Thursday, October 31, 2019

Internal and External Factor Analyses of the Vermont Teddy Bear Co., Essay

Internal and External Factor Analyses of the Vermont Teddy Bear Co., Inc - Essay Example The first section will present a brief profile of the company. The next section will then tackle the opportunities and threats faced by the company which will lay the foundation for the external factor analysis. Lastly, the paper will look at the internal functioning of Vermont Teddy Bear Co, Inc., through its strengths and weaknesses. The paper will also present summaries of the internal and external factor analyses. Vermont Teddy Bear Co, Inc. began in the streets of Burlington, Vermont in 1981. Its founder, John Sortino began this business by "selling hand sewn teddy bears out of a pushcart." His venture marked the foundation of a business which is basically involved in the conceptualization, manufacture, and marketing of teddy bears. The company is known for its products which are manufactured by Americans using local inputs. Vermont Teddy Bear Co., Inc., however, has begun utilizing imported materials to lower the costs of production and boost profitability. The major business line of the company is the marketing of bears through a program called Bear-Grams which delivers the company's products to customers who can order online or through phone. Bear-Gram was originally advertised through radio stations and orders were taken for special occasions like birthdays, Valentine's Day, and others. The company has latter diversified in the retail of its products. Expansion also meant opening up retail outlets in lucrative areas in the United States. This expansion aimed to promote Vermont Teddy Bear as a national brand. Vermont Teddy Bear Co., Inc.'s performance peaked during 1994 but slipped off due to managerial problems and constraints (The Vermont Teddy Bear Co., Inc 1994). External Factor Analysis External factor analysis is lifted from the opportunities and threats faced by Vermont Teddy Bear Co., Inc. Opportunities include market developments, competitors' vulnerabilities, lifestyle or industry trends, technology development and innovation and a lot more which poses an opportunity which can enable the company to grab a larger portion in the market, maximize shareholders' value, or boost profitability. On the other hand, threats can be political events, drop in market demand, and other obstacles faced by a business entity. Table 1 is a summary of the external factor analysis conducted on Vermont Teddy Bears Co., Inc. Opportunities abound for Vermont Teddy Bear Co., Inc. The boom in the collectible market posts a bright prospect for the company this means a larger customer base which can be serviced by Vermont. The collectible industry is estimated to be a $9.2 billion industry with the plush collectibles segment cornering a $441 million share (Calta, 1995). In the past five years, there has been a growing preference for the upscale bear, the limited editions, and the artist-designed bears (Leccese, 1998). Companies in the teddy bear industry can take advantage of this trend by expanding their product lines in response to this growth. Vermont Teddy Bear Co., Inc. as one of the most prominent players in the teddy bear industry is in a very advantageous position to grab this opportunity. Manufacture of bears to suit the changing needs of customers can be pursued. Market diversification strategies can also be undertaken by the company both in the United Sta

Tuesday, October 29, 2019

Analyzing Stories Assignmrnt Essay Example | Topics and Well Written Essays - 1000 words

Analyzing Stories Assignmrnt - Essay Example With the incessant teaching of Miss Moore about facts of life regarding the poor and the rich, Sugar, one of the students came to realize her point during this trip where she reckoned that not even all of their money for their food in year cannot be summed up to buy the toy boat they saw in the store. Although the storyteller was quite annoyed at the conversation, the irony in the story is expressed at the end where she turned out to be the more serious type of a person who was struck with the exchange of ideas. Sylvia decided to be alone so she could think about what happened through the day while Sugar who seemed to be more reflective, turned out to be more concerned of where they were going to spend the change of Miss Moore that she never asked. Most of the characters in the story are static, showing no change in their personalities. For instance, Mercedes presented herself to be the more affluent among them, telling them about what she has and what she could have if she asks her dad to buy things for her. Rosie Giraffe on the other hand has always been the troublemaker, being reckless in her actions and words, waiting for a chance to get to whoever gets caught in her trap. The same is true with the other minor characters that are not the focus in the story but seemed to have been used as standards to differentiate the other characters. Sugar is a flat character because although there was no change in her, there was a time in the story that she became reflective and showed signs of becoming a round character. However, the end of the story reveals that she did not seriously consider her thought that might have changed her life and character. On the hand, where Sugar left her reflections, the main character picked her senses. Sylvia is a dynamic character showing a change in behavior towards the end of the story, taking time to herself to reflect on the things that happened that day. She, from the beginning of the story showed

