A Horror of not Rising Above Mediocrity Essay Example | Topics and Well Written Essays - 500 words

A Horror of not Rising Above Mediocrity - Essay Example However before I delve deeper into the dynamics of this field and why I chose this as my career, I will discuss a little about my wish to enroll in this remarkable institution. New York University - Preston Robert Tisch is one of the most prestigious institutions in the whole country and it would be an honor if I am given the opportunity to continue my education in this esteemed establishment. The center’s location is immensely unique and is found in the hub of global hospitality and tourism industry, which fills me up with the desire to be a part of this amazingly fast-paced culture. My desire to be a part of Preston Robert Tisch is further strengthened by my unshakeable faith in myself, motivation and ample amount of knowledge pertinent to the field, which according to me is the ideal recipe for a successful career. And I can clearly envision my future in this fast-growing industry, which presents a myriad of opportunities and fields for people in its billion Dollar market. My interest in the field was fuelled along the years through academic training in the in the field. My first credential pertinent to the field was my high school certification in Food, Beverage, and tourism. On an academic front, I spent two years in a Law school majoring in Civil Rights. Then a subsequent three-year internship in Boulevard Hotel, Romania was sufficient to help me gain ample amount of familiarity with the profession. In the past few years, I have worked in the capacity of a Public Relations Coordinator in a franchise that was designed to assist the Vice President. Working in the franchise untapped my potential as a leader and helped me to broaden my horizon through performing tasks such as development and execution of integrated marketing and communications plans. My responsibilities involved scheduling, recruitment, coordinating,

National Institute For Health And Clinical Excellence Nursing Essay

National Institute For Health And Clinical Excellence Nursing Essay This essay will critically appraise and evaluate the evidence that underpins Occupational Therapy practice within a hospice setting and specifically an implemented intervention with reference to a case study. Inherent within this will be a critical analysis for the rationale and clinical reasoning behind employing that intervention, including the legislation and political drivers that govern and influence the intervention, the OT practice, and the setting, along with and in relation to the wider context of the service. The case study focussed upon within this essay, surrounds Mrs A (pseudo name used), a lady in her early 60s, diagnosed with an inoperable breast carcinoma with bone metastases. Initially Mrs A had difficulty accepting her deteriorating condition, resulting in her presenting with severe fatigue and loss of occupational identity and engagement in her life-long passion of drawing, despite trialling pharmaceutical treatments. This along with her low mood levels and preferred aim to stay with her family in her home meant she was referred to community palliative care OT (Appendix-slide 4, 5). The World Health Organisation (WHO) (2012) defines palliative care as the physical, psychosocial and spiritual approach that improves quality of life of the patient and their families associated with a life limiting illness. This concept is re-iterated within palliative care policies and a prominent piece of legislation within this specialist field is the End of Life Care Strategy (Great Britain. Department of Health (GB.DoH), 2008). Although published in 2008, it has developed from other integrated publications, such as the National Health Service (NHS) End of Life Care Programme (2007) and is the first national and comprehensive framework aimed at promoting high quality care for all individuals that are approaching end of life. It also provides a basis for health and social care services to build upon and the core concepts of all health professionals duty of care whilst supporting patient and their carers. The philosophy of palliative care differs in focus from the medical model of health care, with its core focus on quality of life and meaningfulness; consequently it fits well alongside OT core principles and paradigms of holistic and patient centred practice (Lucey, 2012; Othero, 2010). Although OT intervention with patients with palliative care needs is not a new concept, there is little evidence that supports this area of practice (American Occupational Therapy Association (AOTA), 2008; Cooper, 2006). However the Improving Outcomes in Breast Cancer document acknowledges the important role and key concerns for OTs, assisting patients in sustaining their independence, autonomy and empowering the maintenance of control over own health decisions (NICE, 2002). Additionally the Route to Success in End of Life Care Achieving Quality for Occupational Therapy (College of Occupational Therapist (COT), 2011) and the National Service Framework for Older People (2001) provides a framework for OTs to work within. These are alongside other ethical and legal principles and professional codes of conduct, such as Code of Ethics and Professional Conduct (COT, 2010) and the Professional Standards for Occupational Therapy Practice (COT, 2007). Intrinsic within the core values of OT, are the concepts of the occupational nature of individuals and that occupation has the capability to influence health, a key area within the care of Mrs A (Turner, Foster and Johnson, 2002). Wilcock (2006) suggested that occupation is a basic human need found across the life span through doing, being, becoming and belonging, and the importance of occupational engagement in palliative care has been found in numerous research studies (Burkhardt et al, 2011; Lyons et al, 2002). Vrkljan and Miller-Polgar (2001) provided evidence for the value of breast cancer patients participating in meaningful occupations in order to enhance wellbeing at the end of life. In accordance to these principles Mrs A is experiencing occupational deprivation due to her inability to engage in drawing, however the age of this study restricts its application to todays contemporary practices. According to Ahlberg et al (2003) cancer-related fatigue (CRF) is the most commonly reported symptom associated with cancer and its treatment, preventing engagement in occupations, usual functioning and infringement on quality of life (Cooper, 2006). Classified as a distressing, subjective and persistent sense of exhaustion or tiredness, fatigue can be experienced during or after treatment by 70%-100% of cancer patients (Stone and Minton, 2008) (Appendix-slide 6). Only recognised as an official diagnosis by the International Classification of Diseases (ICD-10) in 1998, its impacts on everyday occupations are subjective and no two individuals experience the CRF in the same way, making standardised assessments difficult. The impacts of fatigue outreach the individual concerned, increasing duties and responsibilities of carers, friends and family, therefore, it is an imperative OT role to assist, support and educate these individuals in the management of fatigue in a way that is constru ctive to them (Kealey and McIntryre, 2005). These are evident points within the case of Mrs A as she felt she had lost ability to engage in her artistic passion (La Cour et al, 2007; Townsend and Polatajko, 2007). Alongside policies and legislation, the application of the compensatory frame of reference and the Model of Human Occupation (MOHO) informs and directs OT practice (Turpin and Iwama, 2011; Kielhofner, 2008). The compensatory frame of reference applies to Mrs A as it aims to maximise her independence and enhance her quality of life. This is achieved by focusing on the management of her symptoms rather than the proactive treatment and cause, a notion that is synonymous with the values of palliative care. Being a practical approach it provides a basis for the fatigue management as it assists with the understanding of the concepts and an alternative method of participating in an activity, however this lack evidence (Duncan, 2011). Although the biomechanical frame of reference addresses occupational performance limitations through concepts of strength and endurance, aspects such as energy conservation could also be teamed with the compensatory frame of reference as a method of increasing the applicability to Mrs As situation and minimising the impacts of her fatigue levels on her occupational engagement (Duncan, 2011; Curtin, Molineux and Supyk-Mellson, 2010) (Appendix-slide 12). Again, similar to the philosophy of palliative care, the MOHO models holistic approach is centred on Mrs As needs (Kielhofner, 2008). Despite the MOHO model having an expansive evidence base and reportedly being the most extensively applied occupation based model in OT practice, there is little evidence base for its application within palliative care and CRF (Lee et al, 2008). Additionally, the models terminology can inhibit inter-professional working (IPW) within the multi-disciplinary team (MDT), therefore it was not applied in its entirety within the setting and the practice with Mrs A (Melton, Forsyth, Freeth, 2010). Furthermore, MOHO lacks the idea of spirituality, a contemporary concept within both OT and palliative care literature (GB. DoH, 2010; Belcham, 2004), and an aspect that is central within the Canadian Model of Occupational Performance and Engagement (Polatajko, Townsend and Craik, 2007). Nevertheless, the MOHO model provides understanding of Mrs As motivation for eng agement in occupation (Lee et al, 2008) and according to Kielhofner (2008) it addresses Mrs As volition, habituation, performance capacity, values, roles, culture and her occupational identity. These are all key areas that her CRF had impacted on and it aided identification of her difficulties and direction for intervention (Costa and Othero, 2012) (Appendix-slides 7-11). In order to assist Mrs A with her difficulties and implement an intervention, environmental and fatigue assessments were conducted indicating occupational imbalance, within her lack participation of drawing and fulfilment of her occupational identity (Whiteford and Hocking, 2012; Mackenzie and OToole, 2011; Creek, 2003). Being non-standardised both assessments lacked the underpinning reasoning for the application and meant that outcome measures would be more difficult to certify the effectiveness of the intervention, in terms of its effects on Mrs As quality of life (McColl, 2010). However it enabled the practice to be patient centred, qualitative and more flexible with no formal structure, which is imperative within the nature of end of life care and ensures interventions are meaningful to Mrs A (Fawcett, 2007). Completion of the assessments also supported the formulation of her aims, which were to manage her fatigue level in order to regain engagement in her former self, and partic ipate in drawing for her husbands Christmas present, therefore justifying the implementation of fatigue management intervention (Appendix-slide 14). Due to the nature of the service, assessments and initial conversations needed to be completed within a short amount of time, yet were aided by the fact that they took place within her home environment with her family present. Research has supported this concept as it provides a personalised and caring therapeutic environment (Meyers, 2010; Brazil et al, 2005), additionally achieving a patients preferred place of care has been highlighted as prominent need within national drivers. However in these circumstances interference from carers and family members or resistance to OT interventions as already in preferred place of care periodically inhibited full engagement in intervention (AOTA, 2008). Lowrie (2006) and Halkett et al (2005) reported that fatigue management, compromising of energy saving, adaptation of role, activity planning and prioritising techniques, is a commonly recommended intervention for and sought after by cancer sufferers in order to maximise quality of life (Hawthorne, 2010; The National Comprehensive Cancer Network (NCCN), 2009). Although Saarik and Hartleys (2010) study comprised of a four week programme based in a hospice day care, as opposed to within the community, it concluded patients reporting decreased fatigue levels, increased ability to cope and improved functioning post receiving fatigue management. Furthermore the NCCN (2009) has recognised the importance of CRF management and has guidelines recommending that integrative non-pharmacological interventions, including fatigue management are implemented with all individuals undergoing cancer treatment, not only palliative patients. Though its importance is highly acknowledged there are multiple studies indicating that cancer patients are not receiving the fatigue management intervention in order to meet their needs (Purcell et al, 2010). A study conducted in the United Kingdom, supports this concept, as only 14% of the 1370 of the participants with mixed diagnosis reported receiving fatigue management (Stone et al, 2003). Similarly in an American study of 814 participants, 23% suffering from CRF received management intervention (Henry et al, 2008). However extrapolation of the findings for this American studies small sample size would reduce its validity within the worldwide population and there may also be evidence of cultural nor m differences. Attributable to its recent development, the intervention lacks clarity and a structured evidence base, which is fundamental in assuring a rationale and clinical reasoning for its use within practice (Lowrie, 2006; Wratton et al, 2004). Additionally there is insufficient robust evidence and investigation into the interventions efficiency; however this does not certify the ineffectiveness of the intervention (Duncan, 2011). Alternatively the benefits of the fatigue management include that even minimal changes have positive impacts, its simple applicability and that it is highly patient centred, thus is tailored to Mrs As individual situation (Ream, Richardson and Alexander-Dann, 2006). Overall, literature, although limited, has found that fatigue management intervention has yielded positive outcomes for cancer patients where other conventional interventions have failed, justifying its application with Mrs A. As with many contemporary interventions, further research is required in order to secure effective clinical intervention and management of CRF (Mustian et al, 2007). This coincides with Bannigan et als (2008) statement of further development, which highlights research into the effectiveness of OT interventions is now a priority for OTs. While it is a common opinion that traditional rehabilitation based interventions generate few improvements in physical functioning and suggested as an unethical intervention for palliative patients, research has shown that it is appropriate at many points during the disease trajectory, improving self-efficacy, control and identity, therefore applicable to Mrs A (Guo and Shin, 2005; Eva, 2001). Engagement in occupations reportedly assisting with an individuals ability to connect with the purpose in life and enhancing spiritual wellbeing, quality of life and ability to cope with their situation (AOTA, 2008; Prince-Paul, 2008; Jacques and Hasselkus, 2004). The role of OTs in palliative care rehabilitation has been supported through national guidelines and literature; with NICE (2004) recommending and that all patients should receive a planned rehabilitation approach, including continuous assessment, goal-setting, care planning, intervention and evaluation to prevent loss of identity and poor quality of life. Despite this there is little guidance on how this is delivered in practice, resulting in settings lacking the right rehabilitation approach and consequently the case study setting displaying an absence of comprehensive evidence for its occurrence (Eva et al, 2009; National Council for Palliative Care (NCPC), 2006). Set within a community hospice setting the service provided to Mrs A was governed by the Care Quality Commission, equivalent to the NHS. However unlike the NHS, being an independent charity the hospice has a short organisational hierarchy, therefore limited layers of bureaucracy between the patients and their families, the health professionals and the leadership team. This means that the practice is not governed by such tight and mandatory restrictions and can be creative and adaptive to meet Mrs As needs. Although consequently, it is not so economically and fundamentally secure as a larger organisation like the NHS. Regardless of this it is imperative that service integration between the hospice and the NHS occurs and maintained to benefit Mrs As care. Furthermore, the small size of the organisation impacts upon its culture and enables opportunities for health professionals to undertake and be involved in service improvement and quality assurance activities, which attribute to both professional and personal achievements, furthering the quality of care provisions. Also, issues that are raised are rapidly and effectively examined by the directors with the patients needs central to all actions, instead of cost savings. Despite this, the importance of cost implications remain closely examined as being an independent charity, it is not funded by the NHS and crucial fundraising ensures availability of all resources, yet this can be difficult and precarious especially within todays economic climate. Due to the nature of Oncology and Palliative care being complex and demanding, many health professionals from differing disciplines have to work collaboratively in order to combine expertise and create a service effectively integrated to resolve Mrs As key areas of need, whilst making resources go further (Atkinson, Jones and Lamont, 2007; NCPC, 2006). According to NICE (2002) an integrated MDT and the occurrence of effective IPW is imperative to ensure seamless continuity of care, supportive and timely response to patients needs (WHO, 2012). Although the MDT within the setting for the case study lacked a dietician, therefore this role was split between all other health professionals, occasionally causing some duplicated information or gaps within service provision, being potentially detrimental to Mrs As health and wellbeing (Infante, 2006). Central to the idea of effective IPW is communication and due to the nature of the community setting, this can be made more challenging, with many health professionals on visits when their input is needed (Infante, 2006). This is exaggerated by many of the health professionals within the team working part-time hours. In order to overcome this and instil effective and efficient practice each day, a mandatory multi-disciplinary meeting occurred for all health professionals to discuss patients within their care. Overall the OT presence within the MDT team was well respected, other health professionals identified and recognised the core OT philosophy, which is indicative with end of life care in literature, and replicated in the reasoning for Mrs As referral. This concept was also readily recognised by the directors and replicated within the OT budget. However, regardless of this the OT practice and patient service was restricted due to limited OT professional hours, with recent audits indicating that organisational OT targets were not being met and highlighting the increased need for more OT hours within the caseload. Conversely, despite receiving a late initial phone call, Mrs As level of care showed no evidence of this occurrence, although it could have severely impacted upon her if she required additional input. Furthermore there was evidence of professional tribalism, as some protective professional relationships were formed, restricting effective IPW and efficiency of her care between t he MDT (Armstrong, 2007). Improved quality of life and engagement in meaningful occupations are primary outcomes of all OT intervention within palliative care (AOTA, 2008). In summary, the outcome measures used within the setting were limited, non-standardised, and based on patient feedback (Appendix-slide 18). Yet qualitative and centred around Mrs As the fulfilment of her occupational need and aims, by completing a drawing for her husband and remaining within her home. In addition to this, the fatigue management techniques were found to be transferable to everyday activities, thus Mrs A reporting improvements in her overall occupational participation, quality of life and consequently her wellbeing, therefore further justifying its use as an intervention (Cooper and Littlechild, 2004). Nevertheless within palliative care the importance of timeliness and an awareness of disease progression are crucial for both Mrs A and the OT, as it is evitable that Mrs A will develop further occupational deficits due to dis ease progression; therefore outcomes are short term and future positive or negative outcomes may not be a direct cause of the intervention (COT-HIV/AIDs, Oncology and Palliative Care Education, 2004). This may be fundamental in terms of patient satisfaction as to whether these aims are achieved and then lost again, or not achieved at all. In line with the importance of timeliness, is the concept that earlier referral to OT services would have restricted the degree of fatigue that Mrs A presented with and also the greater the impact of the fatigue management could have had on her quality of life. McLaughlin and Kaluzny (2006) recognised that patient feedback as an outcome measure is a fundamental part of quality and service improvements within care. Despite originally being a debatable concept, patient feedback has now become so well acknowledged that it has formed an essential part of health planning documents (Darzi, 2008). However due to this, it does not conclusively show financial benefits of the OT service, yet presents the importance of patient choice, quality of life and patient led care. Therefore a standardised outcome measure that could have been implemented to provide structure and improve OT practice whilst acting as an assessment, is the Model of Human Occupation Screening Tool (MOHOST). Implementing this tool would also embed the MOHO model framework further into the OT practice (Kielhofner, 2008). Being observational it wouldnt require input from Mrs A, therefore will not exacerbate her fatigue levels, although only gives the OTs perception of her difficulties . Additionally the Quality of Life questionnaire and the Fatigue Impact Scale, although not OT specific, could be implemented to provide clear areas of focus and as an outcome measure, as these are key elements of the purpose of OT intervention and palliative care settings (Pearson, Todd and Futcher, 2007). Utilising these assessments tools within OT practice would demonstrate both the benefits and the cost effectiveness of the OT intervention, crucial elements within a charity run organisation. To conclude, the role of an OT within palliative care is diverse and challenging, although ideally positioned to assist Mrs A in maximizing her quality of life and achieving her aim of drawing her husbands Christmas present (Kealey and McIntyre, 2005; Vockins, 2004). Achievement of this surrounds addressing her fatigue difficulties in a holistic, ethical and patient centred way, whilst having specialist knowledge of disease related problems within contemporary evidence based practice (Berger, 2009; Steultjens et al, 2004), a notion that has been acknowledged by both professional bodies and researchers (Oertli, 2007; National Breast Cancer Centre and National Cancer Control Intitiative, 2003).

