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.)

European Energy Security Essay -- sustainable energy, coal

The energy sector is one of the columns of growth, competitiveness and development in our modern economy, but just with safe, secure, sustainable and affordable energy, the well-being of the people, industry and economy can be ensure. Moreover, energy-related emissions account for almost 80% of the EUÂ ´s total greenhouse gas emissions which directly contribute to climate change. Therefore, Europe is facing a serious energy security challenge in supporting its demand, at the same time that concerns over environmental sustainability and particularly about the global climate. The question is: how can we secure, produce and consume our energy resources in a sustainable way and ensuring that socio-economic development does not compromise the carrying capacity of natural resources? Hence, the aim of this paper is to present a global vision of the European energy security and its relation with the sustainable development concerning different green perspectives and its social and environmental costs. 2. THE ENERGY MARKET 2.1 EU-27 Energy Consumption In 2011, gross inland consumption (GIC) of primary energy within the EU-27 was 1698 million tonnes of oil equivalent (1). Having the tendency remained relatively unchanged until 2008, GIC considerably decreased in 2009 (1). Much of this change can be attributed to a lower level of economic activity as a result of the financial and economic crisis, rather than a structural shift in the pattern of energy consumption (2). Indeed, in 2010 there was a rebound in the level of GIC of primary energy in most of the Member States with only Greece, Spain, Cyprus, Lithuania and Portugal, possibly reflecting the low level of economic output and consumer confidence in several of these countries. How... ...EA. Energy Security and Climate Policy. Assessing Interactions. Paris : s.n., 2007. 17. Going green & energy security. Molho, Nick. s.l. : The Economist, December 11th 2013. 18. European Council. Presidency Conclusions. Brussels : s.n., 2007. 19. European Commission. Green Paper. Towards a European Strategy for the Security of Energy Supply. Brussels : s.n., 2001. 20. Green Party. Policies for a Sustainable Society. http://policy.greenparty.org.uk/eu. [Online] Autumn 2013. 21. European Commission. Directorate-General for Energy. Report on the Green Paper on Energy. Four Years of European Initiatives. Brussels : s.n., 2005. 22. Rosenthal, E. Europe Turns to Coal Again, Raising Alarms on CLimate. The New York Times. April 23, 2008. 23. European Commission. Directorate-General for Energy. Energy 2020. 2011. 24. Perce et al. Bluepring for a Green Economy. 1989.

Data Protection Act 1998 and Broad Based Hr Essay

Assignment The main purpose of my current job role is the responsibility for processing all aspects of the Company’s payroll from start to finish and providing HR support to the other members of the team to ensure the effective day to day running of the HR function. This includes assisting with the recruitment of new staff and maintaining personnel records relating to employees in compliance with relevant legislation and regulation. To successfully undertake my role a wide range of skills, knowledge and behaviours are required.   The two professional areas Insight Strategy and Solutions and Leading HR are the heart of the profession and are the most important to all HR professionals. Very important is to understand the Company’s HR Strategy. The core of the Company’s HR strategy identifies two broad based HR objectives: Ensure that the talent and abilities of staff are recognised and developed to their full potential Ensure that the individual and collective skills and abilities of staff support the on-going delivery of Company objectives Develop understanding of the Company and use the insights to tailor strategy and solutions to meet organisational needs now and in the future Helping employees understand their role in change, the reason for it and the results that are expected In the design of the annual HR plans all members of the department work collaboratively to ensure the plans are challenging and deliver positive results for the company. As a leading HR it is important to support development plans and programmes. Provide advice confidently based on sound understanding of organisation’s policy and practice. Act as a role model leader, support, develop and measure others across the organisation. Work collaboratively with colleagues to deliver good policy, practice and advice. Employee engagement is important so that all employees have connection with their work, colleagues and to the organisation so that employees are more fulfilled by work and make a greater contribution towards organisational  objectives, therefore particular attention is needed to good leadership and management. To be effective in my role I need to refer to eight behaviours: 1. Curious- to be open to trying ideas reflect, analyse and test them and insight with others, take on board change, implement changes to payroll system and procedures try new ides 2. Decisive Thinker – analyse payroll data to ensure details and facts are correct, complete and consistent; use experience, standard procedure and common sense and knowledge to solve payroll problems while recognising limits of experience and authority within the organisation 3. Skilled influencer – understand how to influence within the culture, governance of performance framework and politics, identifying the key points to communicate on any interaction, selecting the right message and audience 4. Personally credible – improving own experience, knowledge, skills shearing it with colleagues, considering how to add value and ensure expertise is developed, accept and act on feedback on own performance to both criticism and praise 5. Collaborative – passing information promptly, keeping colleagues up to date, support them in their day-to-day work, handle disagreement as they occur, seeking a constructive solution, showing respect for diversity 6. Driven to deliver – identify the steps to achieve agreed tasks, goals and objectives in the immediate or short term, keep track of own progress, keeping deadlines or inform others when targets can’t be met, deliver to expectations and commitment, meeting or exceeding agreed standards 7. Courage to challenge – stand by own proposal in the face of difficult questions, providing supporting evidence, explore the full range of viewpoints, consult others when facing problems, undercover pertinent facts to move a debate forward 8. Role model – consistently act according to organisational and legal principles and agreed processes, deal with personal date and information in a highly professional manner and relevant legislation such as Data Pr otection Act, deliver expectations and promises Experience of processing all aspects of Payroll A good understanding of tax codes, tax and NI rates, thresholds, allowances  and deductions from pay Ability to calculate payroll manually A good understanding of SSP, SMP, SAP and Employment Law Experience of recruitment campaigns A good understanding of HR policies and procedures Ability to maintain confidentiality and ensure data protection principles are adhered to at all times Ability to work on own initiative and deal with difficult and sensitive situations Ability to organise and prioritise workload and to meet agreed deadlines and targets Excellent interpersonal skills