Sunday, October 27, 2019

Juvenile Crimes

Juvenile Crimes Introduction Juvenile crimes seem to dominate many topics of discussions and are such a gigantic problem, because of the over-crowded court rooms and jail cells. However, legislation is being manufactured for younger offenders, while public sentiments continue to escalate regarding what to do with these juveniles, who terrorize local communities with their poor choices that affect us all. One may say that we have never been a victim of a juvenile crime, but many have felt the residual trickle down effects of juvenile crime. How does the society at large combat this issue before it touches or affects us directly? This research paper will show that early intervention through parenting programs as well as an exit strategy for those who fall through the cracks will assist to lower juvenile crimes in spite of the attempts to utilize boot camps, scare tactics and adult sentencing as a means for change. The news is bombarded with juvenile incidents that peaks our discomfort levels and ushers in uneasy feelings because of the violent way juveniles are behaving. Here are a few stories of what juveniles are doing in their respective communities. Four teenagers are caught on a camera robbing a store owner in Harrisburg, Pennsylvania. The store owner hands are raised above his head when a shot is fired by one of the teens and the store owner falls to his death. In Florida and Kentucky five other teens that perpetrated as vampires are charged with assaulting another teens parent to death. In Los Angeles a six year old boy is fatally wounded by the senseless acts of gang activity and an innocent person was caught in the crossfire also. These are the types of juvenile crimes being committed by individuals between six to eighteen years old. The isolated stories mentioned above are just a few of the headliners of major media outlets informing the general public of the plight of Americas juvenile problem. These senseless brutal events are so commonly placed that juvenile crimes seem to have a numbing effect on our society. A team of researchers stated that Compared to adolescents in other countries, Americas teens exhibit alarmingly high rates of violence, and the sad part about the violent crimes being committed by these individuals is that it is done so easily, uncaring and indifferent to those they violate Summary Most juvenile crime problem stems from social problems, and they are initiated from their upbringing, poverty and poor education. Because, of juvenile crime inner-city youths are unbalanced in their involvement in crime. Since there have been so many stories about juvenile crime, cities, states and even the federal government are working on ways as to how they can improve the problem with crime. Our Congress would like to change twenty-two laws that provide anti-delinquency funding to states. There are states who would like to see young teens to be charged as an adult for crimes they commit. The state of Massachusetts has voted for youths as young as fourteen be tried as adults; while the state of Tennessee minimum age was eliminated, but Wisconsins solution to the problem was to lower their age to ten. For many years, there was a public outcry for tougher stances on juvenile crimes; out of this response the juvenile boot camp concept was born and widely supported but the program had little success. Boot camps for juveniles originated in the late 1980s to help keep youths out of adult prisons or to keep their jail sentences short. At risk youths were placed into intense, structured, severe environments that resembled military boot camps. The juvenile boot camps had a legitimate and sincere mission which was to teach and provide discipline, but ultimately it failed to help prevent kids from committing future crimes. Authorities had hoped that the three months or so, served in boot camp, would help turn juveniles behavior around, but preliminary studies conducted as early as 1990s have indicated that boot camps do not work to improve a juveniles behavior. In fact, many of the attendees, after released, committed even more serious crimes than before because of their contact with more e xperienced offenders (NIH, n.d.). Studies have been shown that boot camps should be ban by the government because of the misconduct of employees at the camps. One incident involved a fourteen-year-old girl who had been put into the camp because she had stole $25 from a friend. The girl, who was overweight, died of heart failure because she was left lying in the sun unattended for hours after running three miles (NIH, n.d.). Incident such as this, is why boot camps have been given a bad reputation and should be closed immediately.. The National Institutes of Health (NIH) and experts agree that boot camps do not work to combat juvenile crime; in fact, many of them agree that it can make the problems worse. Many of the facilities has no therapy or no psychological interventions programs for the offenders to help them deal with underlying emotional and behavioral problems they may have been developing for many years (NIH, n.d.). Instead of boot camps which isnt helping out youths we need to start concentrating on ways to prevent juvenile crimes indisputably. One of the ways this can be accomplished is by communities providing programs to help children and their families at an early age. Many state programs are attempting to implement early intervention programs and requesting federal funding for community initiatives that will allow special groups to fight and battle the problem of juvenile crimes.. Another way this can be accomplished is through educational programs geared to observe and seek-out the juvenile indicators early in the developmental stage. These educational programs help the families that they served by providing valid and resourceful information that will enhance or benefit their current status. The programs show parents how to raise healthy children, while others instruct kids about the dangers of drugs, gangs, sex and weapons. While some try to reinforce and emphasize the God given worth or value juveniles have within themselves. This is a great tool in combating many of the issues with juvenile crimes, because the majority of juveniles committing a lot of these senseless crimes are doing them to draw attention due to self-esteem issues. These educational programs were designed to provide encouraging hope and to inform juveniles that there is another way out of their dilemma. Summary 2 Also by implementing early educational intervention in prenatal and infancy homes where visitation by nurses is just one more tool in helping to reduce juvenile crimes. These nurses involved in this program pay visits to low income, single mothers between their third trimester and second year of the childs life. The nurses emphasize on the medical condition of the mother and child, the support relationships in the mothers life, and the enrollment of the mother or caretaker and child in Health and Human Services programs. In a fifteen-year follow-up study found that mothers and children involved in the program had a seventy-nine percent lower child abuse rate, a fifty-six percent lower child runaway rate, and a fifty-six percent lower child arrest rate. This study has also showed an improvement in overall behavior problems of juveniles. (LawyerShop, n.d.).. Another law which has been implemented by many states to control juvenile crimes is the transfer law. This law refers to juveniles being transferred or waived to adult court to be sentence as adults and to serve time with adults. There has been research to prove that this law does not work to detour juvenile crimes. In the 1980s, there were two studies conducted that proved that the transfer laws does not lower the juvenile crime rate. A study conducted by Jensen and Metsgers (1994) time-series analysis, has reported that after implementing the transfer law in 1981, Idahos arrest rate for violent crimes committed by fourteen to eighteen-year-olds increased by 13-percent. Another study conducted by Singer and McDowall in 1988 found that the arrest rates of juveniles between 1974 and 1984 in New York and Philadelphia did not change because of the 1978 New York State law that automatically sent violent juvenile offenders to criminal court (by lowing the ages for criminal court jurisdict ion to thirteen-years-old for murder and fourteen-years-old for assault, arson, burglary, kidnapping, and rape) (Redding, 2008, p. 1). The news of the new law was publicized considerably in the media. During that time, there was evidence that showed many juvenile offenders in New York had knowledge of the new law (Redding, 2008). A program which has been proven to work is an early educational intervention program for juveniles where the parent and child are both involved in the training program. This program encompasses an instructional platform for parents that deal with major behavioral problems in their children. The twelve week interactive program allows therapist to guide and educate parents on the best way to respond to their childs behavior whether positive or negative. The results produced by the program have shown a reduction of hyperactivity, attention deficit, aggression and other related behavior in children (Lawyershop, n.d.).. The educational early intervention program also includes a bullying prevention program that is primary geared toward focusing on elementary as well as junior high school youths. An anonymous student questionnaire informs or alerts teachers and administrators regarding those who maybe engaged in bullying. The questionnaire advised the authorities on the kids, who were most likely to be bullied and the places where bullying occurred. The administrators setup a plan to combat the problem and bullies as well as victims are engaged in individual counseling sessions to follow-up the actual event. As a result of this practice, the program had great success in creating a safer, less aggressive playing field for student at minimal cost to schools. Despite the programs that have been initiated for the benefit of our youth, there are still some juveniles that fall through the cracks, but we as communities must work harder with implementing these programs in the communities to help our youths. Juveniles that enter the Juvenile Justice System have the opportunity to receive intervention assistance within the state, this intervention maybe seen in the form of drug rehabilitation assistance, counseling, and other educational opportunities. The telling outcomes that correlates to the success of the program is seen by how well it prepares these young people to re-enter back into society without committing other crimes. Optimally, all juvenile detention facilities would catch youth up on their education, provide them with job training, give the experience of living in a safe, stable environment, and provide them with assistance to break harmful habits(Lawyershop, n.d.).. For those juveniles that find themselves upon completion of their sentencing, the transition can be brutal without further assistance and help. There are programs that support juveniles that are on the verge of entrance back into the communities they abused. Juveniles must separate themselves from the criminal element that placed them into that situation in the first place. To assist in promoting acceptable behavior and conduct, the courts have attempted to implement helpful social services that aid in giving additional support to ex-offenders, such as, job placement, school opportunities, extended counseling sessions and drug rehab. The last educational intervention program we would like to discuss is Functional Family Therapy program (FFT). This program helps juveniles on probation and their families. The family therapist assists the family and supports the juvenile with positive motivational changes in the home. The program is based on three stages: the first stage attempts to break down any resistance to therapy and encourages the family to promote positive affirmations, communication and interaction; the second step, family members are instructed on how to deal with new problems on a day-to-day situation; the third and final step in the process encourage youths to build new relationship skills in other social situations (for instance school, or the workplace). FFT reduces recidivism rates and juvenile delinquency at a low cost. Twelve FFT sessions cost approximately one-sixth the cost of detaining a youth for one month.(Lawyershop, n.d.). A highlighted benefit from the program is that the siblings of the ju venile crimes are less likely to be engaged in criminal activities because of the assistance the family receives.. Implementing a recreational program in the community can help fill the time of unsupervised youths during after school hours, when parents are, maybe, at work. The Department of Education states that juveniles are most likely to be involved in criminal behavior between the evening hours of 2pm and 8pm, with crime rates escalating at 3pm. These recreational programs allow youths to bond with other members of the community, whether young or old, in wholesome activities. Many of these established relationships may carry into the future as a positive resource. Many psychologists also agree that to change the behavior of a juvenile permanently, a change must be made in a youths internal thinking. There is a three-step process called self-revelation which can help youths make the change; this process is used to help juveniles make better decisions in life by making them think before they act, and to make sensible decisions in life. In the first step, the youths must realize their current b ehavior is self-destructive to themselves and others; step two, the youths need to seek ways on how to be positive and the final step, step three, they change their behavior. This three-step process can only transpire when a teen can sincerely and openly talk about their situation within a supportive and mutually respectful adult relationship (Redding, 2008, p. 2).Thats why everyone is of necessity in dealing with this complex issue. Resources are needed from every professional and caring person, who knows that this problem must be stopped in order to have a more peaceful community. Conclusion In conclusion this paper gives some insight on how early intervention programs can help youths stay away from criminal activities. Juvenile crime is a constant issue that needs to be addressed before it is too late for our young people. Youths are trying to grow up and enter adulthood too fast and too young. Throughout this paper we have expressed the need for educational programs, mentoring from parents and guidance from the community to help our youths stay or get back on the right path.. Encouraging positive behavior support can also work to help youths instead of punishing bad behavior; this system would reward good behavior. For any program to be successful, the teens family must be involved in the process. A study conducted by NIH found that programs which implemented family counseling had the best results. Resolving conflicts, disappointments, and anger with each other will help the teenager and his or her family move on to resolve and appreciate what was good and bad with each other. Providing a good program which includes excellent academics where the teen can be successful, positive discipline methods surrounded by a structure of loving adults, and family counseling to sustain the positive changes that has occurred during the program can help the teen move on to become a productive citizen in society

