of 2009, Amazons sales were $14,989 million with net income of $518 million. For the current year, it is projected a further increase of 21% and 19.5% in sales and COS respectively from 2008 primarily to the low prices, vast selection and free shipping offers. With the said sales projection, the net profit is projected at $743 million in 2009. The basis for the projection takes into consideration on the global economic downturn and changes in customer purchasing preferences. Based on the current quarter performance, the same trend was observed wherein Amazon is still having the highest net sales while Ebay still dominating the net income figure. BN was badly hit from the result of economic crisis. In comparison with the competitors, Amazons Return on Equity (ROE) was high in 2005 at 135% but drastically dropped throughout the years to 40% and 20% in 2007 and 2008 respectively. The main reason for the decrease was due to the yearly increase in the businesss equity. As at 2008, Amazons ROE is equivalent to the competitors and is expected to be in line with the competitors in the future. In comparison on the ROE and Return on Assets (ROA), Amazon has the highest growth among its competitors as it has a smaller capital base than Ebay and a higher profit level than BN. The high ROE is indicates that Amazon is continuing to grow. Meanwhile the ROA showed that Amazon is efficient in generating income from its assets compared to its competitors. The industry standard for the ROE and ROA are 3.8% and 1.6% respectively. The lower industry standard might be driven by the economic condition, which has a great impact to the performance and profitability of most companies. There was an increase of 1% for each year from 2006 to 2008 for the Return on Investment (ROI), whereas the Return on Capital Employed (ROCE) was at the highest in 2008 at 29%. These have indicated that Amazon is efficientat using its assets to generate earnings compared to the competitors. Liquidity and leverage analysis The companys current ratios are more or less similar to BN during the four-year period. The companys current ratio was between the ranges of 1.3 to 1.5 for the past four years. This indicates that Amazon is able to lay its hands on $1.30-$1.50 for every $1.00 they owe. In comparison between current and acid test ratio, acid test ratio is lower at average of 1.0 within the years. It will enable the company to cover its short-term liabilities adequately with its liquid assets. This is within some of the industry standards of 1:1, showing that the company will be able to cover its short-term liabilities adequately with its liquid assets. In comparison with the industry, Ebay performed better than Amazon for both the current ratio and acid test ratio. Amazon fell below the standard in the initial years but almost meeting the standard in 2008 at 1.5:1. Although not performing better than the industry average, Amazon has good and stable ratios, which indicates that the company is able to cover its current liabilities. Amazons gearing ratio was high in 2005 at 86% and subsequently reduces within the years to 13% in 2008. Due to the operational efficiency, increased sales and improved liquidity, Amazon was able to reduce its debt and currently the business is funded with internal generated funds. Meanwhile, Ebay has no borrowings and BN has an average of 30% for the gearing ratio. The high borrowing in 2005 has a huge impact on the debt-to-equity ratio, which was 6:0:1. However as the borrowings is paid, the debt equity ratio when down to 0.2:1 in 2008. This indicates that Amazon has 20 cent debt for every $1 equity the company have. As for BN, its debt/equity ratio was at average of 0.5:1 during the four years. Therefore, in comparison, Amazon is less risky than BN. As Ebay has no borrowing, the interest cover for the said company is high compared to Amazon and Ebay. In comparison with the debt-to-equity ratio set by the industry, Amazon has a very low ratio of 0.2 compared to 40.98. As mentioned earlier, the industry ratio is on the high side due to the economic condition. Investment analysis Amazons common shares outstanding plus shares underlying stock-based awards outstanding totalled 446 million on December 31, 2008, compared with 435 million a year ago. As of to date, the said shares amounted to 451 million. Based on Amazons Earning per Share (EPS) trend, it indicated that the markets willingness to pay for the companys earnings has increased. This indicates that the market foresees Amazons long-term prospects over and above its current position. As at 3rd quarter 2009, the EPS was $1.20 and to grow further based on the companys projection on higher earnings in 4th quarter. Analyst predicts that strong online holiday sales will boost the shares of retailers, including Amazon and has recommended that the said shares will outperform in the market (Reuters.com, 2009). In terms of market performance, Amazons share price fluctuates throughout the years and increased tremendously in 2007 at $92.64 due to the launch of its e-book reader, Kindle. However, during the economy downturn in 2008, the share price dropped to $51.28 due to low operating profit as Amazon begins its price reduction for the goods and services. In 2009, the share price gradually increased and after the 3rd quarter results, it continuously went up and as at 11 December 2009, the share price was $134.15. The current Price/Earning Ratio has increased to 80.70 times from 33.80 times in 2008. Analyst predicted that with a strong revenue growth Amazon would be able to gain significant market share from other competitors (Stahl, 2009). Due to the economic downturn, all companies are affected which was reflected in its performance. Similar to Amazon, Ebays and BNs share prices had an initial stable growth but in 2008 it dropped by about 50%. While others are still struggling to recover from the economic situation, Amazon has showed a growth in 2009 and the share price has currently increased by 168% compared to Ebay and BN at 70% and 62% respectively. Cash flow Analysis As at 3rd quarter 2009, the cash and cash equivalents was $2,514, which a reduction from the opening balances at the beginning of the year of $2,769. During the period, the cash used in financing activities was $229 million compared to $1,199 million