Degree of Operating Leverage

Operating Leverage:Operating Leverage is the term that describes the impact on operating income of a change in the level of output. Brigham says that â€Å"If a high percentage of a firm’s costs are fixed, and hence do not decline when demand decreases, this increases he company’s business risk. This factor is called operating leverage. If a high percentage of a firm’s total costs are fixed, the firm is said to have a high degree of operating leverage. The degree of operating leverage (DOL) is defined as the percentage change in operating income (or EBIT) that results from a given percentage change in sales†¦.In effect, the DOL is an index number which measures the effect of a change in sales [number of units] on operating income, or EBIT.†Autron:Generally, the higher the operating leverage, the more a company's income is affected by fluctuation in sales volume. The higher income vs. sales ratio results from a smaller portion of variable costs, which means the Company does not have to pay as much additional money for each unit produced or sold. The more significant the volume of sales, the more beneficial the investment in fixed costs becomes. Applying this principle the operating leverage of Autron is in a good position and any change in sales volume will not violently affect the income of this company.Ambertech:The position of this company with respect to the Operating Leverage is not advantageous to the company as the ratio is high. It signifies that the fixed costs are at a higher level. This means that any small change in sales volume will adversely affect the profitability of the company.Degree of Financial LeverageCompanyDegree of Financial LeverageFinancial Leverage:‘Financial leverage’ is the term used to describe the impact on returns of a change to the extent to which the firm’s assets are financed with borrowed money. In their 1997 article Buccino and Mckinley define operating leverage as the impa ct of a change in revenue on profit or cash flow. It arises, they say, whenever a firm can increase its revenues without a proportionate increase in operating expenses. Cash allocated to increasing revenue, such as marketing and business development expenditures, are quickly â€Å"consumed by high fixed expenses.†Autron:The degree to which a business is utilizing borrowed money. Companies that are highly leveraged may be at risk of bankruptcy if they are unable to make payments on their debt; they may also be unable to find new lenders in the future. Financial leverage is not always bad, however; it can increase the shareholders return on their investment and often there are tax advantages associated with borrowing. Applying this basic principle, with a low financial leverage, this company is utlising very lower level of borrowed funds. The interest burden on the company will naturally be less and the company is financing its operations from its own sources.Ambertech:As again st the company Autron, this company has high financial leverage which implies that the borrowings are more for this company and the company is running the risk of higher interest payments and meeting their debt commitments on dates.Combined Leverage:A leverage ratio that summarizes the combined effect the degree of operating leverage (DOL), and the degree of financial leverage has on earnings per share (EPS), given a particular change in sales. This ratio can be used to help determine the most optimal level of financial and operating leverage to use in any firm. This ratio can be very useful, as it summarizes the effects of combining both financial and operating leverage, and what effect this combination, or variations of this combination, has on the corporation's earningsAutron:It should be noted that a firm with a relatively high level of combined leverage is seen as  riskier than a firm with less combined leverage, as the  high leverage means more fixed costs to the firm. On the basis of the combined leverage ratio, it can be stated that the company Auton is less riskier as the leverage ratio of – 4.296 is highly advantageous to the firm signifying a lower level of fixed costs and better profitability. As we have seen in the Operating Leverage for this Company, any change in sales volume will result in more profits.Ambertech:In contrast to the company Autron, this company has a higher operating and financial leverage which has resulted in a higher combined leverage. This situation implies that the company’s fixed costs are very high leading to lower profitability. Any change in sales volume will adversely affect the earnings of the company.References:1. Brigham, Eugene F., Fundamentals of Financial Management (1995).2. Buccino, Gerald P. and Kraig S. McKinley, â€Å"The Importance of Operating Leverage in a Turnaround,† Secured Lender (Sept./Oct. 1997), p. 64-68.