The Rights Issues of Digital Preservation in the Digital Era :: Preservation Access Library Science

The Rights Issues of Digital Preservation in the Digital Era Not long ago, Anthony Grafton, the distinguished Princeton historian, published a history of the footnote. An intellectual tool that is â€Å"the humanist’s rough equivalent of the scientist’s report on data,† the footnote offers â€Å"the empirical support for stories told and arguments presented.† No doubt we all remember our own experiences of awe and wonder when we learned how to interpret a footnote and so began to understand the mechanics of scholarly reference. However, according to Grafton, â€Å"no one has described the way that footnotes educate better than Harry Belafonte, who recently told the story of his early reading of W. E. B. DuBois.† As a young West Indian sailor, Belafonte learned to read critically when he figured out how the footnote opened a world of learning. â€Å"I discovered,† Belafonte said, â€Å"that at the end of some sentences there was a number and if you looked at the foot of the page the reference was to what it was all about—what source DuBois gleaned his information from.† However, Belafonte did not find the task of learning from references to be easy at first and was stymied by the methods that DuBois used to cite his references. Trying to track them down, he says that he went to a library in Chicago with a long list of books. â€Å"The librarian said, ‘that’s too many, young man. You’re going to have to cut it down.’ I said, ‘I can make it very easy. Just give me everything you got by Ibid.’ She said, ‘There’s no such writer.’ I called her a racist. I said, ‘Are you trying to keep me in darkness?â€⠄¢ And I walked out of there angry.†. Of course, footnotes are not the only or, in a variety of research and educational contexts, even the best method of reference. Moreover, as the Belafonte story indicates, there can be many obstacles in tracing down a reference path. However, as Grafton concludes in his study, the footnote is a critical part of the scholarly apparatus because it is such a clear and efficient mechanism to link one piece of scholarship with what its author has identified as the key reference points for the work. It serves as a guarantee, Grafton says, â€Å"that statements about the past derive from identifiable sources. And that is the only ground we have to trust [those statements]† (Grafton 1997: vii, 233-235).