in 2008 of which the cash outflows results from repurchases of common stock, repayments of long-term debt. Repayments on long-term debt and payments on capital lease obligations were $379 million for the 3rd quarter 2009 and $335 million in 2008. Meanwhile, free cash flowwas $446 million for the quarter. Throughout the years, Amazon has managed to have a positive cash flow from its operating activities. This indicates a good sign that the core operation of the company is generating income. In comparison of Amazons total liabilities to the cash flow generated from operations, the company has enough funds to cover level of investment and takes about 3.3 years to pay back all its financial commitments. With the current cash, cash equivalents, and marketable securities balances, the company is likely to be able to meet its anticipated operating cash needs for at least the next 12 months. In comparison between the cash flow from operating activities and net income, it indicated that Ebay has the higher ability compared to Amazon in managing its operating cash cycle through receivables, payables and inventory. The reason is that Ebay takes advantages of its payable days for as long as 361 days. Due to the similar business model, both companies have a negative cash cycle of which cash is generated from its payable and quick settlement payment from the customers. Management of Working Capital In terms of managing working capital, Amazon had maintained its positive cash flow being the highest at 2007 for an amount of $1,450. This indicates that the company is able to pay off its short-term liabilities and operating expenses accordingly. In comparison between the competitors, Ebay has the highest working capital of $4,023 million in 2007 while BN has the lowest at $841million in 2006. The high working capital for Ebay has enabled the company to be successful in its expansion programme and improve their operations. For the 3rd quarter ending 31st December, Amazons working capital is $1,832 million and is expected to increase further due to higher expectation of sales in the coming quarter. Working capital provides information on the companys underlying operational efficiency. In terms of efficiency, Amazon is efficient in using its assets in generating sales compared to its competitors, which are reflected in the asset turnover ratio. This indicates Amazons improved efficiency in inventory and asset management that is partly supported from the low pricing strategy and low profit margin. In comparison to the competitors, BN has the lowest account receivable days due to its retail business model, which is based on the cash transaction. Based on the account payable days, Ebay has taken advantage on the free source of finance for the business at 361 days compared to Amazon at 62 days. In respect of the inventory days, Amazon is able to turn the inventory quickly as low as 12 days compared to BN at 140 days. BN has high stock inventory days due to the reason of its retailing business model and product which requires some time to be sold. Due to the same business application, both Amazon and Ebay have a negative cash operating cycle, which indicates efficiency in cash management. In term of the industry standard, the three companies are performing above the indicative ratios, which are supported by the significant growth in the industry. Based on the industry standard, Amazon and the competitors are performing ahead from the standard. For the assets turnover ratio, Amazon was the highest at 2 times compared to 0.7 times industry standard. This indicates the companys efficiency at using its assets in generating sales. The reason Amazon performed better than the competitors is relatively derive from the pricing strategy wherein low profit margin company tends to have high asset turnover. Amazon Future Prospects Based on Amazons current performance, it is projected that the company will have a strong growth supported by the low pricing strategy and free shipping. Moreover, the latest acquisition of Zappos.com and improvised version of Kindle are expected to increase Amazon sales which leads to higher profitability. Due to the growth of Amazon, its annual earning is expected to grow over the next two to three years with sales reaching $2.38 million and $2.86 million respectively. Due to robust financial performance during the current economic condition, it has enhances investors confidence. Share prices are expected to increase with earnings of $2.57 and $2.38 per share in 2008 and 2009 respectively. In line with the said growth, Amazon will benefit in gaining additional market share despite tough competition from other online sites such as Ebay. References Amazon.com Annual Report 2008 Available from: https://amazon.com (accessed on 11th November 2009) Amazon.com 3rd Quarter 2009 Report Available from: https://amazon.com (accessed on 11th November 2009) Ebay.com Annual Report 2008 Available from: https://ebay.com (accessed on 11th December 2009) Barnes and Noble Annual Report 2008 Available from: barnesnobleinc.com ((accessed on 11th November 2009) BBC News (2008), Amazon Shares Fall Despite Growth. (Online) Available from: https://news.bbc.co.uk (accessed on 5th December 2009) George Stahl (2009), Amazon Shares Hit All Time High. The Wall Street Journal (0nline), Available from: https://online.wsj.com/article/SB125630854623203899.html (accessed on 4th December 2009) John Pacskowski (2009), Spare Change for Amazon Shares. The Wall Street Journal (Online), Available from: https://online.wsj.com/article/SB125630854623203899.html (accessed on 4th December 2009) Richard Waters and Jonathan Birchall (2009), Amazon Share Surge Recalls Tech Boom Days (Online) Available from:https://ft.com (accessed on 5th December 2009) Reuters.com (2009), Nasdaq rises with Online Retailers Dos Dips on Oil. (Online), https://ul.reuters.com (accessed on 3rd December 2009) www. reuters.com (accessed on 1st December 2009) Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-51947390073151544642019-12-18T03:08:00.001-08:002019-12-18T03:08:03.418-08:00The Black Plague New York The Free Pass 1983 - 1290 Words The Black Plague BY: Kevin Arellano World History,Per.7,Mrs.Sutherland April 24,2015 Works Cited 1.)Robert S. Gottfried. The Black Plague. New York :The Free Pass 1983 2.)The Black Death. AE .Television Networks.1979 3.)Don Nardo. The Black Death.Minneapoles.2011 4.)Sheri Johnson.The Medieval Plague.Minnesota 5.)Stephen Person. Bubonic Plague, The Black Plague. New York Introduction/Origin Do you know what The Black Plague was, it was a horrible disease that people back in the middle ages didnââ¬â¢t know where it came from how to fight off against it and how it spread. People back then didnââ¬â¢t know where it came from but scientists now think they know. Scientists think that Black Rats and fleas caused the black plague that the fleas carried it and gave it to the rats then the rats passed it along then the rats died and the fleas moved to a new host they moved to humans and spread it even further.