Friday, October 25, 2019

Freedom Vs Destiny :: essays research papers

Freedom VS Predestination   Ã‚  Ã‚  Ã‚  Ã‚  People like to believe that they have the freedom to choose what they want to do, however it is quite the opposite. Freedom has its limitations to what people are allowed to do, but predestination has no limits of any kind. Freedom is in fact used to cover up predestination, to keep people content in following absurd rules. Without predestination, how do we know what the weather will be like, or if the sun rises, or if someone will stop at a red light. You just do, common things that we think are just â€Å"common sense,† are really not, people stop at those red lights in order to sustain their life, not by their choice of, I don’t want a ticket.   Ã‚  Ã‚  Ã‚  Ã‚  Predestination makes the most sense of the two. There is no other way to explain things such as, people who grew up poor, yet somehow managed to create their own company and become multimillionaires. They were destine to create that company, it was not freedom. Freedom wouldn’t have given them the opportunity to show their ideas, it only allows them to create them. Predestination explains almost ninety percent of what happens in the world, from birth to death, and even pure luck. Freedom can not cause you to have â€Å"good luck† in a day, it is predestination which brings you to this â€Å"good luck.†   Ã‚  Ã‚  Ã‚  Ã‚  Freedom is a fallacy that takes over the human race like a parasite. It is used to cover up what people do not want to believe. Murderers had the â€Å"choice† to kill that person, or was it just their time to die according to their destiny. In this case, freedom is used to make it easier on the people of the dead person, rather than having them face the truth that it was just their loved one’s/friend’s/etc.. time to die. It is also said that freedom controls not just physical actions, but creativity in the mind. If that’s so, then why isn’t everyone born with the ability to draw or paint or make something with the same skill? A simple answer, they were not born for that purpose, that skill has no part in their destiny.

