International human resource management due to globalization - Free Essay Example

Sample details Pages: 9 Words: 2599 Downloads: 3 Date added: 2017/06/26 Category Management Essay Type Analytical essay Did you like this example? As the globalisation trend advanced, IHRM (International Human Resource Management) plays a critical role in helping companies evaluate the human resource skills /capabilities and possibilities involved in moving to different regions of the world (Luthans, Marsnik and Luthans,1997). The HR (Human Resource) function is to help manage the organisations people as effective as possible based on the organisation business objectives for competitive advantage (Porter, 1990). To be successful in the global marketplace, a need for global mindset is the key source for long-term competitive advantage. Don’t waste time! Our writers will create an original "International human resource management due to globalization" essay for you Create order The current HR issues faced by PC is illustrated in Appendix A. The HR management in PC HQ did not consult the local HR representative information on local culture, employment aspects, safety, customs and traditions in order to operate in harmony with a local companys procedures which is the root cause of the HR dilemma faced by PC. Looking at the current HR issues that PC is facing, the complexities of operating in different countries and employing people of different nationalities are challenges arising from the internationalisation of business. Also the challenge PC requires to undertake its HR strategies, policies, practices to global level for multinational ventures (Scullion Linehan, 2005). Company characteristic, business strategy and organisational structure are important elements in policy choice for the Flexibility and HRM strategies (Delery and Doty, 1996; Tsui et al., 1995; Mayne et al., 1996; Doorewaard and Meihuizen, 2000). According to Philip Condit (Finan cial Times 1997), as the era move towards globalisation, it is advantageous global companies, workforce, management transform into a global enterprise. A standardized approach to IHRM may put an organisation to disadvantage because cultural differences are ignored rather than built upon. (Adler,1991). Competing demands of global integration and local differentiation are important elements which give rise the need to develop human resources as a source of competitive advantage (Caligiuri and Stroh,1995;Schuler et al.,1993;Taylor et al.,1996). PC required adopting a geocentric approach to IHRM integration to balance between the conflicting priorities of global integration and local responsiveness (Caligiuri and Stroh (1995). GLOBE research confirmed that selected cultural differences strongly influence important ways in which people think about leaders and norms. According to Spence Hayden (1990), the most critical HRM issue for going international is to select and train l ocal managers (see Appendix B) as people is the main source for competitive advantage in international business. It is critical that PC focus on the first seven points of the HRM issues listed in Appendix B to enhance its current HR issues in Germany, France and India for the business expansion. The overall twelve HRM issues are for PC to apply for its going international plan to other Asia countries to build long term business success. The key challenge for PC is to capitalise on the diversity of global workforce without suppressing each other nations desire to maintain their own cultural heritage. Although it is tough, PC have to build, maintain and develop its corporate identity by managing its people on a worldwide basis, local responsiveness by adapting and conforming to the norms and customs of different societies in which PC operate (Laurent, 1986). This will enhance worldwide competitiveness, innovation combined with achievement, consistent across MNE units (Bartlet t and Ghoshal, 1989). According to Schuler and Florkowski (1994), for control purpose, flexible HRM policies and practices at the local level must be balanced with the requirement of MNE to maintain its global set of IHRM policies. Deeper Analysis-HRM issues a) Training and Development As noted in PC case, there is no formal training to consultants after recruited. Failure to train employees can affect the values, beliefs, and assumptions shared by employees to the organisational culture (Bunch, 2007, p. 157). Au and Chong (1993) conclude that failing to incorporate organisational culture in training programmes might lead to total failure in building a successful organisation. Listed below are the ways to determine employees taining needs: In todays highly competitive global business environment, human resources play an important role in developing and sustaining organisation competitive advantage (Brewster, 2002). IHRM has enforced common methods of acquisition of knowledge through hiring and training, distribution of knowledge via training and development, and utilization of knowledge via performance management in an organisation. Training Assessment is used to determine if and what type of training is necessary to acquire skills, knowledge, and imp rovement in order to perform well for the organisation growth and success. (see Appendix C -General Systems Model of Training and Development). Cross cultural training is also critical for international assignments, for managers to be acculturated to other societies value, norms and behaviour. Training is also recognised as an important means for socialisation (Child, 1984; De Meyer, 1991; Derr and Oddou, 1993; Ondrack, 1985). Orientation is where new employee learns the organisational goals, corporate culture, job and to develop realistic expectations. Formal training on the other hand promotes shared values and facilitates network building between headquarters and subsidiaries. Only successful organisation (example: Accenture) will believe/continue to train, develop their employees in order to adapt to the constant change in the dynamic working environment as new technologies develop and emergence of global assignments. (see Appendix D Diagnostic steps in Development Progra mmes) According to Bramley, 2003, extensive training, learning and development are important. Learning organisations (example: Xerox, General Electric) have applied three stages of learning perspective. PC needs to ensure that outstanding talent remain at the forefront of its field in terms of professional expertise and product knowledge gained through training which facilitates learning so that employees can become more effective in carrying out their task. It is essential as people, technology, jobs, and organisations are always evolving. Technology is advancing at a staggering pace. Therefore, it is vital that employees be trained and developed to utilise the latest technology so as to attain the highest levels of productivity. b) International Managers As International business continues to grow intensely, PC must understand the need for highly qualified international managers, a crucial factor in implementing global strategies for business success (Gregersen, Morrison, Black, 1998). Overall International managers need to have effective cross cultural communication, non-judgemental capability, flexibility, empathy (Berrell et al.2002:92). Expatriates A successful expatriate manager must have sound knowledge of technical, functional, cultural, social, and political skills (Bartlett, 1986; Bartlett Ghoshal, 1994; Ghoshal Barlett,1997). The most common factors that determine the expatriates success or failure is illustrated in Appendix E. Expatriate managers that possess an acculturation characteristic will be able to adapt/adopt themselves to any region for international assignment. The key point for international transfer is to initiate, expand and control international operations to ensure various organisational units strive towards achieving organisation common goals which is linked to HQ control aspects. (Edstrà ¶m and Galbraith,1977). Appendix F described why transfer of international managers happen. According to Roessel (1988), the benefits of various functions of international transfers can enhance internationalisation of the MNE, which make it more sustainable in international market. Inpatriates The value of managers with unique local market knowledge can develop a dynamic capability for global assignments. In this manner, inpatriate manager is another option envisioned to build managerial talents which organisations can develop distinct competitive advantage in the market they entered. The inpatriation process is positively related to the global HRM for organisations development of organisational capabilities: quality, low-cost operations, speed learning, innovation and customer focus (Lawler, 1996; Urlich Lake, 1990). The criteria and characteristic of the right candidate for inpatriate managers are similar to the expatriate factors which illustrated in Appendix D. Although HQ prefers the expatriate managers contribution in multicultural management on the stabilisation control aspect for competitive advantage (Dadfer Gustavsson, 1992; Granstrand, Hakanson, Sjolander, 1993), inpatriate managers do play an important part in the bridging role between HQ and the emerging market that the organisation wish to penetrate (Harvey et al., 1999b,c,d). Inpatriate managers, as substitutes and complements of expatriates, can provide accurate advice on adaptation of technical dimensions of HR processes (recruitment criteria, compensation, appraisals, training and development of host country nationals). Inpatriate managers also act as a mentor to calibre managers from host country nations to insure a succession plan when new inpatriate managers are moved into the home country organisation. If PC would to consider inpatriate manager option, it has undertaken the step in developing a multicultural strategic leadership capability, developing a global learning organisation to compete effectively in a globalised world (Aguirre, 1997; Hofstede, 1980, 1984; McBride, 1992; McMillen, Baker, White, 1997; Nemetz Christensen, 1996; Reynolds, 1997). Statement to the Board of Paine Co (PC) Core Components of HR Strategy IHRM policies and practices are influenced by the organisations structure, strategy, its institutional and cultural environments (Ngo et al., 1998; Schuler and Rogovsky, 1998; Schuler et al., 2002; Sparrow et al., 2004). For management consulting multinationals, definition of HRM policies at international level should be followed by a more standardised local implementation (Boxall and Steeneveld (1999). At the same time, applying the right kind of policies and practices was a condition of ongoing viability, the success to implement HR policies and practices synergistically constitute the basis for competitive advantage. IT consultancy firm, like PC depends highly on qualified and specialised professionals to offer services based on their creativity and intellectual work. This profession requires versatility, adaptability and constant learning due to its ever evolving job nature (Starbuck, 1992; Ram, 1999; Ka ¨rreman, 2002). In this case, PC should look at the nee d for highly qualified multicultural workforce as a means to build managerial talents, develop organisations competitiveness in the market it enter. Furthermore, global competition has caused organisations to be more conscious of cost and productivity. Therefore, HRM strategies must reflect clearly the organisations strategy people, profit and overall effectiveness in managing an increasing diverse workforce to compete in an increasingly complex, competitive world. (see Appendix G -Important Factors /Requirement in HRM). According to Sparrow 1998, recognising organisations need for multiple and parallel flexibilities especially in a time of increasing international competition and technological change is vital (Atkinson, 1987; Tsui et al., 1995). The proposed core components of HR strategy that PC should apply is highlighted in Appendix H, taking into consideration the difference in nationality, culture and institutional factors, to enhance its organisation performance and build long-term competitive advantage. Notes to the Core Components Based on Best Practice HRM, staffing need to be highly selective, performance regularly and systematically assessed, teamwork orientated, autonomy and responsibility were encouraged (Huselid, 1995; MacDuffie, 1995; Delery and Doty, 1996). With the growth of PC business internationally, PC needs appropriate information to develop its HRM policies and practices through comparing cross-national dimension on an international perspective (Brewster et al., 1996; Clark et al., 1999; Kochan, Dyer, Batt, 1992), a business strategy to develop bigger market share one step ahead of its competitors. Cross-national HRM policies and practices are also influenced by both culture-bound variables such as national and organisational culture, institutions, industrial sector dynamics and culture-free variables such as age, size, nature, and life cycle stages of organisation (Brewster, 1995; Hofstede, 1993; Jackson Schuler, 1995; Sparrow, 1995). The degree and direction of influence of these fac tors varies from region to region (Jackson Schuler, 1995; Locke Thelen, 1995). Creating a global corporate culture requires a geocentric mindset, drawing upon cultural capabilities that exist across the global operations and incorporating diverse cultural values and practices. Understanding HRM roles/strategies requires a contextual approach, underlining the importance of taking the institutional context into account (Paauwe, 2004). The table below shows the factors determining cross culture HRM practices. A detailed list of the subcomponents factors/variables in determining cross-national HRM is listed in Appendix I. The strategic importance of a unique, specific and valuable human capital for knowledge-intensive firm like PC would suggest a preference for employment internalisation (Matusik and Hill, 1998; Lepak and Snell, 1999). PC must actively seek creative destruction of its existing competencies to retain competitive advantage in the marketplace (Schumpter, 1934 ,1942) via an adequate HRM policies and practices. The organisational competitiveness of PC will depends on its strength/capacity to shape a unique set of resources where competitors find it hard to copy, which mobilized with the help of developed organisational and managerial systems that provide the organisation with a series of distinctive capacities that allow to generate long-term sustainable income (Fernà ¡ndez Rodrà ­guez, 1995). The process of continuous learning and modification of resource bundles for efficiency and effectiveness of strategies contribute to development of the organisations dynamic capabilities (global management capabilities difficult to imitate) to gain/sustain competitive advantage. (Teece,1988; Teece, Pisano Shuen, 1997). According to Barney (1991), if resources meet the following elements, the firm earns a unique strategy profile which assist for international expansion. On the other hand, Behavioural Theory is based on the assumption th at different strategies require different behaviours, attitudes and capabilities in workers (Schuler, 1987). According to this theory, HR practices do influence workers behaviour which results in improvements of organisational performance (Lawler,1986; Huselid, 1995; Becker, Huselid, Pickus Spratt, 1997; Guest, 1997;Appelbaum et al., 2000; Takeuchi, 2003). This implies PC must implement a set of personnel practices consistent with the organisations business strategy to build its international presence successfully (see below). When workers have positive perceptions, this will increase their work commitment with the organisation, degree of involvement and their level of working satisfaction, which results in better performance for PC and talented workers can be retained for future prospect. Developing a systematic approach of HR policies and practices consistent with business strategy can assist in the integration of business competitive advantage, where every possible s ource of competitive advantage need to be identified/utilised in facilitating the learning and knowledge transfer processes across units (Schuler et al. (1993:427). A high performance work system (HPWS) practices is perceived by employees as organisations commitment (Batt, 2002). [see Appendix J] Definitely with HPWS implemented in PC, it will be able to develop talented, motivated employees to meet organisations objective to achieve competitive advantage in the international arena (McDuffie (1995). By developing the necessary skills, knowledge and increasing motivation of employee contribution, PC can reflect the opportunities to realize economies of scale at the international level. With the rapid evolving technologies, this encourages PC to engage in innovation and continuous learning across its operation. According to Wright Snell (1991), a successful organisation should have motivated workers who are involved in the achievement of organisational objectives. Manager s are responsible to create a more positive working environment where employees can flourish and increase their feelings of wellbeing at work (Tehrani et al., 2007). Line managers are also responsible to deliver the HR practices and to ensure that the perception of support, trust, fairness and consistency are maintained amongst employees. The biggest mistake unsuccessful global organisations make is to assume that there is one best way to structure HRM policies and practices. Trying to apply HRM principles that work well in one environment may not lead to the same level of degree of success in another. Challenges Globalisation competition has become so intensify, HRM professionals require to optimise the skills, talent, creativity of every employee more effectively. Failure to do so will probably mean the organisation cannot compete in the flat world. Every aspect of HRM strategic can be influenced by cultural differences in one or more dimensions. Therefore, PC needs to understand the cultural differences and ensuring HRM and cultural orientation of workers are coincide with one another without sacrificing efficiency. Conclusion To be successful in the international marketplace, PC must ensure HR policies are fit with strategic international plan of the organisation and with the work-related values of foreign culture due to cross-national interaction. Total word count=2,593