(AE, The Black Death)The rats that infected the humans lived in a city called Kaffa and then went on ships with people and moved to other places like Italy, Constantinople and England. When the rats died the fleas went to humans and the ratââ¬â¢s dead bodies would give an animal and or human the virus without the flea having to bite anyone. (Stephen Person pg.4)The fleas probably feed on the rats blood and gave the rat the infection the rat then died and the fleas moved on to a new rat when there were no more living rats they probably went on to humansShow MoreRelated The Plague - The Black Death Essay1429 Words à |à 6 PagesThe Black Death The Black Death is known as the worst natural disaster in European history. The plague spread throughout Europe from 1346-1352. Those who survived lived in constant fear of the plagues return and it did not disappear until the 1600s. Not only were the effects devastating at the time of infection, but during the aftermath as well. The Black Death of the fourteenth century dramatically altered Europes social and economic structure. 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While most of these new rules might seem reasonable at first blush ââ¬â such as setting up procedures to investigate employee complaints -- it is important to keep in mind that they are not costless, and that one cost can be significant unintended negative consequences. Therefore, we encourage research that addresses the expected or realized efficacy of these new rules. 5. There are many issues of audit quality that are not directly addressed Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-86763196192985189442019-12-09T23:51:00.001-08:002019-12-09T23:51:04.451-08:00Portfolio - Bond and Share Valuation Question: Explore the portfolio, bond and share valuation. Answer: Executive summary In this given assignment, three questions are there which will give an in-depth knowledge of portfolio, bond and share valuation. This analysis will help the investors to invest in the financial market maximizing their return while minimizing risk. In portfolio valuation, covariance means measure of joint deviation of share JAY and KAY around their respective mean (expected return). To create a portfolio of JAY and KAY giving 15.6% return weights of JAY and KAY must be 70% and 30% respectively. In Bond valuation, market price of three different types of bond is determined, based on which it is classified whether the bond is trading at par, premium or discount by comparing with face value. Market price of bond B also helps in determining the number of bonds required to raise a fund of $465260. In share valuation, three types of Dividend Discount Model (DDM) for no growth, constant growth and two period growths is analyzed. Also the difference between just paid and plans to pay a dividend can be understood properly. Conclusion It can be concluded that, portfolio valuation gives us a clear picture of how two stocks can be combined in different weights to give high return with less risk as compared to investment in individual stock. In case of bond valuation, determination of bond price will help to identify which bond is trading cheap so that it can be bought and which one is trading rich so that it can be sold in the market immediately. In case of share valuation, determination of its market price will help the investors in deciding which share to hold and which one to sell with the help of DDM. Recommendation In case of portfolio valuation, different weights of share JAK and KAY must be used to build a portfolio having maximum expected return with minimum risk as correlation coefficient (r) of these two stock is negative i.e.-0.3 which means there is immense benefit of diversification, in fact to the extent that a risk free portfolio can be constructed. In case of bond valuation since Bond A and B are trading at a discount so, it is advised to buy those bonds whereas Bond C is trading at a premium so it is advised to sell that bond. It is advised to buy share of NoChange Ltd as it is trading at a very lower price as compared to other shares. Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-12446165207636764722019-12-02T11:32:00.001-08:002019-12-02T11:32:04.109-08:00Revolution Essay Example American Revolution and Native Peoples The American Revolutionary War (1775ââ¬â1783), fought between the Kingdom of Great Britain and the thirteen United Colonies, was the culmination of the political American Revolution. The colonists fought for its political freedom and took control of every colony, driven out most royal officials in 1775, and proclaimed as a new nation, the United States of America, in 1776. In 1778 most of the European Nations had joined against Britain. Native Americans fought for both British and American sides. After Americanââ¬â¢s victory at Saratoga in 1777, France, with Spain and the Netherlands as its allies, joined the war against Britain. French naval victory in the Chesapeake led to the surrender of a British army at Yorktown in 1781. The Treaty of Paris in 1783 ended the war and recognized the sovereignty of the United States (wikipedia n.pag 2007). This was not a clash mainly about economics, but about the values of democratic government. In other words this was also a conservative revolution. Many of those important in the freedom movement were most unwilling to break the link with Britain and considered it as a last option. They also insisted that in opposing the British government they were just stating their rights as Englishmen and it was the British government that had first disrupted the ââ¬Ëstatus