Thursday, October 24, 2019

Art Analysis: Midsummer Night in Harlem, by Palmer Hayden Essay

‘Midsummer Night in Harlem is an oil painting painted by Palmer Hayden. Palmer C. Hayden was an American painter who depicted African-American life as he saw it, especially during the Harlem Renaissance. The painting Midsummer Night in Harlem appears to depict African American people departing and relaxing after an evening at church in Harlem. This painting shows the energy and positive attitudes of the people through the use of vibrant colors and the happy expressions of the faces. The people in this picture have features that were comparable to the minstrel characters (Wikipedia, 26 July 2013) often depicting Black face. Many have very dark skin with big white eyes and teeth, and are all smiles. All of the people are dressed nicely in dresses for the women and girls, top hats and slacks for the men and boys. It is safe to assume that the people in the picture had just came from church, because in the background you clearly see the church and a handful of people walking out as well as a carload of people driving off. The most prominent line in this art work would be vertical, because it leads the eye up /down and down/up and conveys the activity in the picture. Upon first inspection of this work, my eyes are drawn to the church as focal point, mainly because of the positioning of the church and the use of the vertical line from the moon to the kid at the fire hydrant. This identifies the viewers’ point of view and also shows how the moon is used as the light source, as well as the street light positioned just in front of the church. The illusion of space around the church leading up to the moon in the sky is utilized to draw your eye upward as if to signify that it is nighttime. The illusion of depth is utilized here in many ways by the appearance of distance created from the people by the church in back to the increase of people by the apartment steps in front. Aerial perspective is used in this painting by the lack of visual detail of the people by the church, like their facial features and their clothing. Midsummer Night in Harlem has a distinct unity of composition throughout the entire piece that helps the viewer relate the symbolism of the church and moon in back, to the people nicely dressed and congregating on the apartment steps in front. The forms in this artwork are utilized by the use of many three-dimensional shapes with length, width and depth, like the apartment buildings, the car and the church. Contrast is used throughout the work to help guide your eye from the apartment buildings to the church, and the people. Movement is used in this piece by the use of lines, contrasting shapes and colors to guide the viewers’ eye throughout the composition. In this work of art, our eyes move upward from lines of the little boy by the hydrant up to the people looking out of windows of the apartment. From there, our eyes move to the slight contrast in colors of the church and the moon in the sky. A good amount of balance is created in this art work by the way the colors and shapes are combined in harmony. In this image, Hayden achieves a sense of balance by dividing the image in two sections: the right side is occupied by details of people with distinct features while the left side lacks a great amount of detail in the people and focuses on the church and moon. Midsummer Night in Harlem has a color scheme that is analogous because the colors work in harmony and is very pleasing to the eye. The main colors in this painting are red, brown, white and grey. The value of the colors used in this art work is set to dark while the intensity and brightness is set to medium. For example, the reds, burgundy and brown used in the picture (especially for the apartment buildings and clothing) are warm but appear a little toned down in color. Hayden creates emphasis through color and position throughout this piece. For example the faces of the people ranges in intensity by the dark faces and bright smiles as mentioned earlier. Also the outfits worn by the people demonstrate emphasis in color; some are wearing white while others are in print and color. In conclusion, the painting Midsummer Night in Harlem utilizes a vertical directional line that illustrates that there is some movement in the picture, yet is calming in effect. The main implied shape throughout this art work is a rectangle which also induces a calming effect. The painting has a slight contrast of color with an analogous harmony throughout. The overall illusion of depth and space in this piece provides unity and balance to the composition.