The Phenomenon Of Online Trading How Ebay And Amazon...

Project BMAM707 Research question: The phenomenon of online trading: How does eBay and Amazon became successful without having a High Street store. This Project is submitted in partial fulfilment of the requirements for the degree of Master of Arts in Management at the Westminster Business School of the University of Westminster, by Ewelina Marek 1483625 Date of submission: 27th August 2015 EXECUTIVE SUMMARY: This research project was carried out to identify the reason for popularity of online shopping, to describe why eBay and Amazon became successful without having a High Street store, to compare eBay and Amazon in terms of revenues and customer’s opinions and to develop ideas on how they could improve their performance†¦show more content†¦Amazon is not able to prove that it can generate steady profits and Jeff Bezos is constantly re-investing its revenues for future growth which results in shareholders losing their patience. Recommendations discussed include: ïÆ'Ëœ Improving the quality of customer service and after sale service for eBay and Amazon ïÆ'Ëœ Decreasing amount of money that are invested in Amazon’s growth and start showing steady profits CONTENTS PAGE: 1.0 INTRODUCTION 2.0 LITERATURE REVIEW 2.1 E-commerce in general 2. 2 System users and measures of success 2.3 Consumers’ buying decisions 2.4 Privacy, security and trust 3.0 RESEARCH DESIGN - METHODOLOGY 4.0 CHAPTER 1: PRIMARY DATA COLLECTION ANALYSIS – QUESTIONNAIRE AND INTERVIEW 4.1 Questionnaire 4.2 Interview 5.0 CHAPTER 2. SECONDARY DATA COLLECTION ANALYSIS – REASONS BEHIND AMAZON’S AND EBAY’S SUCCESS 5.1 Amazon’s success 5.2 Negative side of Amazon 5.3 EBay’s success 5.4 Success stories of eBay’s sellers 5.5 Negative side of eBay 5.6 Amazon’s vs EBay’s reviews 5.7 Financial performance of eBay and Amazon 5.8 Physical online presence vs online presence only 6.0 CONCLUSION 7.0 REFERENCES 8.0 APPENDICES 8.1 Appendix A: Questionnaire 8.2 Appendix B: Interview questions 8.3 Appendix C: Library Consent Form 1.0 INTRODUCTION: This project is about finding the key to a successful online trading. First online shop was created years before the world wide web

Souix Uprising Essay Example For Students

Souix Uprising Essay I will admit that I am not much for reading. I will also admit after reading thefirst chapter in this book that I felt sick to my stomach, literally. That Ifeared reading the rest of the book knowing that this really happened and thatpeople could actually do this to one another. Although the book disgusted meafter the first chapter that I didnt want to read it anymore it also made menot want to put it down. It could have been the way the writer describedeverything made it all so vivid and clear or maybe it was the fact that it wasso gruesome and real that I had to read it. Whatever the truth may be I thoughtit was a very good book. Up until this class I hadnt even heard of theUprising. In my impression part of the book was the side of the Indians whilepart of it was the side of the white mans view. It told of how itstarted, where it began, when it ended and how it ended. I feel as if theIndians had been changing their ways throughout the war. In the beginning theywere killing anyone and everyone but, to a point, by the end of the war theywere only killing the white males and were holding the women and childrencaptive so to speak. Although I dont think the Indians needed to be hung fortheir crimes they shouldve been arrested and brought into jail. The white menneeded to also take responsibility for their actions. It takes two people tostart a fight no matter what it is about. Yes, it wasnt all of the white menwho held back their annuity payment, but it was those men who insisted that theychange their ways. The book was a well-researched and insightful narrative ofthe bloody uprising and the events which preceded it. It is another sad chapterin the history of the American West . All the shocking events took place duringone week in August of 1862, in response to being tricked and betrayed by brokentreaties, cheated continually by traders, and brought to the edge of starvationby delays in dispensing the governments annuity payments, the Santee Sioux hadfinally had enough. The Sioux left hundreds of settlers dead and turning fortythousand into refugees. From killings to burnings they did it all. The highpoint was reached over hens eggs when warriors mocked as cowards after refusingto steal the eggs shot the hens owner, his wife, and friends in cold blood. Faced with certain reprisals from whites, the most respected Sioux leader,Little Crow, sided with his war chiefs and the rampage began in earnest. Hundreds of isolated settlers in the area died, with only occasional prisonerstaken, while massive attacks took place against the nearby Army garrison and theprosperous town of New Ulm. Even with superior numbers, these assaults failed,however, leaving many warriors dead and the rest disheartened. The Army quicklyrounded up all the Sioux to be found, sentencing hundreds to death in militarycourt without allowing them a defense. President Lincoln reduced the number ofcondemned to 38, who were duly hung. On December 26, 1862, those 38 SiouxIndians were executed for their part in uprisings.