quoââ¬â¢ by enforcing illegal dealings in the colonies. The Quebec Act 1774 was the most intimidating, which authorize the French Canadians and Indian allies to settle in the Ohio and Mississippi valleys, hence cutting off the development of the colonies to the west. Rising bitterness in the colonies led to the First Continental Congress in 1774. The Revolutionary War started at Lexington in April 1775 and the announcement of freedom formally breaking the connection between the colonies and Britain was signed on 4 July 1 776 (Mervin n.pag.) The Royal Proclamation of 1763 which tried to check colonial extension beyond the Appalachian Mountains, and had estranged many American colonists. The Native Indians understood that the Revolution was a fight for Indian land and for independence. A few Indian ethnic groups went to war against American colonists and conversely, some Indians from the mission town at Stockbridge in western Massachusetts, supported American colonists. They got recruited as minutemen even before the occurrence of the fighting, joined Washingtons military, and served in New York, New Jersey, and Canada. The Revolution divided the Iroquois union. Mohawks guided by Joseph Brant stuck on to their very old loyalty to the British, and ultimately the majority Cayugas, Onondagas, and Senecas united with them. However Oneidas and Tuscaroras supported the Americans. The Revolution seemed to be a civil war for the Iroquois, since Oneidas fought with Senecas at the Battle of Oriskany in 1777. Iroquois set back were increased in 1779 when General John Sullivan commanded an American army through their nation, setting fire on forty towns and ruining all crops. Some of the Native Americans such as Guyashuta of the Senecas, Cornstalk of the Shawnees, and White Eyes of the Delawares of Ohio country tried hard to maneuver a neutral course in the beginning of the war. By the Treaty of Fort Pitt in 1778, Delawares and Americans promised lasting peace and friendship. However after Americans killed White Eyes and Cornstalk, and massacre civilians Moravian Delawares at the mission town of Gnadenhutten, Ohio Native Indians made common reason with the British. They won and continued to oppose American growth for years after the Revolution. In the year 1783, as per the terms of the Peace of Paris, without giving any importance to its Indian allies, Britain returned United States its entire region. The United States continued to spread out westward, gaining Indian lands through treaty and by force. The Native Stockbridges and Oneidas who had helped the Americans lost their lands and also Senecas and Shawnees who had battled against the Americans. As a matter of fact, Indians struggled in the Revolution for Indian liberation and Indian native soil, not for the British kingdom. But majority of Americans believed that Indians had backed British kingdom. The nation envisioned in freedom requires, feel no regret about dispossess and drive out those who had battled against its birth (Calloway n.pag 2003). Work Cited Calloway, C.G. American Indians and the American Revolutionà 17 October, 2003. National Park Service, U.S. Department of the Interior. 30 June, 2007 à http://www.nps.gov/revwar/about_the_revolution/american_indians.html Mervin, D. American Revolutionà Answers.com. Political Dictionary, Oxford University Press, Inc 30 June, 2007 http://www.answers.com/topic/american-revolution?cat=biz-fin Wikipedia, American Revolutionary War 29 June,2007. Wikimedia Foundation, Inc. 30 June, 2007 http://en.wikipedia.org/wiki/American_Revolutionary_War Let Us Do Your Assignment Now We canââ¬â¢t wait to help you do your work. If youââ¬â¢ve taken so much time to read all this, quite possibly you need genuine help. So instantly call us and tell us, ââ¬Å"do my assignment.â⬠Place your order now. Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-8059841960507006222019-11-27T02:26:00.001-08:002019-11-27T02:26:04.709-08:00Anemia Essays - Hematopathology, Anemias, RTT, Mineral DeficienciesAnemia Essays - Hematopathology, Anemias, RTT, Mineral Deficiencies Anemia What is Anemia? Anemia is a deficiency of red blood cells or hemoglobin in the blood. The word anemia comes from two Greek roots, together meaning without blood. At the beginning of the nineteenth century, anemia referred to the pallor of the skin and mucous membranes. After medical science advanced, blood cell counts could be done. Anemia became the disease we know today. Symptoms of Anemia Mild anemia may have no outer symptoms. Weakness, fatigue, and pallor are very common symptom. Symptoms of severe anemia are shortness of breath, rapid heartbeat, lightheadedness, headache, ringing in the ears, irritability, restless leg syndrome, mental confusion, dizziness, fainting, and dimmed vision. Types of Anemia Iron deficiency anemia- the most common type of anemia; occurs because of low iron levels. Folic acid deficiency anemia- levels of folic acid are low because of inadequate dietary intake or faulty absorption. Pernicious anemia- inability of the body to properly absorb vitamin B12. Hemolytic anemia- red blood cells are destroyed prematurely. Sickle cell anemia- inherited abnormality of hemoglobin; occurs mainly in people of African or Mediterranean decent. Thalassemia anemia- inherited disorder in the synthesis of hemoglobin. Aplastic anemia- decreased bone marrow production. Diagnosis of Anemia Determining the cause of anemia is very important because it may be the sign of a very serious illness. A physician should ask about family history of anemia, gallbladder disease, jaundice, and enlarged spleen. A stool test should be done and the physician should check for swollen lymph nodes, an enlarged spleen, and pallor. Laboratory tests can test both the numbers of red blood cells as well as look at their appearance. Treatments of Anemia Because there are so many different types of anemia as well as causes, treatments vary widely. If the type of anemia results from a vitamin deficiency and there is no underlying cause, treatment is simple. Vitamin supplements can be taken or a change in diet can be made. Transfusions and bone marrow transplants for some other types of anemia can be made. New drugs are currently being tested to help anemic patients. Bibliography healthy.net/library/books/healthyself/womens/anemia.htm