Lessons In Life Essay

When comparing â€Å"Mother To Son† with â€Å"Mending Wall† the message given is that with hard work, either manual or emotional life gives rewards. In â€Å"Mother To Son† the mother wants to pass her knowledge of life to him, that nothing is free and with hard work you will receive the feeling of accomplishments. The mother speaks of her hardships in life, but even with those she has always had hope. Even during the darkest times in her life she never gave up. What greater gift can a mother pass on to her child? The gifts than come from the heart are the greatest. She is trying to let him know that even though she has been climbing all her life she will not give up. Even though the story of â€Å"Mending Wall† focusing on the hard labor that comes once a year to neighbors repairing a common wall between their properties they also share good times together. â€Å"Good fences make good neighbor’s†. (page 1881) The neighbor’s speak of hunter’s that have passed during the year. Their walk of the wall gives each neighbor a time to share and reflect on the past years events’ with each other. Both stories differ in their style, â€Å"Mother To Son† gives a hidden approach to life. She is trying to give him subtle hits of what the road of life offers. â€Å"Mending Wall† gives a direct approach, it’s a conversation between neighbors that happens once a year, once it happens they go back to the way they were. Langston Hughes was born in Joplin, Missouri, James Langston Hughes was a member of an abolitionist family. His first published poem was also one of his most famous, â€Å"The Negro Speaks of Rivers†, and it appeared in Brownie’s Book. Later, his poems, short plays, essays and short stories appeared in the NAACP publication Crisis Magazine and in Opportunity Magazine and other  publications.( http://www.redhotjazz.com/hughes.html) Robert Lee Frost was one of America’s leading 20th-century poets and a four-time winner of the Pulitzer Prize. An essentially pastoral poet often associated with rural New England, Frost wrote poems whose philosophical dimensions transcend any region. Although his verse forms are traditional–he often said, in a dig at archrival Carl Sandburg, that he would as soon play tennis without a net as write free verse–he was a pioneer in the interplay of rhythm and meter and in the poetic use of the vocabulary and inflections of everyday speech. His poetry is thus both traditional and experimental, regional and universal. (http://www.robertfrost.org/indexgood.html) Works Cited Baym, Nina. â€Å"The Norton Anthology of American Literature.† 2003 http://www.redhotjazz.com/hughes.html http://www.robertfrost.org/indexgood.html

The Effect of Modern Day Technology

World Literature II November 22, 2010 Cause and Effect Essay 590 Words The Cause and Effect of Modern Day Technology â€Å"The zipper displaces the button and a man lacks just that much time to think while dressing at dawn, a philosophical hour, and thus a melancholy hour. † Ray Bradbury’s character of Beatty explains how technology has negatively had a negative effect in Fahrenheit 451. Technology transforms around us every day and almost every day new technology comes out that makes last year’s technology seem almost prehistoric.There is no question that technology has made life easier and more convenient as well as, travel faster and life saving medical advancements. It is hard not to wonder how much one actually depends on these new technologies and how they could be used to control everyone. Will the effect of all this technology be good or bad in the long run? Today in our economy we have less people needed for manufacturing and processing jobs and thus a s urplus of desk jobs and product designing jobs. These jobs then result in even higher productivity and more advancements.This never ending cycle of productivity and advancements leaves us dependant on technology. In the book The Handmaid’s Tale by Margaret Atwood, the main character Offred explains how new technology was being introduced until the country became dependent on it. Suddenly that technology and the way she had learned to live is taken away and people were lost without it. Some unknown dystopian empire then easily controlled these people that now couldn’t do anything. What if something like that were to happen today, the government started tracking where everyone goes through, navigation systems in cars, or phones and who knows what else.Radio transmitting chips are already being implanted in some dogs so that their owners can find them if they get lost. This same technology could be implanted in kids to prevent kidnappings or in criminals when released fro m prison. While all of this sounds great at the time, will that technology later be used against us just like it was against Offred? Will governments track all of our movements? Will our thoughts and ideas be read before we can speak them? Will satellites look into our homes to make sure we are eating the right foods?Even today’s news headlines are filled with reports regarding the full body scanners at airports. While all of us want to be safe when flying and the argument is strong for the scanners, the expense or effect of it leaves us literally naked to the government. According to 24/7 Wall St. com, â€Å"the list of devices the Smartphone has begun to replace, and in some cases, that process is so far along that the older products have almost disappeared. † Will technology put more and more people out of work? Will the work that technology replaces humans leave us all lazy because we are not using a physical effort anymore?On the other hand technology has been ver y beneficial to us. Technology has made us tremendously more efficient and productive, some technology at least, other technology however, is designed to makes us less productive. Hopefully this trend will increase. Some companies have already acknowledged that privacy is an important freedom and are putting things out to help people. For example Apple has acknowledged that people don’t like the idea that they could be tracked through their iPhone without warning.To decrease these fears they created icons that show up on your phone and allow you to see when an application is using your current location, as well as options to limit which applications can use your location. Hopefully more companies will follow in their lead and eliminate possibility of this negative effect of depending on modern day technology. Technology will only be advancing more and the human race will hopefully not succumb fully to it. We have to make good decision regarding how far we will let technology replace the human brain—the ultimate computer. Like Ray Bradbury’s quote, we will no longer have a chance to think.

Mononucleosis Essays - RTT, Infectious Mononucleosis, Free Essays

Mononucleosis Essays - RTT, Infectious Mononucleosis, Free Essays Mononucleosis Mononucleosis, also known as "Mono," is an illness caused by an infection with a virus. The virus, The Epstein-Barr Virus (EBV) is usually the cause of Mono. Other infectious viruses, like cytomegalovirus (CMV) can also produce illnesses like Mono. Most of the people who get Mono are adolescents and young adults. In developed nations, the majority of the people has been exposed to the Epstein- Barr virus by the age of 18. That means that many adults have had infections as children caused by the Mono virus (which were asymptomatic or mild). Once you get Mono, or the Epstein-Barr virus you are immune to re-infection. Some of the symptoms of Mono are a painful sore throat with tonsillar enlargement. Mono typically causes fever, headache, fatigue, and swollen glands in the neck. Sometimes, people with Mono experience loss of appetite, nausea, vomiting, diarrhea, or a measle-like rash. The rash is seen in more than 80% of patients who are infected with Mono, and are prescribed an antibiotic. Mono is diagnosed based on a patients symptoms and a physical exam. Since the symptoms of Mono are so similar to those of other illnesses, it is not easy to diagnose Mono at an early stage. Diagnoses are confirmed by blood tests. There is no "cure" for Mono. It takes a long time for to overcome Mono. Eventually your immune system will help you recuperate. When you have the symptoms of Mono, you can take aspirin or ibuprofen to help relieve the throat pain and fever. Getting rest and drinking at least two quarts of fluid a day are also important. One customary complication of Mono is dehydration. This may develop due to an inadequate amount of fluid intake. Some infrequent complications are blood disorders, neurological and psychological problems. However, once you get Mono, there is a very, very slim chance that you will get Mono again. One way of getting this disease are by kissing a person who carries the virus in the saliva. Other ways have not yet been proven. The virus accountable for Mono is contagious and is found in moist exhaled air, nasal and oral-secretions. However, there is no known prevention for Mono and isolation is not indicated. Children are incubated for about 4-14 days, and for adults 4-6 weeks. The initial symptoms of Mono clear up in about 7-10 days. Lymph node swelling and fatigue usually last 2-4 weeks. Some patients might take longer to recover. Some people might not even know they have Mono and are able to go on with their usual activities. Exhaustion may be a great factor in the recovery period. The length of time one remains tired from Mono varies considerably. A lot of people have barely any fatigue at any time. However, a few people will be tired for many months. Also, if you are very tired, a change of scenery might do you good. My cousin had Mono, and she went down to Florida to visit our grandparents for a few weeks. The warmer climate and change of scenery helped with her recovery. One man who e-mailed me about Mono said that he couldn't even type on his computer let alone go along with his usual daily activities. Even though there is no medicine to cure Mono. Some of the best ways to minimize the disease are; 1. Get at least 10-12 hours of sleep a day. 2. Avoid contact sports 3. Avoid alcohol 4. Avoid social activities; limit activities to sleeping, eating, and, if able, classes. 5. Remain at home if fever develops. 6. Eat a well balanced diet. There are some complications in Mono. An enlarged spleen is frequently found and might cause upper abdominal pain. Contact sports are discontinued because a blow to the spleen might cause it to rupture. Mono is contagious (through kissing and saliva), but it isn't highly contagious. 60 to 80 percent of college students have had mono in there childhood, but weren't specifically diagnosed, however they are immune to the disease. One of the main reasons Mono makes you weak is because it infects your white blood cells, anytime a disease infects you your body must mount an immune response so much energy is required and diverted from normal daily requirements so you feel weaker. Since this is such a strong disease with so many little illnesses (strep throat, cough, cold, flu) it has to fight off the little illnesses as well as Mononucleosis and the Epstein-Barr virus which causes Mono. Since your body has to fight all of these diseases, it takes up so much energy for your immune