The Most Challenging Aspects of Graphics Design

Abstract Evidence of improved learning outcomes when incorporating creative problem solving in the learning process can actually be seen in graphical design students who incorporate proper message delivery, research, conceptualization and understanding the audience.Advertising We will write a custom thesis sample on The Most Challenging Aspects of Graphics Design specifically for you for only $16.05 $11/page Learn More It is based on this that this section explores the personal and professional impact of the study and helps to reveal what processes need to be changed in order to create a better practices in teaching graphics design students. Introduction This chapter discusses the findings of the research regarding the most challenging aspects of graphics design at the present. It delves into the findings of the literature review wherein it was revealed that message delivery, research, conceptualization and an understanding of a particular target audienc e are the main challenge that students of graphical design encounter on a daily basis. As such, this section will delve into the personal impact of the study results, its impact on the practice of graphical design in general as well as makes recommendations related to what processes could possibly be implemented in order to resolve the identified issues. Discussion The reason behind the creation of this study was to develop a means of understand what problems students of graphical design encounter on a daily basis when it comes to creativity. Through a comprehensive examination of the various facts presented within the literature review, this has subsequently changed the views of the researcher regarding graphics design.Advertising Looking for thesis on art and design? Let's see if we can help you! Get your first paper with 15% OFF Learn More Personal Impact of the Study Based on the study, I have come to realize the following factors regarding creativity: When it come s to the application of creativity, it is important to note that there are three essential elements that are present which result in the creative process. These elements are composed of the following concepts: Copy – the element of copying within creativity is actually a manifestation of the learning process wherein people â€Å"copy† the relevant information they need and internalize it for later use.This internalization is an essential aspect of the process of creativity since it in effect acts as the initial blueprint from where all future ideas stem from. Transform – the element of transformation occurs when information that was initially copied and internalized is examined and thought of in new ways.While it has yet to be applied into anything specific, the information is no longer the same as it once was since it has been modified based on other perspectives and internalized concepts (Staresinic, 2009). Combine – the process of combination involves utilizing the transformed knowledge within a real life situation which in effect creates a new solution as compared to merely utilizing the knowledge in the same way in order to create the same solution. It is based on this that I have come to realize that when it comes to message delivery, research, conceptualization and understanding the audience, it is important to not only copy ideas that are given during class but to transform and combine them with new ideas in order to create something unique. It is not adequate enough that ideas and techniques taught in class are to be utilized, rather, it is necessary to develop a more personal approach to graphical design wherein you utilize your own methods that suit your style in order to create truly original artwork (Steven, 2007). Impact on Practice Based on the work of Kirby Ferguson, it can be stated that the concept of creativity arises not out of nothingness; rather, it is the result of applying ordinary mental tools within the m ind onto existing materials in order to produce new results (Vogel et al., 2011). In order to better understand such a concept and how it impacts graphical design, it is important to first know what the various elements of creativity are and how they impact the creative process. The Elements of Creativity Are Composed of the Following Cognitive Cognitive elements within the creative process refer to an individual’s basic knowledge regarding particular processes (whether generalized or specializing in a specific field), their attraction towards complexity (e.g. their innate ability to analyze and combine ideas into new areas or dimensions), their general open-mindedness towards new discoveries and finally their awareness of the creative process itself.Advertising We will write a custom thesis sample on The Most Challenging Aspects of Graphics Design specifically for you for only $16.05 $11/page Learn More Such a process in inherently connected to the concept of research wherein the ability of a graphics artist to create a particular type of design to suit the needs of a population is inherently connected to their understanding of the likes and dislikes of the consumer segment that is being targeted (Boutelle, 2000). It is through such an insight that it has been revealed that graphics design schools should not focus merely on developing the artistic talents of their students, rather, they should also help them in developing the necessary research skills in order to better understand that populations they are targeting with particular designs. Affective Affective elements on the other hand refer to an individual’s intrinsic level of curiosity, willingness to explore, their ability to take risks and their general independence towards following generally accepted processes and procedures in order to attempt something new (Small space, big ideas, 2006). Combined with the cognitive elements of creativity this in effect ena bles an individual to examine current processes from multiple angles and actually desire to implement new methods which could potentially improve such processes. Based on the study of De Miranda, Aranha Zardo (2009) which examines the development of creativity within individuals over time, it can be stated that as an individual’s cognitive and affective elements grow so too does their ability to explore and become more creative (De Miranda, Aranha Zardo, 2009). When it comes to affective elements and message delivery it should be noted that being able to deliver a particular message through graphics design alone is a skill that is necessary if one is to succeed in this particular field. The problem with message delivery, as indicated with the research literature, is that it must combine a creative output that is both visually appealing while the same time able to deliver the messages that the designer wants to deliver (Behrens, 1998).Advertising Looking for thesis on art and design? Let's see if we can help you! Get your first paper with 15% OFF Learn More The inherent problem though when it comes to the teaching of graphical design is that there is little in the way of sufficient classes in helping students understand affective elements when it comes to message delivery (Shlyk, 2007). This results in students that are brilliant when it comes to the execution of a design but lacking when it comes to the design phase of the message that the design is intended to deliver (Clark, 2008). As such, when it comes to the impact the study has had on practice, it can be stated that it has helped to show the deficiencies inherent in properly teaching affective practices and, as such, reveals an area that graphics design schools need to improve upon in order to create better students (Clark, 2008). Personal The personal aspect of creativity is slightly different in that it refers to an individual’s innate talent with a particular type of skill set as compared to something that was acquired over time. When it comes to an individual’s personal perspective on creativity, this often takes the form of new concepts being applied to new experiences in order to create new outputs as compared to situations without sufficient creativity wherein new concepts/ideas are actually made to fit onto old theories which often results in inefficient or ineffective practices (Vogel et al., 2011). In the case of conceptualization, this refers to the ability of a graphics design to create their own unique design based on their own innate talent and perception regarding what a design must look like in order to appeal to the general public (Moszkowicz, 2011). Unfortunately, based on the results of the study, it can be seen that graphics design schools superimpose their own version of proper design elements onto their students thereby crimping that individual’s personal creativity (Moszkowicz, 2011). The impact this revelation has on the current practice of graphics design is that it reveals a severe flaw in the way in which gra phics design students are being taught at the present. Such practices need to be changed in order to help students develop their own unique perspectives and create a certain level of originality in graphics design work (Poynor, 2001). It is only when this is accomplished that the sheer level of repetition seen in many of today’s designs can be avoided. Motivational The motivational aspect of the creative process is related to an individual’s drive towards a particular type of project, assignment, job or piece of work that they are currently working on. The desire to design, create and enhance in this particular case is not due to external influences but rather as a direct result of an internal desire which manifests itself as an aspect of the creative process. What must be understood is that creativity is not something that can be forced, rather, it is an internal process that develops as a direct result of the desire of a person to develop or enhance something they ar e working on (Shapiro, 2004). Thus, the motivational aspect of creativity is one of the most important elements since it acts as the spark which lights the fire of creativity in the first place. When it comes to the concept of understanding a particular audience, the motivational aspect of the creative process needs to be taken into consideration. The reason behind this is quite simple; designers that are motivated in learning about a particular audience are more likely to create work that is in line with appeals to that particular market segment. As such, this impact on current practices reveals the necessity of individual designers developing their own motivational methods in order Recommendations Based on the results of the study, it is recommended that graphics design schools adjust their curriculums to accommodate lessons that encompass not only the graphical aspect of graphics design but the creative aspect as well. This involves lessons that focus on enabling students to unde rstand what it means to proficiently develop graphical designs that correctly target the consumer demographics that they are meant to target. Conclusion Based on what has been presented in this paper so far, it can be stated that creativity is an essential part of the learning process due to the way in which it examines and tries to improve upon knowledge that has already been internalized. Reference List Behrens, R. R. (1998). Improvise! Improvise!. Print, 52(1), 26. Boutelle, M. (2000). Graphic design touches everything we do, everything we buy, and everything we see. Enterprise/Salt Lake City, 30(22), 4. Clark, B. (2008). Inspired. Design Week, 23(31), 10. De Miranda, P. C., Aranha, J. S., Zardo, J. (2009). Creativity: people, environment and culture, the key elements in its understanding and interpretation. Science   Public Policy (SPP), 36(7), 523-535. Moszkowicz, J. (2011). Gestalt and Graphic Design: An Exploration of the Humanistic and Therapeutic Effects of Visual Organi zation. Design Issues, 27(4), 56-67. Vogel, T., Villegas, J., Barry, I., Hurni, R., Ortega, T., Griffin, G. (2011). Creativity as a strategic resource. American Academy Of Advertising Conference Proceedings, 132-133. Poynor, R. (2001). Nay Say. Print, 55(3), 40B. Shapiro, E. (2004). Design Schools 101. Print, 58(2), 41. Shlyk, V. A. (2007). Fractal Graphic Designer Anton Stankowski. Leonardo, 40(4), 382-387. Small space, big ideas. (2006). Australian House Garden, (5), 78. Staresinic, D. (2009). Collaboration modernized. Packaging Digest, 46(10), 51-53. Steven, H. (2007). VISUALS; Words Into Type. New York Times Book Review, 18. This thesis on The Most Challenging Aspects of Graphics Design was written and submitted by user Hepz1bah to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Definition and Examples of Nominalization in Grammar

Definition and Examples of Nominalization in Grammar In English grammar, nominalization is a type of word formation in which a verb or an adjective (or another part  of speech) is used as (or transformed into) a noun. The verb form is nominalize. It is also called nouning. In transformational grammar, nominalization refers to the derivation of a noun phrase from an underlying clause. In this sense, an example of nominalization is the destruction of the city, where the noun destruction corresponds to the main verb of a clause and the city to its object (Geoffrey Leech, A Glossary of English Grammar,  2006). Examples and Observations English is truly impressive . . . in the way it lets you construct nouns from verbs, adjectives, and other nouns; blogger and blogosphere are examples. All you have to do is add one of an assortment of suffixes: -acy (democracy), -age (patronage), -al (refusal), -ama (panorama), -ana (Americana), -ance (variance), -ant (deodorant), -dom (freedom), -edge (knowledge), -ee (lessee), -eer (engineer), -er (painter), -ery (slavery), -ese (Lebanese), -ess (laundress), -ette (launderette), -fest (lovefest), -ful (basketful), -hood (motherhood), -iac (maniac), -ian (Italian), -ie or -y (foodie, smoothy), -ion (tension, operation), -ism (progressivism), -ist (idealist), -ite (Israelite), -itude (decripitude), -ity (stupidity), -ium (tedium), -let (leaflet), -ling (earthling), -man or -woman (Frenchman), -mania (Beatlemania), -ment (government), -ness (happiness), -o (weirdo), -or (vendor), -ship (stewardship), -th (length), and -tude (gratitude). . . . At the present moment, everybody seems to be going a bit nuts with noun creation. Journalists and bloggers seem to believe that a sign of being ironic and hip is to coin nouns with such suffixes as -fest (Google baconfest and behold what you find), -athon, -head (Deadhead, Parrothead, gearhead), -oid, -orama, and -palooza. (Ben Yagoda, When You Catch an Adjective, Kill It. Broadway, 2007) Nominalization in Scientific and Technical Writing The forces which operate to encourage nominalization are understandable. Dealing continually in concepts, scientific and technical writers tend to isolate activities such as experimenting, measuring, and analysing as abstract conceptual units in their minds. They are also pushed towards passive constructions, both by tradition and by their own desire to step aside and allow their work to speak for itself. These forces produce characteristic constructions such as: A similar experiment was carried out using the material . . .Sigma preparation was carried out as described . . . So common has carried out become as a general purpose verb that it is a recognized marker of scientific reporting, and television news bulletins commonly adopt the construction when reporting scientific work. . . .Once recognized, nominalization is easy to correct. Whenever you see general-purpose verbs such as carry out, perform, undertake, or conduct look for the word which names the action. Turning the name of the activity back into a verb (preferably active) will undo the nominalization, and make the sentence more direct and easier to read.(Christopher Turk and Alfred John Kirkman, Effective Writing: Improving Scientific, Technical, and Business Communication, 2nd ed. Chapman Hall, 1989) The Dark Side of Nominalization It’s not just that nominalization can sap the vitality of one’s speech or prose; it can also eliminate context and mask any sense of agency. Furthermore, it can make something that is nebulous or fuzzy seem stable, mechanical and precisely defined. . . .Nominalizations give priority to actions rather than to the people responsible for them. Sometimes this is apt, perhaps because we don’t know who is responsible or because responsibility isn’t relevant. But often they conceal power relationships and reduce our sense of what’s truly involved in a transaction. As such, they are an instrument of manipulation, in politics and in business. They emphasize products and results, rather than the processes by which products and results are achieved. (Henry Hitchings, The Dark Side of Verbs-as-Nouns. The New York Times, April 5, 2013) Types of Nominalization Nominalization types differ according to the level of organization at which the nominalization takes place (see also Langacker 1991). . . . [T]hree types of nominalizations can be distinguished: nominalizations at the level of the word (e.g. teacher, Sams washing of the windows), nominalizations which nominalize a structure that lies in between a verb and a full clause (e.g. Sams washing the windows) and, finally, nominalizations consisting of full clauses (e.g. that Sam washed the windows). The latter two types deviate from the normal rank scale of units in that they represent nominals or phrases which consist of clausal or clause-like structures. They have therefore been regarded as problematic, and it has even be claimed that that-structures are not nominalizations (e.g., Dik 1997; McGregor 1997). (Liesbet Heyvaert, A Cognitive-Functional Approach to Nominalization in English. Mouton de Gruyter, 2003) Nominalizations properly refer to third-order entities, e.g. Cooking involves irreversible chemical changes, in which cooking refers to the process as a generic type, abstracted from a particular token instance at a specific time. A second kind of nominalization involves reference to second-order entities. Here reference is to particular countable tokens of processes, e.g. The cooking took five hours. The third kind of nominalization has been called improper (Vendler 1968). This refers to first-order entities, things with physical substance and often extended in space, e.g. I like Johns cooking, which refers to the food which results from the cooking, (the RESULT OF ACTION AS ACTION metonymy). (Andrew Goatly, Washing the Brain: Metaphor and Hidden Ideology. John Benjamins, 2007)