webmd.lycos.com/content/dmk/dmk_article_5461922 sleeptight.com/EncyMaster/A/anemia.html sleeptight.com/EncyMaster/S/sickle_cell.html Understanding Anemia by Ed Uthman, MD (from: neosoft.com/uthman/unanemia/unanemia_ch1.html) Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-42573544185379543272019-11-23T10:01:00.001-08:002019-11-23T10:01:03.146-08:00Should You Guess on the SAT 6 Guessing StrategiesShould You Guess on the SAT 6 Guessing Strategies SAT / ACT Prep Online Guides and Tips It can be hard to know when to guess on the SAT, especially since the recent overhaul has changed for the test is scored.But the truth is more straightforward than you might expect! Read on to find out whether you should guess on the SAT and what you can do to maximize the number of correct answers you end up with from guessing. Should You Guess on the New SAT? The SAT used to have a guessing penalty of a quarter of a point per incorrect answer. This made the question of whether you should guess on the test much more complex.Depending on how many answers you could eliminate, it might have been a good or bad idea to guess within the remaining choices.Guessing incorrectly on four questions would lead to a loss of a full point in your raw score whereas if you left them blank, you wouldnââ¬â¢t have any points subtracted. With the new version of the test, this guessing penalty is gone!This means that the answer to the question in the heading of this section is yes. You should answer every multiple-choice question on the new SAT, even if you have to guess.If you get all of them wrong (which is unlikely), you wonââ¬â¢t be any worse off than if you didnââ¬â¢t bother to answer. This will come as a relief to many students, but you should still be cautious about guessing unless youââ¬â¢re almost out of time and are forced to fill in random bubbles.Donââ¬â¢t resort to blind guessing too quickly when you get frustrated with a question just because you know you wonââ¬â¢t lose points; youââ¬â¢ll end up selling yourself short.The next section will give you strategies for smart guessing on each part of the test. Blind guesses: usually not the best option. Strategies for Making Educated Guesses Here are some strategies that will help you to avoid guessing randomly and increase your likelihood of choosing the right answer. Reading #1: Listen to Logic The SAT Reading section includes challenging passages that come from real scientific and historical writings. This means that the answers to questions about details in the passage should align with your ideas of what makes sense for the topic. Here's an example of a question that asks about an adapted excerpt from Elizabeth Cady Stanton's address to a Women's Suffrage Convention in 1869: If you're trying to guess on this question, you can eliminate some answers even if you only know the bare minimum about the content of the passage and US history as a whole. Choice A doesn't really make sense because the problem that Stanton is fighting against is long-term control of society by men. She probably wouldn't argue that "the control of society by men" was a recent development at all. Choice B also seems incorrect for larger reasons. It's unlikely that anyone would claim that the spread of war and injustice was a recent historical development at that time in history. Choice C doesn't make sense because women, not men, had traditionally dominated domestic life. This was especially true at the time that Stanton was speaking. Choice D is the answer that seems most plausible if we look at the question logically. Only recently had women begun to be appreciated as human beings on an equal intellectual footing with men (although still to a limited degree obviously, since we didn't get the right to vote until 1920...sigh). This strategy only works for some questions, but it shows how you can sometimes guess without reading the passage and still come up with a likely answer. Keep your wits about you. If something doesn't make logical sense to you, you should listen to that feeling. #2: Use ââ¬Å"Find the Evidenceâ⬠Questions An interesting development forthe Reading section on the new SATis the introduction of ââ¬Å"find the evidenceâ⬠questions.These questions will ask you to choose a quote from the passage that best supports your answer to the previous reading question.Although this could be dangerous because getting one wrong might also mean getting the other wrong, it might actually help to ground you in your decision about the most valid answer to the original question. Hereââ¬â¢s a pair of questions from a new SAT practice test that illustrates my point.For context, in the passage Akira is a young Japanese man who is meeting a woman named Chie to ask for her daughter Naomi's hand in marriage before he accepts a job in America. Letââ¬â¢s say you arenââ¬â¢t sure about the answer to question 9. You think there are a couple of different possibilities, and none of the answers seems totally out of the question.You can check the evidence listed in question 10 for hints that might give away the answer to question 9.One of those lines must provide direct evidence for the answer. The lines for each choice in question 10 read: A. ââ¬Å"I donââ¬â¢t want to trouble you.â⬠B. ââ¬Å"Normally I would approach you more properly, but Iââ¬â¢ve received word of a position. Iââ¬â¢ve an opportunity to go to America, as a dentist for Seattleââ¬â¢s Japanese community.â⬠C. ââ¬Å"Depending on your response, I may stay in Japan.â⬠D. ââ¬Å"I see Iââ¬â¢ve startled you.