Free Essays on Porn Analysis

Pornography Issues Analysis Since the mid-1980s, a strange sight has been on the political horizon. Feminists are standing alongside their archenemies,  ¡Ã‚ §conservatives and religious fundamentalists, ¡Ã‚ ¨ to call anti-pornography laws. This phenomenon threatens the well being of women in at least three important ways: feminism is no longer a stronghold of freedom of speech, women ¡Ã‚ ¦s unacceptable sexual choices are now under new attack, it involves rejecting the principle  ¡Ã‚ §a woman ¡Ã‚ ¦s body, a woman ¡Ã‚ ¦s right ¡Ã‚ ¨ (McElroy). According to University of Michigan professor, Catharina MacKinnon, who helped write the law brief,  ¡Ã‚ §in the US, the obscenity laws are all about not liking to see naked bodies, or homosexual activity, in public. Our laws in the US don ¡Ã‚ ¦t consist the harm to women. But in Canada it will now be materials that subordinate, degrade women that are obscene ¡Ã‚ ¨ (Hill and Silver). In 1983 and 1984, the Minneapolis city council passed the first civil rights antipornography ordinance written by MacKinnon and Dworkin, only to have it vetoed by the mayor both times. Then in Indianapolis the city council passed and the mayor signed the first version of the Dworkin-MacKinnon Ordinance was adopted in Bellingham, Washington by voter initiative, gathering over 62 percent of the vote. It met similar fate as the Indianapolis ordinance when Federal District Court Judge Carolyn Dimmick turned it down (Hill and Silver). Andrea Dworkin, the author to  ¡Ã‚ §Reply to John Irving, ¡Ã‚ ¨ critiques Irving ¡Ã‚ ¦s essay like he was a merciless, no good, vicious criminal. We all know that she stands very clearly on the side of antipornography. In her response, she uses her personal experiences to get her point across. This essay appeared in The New York Times in the March issue of 1992 (Selzer 526). This is about eleven years ago. Without a doubt, society sure has changed. These days you can ¡Ã‚ ¦t watch a T.V. show with... Free Essays on Porn Analysis Free Essays on Porn Analysis Pornography Issues Analysis Since the mid-1980s, a strange sight has been on the political horizon. Feminists are standing alongside their archenemies,  ¡Ã‚ §conservatives and religious fundamentalists, ¡Ã‚ ¨ to call anti-pornography laws. This phenomenon threatens the well being of women in at least three important ways: feminism is no longer a stronghold of freedom of speech, women ¡Ã‚ ¦s unacceptable sexual choices are now under new attack, it involves rejecting the principle  ¡Ã‚ §a woman ¡Ã‚ ¦s body, a woman ¡Ã‚ ¦s right ¡Ã‚ ¨ (McElroy). According to University of Michigan professor, Catharina MacKinnon, who helped write the law brief,  ¡Ã‚ §in the US, the obscenity laws are all about not liking to see naked bodies, or homosexual activity, in public. Our laws in the US don ¡Ã‚ ¦t consist the harm to women. But in Canada it will now be materials that subordinate, degrade women that are obscene ¡Ã‚ ¨ (Hill and Silver). In 1983 and 1984, the Minneapolis city council passed the first civil rights antipornography ordinance written by MacKinnon and Dworkin, only to have it vetoed by the mayor both times. Then in Indianapolis the city council passed and the mayor signed the first version of the Dworkin-MacKinnon Ordinance was adopted in Bellingham, Washington by voter initiative, gathering over 62 percent of the vote. It met similar fate as the Indianapolis ordinance when Federal District Court Judge Carolyn Dimmick turned it down (Hill and Silver). Andrea Dworkin, the author to  ¡Ã‚ §Reply to John Irving, ¡Ã‚ ¨ critiques Irving ¡Ã‚ ¦s essay like he was a merciless, no good, vicious criminal. We all know that she stands very clearly on the side of antipornography. In her response, she uses her personal experiences to get her point across. This essay appeared in The New York Times in the March issue of 1992 (Selzer 526). This is about eleven years ago. Without a doubt, society sure has changed. These days you can ¡Ã‚ ¦t watch a T.V. show with...

Spanish Verbs Morir and Morirse

Spanish Verbs Morir and Morirse Question: I am reading your explanation on caer and caerse and am interested to know if you have addressed morir and morirse. Not being a native speaker, those two verbs are very confusing for me and my students. Answer: Thats a great question. Although some verbs, like caer, are used in the reflexive form to indicate an unexpected action, that isnt the case with morir, which typically means to die (either literally or figuratively). In general, it is always grammatically correct to use morir (the nonreflexive form) to mean to die. Some examples: Mi perrita murià ³ hace 3 dà ­as. My puppy died three days ago. Mi padre murià ³ y no sabemos cul era su contraseà ±a. My father died, and we dont know what his password was. Si elegimos no hacer nada, entonces la esperanza morir. If we choose to do nothing, then hope will die. Muere de cncer la cantante mexicana. The Mexican singer is dying of cancer. Al menos cinco soldados murieron y ocho resultaron heridos. At least five soldiers died and eight were injured. Although not mandatory in such instances, the reflexive form, morirse can be used when speaking about a natural death, especially one that didnt come suddenly. It can also be used when speaking of friends or relatives. Some examples: Los dinosaurios no se murieron de frà ­o. The dinosaurs didnt die of cold. Mi amigo se murià ³ hace dos dà ­as en un trgico accidente. My friend died two days ago in a tragic accident. Yo me morirà © sin tus besos. I will die without your kisses. Me choca cuando se mueren los escritores que me gustan. I am shocked when writers that I like die. Mis abuelos se murieron en Colombia y yo no pude ir a sus funerales. My grandparents died in Colombia and I couldnt go to their funerals. However, this isnt a hard and fast rule. You might also think of morirse as being more informal or less serious-sounding than morir. Or you might think of morirse as a somewhat softer form of the verb. If youre uncertain which one to use, morir is probably the safer choice.

Risk Management in Rapid Linear and Linear PMLC Assignment

Risk Management in Rapid Linear and Linear PMLC - Assignment Example Implementing the Rapid linear project management life cycle model instead of linear project management life cycle model however has associated risks that I seek to explore in this paper. One of the involved risks in implementing the Rapid linear project management life cycle model instead of the linear project management life cycle model is the possible confusion that may arise from the required extensive documentation. The manager may therefore miss the most important aspects of the management process because of demanded attention by the documentation process and the documented information. Loss of creativity in a project is another risk that is associated with the Rapid Linear PMLC model and arises from the rigid scope of the model that reduces the project manager and project team members to instruments for implementing designed processes rather than creative resources for improving project process and products. The associated complications in disintegrating project functions are another risk of the model and may lead to mistakes and inaccuracies in project implementation (Wysocki 28; Wysocki n.p.). The model’s swim lane operational approach also identifies risks of ineffectiveness and excessive wastes in event of paralyzed process in one lane. Concurrent implementation of process may also lead to wasted resources is one phase fails. Under the linear model, such a failure would mitigate losses by suspending subsequent processes but such measures may not be possible because other processes in the rapid model will be underway. Reliance on same personnel for operating the different phases of a project, in the rapid model, is another risk factor because personnel may be held up in one department and fails to attend to an emergency in another department. The tight schedule of the model that seeks to complete a project within the shortest time possible also poses the

Eye Movement Desensitization and Reprocessing Essay

Eye Movement Desensitization and Reprocessing - Essay Example The patient is then asked to identify a desired positive thought, such as "I am a worthwhile person," this positive thought is rated against the negative thought on a scale of 1-7, with 1 being "Completely false" and 7 being "Completely true." This method helps create a goal for treatment. The patient then combines the visual image of the trauma with the negative belief, generally evoking strong feelings, which are then rated on the Subjective Unit of Disturbance (SUD) scale. While focusing on the combination of the traumatic image and negative thought, the patient watches the therapist move his hand in a particular pattern causing the patient's eyes to move involuntarily. Blinking lights are sometimes substituted for hand movements, likewise hand tapping and auditory tones may be used instead of eye movements. After each set of eye movements the patient is asked to clear their mind and relax. This may be repeated several times during a session. Step No. 4: This step of treatment involves desensitization to the negative thoughts and images. The patient is instructed to focus on the visual image of the trauma, the negative belief he/she has of self, and the bodily sensations caused by the anxiety, while at the same time following the therapist's moving finger with their eyes.

Film Project Movie Review Example | Topics and Well Written Essays - 1000 words

Film Project - Movie Review Example The movie shows the viewers the behind the scenes of a primary campaign. How even though a candidate may belong to a political party, that does not mean that the party will give him the money to run his campaign. It delves into the importance of fund raisers and how without it, a primary presidential campaign will cease to exist. More importantly, the movie shows how the evolution of the news media has changed the road to the White House as most candidates knew it to be. The media as used in the movie is portrayed as both the devil and the angel that politicians need to contend with. If run by the right kind of people, the media can become the tool towards a landslide election. Used improperly, the media can tank a campaign even before it starts. It also shines light on the little known aspect of the campaign, blackmail, and Jack Stanton, along with his team of media professionals, know exactly how to work the media in the name of a successful blackmail undertaking. However, it also shows that not all media professionals and image makers are cold blooded liars and not all of them can be bought or blackmailed. Analysis At the beginning of the film, we see Henry Burton, a political campaign specialist who is being drafted to join the presidential campaign of Gov. Jack Stanton. He resists all efforts to join the campaign at the start but is later on won over by the smoothness of the presidential aspirant. He first comes to the campaign headquarters and sees an inefficient machine that could be compared to a rudderless ship. Under his guidance though, he manages to whip them into shape and actually begin to mount a decent primary campaign. As I watched this portion of the film, I could not help but be reminded of our class lectures in â€Å"The Functions and Organizations of the American Party System†. This portion of the film specifically concentrated on the role of the political party and its machinery in the creation of the perfect candidate. The film act ually presents enough evidence to support its claims that money is always a problem in any campaign because, as we all know, fund raisers are the life line of any campaign and the wife of the candidate is usually tasked with gaining financial support for her politician husband. This is clearly presented at the beginning of the film when Gov. Stanton has to calm down his irate wife after he misses a very important fund raiser that was being hosted in his honor. Later on, we are introduced to the character of Libby Holden, image maker bar none. She is embodiment of everything we learned in â€Å"Interest Group Structure and Functions†. The minute she arrived at the campaign headquarters, she overturns the apple cart and connected the campaign activities and interests with various interest groups without whom interest and support of these groups for the candidate will not exist. We also see a glimpse of how these special interest groups can affect a campaign of a candidate ident ified with them. The latter part of the film presents heavy evidence of the way that the news media has spiraled out of control and is instead more interested in selling scandals about candidates rather than finding out the truth behind the story and presenting those facts instead. I believe that this part of the film falls under

Transformational leader Essay Example | Topics and Well Written Essays - 500 words