2 Most Common Luxury Hotel Grammar Errors

2 Most Common Luxury Hotel Grammar Errors In July I wrote an article about phrasal verbs in response to a card in my hotel room that referred to an option to â€Å"workout† (one word – improper) instead of â€Å"work out† (2 words – proper) in the comfort of your own room. Since then I have discovered that the Hilton Garden Inn is not the only hotel to make this error.   While considering a possible stay at the Hyatt Regency in Baltimore, I found this sentence: â€Å"For those who choose to workout in the privacy of their spacious guestroom, we offer YogaAwayTM.† The Hyatt’s advertising team made the exact same error as the Hilton’s.   Coincidence? Hotel Helter Skelter Here’s a strange thing:   Just for fun, I Googled â€Å"Hyatt workout† and discovered that the Hyatt is not consistent across its websites.   The Sarasota Hyatt Regency offers: â€Å"If you choose to work out in the privacy of your own hotel room or suite at Hyatt Regency Sarasota, we offer YogaAwayâ„ ¢.† Sarasota got it right! I wonder who is responsible for this mismatched spelling?   Why is Hyatt messaging not consistent between Baltimore and Sarasota?   I’ve always thought the draw of a hotel chain is the reassurance that you will get the same consistent service no matter where in the world you go.   The discrepancies on the Hyatt’s websites make me think perhaps their other amenities are not consistent either. More then [sic] words†¦ In the meantime, I have ventured on to yet another institution of hospitality:   a Marriott resort in Palm Desert, California.   Marriott evidently cares about energy conservation and therefore put out the following request: â€Å"In an effort to conserve water and energy, would you please consider using your towel more then once.† I don’t know about you, but my grammar checker even caught this one!   The correct statement would have been: â€Å"In an effort to conserve water and energy, would you please consider using your towel more than once.† There are some other grammatical issues with this sentence, but I’ll let them be for now.   Do you see the other issue here?   If you do, please share in the comments. I recall seeing a similar message in another hotel †¦ I’m not sure which one, but I believe the word â€Å"than† was properly used or I probably would have blogged about it. Wouldn’t it be nice if hotels could all get their grammar as straight and smooth as their bed sheets? Judging a book by its blunders? And by the way, even though this Marriott is a resort-level establishment, a level â€Å"6† which is pretty high in the Marriott pecking order, the round piece on the top of my bathroom sink drain was detached when I got to the room, and there was a stray peanut hiding under my very expensive flat screen TV.   Maybe grammar blunders really are an indication of deeper quality and performance issues? What do you think?   Have you found a hotel grammar blunder of late?   What would you suggest to these institutions that would keep them consistent and grammatically correct?   And how much do you judge a service provider based on the consistency and correctness of its message? Category:Grammar Writing TipsBy Brenda BernsteinDecember 12, 2011 5 Comments Stephanie Clark says: December 13, 2011 at 7:46 am Seems to me that this hotel is asking a question and forgot to reinforce that with the appropriate punctuation: a question mark! Your blog, Brenda, echoes my main bug-a-boo, which is that too many think they write well, and too few value good composition. Its true, too, as youve pointed out, that once weve discovered this inattention to detail and lack of sophistication in the writing, our brains begin to make leaps to other possible inconsistencies! Log in to Reply The Essay Expert says: December 15, 2011 at 1:33 am Thanks Stephanie. What boggles my mind is how there can be such inconsistencies between institutions that are theoretically branding themselves as the same chain. How does this happen? Log in to Reply Betsy Neidel says: December 13, 2011 at 7:57 am Spelling errors drive me crazy and give me the feeling that quality is substandard, but I am also realizing that formal grammar and spelling seem to be less important THAN they were when I went through school. Log in to Reply Penelope J. says: December 13, 2011 at 4:16 pm Excellent catches, but sadly, examples such as these seem to have become more the norm than the exception. The current tidal wave of grammar and spelling errors in websites, blogs, articles, books, newscasts, advertisements, and public messages is an unfortunate indication of the deteriorating standards of literacy and education in this country. Log in to Reply The Essay Expert says: December 15, 2011 at 1:31 am Thanks for your catch Larry. Note however that I pointed out there were additional issues with the sentence. The punctuation is only one of them, and in actuality the question period at the end of the sentence is not incorrect. Heres the guideline from https://www.whitesmoke.com/question-mark-usage: Using question marks for indicating requests 1. Use a question mark with a mild command or polite request instead of a period that would make the request more demanding. Would you take these reports down to accounting? [Polite request – It would be nice if you do.] Would you take these reports down to accounting. [Directive order – Take these reports]] I believe it could be argued that the statement at hand is more directive than questioning. The opposite could of course also be argued. Do you see the other problem with the sentence? Log in to Reply

Business Ethics Case Study - Chemical company Example | Topics and Well Written Essays - 1750 words

Business Ethics - Chemical company - Case Study Example It characterises Bethany, Boris stone, and the company to represent the case. The plant is new to manufacture lubricants of high standard that could be sold in the most competitive market at the highest price possible. The waste from the production process is to be dumped into the neighbouring river Don. Most of the chemical companies in the vicinity dispose their wastes into that river only. This company has the valid licences from the government authorities for waste disposal in that river. Bethany is very conscious about environment and intelligent enough to read the advanced requirements of maintaining the environment standard. She could note that the permission granted is to release more wastes in the river than anticipated in the past. There was need for introducing additional process in the plant that could reduce the wastes by recycling it and thereby save the river from bearing extra burden. But because the licensing authority had already given the permission the company did not feel the need for this additional cost involvement. The company took opportunity to utilize funds for other essential profit motives. The company, however, was responsible for protecting environment from waste materials and had declared this publicly. Bethany pointed out the need for additional process machinery to her supervisor and sought for his advice to do the needful. Her boss did not advise with positive notes. That created a dilemma for her and therefore some ethical issues arose and identified in the followings. Ethical Issues: "There are two concepts of ethics have also been identified as right, which places an obligation on the individual to act in a certain way; good, which is the value individuals place on things or on human actions" (McEwan, 2001). As an individual Bethany could work for her self interest that is secure her job in the company and earn as much as possible with appreciation and promotion. But eenvironment is a social issue and she is to protect that. Environment is broadly the responsibility of the government. People, society and companies are supposed to co-operate with the government by actively following the rules and regulations framed by the government. Bethany is a professional and employee in the company whose duty is given to oversee the construction of the plant. When Bethany becomes concerned about the environmental problem in the future and approached her boss, the plant supervisor Boris he replies, "It's up to the government agency to protect the river from excess waste, and the company only had to meet the agency's standards" His concept was concentrated to the rule books on company motives and profits. Kant's FIRST principle requires that everyone be treated as a free and equal person. He advocates for treating humanity as an end and not only as means. What Kant means by "treating humanity as an end" is that everyone should treat each human being as a being whose existence as a free rational person should be promoted. What the supervisor has done is to deny this right to Bethany. Bethany must stand out to defend her moral right to do the right thing that promotes common good for all and not to an individual as Kantism stands for. The problem of ethics rises because the government agency has committed a mistake in measuring the standard and the lacuna has been identified by the intelligent and responsible Bethany. As a responsible manager and citizen her duty is to

Cost Estimate and the State Of Work Assignment Example | Topics and Well Written Essays - 1500 words

Cost Estimate and the State Of Work - Assignment Example The IGCE statement is also very important in government reference and file keeping. It is a document when well kept can give the future generation the way the projects were carried and the amount of cash that they utilized for project completion (Federal government, 2009). It is also very important in countrymen taxation and government budget making for the year of the project. It also helps the government in the revenue allocation and in implementation of the governments’ strategic plans (Kinzie, 2010). This will lead to job creation, growth and expansion of the countries industrialization. Therefore a well documented IGCE statement safeguards the government’s properties through internal controls and audit trials for the government’s final project price. Reasons for Confidentiality The reasons why the IGCE should be kept a major secret is because the countries ethics and integrity must be retained and should be above reproach in business dealings with the government (Schwalbe, 2011). This will build the people’s confidentiality in the government hence creating harmony in the country (Federal government, 2009). The contracting officers must go to an agreement with the contracting officer representatives on the confidential financial disclosure report. This report is very crucial in avoiding conflicts between the official duties and the private affiliations. This report is also very vital in curbing away bribery from the public sector.