â⬠Now, let's look back at question 9 and evaluate the choices. Thereââ¬â¢s nothing about the speakerââ¬â¢s parents in the evidence, so we can cross off A.Thereââ¬â¢s also nothing about Akira's fears of Naomiââ¬â¢s rejection, so B is a no-go as well.There is clearly some evidence for C in choice B on question 10, so we can keep that one.There doesnââ¬â¢t seem to be clear evidence for D either; although the statement is true, itââ¬â¢s not the reason the speaker feels this is a matter of urgency, and itââ¬â¢s not explicitly mentioned in the quotes for Question 10. We can conclude that the answers to these questions are C and B respectively. If you use "find the evidence" questions wisely, you can go from taking a blind guess on two questions to feeling relatively confident in your answers to both. Crap, this question reminded me that I really should go to the dentist. Or even get to the point where I have an adult dentist (a dentist that treats adults, that is. My dentist isn't a child, I just happen to like putting Play-Doh in my teeth and pretending it's real fillings). Writing #3: Choose the Shortest Answer In the Writing section, the right answer is usually the one that's the most clear and straightforward.If you canââ¬â¢t decide between a couple of different choices and they both seem like they could be correct, pick the one that has the least number of words in it.Hereââ¬â¢s an example: Typically, the ice sheet begins to show evidence of thawing in late summer. This follows several weeks of higher temperatures. In this case, A is the correct answer because it allows for a combination of the two sentences without including any superfluous or repetitive words.This doesnââ¬â¢t work for every question, but if you have to resort to guessing, itââ¬â¢s a good rule of thumb to follow. #4: Read Back Your Options Again This may seem obvious, but if youââ¬â¢ve narrowed down your choices to a couple of options, it doesnââ¬â¢t hurt to read them back to yourself again in the context of the passage.Even if you donââ¬â¢t know the grammar rules, reading things back in your head may clue you into answers that feel ââ¬Å"off.â⬠If you read a sentence like this under non-test conditions, would it sound right? Or would you think it was weird? Thereââ¬â¢s a tendency to twist perception to feed doubts you have about eliminating odd-sounding choices because of the pressure involved on the SAT.If you make an effort to be more objective and think of the question apart from the stressful context of the test, incorrect choices may become obvious. Don't get it twisted. Math #5: Plug It In If you think youââ¬â¢ll have to resort to guessing on a math problem that involves solving an equation, and you arenââ¬â¢t too short on time, you can try plugging in all the possible answers.You have a good chance of answering correctly if you do this, even if you had no idea how to solve the problem originally.This is a case where putting in just a little extra effort into your guess can reap some serious rewards. #6: Use the Visuals The math section includes many diagrams that illustrate the scenario described in the problem.If youââ¬â¢re not sure how to solve a math problem, and it has an accompanying visual element, you should make a logical guess based on the visual.Hereââ¬â¢s an example (from a sample practice test for the new SAT) of what I mean: By looking at the diagram, you can tell that thereââ¬â¢s only one answer that makes sense even if you don't know how to solve the question. Angle 2 is clearly larger than a right angle, so it must have an angle measurement greater than 90 degrees. This means that the first three answers are all too small to be a good fit based on what we can see in the diagram.The answer has to be D, 145 degrees! Extra-Special Bonus Section: Guessing on Non-Multiple Choice Questions There's also no penalty for incorrect answers on grid-in Math questions.You either get one point for a correct answer or no points for a blank or incorrect answer. Guess if you think you might have a shot at the right answer. Even if you don't feel confident, you have nothing to lose. I want to emphasize what makes these questions different from multiple choice on the guessing front. The grid-ins are the only questions where you shouldn't guess if you have absolutely no idea what the answer is. Itââ¬â¢s a waste of time to fill in those bubbles at random because the chances of getting the correct answer that way are astronomically low. It's like rolling dice, but with way more sides than the number that regular dice have. Conclusion You should answer every multiple choice question on the SAT because thereââ¬â¢s no guessing penalty! However, you also need to be meticulous in your guessing strategy so that youââ¬â¢re not just filling in bubbles at random.If you want your guessing success rate to be higher than it would be through pure chance, you should follow the tips Iââ¬â¢ve given you in this article. To Review: Reading 1. Eliminate choices without direct evidence 2. Use find the evidence questions as anchors Writing 3. Choose the shortest answer 4. Read the choices back to yourself objectively Math 5. Plug in the answer choice 6. Use the visuals Special Note on Grid-Ins Guess if you think you might know it, leave it blank if you have no clue! With a little bit of extra thought on the new SAT, you can turn your blind guesses into answers that make you feel pretty confident. What's Next? If you're not sure how to prepare for the new SAT, check out this article for some study tips! Since the new SAT is out of 1600 instead of 2400, you might not have a good idea of what your target score should be. Find out how to calculate a good goal for yourself here. It's possible that the ACT will be a better standardized testing choice for you than the new SAT. Learn more about which test aligns more favorably with your strengths and weaknesses. Want to improve your SAT score by 160 points? Check out our best-in-class online SAT prep classes. We guarantee your money back if you don't improve your SAT score by 160 points or more. Our classes are entirely online, and they're taught by SAT experts. If you liked this article, you'll love our classes. Along with expert-led classes, you'll get personalized homework with thousands of practice problems organized by individual skills so you learn most effectively. We'll also give you a step-by-step, custom program to follow so you'll never be confused about what to study next. Try it risk-free today: Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-55419691125394411462019-11-21T04:44:00.001-08:002019-11-21T04:44:04.371-08:00Book of Ethan Frome by Edith Wharton Essay Example | Topics and Well Written Essays - 750 wordsBook of Ethan Frome by Edith Wharton - Essay Example Wharton uses setting, characterization, and symbolism to depict how isolation has emasculated Ethan Frome. The setting of the book is Starkfield, a fictional New England village, which depicts isolation's impact of emasculation on Ethan Frome. Starkfield is an isolated and cold place, which also shapes its small-town culture. It is quite distant from other cities and constantly