Transformational leader - Essay Example Sadaffe Abid possesses leadership characteristics and qualities that make her transformational. For instance, Sadaffe is an inspiration to her followers and other women when she empowers them using her own beliefs and strength. Sadaffe conducts leadership training where she focuses on developing high-potential female professionals and entrepreneurs and emerging talent (Hill, 2014). Moreover, Sadaffe has immense charisma that propels other women to follow her (Bennett, 2015). For instance, she co-founded the Buksh Foundation that encouraged Pakistani women and micro entrepreneurs to access financial services (Hill, 2014). She is also visionary in that she grew the Kashf Foundation from a pilot project to a large micro finance serving more than 300,000 female clients in Pakistan (Hill, 2014). She was able to articulate the micro finance vision that Pakistani women can identify with and later became the CEO of the foundation. As a consultant with Transformational Leadership Inc. business experience, and teaching experience in Adaptive Leadership, Sadaffe has the capacity to conducts leadership development trainings focusing on potential women professionals and entrepreneurs in the Middle East (Hill, 2014). More so, as a Consultant to the International Finance Corporation for institution building and gender diversity, she inspires women to do their best (Hill, 201 4). Sadaffe makes her decisions based on her entrepreneurial experience, knowledge on transformational leadership, and the need for institution building, gender diversity, achieving high-potential female professionals (Hill, 2014). Sadaffe has led a group of Pakistani women through change. She transformed Kashf Foundation from a pilot project to a large microfinance institution that allowed about 300,000 Pakistani women to access micro-loans (Hill, 2014). The initiative transformed women from poor slum dwellers to small entrepreneurs who operate grocery stores and make ornaments

Interview #2 Essay Example | Topics and Well Written Essays - 1000 words

Interview #2 - Essay Example These feelings of isolation have made him lack trust among his family members and other prospective friends hence making him more depressed. Bullying in school worsened the situation as it made him develop anger issues and avoided everyone because he felt that they could not help him change his attitude. Vincent blamed all his sufferings on external factors such as karma, fate, and God. He felt that if God cared about him, he would let him suffer but protect him from all the people that were bullying and isolating him in school. Vincent believed that those who suffered were the ones being punished by God, and it was a form of fate and karma. The other issue that Vincent faced during his suffering period was language barrier because he had moved from Australia to Taiwan. He had financial issues because transitioning to a different country needed more money to settle and buy household materials. He was interrupted at work because he was still working on getting his work permit in Taiwan and found it difficult to communicate with the colleagues because of the language barrier. Vincent’s family role changed since he was now the breadwinner of the family since his parents had retired. Vincent did not have any caregivers to help him overcome his suffering stage and regretted that fact. The caring words and actions that were meaning to him were the encouraging words from his classmates whom he cherished and hoped that their simple interactions would develop into true friendship even if it turned out differently. Vincent treasured friendship and family relationships since he felt needed and appreciated by the few individuals that accepted to interact with him in the new country. Vincent needed support from caregivers when he felt isolated and depressed, who would have encouraged him to be positive about life and to feel appreciated. What was missing from his loved ones was more concern for his welfare and encouragement. Vincent described how he wished

Affirmative action and Diversity policies Assignment

Affirmative action and Diversity policies - Assignment Example Cultural diversity is a notion that acknowledges the existence of differences between people of different cultures and suggests that the treatment of these people with inclusivity. Cultural diversity is a framework of social justice and a facilitator in the acquisition of knowledge, attitudes and skills that are pivotal for societal harmony. It does not only acknowledge race and ethnicity as cultural groups, but also sexual orientation, skills and handicaps, class, gender, national origin, age and even the geographic origin. It goes further to welcome the contributions of one culture, as well as those of others for positive social development.Response to Question 2The reason why diversity is encouraged in the student body rests upon various goals of advocacy for cultural diversity. One of the objectives of cultural diversity is to promote harmony and inclusivity. These are assured by the fact that all the cultural groups will feel they are treated fairly. Thus, they will also feel in cluded in the system. Another goal of cultural diversity is that every culture has certain unique strengths, as well as weaknesses that it cannot effectively address certain societal issues independently. Thus, other cultures are needed to bridge the gaps (Kollehlon and Eule, 2003). In the essence, what one culture lacks is compensated by the strength of the other. Response to Question 3In the context of business and education, the value of diversity is can still be explained based on the objectives of cultural diversity.... In the essence, what one culture lacks is compensated by the strength of the other. Response to Question 3 In the context of business and education, the value of diversity is can still be explained based on the objectives of cultural diversity. As earlier mentioned, one of the goals is that cultural diversity fosters harmony and inclusivity. These are assured by the fact that all the cultural groups will feel they are treated fairly (Sowell, 2004). Thus, they will also feel included in the education system, as well as businesses. In this regard, cultural diversity is a depiction of social responsibility, as well as ethics. Another goal of cultural diversity is that every culture has certain unique strengths, as well as weaknesses that it cannot effectively address certain societal issues independently. Thus, other cultures are needed to bridge the gaps. What one culture lacks is compensated by the strength of the other. Different cultures have different ideas and skills that could be integrated to enable institutions and businesses reach great heights of success such as through innovativeness. Response to Question 4 Affirmative action is aimed at addressing various disparities, including those that touch on social differences, economic development and political representation, with respect to various cultural groups. The disparities have various dimensions such as education achievements and social equality. In some cases, affirmative action can be simple considered to address various elements that are attributed as the legacies of past racism and colonial injustices (Kollehlon Eule, 2003). Response to 4A It is worth noting that affirmative action is founded on the notion that economic, political and social systems are not adequately fair and

Interview #2 Essay Example | Topics and Well Written Essays - 1000 words

Interview #2 - Essay Example These feelings of isolation have made him lack trust among his family members and other prospective friends hence making him more depressed. Bullying in school worsened the situation as it made him develop anger issues and avoided everyone because he felt that they could not help him change his attitude. Vincent blamed all his sufferings on external factors such as karma, fate, and God. He felt that if God cared about him, he would let him suffer but protect him from all the people that were bullying and isolating him in school. Vincent believed that those who suffered were the ones being punished by God, and it was a form of fate and karma. The other issue that Vincent faced during his suffering period was language barrier because he had moved from Australia to Taiwan. He had financial issues because transitioning to a different country needed more money to settle and buy household materials. He was interrupted at work because he was still working on getting his work permit in Taiwan and found it difficult to communicate with the colleagues because of the language barrier. Vincent’s family role changed since he was now the breadwinner of the family since his parents had retired. Vincent did not have any caregivers to help him overcome his suffering stage and regretted that fact. The caring words and actions that were meaning to him were the encouraging words from his classmates whom he cherished and hoped that their simple interactions would develop into true friendship even if it turned out differently. Vincent treasured friendship and family relationships since he felt needed and appreciated by the few individuals that accepted to interact with him in the new country. Vincent needed support from caregivers when he felt isolated and depressed, who would have encouraged him to be positive about life and to feel appreciated. What was missing from his loved ones was more concern for his welfare and encouragement. Vincent described how he wished

Cultural Behaviour in the Workplace Research Paper

Cultural Behaviour in the Workplace - Research Paper Example According to Condon & Yousef (1975), people skills and intercultural communication competence contribute to successful cross-cultural business interactions. Culture determines the nature of the business interaction of individuals. Cross-cultural business interactions happen between different countries with distinct political, economic, and cultural backgrounds. For economic development, different countries and international companies collaborate to contribute positively to the global economy. However, cultural intolerance is a major cause of conflicts and misunderstandings experienced in the world today (Ayoko 2007). It is difficult for people of different cultures to understand each other since they are cultured to do things in a specific manner. Sebenius (2002) notes that this problem faces most companies engaged in cross-border business. Therefore, there is the need for all companies to adopt an international global perspective of conducting business.   This study based on the a ssumption that culture is important in determining business interactions in the workplace. Basing on the challenges experienced by employees, this study will answer the question; how does culture influence business interactions of Americans, Chinese, and Russians. This will also develop propositions for addressing challenges that arise in a multicultural workplace. The study findings will offer guidance on how to ensure effective business communication with Russians, Chinese, and Americans. The study setting is the Sharjah Chamber of Commerce & Industry. This United Arab Emirates Company serves a major purpose of organizing economic life and ensuring the prosperity of trade in the region. This includes making proposals for economic projects, engagement in legislation dealing with industrial and economic affairs, and launching opportunities for investment (SharjsaCityGuide n.d). The nature of this company allows for interactions with companies from different parts of the world, in or der to work jointly on projects or negotiate on business deals. During such cross-cultural communication, cultural differences lead to considerable challenges. The participants in this study are employees of this company, who have experience working with foreign delegates, specifically, Russian, American, and Chinese. These will share their experiences and major challenges in their dealings with the foreign delegates. Methodology This study aims at gathering information concerning the experiences of the employees of the Sharjah Chamber of Commerce & Industry in dealing with delegates of Russian, American, and Chinese origins. The experiences of participants reflect their attitudes toward the foreign delegates, therefore, this study explores subjective data. Therefore, in order to achieve the aims of this study, a qualitative approach will be employed, as this is concerned with subjectivity understanding.