Wednesday, October 23, 2019

Developmental History Case Study Essay

Child’s Name: Rita G.Lapid Date of Interview: November 7 2007 Date of Birth: June, 20 2003 Age of child: 4 Address: 136 Bellemont St. Greenville, Manila Phone: n/a (private purposes) School: New Jerusalem School (NJS) Grade: Pre-school, Kinder-1 Teacher: Female, Mrs. Rosia Lewer Referral Information: Why are you seeking help for this child? She has delayed language development. Who referred you to our services? NJS School Pediatrician, Ms. Emelita Zobel What kind of services are you seeking? I am seeking psychological consultation for my daughter about her delayed speech problem. PRIMARY CAREGIVER/PARENT INFORMATION Father Name: Rino S. Lapid Address (if different from mother): 136 Bellemont St. Greenville, Manila Phone: n/a Employment: Civil Engineer Length of Employment: 10 years Occupation: Engineer Highest Grade Level: College Degree, MA, PhD Stepfather: n/a Primary Language: Tagalog Secondary Language: English Mother Name: Magdalene G. Lapid Address: 136 Bellemont St. Greenville, Manila Phone: n/a Employment: none Length of Employment: n/a Occupation: Housewife Highest Grade Level: College Degree Stepmother: n/a Primary Language: Tagalog Secondary Language: English Primary Caregiver With what adults does this child live? The child resides together with her parents How long in the current living situation? The child has started this state since birth. Name of Caregiver: Magdalene G. Lapid Relationship to Child: Mother Address:136 Bellemont St. Greenville, Manila Age: 31 Home Phone: n/a Work Phone: n/a Occupation: Housewife Employer: n/a How long with present employer: n/a Highest grade Completed: College degree Primary Language: Tagalog Secondary Language: English FAMILY HISTORY Please list all brothers and sisters, and any other children living with the family Age Sex Relationship to this child living at home? Rita G. Lapid ———–Female—————–4 yrs old——————- Only child CHILD CARE If primary caregiver works outside the home, please provide the following information. Who cares for this child when caregivers are gone? The caregiver is basically the child’s mother who is a housewife. If in case the mother is gone, the father or the housemaid takes care of the child. How many hours per day is this child in a child-care setting? 5 hours per day, 4 days a week How many different people care for this child? Usually the mother takes care of the child; however, if the mother is not available, the father or housemaid assumes the role. PREGNANCY Planned pregnancy? Yes Pregnancy under doctor’s care: Yes Number of previous miscarriages: n/a Check any of the following complications that occurred during the pregnancy ______Difficulty in conception ______Toxemia _______ Abnormal weight gain ______Measles Check Excessive vomiting _______German measles Check Excessive swelling Check Emotional problems Check Vaginal bleeding ______Flu ________Anemia Check High blood pressure Rh-incompatibility: n/a Maternal injury: Describe: n/a Hospitalization during pregnancy: Reason: For consultations and routine check-up purposes X-rays during pregnancy: n/a Medications used during pregnancy: n/a Alcohol used during pregnancy: no Cigarettes during pregnancy: no Other drugs used during pregnancy: n/a Paracetamol——————————–500mg————————- As needed BIRTH At this child’s birth, what was the mother’s age? 27 yrs old Fathers Age?28 yrs old Mother’s age at birth of FIRST child? 27 yrs old Was this child born in the hospital? Yes If No, where? n/a Length of pregnancy: 9 months and 5 days Birth Weight: not remembered by mother Length of Labor: n/a Apgar Score: n/a Child’s condition at birth: normal and stable Mother’s condition at birth: normal and stable Check any of the following complications that occurred during birth: ______Forceps used ______Breech Birth ______Labor Induced Check Caesarean Delivery Other Delivery Complications: n/a Incubator: No How long? n/a Jaundiced: No Bilirubin Lights? No If Yes, How Long? n/a Breathing Problems right after birth: n/a Supplemental Oxygen: No If yes, how long? n/a Was anesthesia used during delivery? Yes If yes, what kind? n/a DEVELOPMENT At what age did this child first do the following? Please indicate year/month of age. Turn Over: 4 mos. Walk down Stairs: 1- 1 and 5 mos. yr. old Sit Alone: not observed Show interest in or attraction to sound: not observed Crawl: 9 months Understand first words: 2 yrs old Sand Alone: 2 yrs old Speak first words: 3 yrs old, (da-da, ma-ma) Walk Alone: 2 yrs old Speak in sentences: n/a Walk up Stairs: 2 yrs old Was this child breast-fed? No When weaned? n/a Was this child bottle-fed? Yes When weaned? n/a When was this child toilet trained? 2 yrs old Days: vary Nights: vary Did bed wetting occur after toilet training? Yes If yes, until what age? 3 yrs. old Did bed-soling occur after toilet training? No Has this child experienced any of the following problems? If yes, please describe. Walking difficulty: No Unclear Speech: Yes My daughter’s speech is somewhat delayed. She only speaks the words ma-ma or da-da, but she still cannot forms any phrase.   In addition, she started speaking these words very late. Sleep Problem: No Feeding Problem: No Underweight Problem: No Eating Problem: No Overweight Problem: No Colic: No Difficulty learning to Ride a Bike: Yes My daughter is having a hard time riding her bicycle. She seems to play with it but not like any other kids. She just stairs on it, touches it and every time we place her on the bike, she gets disappointed. It is a bit weird to have a behavior like that. Difficulty Learning to Skip: Yes I have not seen her skipping ever since. I don’t know why. She only plays with her dolls and seems to be introvert in terms of her behavior. Difficulty Learning to Throw and Catch: Yes She does not play throw and catch. If a ball for example is thrown to her, she just looks at it and dodges it. During this child’s first four (4) years, were any special problems noted in the following areas? If yes, please describe. Eating: No Motor skills: Yes She moves less frequently and does not show any active participation in school, other children or even inside the house. She just plays with her dolls, which seems to be her only world. Sleeping too much: No Temper tantrums: No Excessive crying: No Sleeping too little: No Failure to thrive: No Separating from parents: No Which hand does this child used for writing or drawing? Right Eating? Right Has this child been forced to change writing hand? No MEDICAL HISTORY Childhood Illnesses/Injuries Please check the illnesses this child has had and indicate age, year and month Measles: No  Ã‚  Ã‚  Ã‚  Ã‚   Rheumatic fever: No German measles: No Diphtheria: No Mumps: No Meningitis: No Chicken pox: No Encephalitis: No Tuberculosis: No Anemia: No Whooping Cough: No Fever above 1040: No Scarlet Fever: No Broken bone: No Head injury: No Sustained high fever: No Coma or any loss of consciousness: No Illness/Operations Has this child ever been on any medication for six months or more? No Please indicate whether this child currently has any of the following problems. Respiratory Cardiovascular Gastrointestinal ______Frequent colds  ­Ã‚ ­Ã‚ ­Ã‚ ­_______Shortness of breath _______Excessive vomiting ____Chronic cough ___Dizziness with physical exertion _____Frequent diarrhea ________Asthma ________Activity limited due to heart _______Constipation ______ Hay fever ________Condition ______Stomach pain ______Sinus condition ______Heart murmur Genitourinary Musculosketetal Neurological Check Urination in pants/bed _______Muscle pain ______Seizures/convulsions ______Pain while urinating ________Clumsy walk Check Speech defects ______ Excessive urination Check Poor posture _______Bites nails ______Strong odor to urine _______ Other muscle problems _____Sucks thumb ______Tics/twitches______ Bangs head Check Rocks back and forth Allergies Skin ________Allergy to medicine 0Frequent rashes ________Allergy to Food 0Bruises easily ________Bowel movements in other allergies _____ Sores _____ Pants/bed _____Severe acne _____ Itchy skin (Eczema) Speech Hearing Vision ______Stuttering ______ Ear infections ______ Vision problems Check Unclear speech ______ Hearing problems ______ Glasses/contacts