experiences harsh, cold weather. The weather resembles a cold blanket that hangs on people's attitudes toward life. The community is also poor, which is why Harmon believes that those who get away from Starkfield are better off: ââ¬Å"Most of the smart ones get awayâ⬠(Wharton Chapter 1). The weather and geographical location can get under people's skin, as they make it easier to feel lonely and hopeless. One description of the setting highlights the sadness and hopelessness of Starkfield: ââ¬Å"Beyond the orchard lay a field or two...huddled against the white immensities of land and sky, one of those l onely New England farm-houses that make the landscape lonelier (Wharton ââ¬Å"Ethanâ⬠). The whiteness of the field makes the isolation even more immense, where white means nothingness and the absence of color stands for the absence of life. In addition, the farm houses can be compared to the townspeople. They also feel isolated from each other. They may gossip about one other a great deal, but they are detached from truly doing something for each other. For instance, people feel sorry for Frome after the ââ¬Å"smash-up,â⬠but they do not offer him any real empathy. Frome must have felt lonelier, because of the lack of human connection that would help him make sense of his tragic life and provide better companionship than what Zeena can offer. Furthermore, the coldness of the setting seeps into people's hopes, by freezing their dreams. Ethan once dreamed to be an engineer, but because of lack of social and financial support, he did not become one anymore. Then, he dreams of being with Mattie, but because of his poverty, which can be rooted to the land's barrenness and the moral thinking that it would be wrong to leave Zeena, he does not fight for his love for Mattie. The ending shows that he becomes colder as a person, who is no longer capable of happiness. Ethan Frome is a dynamic character, who changed from an ambitious dreamer to a caregiver to the doomed ââ¬Å"patient.â⬠Before, Frome envisions himself as an engineer, which is why he is interested in the engineer's books. Later on, because his family is detached from family relations, he has become the primary caregiver to his parents. Harmon affirms this and says: ââ¬Å"I guess it's always Ethan done the caringâ⬠(Wharton 1). Instead of breaking free from Starkfield, he becomes increasingly bonded to it, especially after marrying Zeena. When Zeena got sick, Frome finds himself the carer once more. In addition, Wharton shows that the setting is Ethan Frome itself, where he is ââ¬Å" an incarnation of the landââ¬â¢s frozen woe with all that was warm and sentient in him fast bound below the surfaceâ⬠(Wharton 1). Carroll stresses that Ethan is as ââ¬Å"mute and melancholicâ⬠as Starkfield, as if he is ââ¬Å"one of the outcroppings of slate that push up through the snowâ⬠(2). He is like a slate, especially when he realizes the reversal of gender roles in his marriage. Zeena undermines Ethan's masculinity by constantly siphoning his money and time. Ethan re-establishes his manhood with Mattie, however, since the latter Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-12893995812533139102019-11-19T22:20:00.001-08:002019-11-19T22:20:03.928-08:00HUMINT Intellegence Effectivness during the War on Terror Research Paper - 1HUMINT Intellegence Effectivness during the War on Terror - Research Paper Example This essay stresses that intelligence is data or information that is evaluated, analyzed, and translated into a product to sustain a specific customer. Intelligence is both a product and process. It has played a significant purpose in warfare and diplomacy throughout history. Human intelligence often referred to as the HUMINT is the utilization of human beings as reliable sources of intelligence data or information. The security agents attain crucial information via interrogation of the detainees and elicitation of data or information from unwitting individuals. Despite the technological advances that have been made in gathering intelligence such as communication intercepts and data collection with satellites, HUMINT stands out as the most reliable source of information. This paper makes a conclusion that HUMINT has been used by countries to obtain important information about their enemies and plans. The operational agents attain crucial information via interrogation of the detainees and elicitation of data or information from unwitting individuals. In addition, HUMINT derives firsthand information from captured terror suspects, which may reveal the activities of terrorists or insurgencies. Despite its success in providing crucial intelligence information, HUMINT has failed to work other intelligence bodies. This behavior has left the national security of the U.S exposed to terrorists. Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-88824630673266895912019-11-17T10:51:00.001-08:002019-11-17T10:51:02.557-08:00In the book aptly titled Hannibal Essay Example for Free In the book aptly titled Hannibal Essay In the book aptly titled Hannibal, Serge Lancel provided a nitty-gritty exposition of Romeââ¬â¢s Great Commander life history. Through this book, Lancel aims to provide a concise account of Hannibalââ¬â¢s greatness to enlighten some misconceptions about the hero, and to outline how Hannibal reached the summit of success, in terms of war. The book explicates Hannibalââ¬â¢s historical biography from childhood up to the moment of his downfall, to give the reader a clear picture of Hannibalââ¬â¢s attributes, strengths, weaknesses, and most especially his essential characteristics that made him a true hero. Lancel does not only establish Hannibalââ¬â¢s internal complexities but he also provided a precise status quo of the Carthaginian world throughout the progression of the Great Commanderââ¬â¢s life history. With this, Lancel successfully sketched the annihilation of Hellenistic world and the ascension of Rome. Hannibal was brought in to world in 247 BCE at Carthage, which was experiencing a tremendous loss from Rome during the First Punic War (264-241). The domination of Rome during this period has a great influence to young Hannibalââ¬â¢s life because he was the eldest son of a Carthaginian general named Hamilcar Barca. At the age of ten, Hannibal witnessed the step by step triumph of his father through the