Different Between Comprehensive Assessment And Risk Assessment Nursing Essay

Different Between Comprehensive Assessment And Risk Assessment Nursing Essay Assessment helps care planning professionals in examining their clients life in much detail so that correct diagnosis, suitable treatment post, problem lists, and treatment goals can be developed (Health in All Policies, 2010). Generally, a clinical assessment identifies client or patients recent experiences and their physical, psychological, and socio-cultural history to settle on exact treatment needs (Smith Capon, 2011). Assessment can be done in different ways but the most two types of assessment used on the basis of underlying differences are as follows: Comprehensive Assessment: Comprehensive assessment is a type of clinical assessment that enables the health professional or treatment provider with the determination of clients most suitable treatment placement and treatment plan. Comprehensive assessment could be defined as a multidisciplinary investigative and treatment procedure that distinguishes medical, psychosocial, and functional restrictions of an unhealthy person with an aim to formulate a corresponding plan to maximize on the whole health with aging. Usually comprehensive assessment is used for the health care of an older adult as it is far more than the traditional medical management of illness. Providing care to old people need evaluation of number of issues such as physical, affective, social, cognitive, financial, environmental, and spiritual aspects that could be identified effectively with comprehensive assessment (Mazza Harris, 2010). Comprehensive assessment relies on the premise that a methodical evaluation of older individuals by a team of health professionals helps in discovering a number of treatable health issues and direct towards effective health outcomes. Comprehensive assessment is generally initiated with a referral by the primary care clinician or from some professional clinician working in hospital. Every patient could not be referred for comprehensive assessment as there are specific evidences to identify appropriate patients for comprehensive assessment. Although there are no set criteria to refer patients for comprehensive assessment, but some specific points or criteria used in this concern are: Age Medical comorbidities like heart failure or cancer Psychosocial disorders like depression or isolation Specific geriatric conditions like dementia, falls, or functional disability Earlier or anticipated high health care utilization (Wanberg Milkman, 2009). Change in living situation One outpatient approach for referring patients for comprehensive assessment is to refer patients who have problems in various areas, whereas an inpatient approach to refer would be to refer patients for CGA who are found to have problems in multiple areas during geriatric assessment screens. An inpatient approach used to refer patients for comprehensive assessment is to refer patients admitted in hospital or clinical care institute for a specific medical or surgical reason (Phillips, McKeown Sandford, 2009). Comprehensive assessment helps clinical care professionals in providing care with the help of six steps that are data collection, team discussion, development of a treatment plan, execution of the treatment plan, monitoring response to the determined treatment plan, and revising the treatment plan. A comprehensive assessment is undertaken with the help of qualified and trained clinicians that in turn assist the treatment provider to determine the most effective treatment placement and treatment plan (Wanberg Milkman, 2009). Risk Assessment: In contrast to comprehensive assessment, risk assessment refers to making decisions on the basis of acquaintance of research evidence, familiarity of the individual service user and their social background, knowledge of the service users own experience, and clinical judgement. In risk assessment, the clinician must collect information from two main information sources to direct clinical decisions (OConnell, Ostaszkiewicz Hawkins, 2011). Understanding of statistical factors in regard to the increased risk is needed, along with clinical and contextual information specific to patient or clinical service users present situation. Evidence of known risk factors can be attempted from the clinical data as well as from the patients demographic information (Mazza Harris, 2010). Demographic information like age, gender or past behaviour may be related to increased risk. Although, all these factors are static, so risk may not be decreased through the modifications in these factors. Dynamic factors on the other hand can be modified like factors related to patients mental state or socio-economic conditions etc (Phillips, McKeown Sandford, 2009). Information collected from dynamic factors is more effective to inform care planning. Therefore, in risk assessment information specific to the patient and his/her contextual information need to be incorporated. The concentration of risk assessment is to guide and support positive approaches to risk management whereas in comprehensive assessment focus is on the development of treatment placement and treatment plan. Risk assessment and its management in clinical care is a step-wise procedure that includes following steps; social and environmental context, defining the risks, distinguish who is at risk, information collection, evaluation of risks, determining which risks factors need to be modified, resource significances, communication, care planning, and review. Continence Assessment A continence assessment is executed by healthcare professionals with an aim to assess an individual ability to control bladder or bowel function and to agree on factors that may be imparting to incontinence. For continence management, it is vital to take continence assessment and it is undertaken in two parts: an interview and a physical assessment. As well, patient may also need to fill a bladder diary before his/her assessment (Chiarelli, 2011). A bladder diary refers to a diary of evidences and what patient was doing at the time evidences took place. A bladder diary serve health professionals with significant clues in regard to the type of incontinence an individual is facing and what are the activities that may be contributing to incontinence. In the interview portion of the continence assessment, patient could be asked with a series of questions such as prior medical history, medication being taken, overall health, weight, smoking history, history of prostate issues (for men), pregnancy/childbirth history (for women), diabetic, problem with frequent constipation etc. In the physical assessment portion a urinalysis is done to check for kidney or bladder problems, such as infection (Ferrell Coyle, 2010). At the same time, if needed healthcare professional (generally a nurse continence expert or a doctor) may also carry out a physical exam, together with a vaginal exam for women and a rectal exam for men. It is done to evaluate the strength of patients pelvic floor muscles (Phillips, McKeown Sandford, 2009). Physical assessment makes it easier for healthcare professionals to identify a physical problem due to which incontinence is occurring. A continence assessment is significant to identify the reason of incontinence, and recommend patients in regard to managing incontinence (Chiarelli, 2011). A continence assessment significantly contributes in a comprehensive health assessment and this could be understood with an example of an old person comprehensive health assessment. Today, old patients have multiple problems like diabetes mellitus, chronic chest conditions etc. For dealing with all these health issues of older people, it is vital to undertake comprehensive health assessment that if also includes a continence assessment would benefit a lot to identify the actual causes of all problems in old aged patients (Miller, 2011). Diabetes mellitus can result in number of bladder problems, including polyuria, urinary retention and urinary tract infection, so at the time of comprehensive health assessment is a continence assessment is also done it becomes easy to control the health problems and its affects at earlier stage (Chiarelli, 2011). A continence assessment assist health care professional a lot in their comprehensive health assessment as without identifying bladder functioning it is not possible to arrive at suitable treatment plan (Ferrell Coyle, 2010). Abnormal Findings and Actions to deal with it: The prevalence of urinary incontinence heightens with age, so the diagnosis of it on time is essential for women. As the population of US ages, quality care professionals confront increasing number of inconsistence (Massoud, Mahshid Behrouz, 2011). At the time of performing continence assessment one might expect these three abnormal findings: Stress Incontinence: It refers to the spontaneous loss of urine throughout an increase of intra-abdominal pressure brought about from activities like coughing, smiling or exercising. The underlying abnormality is generally urethral hyper mobility due to the breakdown of the normal anatomic accompaniments of the urethrovesical junction. Being a planning care professional one can deal with this abnormality with the diagnosis along with various tests to assess the severity of leakage as well as undertaking specialized tests such as urodynamics and cystourethroscopy (Continence Assessment, 2010). Detrusor instability or Detrusor hyperreflexia: These abnormalities are all due to overactive bladder. For dealing with this abnormality, a planning care professional may undertake several simple or complex urodynamic studies to arrive at the definitive diagnosis of Detrusor instability or Detrusor hyperreflexia. As well, some patients may also be treated without experiencing invasive testing. Behavioural therapy could also be used as bladder retraining and biofeedback that tries to re-establish cortical control of the bladder by appropriating the sufferer ignore exigency and void only in retort to cortical signals in waking hours (Ferrell Coyle, 2010). Ectopic ureters and diverticulae: Another abnormality that is expected to come up at the tiem of performing continence assessment is ectopic ureters and diverticulae. For dealing with this type of abnormality, a completed history is obtained and a physical examination is performed to initiate treatment. Treatment of women with urinary incontinence secondary to a urinary or gynecologic deformity or lack of continuity usually calls for surgery by an urogynecologist or an urologist (Continence Assessment, 2010).

Technology Is The Seed Of Our Destruction :: essays research papers

I agree and disagree with this statement. Technology has become very important in our society recently, and more people are getting involved with it, discovering new technology, and introducing it into society. The big question is whether or not society is ready for all the new techonological advancements. In some cases, the answer is yes. I am quite certain that people can handle TV, computers and radios fairly well. However, some technology would be way too advanced for us, such as a mind-reading room, perhaps? I think with the right knowledge and experience, individual people can handle any new technology that is introduced to them. People in large numbers tend to panic, and not deal with new things very well. It is my opinion that as a crowd of people grows larger, the collective intelligence of the crowd grows smaller. If advanced technology is introduced suddenly to a large number of people, then it will not work. If you introduce it slowly, it might work better. Some tehnology has helped us in many ways, such as: microscopes, electricity, and computers. Other technology has both helped and hindered us, such as the television and the car. Some technology has not helped at all, such as an electric fork or the electric car, the latter being too expensive for any normal person to run. Television is a big thing nowadays, and it has rotted the minds of children and adults alike. However, it has also improved communication, and if viewed in small time slots, it has enhanced some people’s intelligence. Some parents may sit their children in front of the television for hours while they go off somewhere to drink, etc. I don’t think this helps their children’s intelligence, and it eventually distances the children from the parents. For example, if you have children, and a television, what do you think would happen if you removed the TV from the house? The answer is simple: your kids would hate you for it. This is because they have grown accustomed to having the TV there as a distraction, or as entertainment. However, if you had never owned a TV, would your kids miss it? I think that, to a certain extent, technological advancement is a very good thing, because it can enhance and enrich our lives, but when it starts to take over the simple things in life and makes everything instant and electronic, technology can be bad.

Mythical American Dream Challenged in Arthur Millers Death of a Salesm

Mythical American Dream Challenged in Arthur Miller's Death of a Salesman      Ã‚   Arthur Miller’s Death of a Salesman challenges the American dream. Before the Depression, an optimistic America offered the alluring promise of success and riches. Willy Loman suffers from his disenchantment with the American dream, for it fails him and his son. In some ways, Willy and Biff seem trapped in a transitional period of American history. Willy, now sixty-three, carried out a large part of his career during the Depression and World War II. The promise of success that entranced him in the optimistic 1920's was broken by the harsh economic realities of the 1930's. The unprecedented prosperity of the 1950's remained far in the future. Willy Loman represents a uniquely American figure: the traveling salesman. Every week, he takes a journey to stake his bid for success. It would be difficult to miss the survival of the American frontier mentality in the figure of the traveling salesman. The idea of the American dream was heavily influenced by the rush for gold and land in the nineteenth-century American West. It is no coincidence that in the 1950's, the decade most preoccupied with the mythical American dream, America experienced an unprecedented love affair with Westerns. Willy and Linda try to build their own version of the American dream with their family. In high school, Biff was the all-American boy as the captain of the football team. True to the myth of the all-American boy, girls and admiring friends surrounded him. Willy and Linda's lives are full of monthly payments on possessions that symbolize that dream: a car, a home, and household appliances. The proliferation of monthly payments allowed families with modest incomes to h... ...une promised by the American dream. He cannot admit doubt or insecurity because a good salesman always remains confident, and the American dream promises success to the confident, eager individual. Death of a Salesman addresses Willy's struggle to maintain his identity in the face of narrowing hopes that he or his sons will ever fulfill his dreams. Works Cited Baym, Franklin, Gottesman, Holland, et al., eds.   The Norton Anthology of American Literature.   4th ed.   New York: Norton, 1994. Corrigan, Robert W., ed. Arthur Miller.   Englewood Cliffs, NJ: Prentice-Hall, 1969. Florio, Thomas A., ed. â€Å"Miller’s Tales.† The New Yorker.   70 (1994): 35-36. Miller, Arthur.   The Archbishop’s Ceiling/The American Clock. New York: Grove Press, 1989. ---.   Death of a Salesman.   New York: Viking, 1965. ---.   Eight Plays.   New York:   Nelson Doubleday, 1981.