Knowledge for Nursing Essay Example for Free

Knowledge for Nursing Essay This essay will explore Peplau’s concept of a nurse-patient relationship and how it narrates to the experience I had whilst on placement practice. My aim is to demonstrate my gained understanding of the nursing process, the domains of nursing, the nature of nursing models and their relationship to practice and Peplau’s model of nursing. The reason why the student has chosen this concept is because nursing is an interpersonal process which involves interaction between two or more people with a mutual goal, (George 2003). The essay will start by defining the word concept then describe the incident that I observed in placement practice. The essay will analyze how theories can be used to justify nursing interventions in practice. The conclusion summarises the main points of the essay and reflect on my learning experience. (Meleis 1991) defined concept as â€Å"a label used to describe a phenomenon or a group of phenomena† (McKenna 1997). (McKenna 1997) concludes that concepts are identified when a name is put to a phenomenon. â€Å"Therefore, a concept is a tool and not a real entity – it merely facilitates observation of a real phenomenon,† (McKenna 1997 p8). Chinn and Kramer (2008); Hage (1972); Reynolds (1971) were cited that concepts can be theoretical or tangible. Theoretical concepts are created mentally independent of a particular or interval location, whereas tangible concepts are experienced directly and relate to a specific interval or location (Alligood and Tomey, 2010). â€Å"Nursing is a significant, therapeutic, interpersonal process. It functions co-operatively with other human processes that make health possible for individuals in communities. In specific situations in which a professional health team offers health services, nurses participate in the organisation of conditions that facilitate natural on going tendencies in human organisations. Nursing is an educative instrument, a maturing force that aims to promote forward movement of personality in the direction of creative, constructive, productive, personal, and community living. † (Peplau 1988, p16) Peplau (1952) defined phases in the nurse-patient relationships that overlap and transpire during the relationship interval. George (2002) cited the three phases defined by Peplau are as follows; orientation, identification, working, and termination. Whilst on Placement I had the prospect to put theory into practice with the supervision of my mentor when Mrs. Ahmed aged 85 was admitted into the ward after having had a fall (false name and age due to confidentiality, Nursing and Midwifery Council 2003). During handover it was reported that Mrs. Ahmed was at times unresponsive and seemed uninterested when addressed to by the nurse on duty upon admission, leaving the nurse to rely on the information obtained from the ambulance crew as she was unaccompanied. Upon arrival Mrs. Ahmed had not been able to get up from the stretcher as she was not weight bearing after the fall and appeared to be confused with the new environment. It was hoped that more information would be obtained in the morning when she awoke. Orientation stage My mentor gave me an opportunity to work with Mrs. Ahmed whilst under her supervision and it was obvious that the information we had was not complete. To get further information we went to her bedside which was in a mixed ward were we were introduced to the new patient. The orientation phase is initiated when a health problem occurs thus resulting in a felt â€Å"felt need, and professional assistance is sought. † Peplau (1952, p. 8) Peplau (1952) further states that the nurse and patient meet as two strangers, by clarifying and defining the problem in the orienting stage the patient can direct the accumulated energy from her anxiety about unmet needs and begin working with the presenting problem. The nurse patient rapport is established and continues to be strengthened while concerns are being identified. The nurse assumes a roles as described by Peplau in the overlapping phases of the nurse client relationship. Lebby and Pepper (1998) sees the nurse in the role of a stranger therefore acceptance of the patient as an emotionally able person is required. It is at this early stage I noticed that Mrs. Ahmed was unresponsive and seemed distant when my mentor asked for her consent to be assisted by a trainee nurse under her supervision (Nursing and Midwifery Council Code 2008). After asking her more than once she eventually responded and accepted the request. xxxxx When my mentor spoke to Mrs. Ahmed was clear and slow, and asked closed questions. Ashworth et al (1981) suggest that the quality and quantity of nurse-patient communication in geriatrics is affected by the nurse as well s the patient although some of the traditional attitudes by nurses toward elderly patients posed barriers to communication. Orem (1991) viewed the relationship between a nurse and patient as being complementary and therefore a nurse has to understand the basis of her own behavior. I noticed that the patient had some hearing aids on her bedside and I then considered that she might be having hearing impairment and was either not keen on using her hearing aids or needed assistance putting them on. I asked her if she was happy putting the hearing aids on her own. She attempted to put them on but seemed unsteady with her hands. I gestured that I could help and she extended them to me. I then helped her to put them on. George (2002) sees the working phase as a time when the patient starts to respond selectively to individuals who can meet their needs. Peplau (1952/1988) identified three types of responses from patients; the patient may participate and be interdependent, or be autonomous and independent from the nurse or be passive and dependent on the nurse (George 2002). Peplau (1952/1988) states the patient utilises the relationship fully by making full use of the nurse (Leddy and Pepper 1998). Peplau (1952) describes six nursing roles within the phases of the nurse patient relationship which are; stranger, resource person, teacher, leader, surrogate and counseling. She further described four psychobiological experiences, in her book which are; needs, frustration, conflict and anxiety. Peplau (1952) saw these experiences as energy providers transforming into action and provides a basis for goal formation and nursing interventions. Mrs. Ahmed showed she was becoming more relaxed and became more trusting and cooperative. Arnold and Underman Boggs (1999) suggested that the dynamic nursing approach Peplau advocated is not that of passive observer but participant observers, nurses actively engaging with their clients. I initiated further verbal dialogue and realised that although she could hear me she was struggling to understand what I was saying to her. Her replies where brief and at times not relevant to the questions posed. It became obvious that since English was not her first language she was struggling to understand me and her conversational English skills were basic. I then slowed my rate of speech and emphasised with gestures where appropriate. That way she seemed to comprehend what I was saying better. Forchuk (1993) mentions two types of communication, verbal and non-verbal communication, verbal communication conveyed by words and non-verbal communication conveyed through empathic links, postures, gestures, and patterns (Forchuck 1993). Peplau (1952/1988) considers the use of verbal communication to be an essential component of the nurse-client relationship (Forchuk 1993). The general principle is that anything clients act out with nurses will most probably not be talked about, and that which is not discussed cannot be understood. † Peplau (1989a p. 197). Forchuk (1993) suggest that discussing issues and concerns presents the patient an option to work them out. Thus nursing knowledge enables nurses to justify actions or stop unsafe or poor practices (Nursing and Midwifery 2003, The Code). Mrs. Ahmed was reluctant to have me assist her with personal hygiene although it was obvious that she needed it and it was also documented in her notes that she was not independent in this respect. She said something about being used to doing things for herself and how it was expected in her culture to clean one’s own body, she then suggested to wash herself and would ask for help when in difficulty. After washing herself, I took the opportunity of getting more information about Mrs. Ahmed, her family and health Data collection is constant throughout Peplau’s phases. George (2002) state that in the nursing process, primary collection of data is the nursing assessment, and further collection of data becomes an integral part of reassessment. The need for Mrs. Ahmed ‘s relations to be present compliments George (2002) statement that the nurse, patient and relatives need to work together in order to simplify and explain the problem at hand. Peplau (1995) discusses the need for the nurse to not only support but health educate the patient’s relations thus decreasing the tension and anxiety connected with the felt need and fear of the unknown thus the avoidance of future problems arising from unresolved significant events(George 2002). Peplau (1952/1988) states the importance of clarity on both parties in the relationship as their past experiences will influence their expectations in this progression. I also made her aware of her condition and situation whilst being conscious not to give advice, but rather asking her questions which we needed answers for, to help resolve her care needs. Peplau (1988) stated that the exploitation phase is where the nurse assists the patient to seek out other health care services and personal strengths in resolving the issues for which the client initially sought treatment. She thanked me for having explained everything she needed to know and for my patience during my interaction with her on that day. Peplau (1952/1988) saw the termination phase as a liberating process wherein the client’s wishes for psychological dependency and maintaining relationships have been worked through to support the ability to mutually end the relationship with the nurse (Leddy and Pepper 1998). Peplau views this phase as problematic for nurses as the progression of letting go is focused upon (Simpson1991).

Banquo, the Hero of Shakespeares Macbeth :: Macbeth essays

Banquo, the Hero of Macbeth      Ã‚   Shakespeare's tragedy Macbeth is not able to inspire the reader with the characters of the Macbeths. But it is able to give good example with the character of Banquo, who, as most heroes, dies an early death.    In his book, On the Design of Shakespearean Tragedy, H. S. Wilson says that the ghost of murdered Banquo has the greatest emotional impact on Macbeth of any adverse experience:    He is confident enough, even after the commission of the crime, to put his faith in the Senecan maxim, per scelera semper sceleribus tutum est iter, "Things bad begun make strong themselves by ill." After he has been shaken by the appearance of the ghost of Banquo, he reflects,    For mine own good All causes must give way. I am in blood Stepp'd in so far that, should I wade no more, Returning were as tedious as go o'er;    and this is as near as he ever comes to repentance. (71)    Fanny Kemble in "Lady Macbeth" contests the opinion that the ghost of Banquo is seen at the same time by Lady Macbeth:      Taking the view I do of Lay Macbeth's character, I cannot accept the idea (held, I believe, by her great representative, Mrs. Siddons) that in the banquet scene the ghost of Banquo, which appears to Macbeth, is seen at the same time by his wife, but that, in consequence of her greater command over herself, she not only exhibits no sign of perceiving the apparition, but can, with its hideous form and gesture within a few fee of her, rail at Macbeth in that language of scathing irony . . . (117)    Clark and Wright in their Introduction to The Complete Works of William Shakespeare comment that Banquo is a force of good in the play, set in opposition to Macbeth:    Banquo, the loyal soldier, praying for restraint against evil thoughts which enter his mind as they had entered Macbeth's, but which work no evil there, is set over against Macbeth, as virtue is set over against disloyalty.   (792)    In Fools of Time: Studies in Shakespearean Tragedy, Northrop Frye explains the rationale behind Banquo's ghost in this play:    Except for the episode of Hercules leaving Antony, where mysterious music is heard again, there is nothing really supernatural in Shakespeare's tragedies that is not connected with the murder of the order-figures. Banquo, the Hero of Shakespeare's Macbeth :: Macbeth essays Banquo, the Hero of Macbeth      Ã‚   Shakespeare's tragedy Macbeth is not able to inspire the reader with the characters of the Macbeths. But it is able to give good example with the character of Banquo, who, as most heroes, dies an early death.    In his book, On the Design of Shakespearean Tragedy, H. S. Wilson says that the ghost of murdered Banquo has the greatest emotional impact on Macbeth of any adverse experience:    He is confident enough, even after the commission of the crime, to put his faith in the Senecan maxim, per scelera semper sceleribus tutum est iter, "Things bad begun make strong themselves by ill." After he has been shaken by the appearance of the ghost of Banquo, he reflects,    For mine own good All causes must give way. I am in blood Stepp'd in so far that, should I wade no more, Returning were as tedious as go o'er;    and this is as near as he ever comes to repentance. (71)    Fanny Kemble in "Lady Macbeth" contests the opinion that the ghost of Banquo is seen at the same time by Lady Macbeth:      Taking the view I do of Lay Macbeth's character, I cannot accept the idea (held, I believe, by her great representative, Mrs. Siddons) that in the banquet scene the ghost of Banquo, which appears to Macbeth, is seen at the same time by his wife, but that, in consequence of her greater command over herself, she not only exhibits no sign of perceiving the apparition, but can, with its hideous form and gesture within a few fee of her, rail at Macbeth in that language of scathing irony . . . (117)    Clark and Wright in their Introduction to The Complete Works of William Shakespeare comment that Banquo is a force of good in the play, set in opposition to Macbeth:    Banquo, the loyal soldier, praying for restraint against evil thoughts which enter his mind as they had entered Macbeth's, but which work no evil there, is set over against Macbeth, as virtue is set over against disloyalty.   (792)    In Fools of Time: Studies in Shakespearean Tragedy, Northrop Frye explains the rationale behind Banquo's ghost in this play:    Except for the episode of Hercules leaving Antony, where mysterious music is heard again, there is nothing really supernatural in Shakespeare's tragedies that is not connected with the murder of the order-figures.