Delayed speech Other speech problems _______Ear tubes Date of most recent speech exam: August 20, 2007 Date of most recent hearing exam: n/a Date of most recent vision exam: n/a MEDICAL CARE Child’s Physician: Emilta Zobel How often does child see doctor? My daughter is having her check-up twice every 6 months since last year. Is this child currently on medication? No Has this child ever been physically or sexually abused or neglected? No Has this child ever had psychological counseling or therapy? No Has this child ever had a neurological exam? No Has this child ever had a psychological or psychiatric exam? No Developmental Analysis   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Starting out with the brief background, the client is the only child of the couple with one housemaid living together in the capital city of Manila. The child, having the primary concern of language development delays, has been recommended by the school pediatrician for a psychological consultation. The primary breadwinner of the family is the father who is actually a civil engineer, while the mother resides solely in the house as the housewife. The care of the child is distributed among the three individuals in the house; however, the primary care is given by the mother herself. The child is studying in a private school, NJS, in a kinder-1 preschool level.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In the initial statement mentioned by the mother, the child is said to be having delayed speech problem; however, other fields of child development are normal in the case of the child. Upon assessment of care delivery, it has been concluded that the child receives specific parental attention of the mother in the child’s earliest years. The care of the child is subjected to three important personas with housemaid as the last option of care facilitator. In such case, we can conclude that the care needed by the child is adequately provided by appropriate significant individuals. There have been no conception anomalies noted in the assessment phase; hence, clinical or congenital contributors are most likely negative in terms of child condition effect. However, the mother has had excessive swelling, emotional problems due to personal reasons, slight vaginal bleeding noted and occurrence of high blood pressure. Some of these signs and symptoms are most commonly associated with pre-eclamptic effect (Erickson, 2005 p.23), although the mother has not indicated any possible diagnosis of pre-eclampsia during pregnancy.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Language development can be affected by drug intake during period of pregnancy especially during times of critical brain development particularly during the 1st quarter of the pregnancy (Johnson & Eviritt, 2000 p.216); however, the only medicine that has been noted is Paracetamol, which apparently is not anymore significant since the intake is only during times of fever. In addition, the pregnancy has not suffered any significant medical difficulties aside from the following mentioned.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Analyzing now the developmental features of the child, the speech developmental delays are the evident features of the child. The child has spoken her first words at the age of 3 yrs old, which is supposed to be less than one year old. Moreover, the child has not spoken any complete phrase, but only baby-talk words, da-da or ma-ma. The mother mentioned that the child speaks less frequently, which is contrary to the normal language development of a child that is, supposedly, speaking more than 2000 words at the age of one (Philipps & Guilherme, 2004 p.12). During the assessment of the cues that might participate in the relationship of such effect, other behavioral alterations are observed. The child manifests inappropriate introvert behaviors that are usually found in some delayed psychological and/ or mental impaired condition. The child is having difficulties riding bicycle as well as skipping; however, the problem, basically, is not due to motor impairments but rather due to substantial cognitive and psychological in the essence. Other associated problems are not evident in the child, especially physical in origin. Another manifesting deviation on the child’s behavior is primarily related on her social character. The child enters school with other kids; however, as stated by the mother, the child possesses an isolative behavior that tends to remove her attention towards mingling with other kinds. Instead, the child focuses imaginative play in an object, particularly her doll. If we analyzed the given statement in terms of part records, the child has never had any negative experiences in the past, such as trauma, rape or accident, which may have caused this certain behavior. The client has never had any physical impairment or a disease that may have contributes to this psychological manifestations. Moreover, the child is not into medication, treatment procedures or psychological supervision that aims to take hold of the situation. In fact, this is the first time that the child is having her psychological assessment; however, she has had initial check-ups that resulted to referral for psychological examination. In addition to the client’s assessment, she also possesses poor postural features noted on her back, and urination in bed, although this has been alleviated just recently through trainings. Moreover, the client has manifested enigmatic behavior such as rocking back and forth with less perception on her environment. Discussing now possible disorder pathology, the case of the patient has wide range of possibilities in terms of disorder development. The following two conditions are the closest; however, still requires further validation and assessment of the client features. The first is the possibility of Asperser’s Syndrome progression, which is primarily evident due to her poor social capacity, delayed language progression and imaginative play with enigmatic behavioral flaws. Second, is language development delay, which involves the primary concern of the patient that is speech delay. In the analysis of possible Asperger’s syndrome development, the patient involves the primary signs of the condition such as the impairments in language, social participations and imaginative play. However, the only validated impairment is the speech delay. Other impairments are resulted by the parental observation, which apparently, still requires further assessment on the child. The child may exhibit these behaviors as due to situational causation, which happens to be unfamiliar with the parents, or a behavioral altering family situation that displaces the normal behavior of the child. This may be difficult to diagnose as of now since, the case of the child does not support the major and specific behaviors associated with the condition. Although if the child progresses in this type of developmental pattern, she may acquire maladaptive behavior such as introversion, social self-degradation, self-infliction, and worst of all, further progression towards Asperger’s condition. In terms of language development delay, the child maybe be evidently having such developmental deficit; however, other symptoms are contradicting the statement, since behavioral isolation is not present if the case is solely language development problem. However, the possibility is still there that the child is just experiencing this development lag, and with further trainings, can help improve language development. The following implications are based on critical interpretation and analysis of the gathered data from the psychological assessment history taking. It does not, however, conclude that the client possess the featured conditions. Although, this are the possibilities that may incur to the child if behavioral patterns progress. References Erickson, T. (2005). Pediatric Toxicology: Diagnosis and Management of the Poisoned Child. McGraw-Hill Professional. Johnson, M., & Eviritt, M. J. (2000). Essentials in Reproduction. Blackwell Publishing. Philipps, A. M., & Guilherme, M. (2004). Critical Pedagogy: Political Approaches to Language and Intercultural Development. Multilingual Matters.