Professional Behaviour Essay

A framework of professional principles can guide behaviour where the law is not applicable, not clear, or remains silent. Behaving legally is the minimum standard of behaviour expected of the ‘ethical’ accountant. Some behaviour, while legal, may still be regarded as ‘unethical’. Many aspects and decisions within accounting roles, at all levels, are not covered by the law. Therefore, in many different situations, the law is not sufficient to guide a professional’s behaviour, but a professional is also expected to behave in accordance with accepted professional principles. Acting in the public interest : The public is everyone who is affected or could potentially be affected by the work or shortcomings of accountants and auditors, including third party institutions. The interest is the potential impact of accountants’ work on the public, whether that be beneficial or harmful. What actions are the public interested in as far as accountancy is concerned? Money laundering * ‘the conversion or transfer of property, knowing that such property is derived from criminal activity or from an act of participation in such activity, for the purpose of concealing or disguising the illicit origin of the property or of assisting any person who is involved in the commission of such activity to evade the legal consequences of his action’; and * ‘the concealment or disguise of the true nature, source, location, disposition, movement, rights with respect to, or ownership of property, knowing that such property is derived from criminal activity or from an act of participation in such activity’. Insider trading is another form of corruption. This is making investor decisions based on confidential information. Insider trading is a criminal offence in most countries, although the effectiveness of enforcement varies. The reasons it is usually illegal are: * It is unfair on investors who do not have access to the information * It may deter investors from participating in the market at all, undermining the basic purpose of markets, which is to allow companies to raise capital * It may destabilise markets by encouraging the trading of stock based on rumours * It involves profiting from a breach of confidence, at the expense (at least partially) of people to whom the insider has a duty (such as their employer, and their employer’s shareholders) Defenders of insider trading claim that it improves market efficiency by allowing confidential information to influence prices more quickly. However, in most situations insider trading is considered to be highly damaging.

Use Industrial Economic Theory to Assess the Extent

Vertical integration is the process of combining firms, usually under a single ownership, that are different parts of a larger production scale. This could be anything from two firms to all of the firms that make up the supply chain. Due to combining multiple smaller firms, this form of integration has an effect on the market power that the firm(s) has (Riordan, 2008). This differs to horizontal integration which is the combination of firms or expansion of a single firm at one particular point of the production process (Black, Hashimzade, & Myles, 2009, p. 206-7).Vertical integration is usually carried out in one of two ways. Upstream, which can be referred to as backwards, and downstream, or forward, and the definition is linked to the ownership or controlling party. Upstream is to your suppliers and downstream is to your buyers (Enz, 2009, p. 214). Although vertical integration is usually upstream or downstream it can also be balanced which is where ownership or control is shared b etween the firms in the supply chain. There are multiple benefits associated with vertical integration but some of the benefits may differ between upstream and downstream.Some benefits that may arise are improved coordination between firms throughout the supply chain, cost savings through internalized transactions and an increased market share (Fairburn, & Kay, 1989, p. 10). There are many examples of both upstream and downstream integration in industry throughout history. In the 1970’s and 80’s many crude petroleum extracting companies acquired downstream firms such as refineries and distribution networks (â€Å"Idea: Vertical Integration†, 2009).This is mirrored today with many oil companies such as Shell and BP owning all parts of the supply chain from extraction to the petrol stations supplying the consumers. Smithfield Industries are a meat producing firm that has benefitted from upstream vertical integration. They have integrated with a variety of farms, s laughterhouses as well as other firms that make up the entire supply chain. They now have ownership or decision making power, such as changes to production levels to match changes in demand for the final products, in all the firms that supply them.As a result they now have 26% of the meat and poultry market (Pepall, Richards, & Norman, 2008, p. 449) as well as receiving other benefits such as maintaining a sustainable supply for larger numbers, having control over product quality (such as the leanness of the meat) and they have designed warehouses and barns for their subsidiaries to improve their operational efficiency. Most of these benefits are predominantly in favour of the retailer Smithfield as much of these benefits are associated with lowering costs across the supply chain which lowers their final input costs.These benifits, that are associated with lowering input costs, all indicate that Smithfeild do not suffer from double marginisation as a result of thier vertical integra tion. Double marginalisation is when all the integrated firms set a price above the marginal cost (MC) which then creates two sets of surpluses that are incurred, also reducing consumer surplus to make all parties worse off. Pepall, Richards & Newman state that this is not possible if there is competition either upstream or downstream in the chain (2008, p. 438).This is because competition can cause the wholesale price of inputs to be at the MC to either keep the upstream firm competing or the downstream firms final price competitive. Competition upstream that causes production at the MC can help the downstream firm, in this case Smithfield, achieve abnormal profits if they have monopoly power and the ability to descriminate thier prices. Although most of the benefits are for Smithfield, the subsidiaries will benefit from having more efficient processes and economies of scale that may be gained from the integration due to investment received from the parent firm.The profitability of the integration is linked to the level economies of scale obtained from it as the ability to coordinate the adoption of new technologies associated with lower marginal costs for the subsidiaries will define how much profit can be made (Avenel, 2008, p. 248). As well as this they will benefit from having a reliable retailer that will have a consistent demand for their products. Although they will have a consistent buyer for their products the subsidiaries will have to receive a lower unit price for their products as a result of bringing down their costs after the integration.This is not a negative as the demand for their product is consistent and the fall in market price will be proportional to the fall in costs. As well as Smithfield, other meat and poultry production firms have benefitted from having highly integrated production chains such as Tyson, ConAgra and Swift (Pepall, Richards, & Norman, 2008, p. 449). The integration of these firms is consistent with Lieberman’s v iews (1991, p. 452) of why upstream integration may take place. The main reason which is applicable to this situation is that if the inputs in question account for a arge proportion of total cost (which animals being bred for meat will do) then the downstream firm is more likely to integrate. Although all these firms are highly integrated and could offer much lower prices than they already do to the consumers they choose not to. Having a higher mark up allows them to receive higher profit margins from the lower input costs while keeping similar market prices for their final output. This is a form of non-price competition in order to receive higher profits and an example of Nash equilibrium.Nash equilibrium is where a set of price levels or production levels for each firm will not be changed based on the decision of the other competing firms (Pepall, Richards, & Norman, p. 197), meaning that if one lowers their price the rest of the competitors will retaliate and all start undercutti ng theirs but could end up resulting in loss of profits based on how much the prices change. Nash equilibrium is common in large oligopolistic markets which are also the most common for vertical integration to take place in.This is an example of how the benefits of this integration will not be asymmetric as the final retailer can increase its profits relatively by a much larger amount than the subsidiaries they are purchasing their inputs from. All the benefits previously mentioned which are mainly associated with lower costs and prices also cause another benefit by causing barriers to entry. These are things that make it difficult to enter the market (Black, Hashimzade, & Myles, 2009, p. 29).In this case the low costs due to higher efficiency will make competition for a new entrant difficult and will in turn detour others from attempting to enter the market which will keep the level of competition for the existing firm lower, especially in the case of the meat and poultry market wh ere many of the largest firms are highly integrated. Partnerships are a form of integration that does not include control or ownership but can still provide many benefits, usually cost orientated, that may be associated with conventional integration.Partnerships often occur when both firms involved are large and it would not be cost-effective to attempt to buy them. McDonalds are a company that as well as being highly integrated they also have many partnerships with companies such as Coca-Cola, Heinze and Microsoft. In the case of the Microsoft partnership some of the benefits are streamlining operations and reducing the total cost of operations (â€Å"Microsoft Partners with McDonald’s for Global Point-of-Sale Solution†, 2005).As well as this Microsoft will also benefit by improving thier brand awareness, specifically for thier Microsoft Smarter Hospitality system. In conclusion all parties will benefit from vertical integration. But the benefits are not asymmetric. I n an upstream integration the majority of the benefits are gained by the retailer that sells the final product. This is because they can increase their market share as a result of the integration as well as their costs can be greatly reduced while keeping their price relatively similar and hence creating more profits.The subsidiary firms may still end up with higher profit margins but the proportional increase is unlikely to match that of their owner firm. Another reason that the benefits are not asymmetric and are greater for the retailer is that they gain control over the subsidiary and the subsidiary has to relinquish some or all control to the owners. This allows the retailer to dictate what is produced in preparation for possible changes in demand or product portfolio which could lead to the supplier being left with excess stock.The benefits from barriers to entry will not be asymetric. In many cases, including the poultry market, the upstream markets are more monoploistic and more competitive as opposed to a more oligoposlistic structure downstream (associated with higher barriers to entry) which is shown by the fact that a single downstream firm will own multiple upstream suppliers. Also the fact that the downstream firms will get more cost/price benefits show that the added difficulty for new firms to compete will be harder. Bibliography Answers. (2011).Vertical Integration. Retrieved November 15 from http://www. answers. com/topic/vertical-integration Avenel, E. (2008). Strategic Vertical Integration without Foreclosure [Electronic Version]. The Journal of Industrial Economics,56(2), 247-262 Black, J. , Hashimzade, N. , & Myles, G. (2009). Oxford Dictionary of Economics (3rd ed. ). Oxford: Oxford University Press Enz, C. A. (2009). Hospitality Strategic Management: Concepts and Cases (2nd ed. ). New Jersey: John Wiley & Sons Inc. Fairburn, J. A. , & Kay, J. A. (1989). Introduction. In J.A. Fairburn, & J. A. Kay (Eds. ), Mergers & Merger Policy (pp. 1- 29). New York: Oxford University Press Idea: Vertical Integration. (2009, March 30). The Economist. Retrieved November 12, 2011, from http://www. economist. com/node/13396061 Leiberman, M. B. (1991). Determinants of Vertical Integration: An Emperical Test* [Electronic Version]. The Journal of Industrial Economics, 39(5), 451-466. Microsoft Partners with McDonald’s for Global Point-of-Sale Solution. (2005). Microsoft News Centre. Retrieved November 24, 2011 from http://www. icrosoft. com/presspass/press/2005/dec05/12-07McDonaldsPOSPR. mspx Pepall, L. , Richards, D. , & Norman, G. (2008). Industrial Economics: Contemporary Theory and Emperical Applications (4th ed. ). Padstow: Blackwell Publishing Riordan, M. H. (2008). Vertical integration. In S. N. Durlauf, & L. E. Blume (Eds. ), The New Palgrave Dictionary of Economics (2nd ed. ). Palgrave Macmillian. The New Palgrave Dictionary of Economics Online. Retrieved November 12, 2011, from http://www. dictionaryofeconomics. com/art icle? id=pde2008_V000029