latterââ¬â¢s accomplishment of other territories for the expansion Carthage empire. Many believed that Hamilcar compelled Hannibal to make a promise that the latter will have a perpetual abhorrence to the Roman Empire. Lancel posited that these could be hearsay only but this event could be true since Carthaginians have all the reasons to detest the Romans. When Hamilcar died in 229 BCE, Hasdrubal the Fair (Hamilcarââ¬â¢s son in-law) assumed the position, and during his reign he changed the landscape warfare by promoting diplomatic means. Eight years after, Hasdrubal was assassinated, which paved way for Hannibalââ¬â¢s commandership over the Carthaginian militia in Iberia. From diplomatic practice, Hannibal went back to his father approach of battle, which is aggressive in nature. His first attack was towards the natives of Salamanca in 220 BCE, followed the seizure Santagnum, which led to a conflict with the Romans because during Hasdrubal supremacy, Carthage and Rome made a treaty to prevent any disagreement between the two empires. Carthage and Rome underwent a negotiation, and while it is going Hannibal continued his goal of extending his territory. When he completely invaded the Iberian Peninsula the Carthage-Rome relationship worsened and catapulted the Second Punic War. Rome sent out reinforcement in Sicily, while Hannibal made a bold move in beleaguering Italy before the former can prepared themselves in the waging war. The existing war gave Hannibal an opportunity to get the support Gaul militia, which in the end made his army more powerful, and resulted, to his second triumph at Trebia River. In March 217 BCE, the Great Commander winning streak perpetuated though in an unfortunate event he lost one of his eyes (some historians posited that this due to opthamalia) during the war. Roman militiaââ¬â¢s power diminished as the war went on, in an unexpected happenstance their consul Flaminius was ambushed near the Trasimene Lake. Because of this, Hannibal exterminated two Roman legions, but it did not stop Rome and its allies from engaging and continuing the war. Instead, they aggravated the conflict when Quintus Fabius Maximus was chosen to be Romeââ¬â¢s dictator. The Roman council suggested an end-all be-all war, in which they were successful at its first battle at Cannae but they were eventually defeated when Carthaginian army overwhelmed them in a circular formation. Several of Roman allies was so disappointed with result of the Second Punic War, they decided to turn their back with Rome and decided to join the Carthage Empire. Then at age of thirty, Capua was established as Hannibalââ¬â¢s capital in Italy. He commanded his brother Mago Barca to relate the good news in Carthage and in doing so; Mago decanted hundreds of golden rings taken from the decimated cadavers of Roman army, while he was entering the entrance hall of the Carthaginian senate. Nevertheless, Roman council, along with their remaining allies, still resisted any agreement with Hannibal. Then the Great Commander decided to make an alliance with the Macedonian empire, which he acquired through the approval of King Philip V of Macedonia. With this approval, the Carthaginian forces were joined by Syracuse forces in 214 BCE. Rome did not falter; instead, they started an alliance with the Aetolia since this Greek town has a dispute with Macedonia. In the undying desire of Hannibal to expand his territory, he pursued Cumae and Puteoli ports, in order for him to strengthen his militia, but due to this, Rome found an opportunity to regain its nationââ¬â¢s confidence and to start anew because Hannibal neglected his offensives in Central Italy. In 212 BCE, Hannibal tasted his first failure. Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0tag:blogger.com,1999:blog-4141715123895684204.post-43312349944876449422019-11-14T23:22:00.001-08:002019-11-14T23:22:03.534-08:00Scarlet Letter :: essays research papers In the Scarlet Letter by Nathaniel Hawthorne, Pearl serves as the “apple of Eden';. She is plucked from the hands of God in heaven and sent to the mortal world as a baby “to make out its [the scarlet letter’s] hidden import'; (155), causing Prynne and Dimmesdale to face their consequences. Pearl functions in the story on three levels: as a real child, as a continuing symbol of Prynne and Dimmesdale’s adultery, and as an allegorical figure sent to torment the sinners and direct their actions. Only Dimmesdale can “ripen'; her into the woman she needs to become. Otherwise she will continually serve as a representation of their mistake. Pearl is the rose bush that is located outside of the prison door. Although, she brings happiness to Prynne, Pearl is covered with “thorns';. When Mr. Wilson asks Pearl the question of who made her, Pearl responds “that she had not been made at all, but had been plucked by her mother off the bush of wild roses, that grew by the prison-door'; (95). She is a good child, an “infant…worthy to have been brought forth in Eden; worthy to have been left there, to be the plaything of the angels'; (75), but she is a “born outcast of the infantile world…an imp of evil, emblem and product of sin'; (79). Her physical features did not show she is different: she has perfect arms and legs and has a native grace with innocent beauty. She is magnificent when she is displayed in her exquisite robes as her natural beauty shown through such that there was a circle of radiance around her. However, emotionally something is wrong with Pearl. If other children gather aroun d her, she would feel the dislike from the other children, and would snatch up stones to throw at them, while screaming. In the “garden'; of the Puritan society, Pearl is the rose bush, while “the ugliest weeds of the garden were their [Puritans’] children, whom Pearl smote down and uprooted, most unmercifully'; (80). Prynne, the adulterous mother, feels the guilt of bringing Pearl into the world and is reluctant to discipline the child, because Pearl is Prynne’s “sole treasure, whom she had bought so dear, and who was all her world'; (78). Pearl also represents the living embodiment of the scarlet letter embroidered on Prynne’s clothing. She “was the scarlet letter in another form; the scarlet letter endowed with life!'; (86). Mikehttp://www.blogger.com/profile/07414584299189602286noreply@blogger.com0