Best Buy Market Segmentation

Best Buy Canada Ltd is a fully owned subsidiary of Best Buy Co. Inc with its headquarter in Burnaby, BC. Best Buy Co. Inc acquired the Canada-based electronics-chain Future Shop Inc in 2001. The company opened its first Canadian Best Buy store in Mississauga, Ontario the following year. 1 Today, with more than 51 stores across Canada, Best Buy Canada has become the fastest growing and the largest retailers and e-tailers of consumer electronics, entertainment products, accessories and services in Canada. 2 There are many reasons to which we chose Best Buy Canada as our research subject. First of all, it is a very well known retailer and can be easily related to. Secondly, the company fits well in our research structure and many of the concepts in marketing applies to Best Buy Canada as well. Lastly, we believe Best Buy Canada is largely an ethical and socially responsible company that has brought positive impact throughout our community. Best Buy Canada’s mission statement and objective is â€Å"To improve people's lives by making technology and entertainment products affordable and easy to use†. The four core values of the company are â€Å"Having fun while being the best†, â€Å"Learning from challenge and change†, â€Å"Showing respect, humility and integrity† and â€Å"Unleashing the power of our people† 4 In addition to being the biggest retailer of consumer electronics like big screen TVs, computers, cameras and entertainment products i n Canada, Best Buy Canada also has many exclusive brands such as Insignia, Dynex and RocketFish etc . covering a wide range of electronic products and accessories. Geek Squad – a 24 hour computer repair and tech support taskforce, enables Best Buy to offer its customers convenient installation and repair services. Since Best Buy Canada itself does not produce any real products, we are interested in the way Best Buy runs its retail business in the consumer electronics market. We are also interest in how Best Buy Canada attracts different groups of people with different needs and analyze its marketing strategy for staying competitive in the market.

Notes about officer’s Essay

You are the first officer at the scene of an outdoor assault. You find the victim bleeding but conscious, with two of the victim’s friends and several onlookers standing nearby. You call for backup and quickly glance around but see no one fleeing the scene. Describe the steps you would take while you wait for backup to arrive. What kind of search pattern(s) would investigators be most likely to employ in each of the following situations: Two people searching a small area with well-defined boundaries Several people searching a large area  A single person searching a large area Officer Bill Walter arrives at the scene of an apparent murder: a body bearing several gunshot wounds lies on the floor of a small, unair-conditioned house in late July. A pungent odor almost overwhelms him when he enters the house, so he opens a window to allow him to breathe so he can investigate the scene. While airing out the house, he secures the scene and interviews bystanders. When he inspects the scene, he discovers very little blood in the room and little evidence of a struggle. What mistake did Officer Walter make in his investigation? What conclusion did he draw about the scene from his observations? Officer Martin Guajardo is the first responder at an apparent homicide scene. After securing the area, interviewing the sole witness, and calling for backup, he begins to search for evidence. He makes note of a bloody knife lying next to the body, with a small scrap of bloody cloth clinging precariously to the knife. Because it is a very windy day, Officer Guajardo removes the scrap of fabric and seals it in a plastic bag. A few moments later, a crime-scene team, including a photographer, arrives to take over  the investigation. What mistakes, if any, did Officer Guajardo make before the crime-scene team arrived? During his search of a homicide scene, investigator David Gurney collects evidence that includes a bloody shirt. After the crime-scene team has completely processed the scene, Investigator Gurney packages the shirt in a paper bag, seals the bag, and labels it to indicate the contents. He then delivers the shirt to the laboratory with an evidence submission form. There, a forensic scientist breaks the seal, removes the shirt, and performs a series of tests on it. He replaces the shirt, discards the old seal, and places a new seal on the package containing his initials and the date on which it was resealed. What mistakes, if any, were made in handling the shirt? What important elements are missing from the following crime-scene sketch?

The Donation of Constantine

The Donation of Constantine The Donation of Constantine  (Donatio Constantini, or sometimes just Donatio) is one of the best-known forgeries in European history. It is a medieval document which pretends to have been written in the early fourth century, giving large areas of land and related political power, as well as religious authority, to Pope Sylvester I (in power from 314 – 335 CE) and his successors. It had a little immediate impact after being written but grew to be heavily influential as time went on.​​ Origins of the Donation We’re not certain who faked the Donation, but it seems to have been written circa 750-800 CE in Latin. It might be connected to the coronation of Pippin the Short in 754 CE, or the grand imperial coronation of Charlemagne in 800 CE, but could easily have been to aid Papal attempts to challenge Byzantium’s spiritual and secular interests in Italy. One of the more popular views has the Donation being created in the mid-eighth century at the behest of Pope Stephen II, in order to aid his negotiations with Pepin. The idea was that the Pope approved the transfer of the great central European crown from the Merovingian dynasty to the Carolingians, and in return, Pepin would not just give the Papacy the rights to Italian lands, but would actually ‘restore’ what had been given long before by Constantine. It appears that the rumor of a Donation or something similar had been traveling around the relevant parts of Europe since the sixth century and that whoever create d it was producing something people expected to exist. Contents of the Donation The Donation begins with a narrative: Sylvester I was supposed to have cured Roman Emperor Constantine of leprosy before the latter gave his support to Rome and the Pope as the heart of the church. It then moves into the granting of rights, a ‘donation’ to the church: the Pope is made the supreme religious ruler of many great capitals- including the newly expanded Constantinople- and given control of all the lands given to the church throughout Constantine’s empire. The Pope is also given the Imperial Palace in Rome and the western empire, and the ability to appoint all kings and emperors ruling there. What this meant, if it had been true, was that the Papacy had the legal right to rule a large area of Italy in a secular fashion, which it did during the medieval period. History of the Donation Despite containing such a massive benefit to the papacy, the document appears to have been forgotten in the ninth and tenth centuries, when struggles between Rome and Constantinople raged over who was superior, and when the Donation would have been useful. It wasn’t until Leo IX in the mid-eleventh century that the Donation was quoted as evidence, and from then on it became a common weapon in the struggle between the church and secular rulers to carve up power. Its legitimacy was rarely questioned, although there were dissenting voices. The Renaissance Destroys the Donation In 1440 a Renaissance Humanist called Valla published a work which broke the Donation down and examined it: the ‘Discourse on the Forgery of the Alleged Donation of Constantine. Valla applied the textual criticism and interest in history and classics which grew so prominent in the Renaissance to show, among many criticisms and in an attacking style we might not consider academic these days, that the Donation was not written in the fourth century. Once Valla had published his proof, the Donation was increasingly seen as a forgery, and the church couldn’t rely on it. Valla’s attack on the Donation helped promote humanist study and in a small way helped lead to the Reformation.

Marketing Project Example

Marketing Project Example Marketing Project Example The marketing project example is the type of creative work aimed to successfully advertise products or services. Â  In the modern world, the trend of preferring local producers of all the possible goods is becoming more popular every year. People tend to believe that a local producer would have the best quality of grocery or other goods just because they are produced in the area around consumers. That is why, the marketing project example is going to describe the campaign designed for the local company. To start the local company, an entrepreneur should do a huge amount of work. An essential step is to conduct a marketing campaign about the product of the future company to find out the market size, possible revenue, and volume of sales. The company, which would be the scope of the research is the new grocery store with one hundred percent natural, GMO and pesticides free products. The first step of each marketing campaign is setting the goal of it. It sounds slightly easy but each purpose of sales or marketing should have different campaigns, which use different tools and methods to operate it. In the case of launching a new local grocery brand, the marketing campaign should answer the questions about intended volume of sales, market size, and expectations about profit. The deadline for this marketing project completion is three months, which is enough to conduct an extensive research and analyze the obtained results. The success of the marketing project and its level of confidence mainly depends on the methods of marketing research, which were to create this project. It means that methodology should be chosen very carefully. In the case of a new grocery store, it was decided to choose an effective mix of methods, which would provide both scientific and ‘field’ data. Firstly, focus-group method would be applied. It would help to get the scientific social information about the intended consumers of this area and to assess the prospects of the new store. The second method would be the observation of the real grocery events during two months. It would provide the marketing specialists with the most relevant information, which is gathered ‘on the field’. The reason of choosing those two methods is because they support each other. One is very credible with small groups, but still is a sociological one, which means that it could have irrelevant data because of the focus-group size. Another method is not so exact, but it provides a general idea about the market and prospects of the new brand. After two months, the research specialists could start working with gathered information to organize it into the proper marketing project summary. The obtained information was gathered by fifty focus groups; each consisted of fifteen people with a different demographic background. Furthermore, the analysis of eleven events from the intended market, for instance, weekend grocery markets or thematic events of this industry have also given some relevant info. The marketing specialists made an excellent job to analyze the obtained data, using the last version of STATISTICS software. The marketing project is credible and relevant, which is shown by the 95 percent confidence of the obtained data. References Hall, R. (2009). Brilliant marketing. Harlow, England: Pearson Prentice Hall. Kerin, R., Hartley, S., Rudelius, W. (2009). Marketing. Boston: McGraw-Hill/Irwin. Peck, D. (2011). Think before you engage. Indianapolis, IN: John Wiley Sons. Treadaway, C. Smith, M. (2010). Facebook marketing. Indianapolis: Wiley Pub.