Tuesday, October 22, 2019

Schedule Hundreds of Social Messages With Bulk Social Upload

Schedule Hundreds of Social Messages With Bulk Social Upload Your marketing team produces hundreds  of social messages every month. (Which is AWESOME). But the process of manually uploadingpreviewingeditingAND scheduling hundreds of social messages Across 5 different social networks†¦ Using multiple social profiles†¦. Eats up HOURS of your team’s already-limited time. (Which is not-so-awesome). But what if you could bring that process down from hours†¦ to just a few minutes? 😠 Where you could quickly upload hundreds of social messages (with just a couple clicks)†¦ Easily preview and edit every  message†¦ (add finishing touches like images, links, and social profiles) AND then schedule those messages to send at the best time for your audience. Interested?! Introducing Bulk Social Upload from ! AKA the *new* way to upload, finalize, and schedule hundreds of social messagesin a matter of minutes. With Bulk Social Upload, you can: Quickly upload HUNDREDS of social messages to your calendar.  The days of spending hours manually uploading a month’s worth of social messages are officially over.  With Bulk Social Upload, you can upload up to 365 social messages to a new OR existing social campaign with just a couple clicks. Easily preview, edit AND schedule every social message.  Just because you upload messages in bulk, doesn’t mean you care any less about giving each message the attention it deserves. With Bulk Social Upload, you can easily preview and edit every message, and schedule it to send at the best time for your audience. And when Bulk Social Upload makes it this easy to get a month’s (!!!) worth of messages on your calendar†¦ You’re gonna wonder how you ever  lived without it. Let’s get into the deets! Schedule Hundreds of Social Messages With Bulk Social Upload In @Quickly Upload HUNDREDS Of Social Messages To Your Calendar Having to manually copy and paste†¦ Hundreds of social messages†¦ EVERY MONTH†¦ Well, it’s not fun. And it’s a total drain on your very  precious time. Luckily, thanks to Bulk Social Upload from The days of spending hours manually uploading a month’s worth of social messages are officially over. 🎉 With Bulk Social Upload, you can quickly upload up to 365 social messages to a new OR existing social campaign with just a couple clicks. With Bulk Social Upload in @, you can quickly upload up to 365 social messages to a newHeres a quick video for those visual learners out there: Not a visual learner? Keep readin to get the exact how-tos.🠤“ How To Upload Messages To A *New* Campaign Step 1:  Find the day you would like to start your new campaign, and hit the â€Å"+† sign in upper right hand corner of that date (or go straight for the large â€Å"+† sign in the upper right hand corner of the overall calendar view if you’re not sure of the start date at this point). Step 2: Select the â€Å"Upload† button in the upper right hand corner of the pop-up. Step 3:  Choose â€Å"Social Messages† as the type of content you would like to upload. Step 4:  Download the CSV template. Step 5:  Add your messages to the template! (Pro Tip: Double check that the columns in the spreadsheet have the correct info before you upload it in the next couple steps!) Step 6: Once you’ve got your messages ready to go, continue the upload process in and select â€Å"Create new social campaign† Step 7:  Give your new social campaign a name. Step 8:  Find and upload your completed CSV file to . Step 9: Once your messages are uploaded, select at least one social profile. (Pro Tip: You can choose as many as you’d like or just onewe just need to assign the messages to at least one profile for the upload to be successful). Step 10: Let it processand once it does, you’re ready to start previewing, editing, and scheduling your messages! But we’ll get to that part of the process in the next section. 😊 Before we jump ahead†¦ Let’s do a quick how-to if you want to upload messages to an  existing  social campaign! How To Upload Messages To An Existing Campaign Step 1:  Find the large â€Å"+† sign in the upper right hand corner of the overall calendar view. Step 2: Select the â€Å"Upload† button in the upper right hand corner of the pop-up. Step 3:  Choose â€Å"Social Messages† as the type of content you would like to upload. Step 4:  Download the CSV template. Step 5:  Add your messages to the template! (Pro Tip: Double check that the columns in the spreadsheet have the correct info before you upload it in the next couple steps!) Step 6: Once you’ve got your messages ready to go, continue the upload process in and click on â€Å"Select existing campaign† Step 7:  Find and select an existing social campaign. Step 8:  Find and upload your completed CSV file to . Step 9: Once your messages are uploaded, select at least one social profile. (Pro Tip: You can choose as many as you’d like or just onewe just need to assign the messages to at least one profile for the upload to be successful). Step 10: Let it processand once it does, you’re ready to start previewing, editing, and scheduling your messages! Speaking of which†¦ Head to the next section to learn how you can preview, edit, AND schedule every  social message in your campaign.

Monday, October 21, 2019

Lifes Colors essays

Life's Colors essays Got the blues? I might know why. Color affects many more aspects of our lives than most people realize. The colors and color schemes in our surroundings can affect taste, mood, the way we think, productivity levels and even how active we are. Underestimated by many, color adds variety and flavor to the everyday world. I thought the video; Color in Everyday Life did a good job of expressing how the use of color can really have an effect on us. No single color has the same effect on everyone. Advertisers use color association extensively. They have realized that products with certain colored packages sell better than others. White is considered a clean, pure color, and is often very successful when placed on the outside of a laundry detergent box. Colors can stir impulses in people, making them want to satisfy a need. Many food products come in red packages or have red on their labels to grab and capture attention and make you stop and pick it up. Color is also said to influence the taste and quality of an item as well. Studies report that to many, beverages in darker glass bottles have a better taste than those in clear bottles. Although I picked these few examples out, for the most part, Color in Everyday Life did a mediocre job of giving examples of products or advertisements, only mentioning a few. Color is perceived differently to all people, however these common color associations are universal for most. Previously mentioned, red is the color of fire and blood, so it is associated with energy, danger, strength, power, determination as well as passion, desire, and love. It has very high visibility, which is why it is used for stop signs. Yellow is associated with joy, happiness, intellect, and energy. It produces a warming effect, arouses cheerfulness, stimulates mental activity, and is said to be the first color infants recognize. Blue is the color of the sky and sea. It is conside...