Maruti Suzuki Company Profile

Organisational Profile of Maruti Suzuki About us – Maruti Suzuki India Limited (MSIL, formerly named Maruti Udyog Limited) is a subsidiary of Suzuki Motor Corporation, Japan. MSIL has been the leader of the Indian car market for over two and a half decades. The company's two manufacturing facilities are located at Gurgaon and Manesar, south of New Delhi. Recently, the company has announced a further investment of Rs 1,700 crore (Rs 17 billion) for enhancing the production capacity by 250,000 units annually. The CAGR over two years is 27% for net sales.Nature of the Company Ownership – Maruti Suzuki India Ltd. Is a public limited company and is listed on Bombay Stock Exchange Limited and National Stock Exchange Limited. SMC is the majority shareholder with 54. 21% equity stake in the company. Shareholding Pattern of the Company – Our Vision – The Leader in the Indian Automobile Industry, Creating Customer Delight and Shareholder's Wealth; A pride of India. We believe OUR CORE VALUES drive us in every endeavor. * CUSTOMER OBSESSION * FAST, FLEXIBLE & FIRST MOVER INNOVATION & CREATIVITY * NETWORKING & PARTNERSHIP * OPENNESS & LEARNING Quest Unlimited – â€Å"After 25 years of leadership, what next? † It is not for us to predict the future. Other than to say that the Quest is unceasing. We continue on our journey, uninterrupted and without distraction, avoiding complacence and flamboyance, to explore newer frontiers, strengthen and expand partnerships, connect with the layers and layers of a still larger world and embed ourselves deeper in the lives of people. Success Mantra –Success in this business, we said, asks for â€Å"Stamina and Patience, Order and Creativity, Skills hard and soft and it needs all of them to Co-exist in the Right Proportion. † We follow the natural low of 3G – Give is the route to Get and Grow. CORPORATE INFORMATION – Board Of Directors – Mr. R. C. Bhargava, Chairman Mr. Shinzo Nakanishi, Managing Director and CEO Mr. Tsuneo Ohashi, Director and Managing Executive Officer (Production) Mr. Shuji Oishi, Director & Managing Executive Officer (Marketing & Sales) Mr. Keiichi Asai, Director & Managing Executive Officer (Engineering) Mr.Manvinder Singh Banga, Director Mr. Amal Ganguli, Director Mr. D. S. Brar, Director Mr. Osamu Suzuki, Director Ms. Pallavi Shroff, Director Mr. Kenichi Ayukawa, Director Contact us – Head Office Maruti Suzuki India Limited 1, Nelson Mandela Road, Vasant Kunj, New Delhi-110070 Board no. 46781000 Fax : 46150275-76| Gurgaon Plant Maruti Suzuki India Ltd. Gurgaon Plant Old Palam Gurgaon Road Gurgaon – 122015 Tel: (0124)   2346721| Manesar Plant Maruti Suzuki India Ltd. Manesar Plant Plot no. 1, Phase 3A IMT Manesar Gurgaon – 122051. | BUSINESS HIGHLIGHTS Company’s Snapshot – Above 50% market share in passenger cars and van type Vehicles for all 25 years * O ver 7 million cars produced & sold cumulatively * Over 500,000 cars exported cumulatively * 1st in customer satisfaction for 9 consecutive years – J D power CSI survey * One million units/ annum total capacity * Gurgaon facility – capacity 700,000 units/ annum * Manesar facility – capacity 300,000 units/annum * Over 7,600 employees on its rolls. * 681 sales outlets in 454 cities * 2767 workshops in 1314 cities * 315 pre-owned car outlets in 181 cities Recent AWARDS –India's Most Trusted Brand 2009: The Economic times Maruti Suzuki has been ranked Indian most Trusted Brand by India's leading Business newspaper The Economic Times. This prestigious accolade comes alongside company's 10-year long pole position in customer satisfaction surveys. 2000-2009: JD Power Customer Satisfaction Index Award – India The biggest draw for the past ten years has been the award for highest recognition by the customer. In 2009-10 again, for the tenth consecutive ti me, Maruti Suzuki ranked the highest in JD Power Customer Satisfaction Index.Other Accolades During 2009-10, the company, its products and services received reputed awards and accolades instituted by independent expert groups, media houses and research agencies. These include: * Ritz – Hatchback of the year * Ritz – Car of the year * Maruti Suzuki as the ‘Manufacturer of the year' by CNBC Overdrive * In the World's Most Reputed Company Survey 2009, Maruti Suzuki ranked third amongst global car companies and 49 amongst all companies across all segments. * ICSI National Award for Excellence in Corporate Governance' Products –The company has a portfolio of 13 brands and over 150 variants across Maruti 800, Omni, international brands Alto, A-star, WagonR, Swift, Ritz and Estilo, off-roader Gypsy, SUV Grand Vitara, sedans SX4 and Swift DZire and the newest entrant Eeco. Quality – A product of poor quality requires repeated inspections, entails wastage in terms of repairs and replacements. â€Å"Do it right first time†, is the principle followed to avoid wastage. To ensure quality, robots were devices and deployed especially where they reduced worker fatigue and were critical in delivering consistent quality.With consistent improvements in the plant the company was able to manufacture over 600,000 vehicles in 2006-07 with an installed capacity of just 350,000 vehicles per year. Production Management System (PMS) – PMS is derived from the basic Japanese principles of 5S, 3G and 3K. Corporate Social Responsibility (CSR) concepts – Maruti Suzuki has adopted a CSR policy, which serves as a guiding tool for the management and the employees in steering Maruti Suzuki towards long term sustained growth in harmony along with the interests of the stakeholder.The role of the CSR department is to professionalize CSR activities in Maruti Suzuki and strengthen the mechanisms involving the activities. Significant efforts have been taken to contribute to society at large, through its corporate activities, especially in the areas of Road Safety and Vocational Training. Maruti Suzuki has set up dedicated teams with requisite expertise to steer the social projects. Maruti Driving School – National Road Safety Mission – Driving its message for road safety, Maruti Suzuki India Limited, unveiled a National Road Safety Mission| programme in December 2008.Under the programme, the company will * Train 500,000 people in safe driving in the next 3 years across India| | * While utilizing the existing 4 Institutes of Driving Training and Research (IDTR) in Delhi, Dehradun and Vadodara and 61 Maruti Driving Schools across the country the company will enter into partnerships with state governments for more IDTRs and with its dealers for more Maruti Driving Schools * Of the 500,000 people to be trained, at least 100,000 will be people from underprivileged section of society, who are keen to take driving as a profession. The company will continue to support to government and industry in their efforts for road safety| Sustainability Approach – In line with the global environmental concerns, we have identified the following focus areas with regards to the protection of environment and resources for the future generations. * CO2 emission reduction * Energy Conservation * Water Conservation * Solid Waste Management * Material Usage and Weight reduction * Fuel EfficiencyEnvironment Friendly –Fuel Efficient K-series Engine Technology Maruti Suzuki recognizes global warming and climate changes as global issues, the effects of which are of concern both for the environment and human life. The challenge faced by the society is how to meet the needs of the present, without compromising the ability of future generations to meet their own needs. Maruti Suzuki strongly believes that an investment in environment friendly products and manufacturing facilities is in the best interest of t he society as well as the business.The last 25 years of our journey has reinforced the belief that environment friendly initiatives make products more acceptable to customers and help Maruti Suzuki grow profitably in every sphere. Since Maruti Suzuki started operations, conserving environment and natural resources has been an integral part of our systems and processes. The concept of â€Å"Reduce, Reuse, Recycle† (3R's) has been our driving principle.This three pronged strategy or the 3 R's has been promoted in all our manufacturing facilities, supply chain and logistics operations. Maruti Suzuki also follows the Philosophy of â€Å"Smaller, Fewer, Lighter, Shorter and Neater†. This Philosophy has helped Maruti Suzuki in optimal utilization of resources and cost savings. True Value Outlet – Maruti True Value is India No. 1 organized pre-owned car brand. The company's service businesses include sale and purchase of pre-owned cars (True Value) and Maruti Finance.U nique advantages   Ã¢â‚¬â€œ * India's largest certified used car dealer network * 340 outlets in 197 cities and growing * All car related services under one roof * professionally trained manpower * Complete peace of mind| | These initiatives, besides providing total mobility solutions to customers in a convenient and transparent manner, have helped improve economic viability of the company's dealerships Exports – What do countries like Poland, Finland, Iceland, Malta, Switzerland, The Netherlands, Algeria and Italy have in common?Maruti Suzuki cars ply on the roads of these countries, and what's more, they are soon becoming the fastest selling cars in those lands. Maruti Suzuki exports, entry-level models across the globe to over 100 countries and the focus has been to identify new markets. Some important markets include Latin America, Africa and South East Asia. The Company clocked its highest ever exports at 70,023 units, a growth of 32. 1% in the Fiscal Year 2008-09.