What is the real happiness in a family Essay Example | Topics and Well Written Essays - 1500 words

What is the real happiness in a family - Essay Example Richard Bausch’s story, â€Å"Aren’t you happy for me?† in all its simplicity gives the reader an insight into a much more complex scenario depicted by observing a incident in the life of a ordinary family. In this story the more that is revealed, the more complex the situation that the father is immersed in becomes until ultimately he realizes the gravity of a situation he had underestimated; the distance that had become undeniable in his marriage and what a difficult path his daughter had taken. A key element of the story that is used by the author is that of revelation. It is used with gravity and artfully timed in the way it deepens not only the story but the characters as well. It further thickens the plot and depicts to the reader the importance of revelation and how the transformation the characters undergo with it as they are portrayed in light of their exquisite humanness. It is this very quality which makes them heroic and at the same time flawed. The story revolves around a phone call between a father and daughter as the predicament that the daughter is in slowly unwinds as the father discovers she is pregnant and about to marry a 63 year old man who was also her professor. As he internalizes and processes the situation his daughter reveals which in all its complicated nature seems to be a reason for joy for her, greatly disturbs the father as he categorizes the predicament as severely grave; a cherry on top of the problems his life already was in. "Outside the window, his wife, with no notion of what she was about to be hit with, looked through the patterns of shade in the blinds and, seeing him, waved. It was friendly, and even so, all their difficulty was in it." (p.87) Bausch’s style is highly effective in the way that he builds on to the sense of dismay and connects to the reader, as his daughter relays to him the string of bad news. "Honey, this is a joke, right? You're playing a joke on me." (p.89.) Furthermore the reader can clearly emphasize for Ballinger as the news is spun on him with the naive child like expectation to not react to news that was clearly startling for any parent. "You're going to react, then. I wish you could just promise me you wouldn't." (p.88). Bausch’s focus on the situation at hand and not the use of external factors to highlight the internal emotional and mental state of the characters is one of the major strengths of his narration. He brings forth a very relatable scenario that portrays the internal battle between the sexes, generations and family dynamics. The volatile reaction of the father and his uncontrollable bursts of anger lead us to imagine if it was this particular trait of his that had caused rifts in his until now happy and prosperous marriage. "That's not the point. The point is that you, sir, are not much more than a goddam statutory rapist. That's the point." (p.90). It also shows how adept the author is in casting inadequate male character s; a husband whose marriage if failing and a 63 year old professor who has impregnated and is now marrying his much younger student. There are two main focuses of Bausch’s story; one that revolves around a marriage and family starting and the other on a marriage ending. "The truth was that he had news of his own to tell. Almost a week ago he and Mary had agreed on a separation. Some time for both of them to sort things out." (p. 86) One cannot help but wonder if the fury

Boots-PLC Financial Report Case Study Example | Topics and Well Written Essays - 2000 words

Boots-PLC Financial Report - Case Study Example 53). The net profit was 501.7 m in 2005 and 550.1 m in 2004 (Boots Group PLC Annual Report 2005, p. 46). The net profit margin has changed from 0.103 (2004) to 0.092 (2005). The following graph supports the information on the changes of group turnover, net profit, and net profit margin throughout the last 5 years. It is important to notice that while the group turnover is increasing (more goods are sold), the net profit are decreasing (non-operating costs are rising), and the profitability of the company is falling. Nevertheless it is high enough in compare with the main competitors: Alliance UniChem had the same net profit margin of 0.022 over two years (Alliance UniChem Key Financial Data, 2005); and J Sainsbury has decreased its net profit margin from 0.031 in 2004 to 0.020 in 2005 (J Sainsbury Financials, 2005). More detailed comparison is available in Appendix 1. Current assets of Boots PLC in 2005 were 1575.8 m, while the current liabilities were 1074.1 m (Boots Group PLC Annual Report 2005, p. 47). Therefore current liquidity ratio for 2005 is 1.47, which means that a company can meet its short-term obligations without serious troubles. The current liquidity ratio for the year 2004 was 1.52, which means the ratio of current assets to current liabilities has decreased - definitely, not a good sign for the company. Looking at the cash flow statement of the Boots PLC one can see that cash inflow from operating activities has significantly decreased from 637.8 m in 2004 to 514.7 m in 2005 (Boots Group PLC Annual Report 2005, p. 48) due to lower operating profit and larger increase in working capital. Still the main cash inflow comes from operating, which is a sign of financial health of a company. Also the company has increased its debt significantly by 668 m (Boots Group PLC Annual Report 2005, p. 64) returning funds to shareholders to make the balance sheet more efficient. Therefore overall closing net debt in 2005 was 594.1 m comparatively to 148.5 m in 2004 (Boots Group PLC Annual Report 2005, p. 48). Long-term debt/equity ratio=long-term debt/shareholders' equity Long-term liabilities of Boots PLC are 588.7 m (Boots Group PLC Annual Report 2005, p. 47). Equity shareholder's funds are equal to 1,609.4 m (Boots Group PLC Annual Report 2005, p. 47). Therefore debt-to-equity ratio is 0.37, which is a low number indicating that a capital structure of a company can be shifted more towards using debt. The high liquidity ratio shows that it is possible to use debt furthermore. 1b. Currently the company's use of retained earnings for financing its operations is low in compare to its use of debt. Nevertheless, high liquidity allows further use debt for financing. The capital structure of Boots PLC is not optimal; the company should take the opportunity of increasing its debt for financing. The other ways of financing operations of Boots PLC can be achieved through the use common or premium stock. 2a. I. 'Dividends

How far can it be argued that German Nazism was just one example of a Essay

How far can it be argued that German Nazism was just one example of a more general European fascism Discuss with particular r - Essay Example Fascism was a common in the early European community, which thrived on the use of hostility against liberal democracy, communism and sociology. While the different forms of fascism in the early European nations differed, they share a number of ideologies some of which validated the German Nazism as one of such. Nazism is an acronym referring to the National Socialism. It was an early political ideology largely practiced in Germany among other regions in the early European community. Despite its widespread practice, the German Nazism was more prominent owing to its radical form of governance and its conspicuous portrayal as a form of fascism movement2. Nazism in Germany evolved progressively from the Pan Germanism a radical political movement that sought to unify Germans under a common identity and shared a common dislike for communism. The movement therefore fought against the spread of communism in the post First World War Germany. It was a radical movement that openly used racism a s a means of unify the people of common interests compelling them to share a common goal and therefore strive for its attainment3. For such reasons and for the strategic management of the German Nazism, the movement therefore portrayed itself not just as a major political movement that resulted in the creation of the modern day Germany but a fascist movement that would use any amount of force for the attainment of its common interest4. The movement used far right racisms against people it did not consider legitimate Germans. The level of racism in Germany was far right implying the highest level of racism in any society5. It allowed for the domination of the society by a race commonly considered superior. The movement sought to defend the national interest through the effective protection of the interests of those it thought legitimate citizens. Those considered inferior therefore faced intense discrimination, which culminated in the mass murder of more than six million Jews in the society, the holocaust. The Nazi Germany led by its radical leader, Adolf Hitler authorized the development of more than four thousand facilities, which it used to hold concentrate, hold and kill the more than six million Jews. Id doing this, the state sponsored murder began by killing children and women an effective mechanism through which it could systematically eliminate an entire race. By eliminating the women and children first, the government ensured that it contained the population increase of the race since it is only through the women and the children that the race could safeguard its future. For the time being, the government permitted the use of the Jews men as slaves in the plantations and other facilities that belonged to the legitimate Germans, the Nazis. The Nazi government used the genocide as a means of consolidating the country’s resources to the Nazis. It was a perfect method of eliminating competition and conflict of interest thereby resulting in a country with common interest. The government termed the mass killings as a solution to the Jews problem6. Apparently, the Jews a religious grouping and therefore an ethnic community, which often opposed the authoritarian Nazi government. It therefore presented a substantial opposition to the effective governance of the country. With a population of more than seven million people, it was a minority group but occupied a sizable piece of land in the country that the government thought best befitted the Nazis7. Additionally, their

Patients With Musculoskeletal Disorders Health And Social Care Essay

Patients With Musculoskeletal Disorders Health And Social Care Essay Jane Doe, a 22-year-old patient with no previous medical history, presents to the emergency department with complaint of low back pain after slipping on a wet floor at work and falling. The patient states that the pain is constant aching and radiates down both legs (sciatica). The MRI shows pulled muscles and ligaments surrounding the L4- L5 area. The emergency physician provides the following discharge orders: Bed rest with bathroom privileges for two days. Apply ice pack to lower back for 20 minutes several times a day for the first 48 hours, and then starting day three and on, apply a heating pad for 20 minutes on and 20 minutes off several times per day for the next several days as needed to relieve pain. Take 400 mg of ibuprofen every six hours and 5 mg cyclobenzaprine (Flexeril) t.i.d. After two days of bed rest, sit in chair three times per day for no more than 20 minutes. Ambulate around home and yard as tolerated, gradually increasing activity. Avoid twisting, bending, or re aching for objects. Avoid lifting anything more than 5 pounds of weight for one week. See physician in one week for further evaluation. Explain the rationale for the administration of ice for 48 hours followed by the application of heat. Explain the rationale for the administration of the ibuprofen and muscle relaxer. What are the expected patient outcomes for the patient in this case study? Case Study 2 John Tuliro, a 32-year-old patient, is admitted to the medical-surgical unit after a gunshot wound of the right lower leg infected with staphylococcus was debrided. The patient is diagnosed with osteomyelitis. The patients right lower leg is warm to touch and edematous, and the patient states that the extremity has a constant pulsating pain that increases with any movement of the leg. The patients sed rate and leukocyte rates are elevated. The physician orders the following for the patient: Admit to medical unit with vital signs every four hours Bed rest Elevate affected leg on pillows above the level of the heart Warm sterile saline soaks for 20 minutes t.i.d. with wet-to-dry dressing change Levofloxacin (Levaquin) 750 mg IVPB every day Renal profile, CBC with differential in A.M. Regular diet with high-protein supplement shakes Vitamin C 250 mg po b.i.d. Meperidine (Demerol) 100 mg po every four hours Docusate sodium (Colace) 100 mg b.i.d. The patient asks the nurse why he has to stay in bed. The nurse should provide what rationale for this measure? What nursing interventions should the nurse provide the patient? (Individual) DISCUSS INDIVIDUAL AND LIFESTYLE RISK FACTORS FOR OSTEOPOROSIS The following are the risk factors of Osteoporosis: Genetics Caucasian or Asian, Female, Family History, Small Frame Predisposes to low bone mass Age Postmenopause, Advanced Age, Low testosterone in men, decreased calcitonin Hormones (estrogen, calcitonin, and testosterone) inhibit bone loss Nutrition Low Calcium Intake, Low Vitamin D Intake, High Phosphate Intake, Inadequate Calories Reduces nutrients needed for bone remodeling Physical Exercise Sedentary, Lack of Weight Bearing Exercises, Low Weight and Body Mass Index Bones needs stress for bone maintenance Lifestyle Choices Caffeine, Alcohol, Smoking, Lack of exposure to Sunlight Reduces osteogenesis in bone remodeling Medications Cortocosteroids, antiseizure medications, heparin, thyroid hormone affects calcium absorption and metabolism Comorbidity Anorexia Nervosa, Hyperthyroidism, Malabsorption Syndrome. Renal Failure Affects calcium absorption and metablosim Hormonal variations are one of the reasons for gender differences when it comes to the development of osteoporosis. In women, estrogen has a role in relation to osteoporosis, while testosterone, estrogen and other hormones in men also relate to this. Also, menopausal period in women accounts for osteoporosis, low endogenous estrogen levels increases the risk. Lifestyle factors such as smoking, drinking alcohol and sedentary activities, also increases the risk for osteoporosis. Nutritional factors that increase the risk, includes the following: daily intake that is less than 1000 1500 mg of calcium and 400 600 International units of Vit. D. Eating high protein diet, drinking caffeine, sodium and phosphorus has negative effect on calcium balance in the body, therefore, increasing risk for osteoporosis. There are certain medications that can affect bone remodeling, and increase risk for secondary osteoporosis. DISCUSS THE DIFFERENCES IN MEDICAL MANAGEMENT FOR PRIMARY BONE TUMORS VERSUS METASTATIC BONE DISEASE. Primary bone tumors goal of treatment is to destroy or remove the tumor. It is accomplished by surgical exersion, radiation therapy if the tumor is radiosensitive, and chemotherapy. Limb-sparing procedures are used to remove the tumor and adjacent tissue. Replacement of the affected tissue is very important. This can be done through the following: customized prosthesis, total joint arthroplasty or bone tissue from the patient (autograft) or from cadaver donor (allograft). Surgical removal of the affected part may require amputation. To prevent metastasis of malignant bone tumor, chemotherapy is started before and continued after surgery, to eradicate micromestatic lesions. Palliative management is the treatment for metastatic bone cancer. Its goal is to relieve pain and discomfort while promoting quality of life. Structural support and stabilization is needed to prevent fracture, as the bone weakens. Prophylactic internal fixation helps strengthen large bones with metastatic lesions. DISCUSS CLINICAL MANIFESTATIONS OF PAGETS DISEASE, AND ITS PHARMACOLOGICAL TREATMENT FOR EACH. Pagets disease are initially asymptomatic. The bones that are commonly involved include the vertebrae, pelvis, cranium, sternum and proximal ends of the long bones. Diagnosis of this disease is made by reports of bone pain or deformity, through X-ray or by detection of elevated serum alkaline phosphate levels found though biochemical testing. The following are the most common complaints of patients who are suffering from Pagets disease such as pain. Skeletal deformity, and change in skin temperature. Joint dysfunction may result from damage to cartilage and osteoarthritis. Bone pain often occurs at night, which is a result of increased pressure on the periosteum or associated hyperemia. Other manifestations that can occur include diminished mobility and unsteady gait. Neurologic complications can also occur which is caused by nerve root compression or nerve entrapment. These structures are adjacent to pagetic bone near a nerve foramen or canal. Common clinical manifestation of Pagets disease is mixed sensorineural and conductive hearing loss. Low back pain can also occur because of vertebral body and facet enlargements, loss of lumbar lordosis, dorsal kyphosis, spinal impingement and altered gait dynamics. The short term objective in treating Pagets disease is to alleviate the associated bone pain, while the long term objective, is to alleviate the progression of the disease. The pharmacologic therapy includes calcitonin, plimamycin, and gallium nitrate, and the biphosphonates. The main goal of this therapy is to control the disease activity, normalize biochemical parameters and to improve the symptoms. LIST REHABILITATION AND HEALTH EDUCATION STRATEGIES USED FOR PATIENT WITH LOW BACK PAIN. A comprehensive rehabilitation should include a careful evaluation for a specific goal and treatments based on best evidence are exercise, cognitive behavioral treatment, health education and others. We should instruct the patient to avoid recurrence of the following: Standing, sitting, lying and lifting properly are necessary for a healthy back. Alternate periods of activity with periods of rest. Avoid prolonged sitting, standing and driving. Change positions and rest at frequent intervals. Avoid assuming tense, cramped positions. Sit in a straight-back chair with the knees slightly higher than the hips. Use footstool if necessary. Flatten the hollow back by sitting with the buttocks tucked under. Pelvic tilt decreases lordosis. Avoid knee and hip extension. When driving a car, have the seat pushed forward as necessary for comfort. Place a cushion in the small of the back for support. When standing for any length of time, rest one foot on a small stool or platform to relieve lumbar lurdosis. Avoid fatigue, which contributes to spasm of back muscles. Use good body mechanics when lifting and moving about. Daily exercise is important in the prevention of back problems. Do prescribed back exercises twice daily strengthens back, leg, and abdominal muscles. Walking outdoors is recommended. Reduce weight if necessary decreases strain on back muscles. IDENTIFY COMMON FOOT DISORDERS. IDENTIFY THE SPECIFIC STRUCTURE INVOLVED. Common Foot Disorders: Plantar Fascitis it is a plantar heel pain, which evolves from the bone (heel spur) or plantar fascia. Mortons Neuroma It is the irritation and degeneration of the digital nerves in the toes that produces a painful mass near the area of metatarsals. Hallux Disorders: Valgus, Rigidus, and Sprains Acute injury to the ligaments and capsule of the MTP joint. Lateral deviation of the first toe greater than the the normal angle of 15 degrees between the tarsus and metatarsus This may lead to a painful prominence of the medical aspect of the MTP joint. Degenerative condition of the first MTP joint leading to pain and stiffness. DISCUSS THE INVOLVEMENT OF VITAMIN D IN THE DEVELOPMENT OF OSTEOMALACIA. IDENTIFY TREATMENT RELATED TO CAUSE. Vitamin D deficiency is the most common cause of osteomalacia. Essential for calcium and phosphorus metabolism is Vitamin D, it is the critical elements in mineralization of the bone. The major source of Vitamin D is synthesis in the skin exposed to sunlight. Dietary modification is needed by eating food rich in Vitamin D, such as fatty fish oils, liver and egg yolks. Vitamin D supplement is also suggested. DEVELOP A PLAN OF CARE FOR AN ASSIGNED PATIENT WITH LOW BACK PAIN. Nursing Intervention for Low Back Pain: Relieving Pain Advise patient to stay active and avoid bed rest, in most cases. Keep pillow between flexed knees while in side-lying position minimizes strain on back muscles Apply heat or ice as prescribed. Administer or teach self-administration of pain medications and muscle relaxant. Promoting Mobility Encourage ROM of all uninvolved muscle groups. Suggest gradual increase in activities and alternating activities with rest in semi-fowlers position. Avoid prolonged periods of sitting, standing, or lying down. Encourage patient to discuss problems that may be contributing to backache. Encourage patient to do prescribed back exercises. Exercise keeps postural muscles strong, helps recondition the back and abdominal musculature, a and serves as an outlet for emotional tension. GIVEN A TEMPLATE, COMPLETE A DISEASE MAP ON A PATIENT WITH CARPAL TUNNEL SYNDROME. Picture1.png COMPLETE A THEORETICAL CASE STUDY ON AN ACTUAL CLINICAL PATIENT WITH OSTEOMYELITIS. http://www.scribd.com/doc/44830270/Osteomyelitis-Case-Study (Web Assignments) USING THE INTERNET, RESEARCH LITERATURE ADDRESSING MANAGEMENT OF OSTEOPOROSIS. IDENTIFY NEW MEDICATIONS ON THE MARKET TO TREAT THIS DISEASE. Links: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC493281/ http://www.webmd.com/osteoporosis/news/20100602/fda-approves-prolia-for-high-risk-osteoporosis As the basic objective of preventing the progress of osteoporosis to a patient is to minimize bone fracture, management of osteoporosis is discussed in this article through many ways varying on the patients level of fracture risk. Prevention in a non medical therapy was described as having good nutrition, healthy lifestyle and fall prevention. Exercise and the aid of vitamin D supplements can actually help in preventing or lessening the risk of osteoporosis. Medical treatment on the other hand comes in many forms; as it is to be administered based on the guidelines for commencing pharmacologic therapy. Medications for osteoporosis management are classified in to two, the antiresorptive agents and anabolic agents, both of which acting as agents to reduce fracture risk. In the next article, a newly approved treatment was released and approved for the management of osteoporosis. Prolia is a biological, lab-induced treatment that is said to have the ability to inactivate the body bones breakdown mechanism. It was approved under specified types of treatments though. It can only be administered to patients of post menopausal stage and has a high risk of bone fracture caused by osteoporosis. Or to patients who already had osteoporosis treatments but had failed. Or lastly, to patients who cant endure other osteoporosis treatments. What this treatment does is to slow down the process of bone breakdown, making the patient less susceptible to bone fracture. In spite of the advantages of the said treatment though, side effects to this treatment also has its downsides. Most common of which is the patients feeling back, muscle, and bone pains. It is through this reason that patients with low levels of calcium were also prevented to use this kind of treatment FIND A REASEARCH ARTICLE COMPARING PRIMARY BONE TUMORS TO METASTATIC BONE TUMORS. SUMMARIZE IN TERMS OF MANAGEMENT. http://www.merckmanuals.com/professional/sec04/ch044/ch044d.html Primary metastatic bone tumors basically differ from its origin. As primary tumor are defined as tumors which have started from the bone itself, metastatic tumors, also known as secondary tumors are defined as tumors which have originated from another parts of the body that had resulted to or affected the bone as well. As primary bone tumors are treated the same as with other tumors found in the other parts of the body. Patients also undergo radiation and chemotherapy as well as surgery. For painful vertebral fracture, Kyphoplasty or vertebraplasty are also considered as options to alleviate pain. Metastatic bone tumors on the other are treated the same as with primary bone tumors though since it has its origin from a different area, treatment are to be considered depending on how it will affect the entire body of the patient or all of which that is with tumor (breast, lung, prostate, etc.)