Sunday, October 20, 2019

Conjugating Spanish Indicative Imperfect Verbs

Conjugating Spanish Indicative Imperfect Verbs As one of Spanishs two simple past tenses, the imperfect indicative has a conjugation that is essential to learn. It is the verb form used most often to describe conditions as they existed in the past, to provide background to events, and to describe habitual actions. Using Estudiar as an Example Conjugation As with some other conjugation forms, the imperfect indicative forms are made by removing the infinitive ending of the verb (-ar, -er or -ir) and replacing it with an ending that indicates who is performing the action of the verb. For example, the infinitive form of the verb that means to study is estudiar. Its infinitive ending is -ar, leaving the stem of estudi-. To say I was studying, add -aba to the stem, forming estudiaba. To say you were studying (singular informal), add -abas to the stem, forming estudiabas. Other forms exist for other persons. (Note: In this lesson, the forms was studying, was learning and so on are used to translate the imperfect indicative. Other translations also could be used, such as used to study or even studied. The translation used depends on the context.) The endings are quite different for verbs that end in -er and -ir, but the principle is the same. Remove the infinitive ending, then add the appropriate ending to the remaining stem. List of Conjugations for the Imperfect Tense The following chart shows the conjugations for each of the three infinitive types. The added endings for each verb are indicated in boldface. The pronouns, often not needed in sentences, are included here for clarity. -Ar verbs using lavar  (to clean) as an example: yo lavaba (I was cleaning)tà º lavabas (you were cleaning)à ©l/ella/usted lavaba (he was cleaning, she was cleaning, you were cleaning)nosotros/nosotras lavbamos (we were cleaning)vosotros/vosotras lavabais (you were cleaning)ellos/ellas/ustedes lavaban (they were cleaning, you were cleaning) -Er verbs using aprender (to learn) as an example: yo aprendà ­a (I was learning)tà º aprendà ­as (you were learning)à ©l/ella/usted aprendà ­a (he was learning, she was learning, you were learning)nosotros/nosotras aprendà ­amos (we were learning)vosotros/vosotras aprendà ­ais (you were learning)ellos/ellas/ustedes aprendà ­an (they were learning, you were learning) -Ir verbs using escribir (to write) as an example: yo escribà ­a (I was writing)tà º escribà ­as (you were writing)à ©l/ella/usted escribà ­a (he was writing, she was writing, you were writing)nosotros/nosotras escribà ­amos (we were writing)vosotros/vosotras escribà ­ais (you were writing)ellos/ellas/ustedes escribà ­an (they were writing, you were writing) As you may notice, the -er and -ir verbs follow the same pattern in the imperfect indicative. Also, the first- and third-person singular forms (the I and he/she/it/you forms) are the same. Thus estudiaba could mean I was studying, he was studying, she was studying or you were studying. If the context doesnt otherwise indicate, a pronoun or subject noun is used before the verb in such cases to indicate who is performing the action. Irregular Verbs Only three verbs (and the verbs derived from them, such as prever) are irregular in the imperfect tense: Ir (to go): yo iba (I was going)tà º ibas (you were going)à ©l/ella/usted iba (he was going, she was going, you were going)nosotros/nosotras à ­bamos (we were going)vosotros/vosotras ibis (you were going)ellos/ellas/ustedes iban (they were going, you were going) Ser (to be): yo era (I was)tà º eras (you were)à ©l/ella/usted era (he was, she was, you were)nosotros/nosotras à ©ramos (we were)vosotros/vosotras erais (you were)ellos/ellas/ustedes eran (they were, you were) Ver (to see): yo veà ­a (I was seeing)tà º veà ­as (you were seeing)à ©l/ella/usted veà ­a (he was seeing, she was seeing, you were seeing)nosotros/nosotras veà ­amos (we were seeing)vosotros/vosotras veà ­ais (you were seeing)ellos/ellas/ustedes veà ­an (they were seeing, you were seeing) Sample Sentences: Llamà ³ a la policà ­a mientras yo compraba drogas. (She called the police while I was buying drugs.)Asà ­ vestà ­amos hace 100 aà ±os. (This is how we dressed 100 years ago.)Se saturaba el aire con olores. (The air was saturated with odors.) ¿Quà © hacà ­an los famosos antes de convertirse en estrellas? (What did the famous people do before they became stars?)Estaba claro que no querà ­ais otra cosa. (It was clear you didnt want another thing.)  Creo que todos eran inocentes. (I believe all were innocent.)En Buenos Aires comprbamos los regalos de Navidad. (We bought Christmas gifts in Buenos Aires.)Los indà ­genas vivà ­amos en un estado de infrahumanidad. (We indigenous people lived a state of subhumanity.)

Saturday, October 19, 2019

Critically review Essay Example | Topics and Well Written Essays - 1000 words

Critically review - Essay Example Moreover, their access to recent and new technology is limited. In many occasions only the elites of particular under-developed countries have access to technological. The rest of the country is confined to living in of abject poverty by living lives without the vital necessities like purified water, proper shelter and clothing (James, 2001:148). Therefore, if the developing nations would exploit the advantages offered by information technology (IT) by being integrated in the global economy, they would also be conversant with the many characteristics together with the resulting impulses they would propagate. This is because IT alters the way global competition is carried out and locational behavior of the multinational corporations. Since competition is a continuous technological revolution, it requires new principles and concepts that are beyond those offered by traditional national comparative advantage. As a result, the information industry has led to technological transformations and growth of the whole economies. In addition, competition is characterized by fast technological changes, intense global competition, and uncertainties. Consequently, these characteristics need that; you know the anticipation of the core capabilities, continuous technological learning, exact timing of entry into the market, and finally developing of the supporting institutions (James: 2001:148-9) According to James (2001:149-150) the pattern of globalization in the Third world countries has shown that it has led to the deterioration of foreign trade. This is because the overall ratio of trade to GDP n the past decade has been on the rise for the developing countries.. The Third World countries that are seeking to enter the global market now have already been left behind. The huge amounts of cash flow and general capital are required to establish a true presence in the global market; as a result many Third World nations have not yet generated the necessary capital and domestic con ditions so as to be strong competitors in the current world of neoliberal trade. Moreover, globalization is partly due to the factors that are unrelated changes in technology and IT in particular. As result, the most important of these factors is the liberal approach to both international trade and foreign investment that adopted in many countries, both developed as well as the developing. Developing nations have not been able to fully reap the potential benefits that are available through globalization. As a result this has left them much less subjected to the downsides of globalization like sweatshops and pollution According to Craig, David and Porter (2004:45-7) assert that international trade levels have been depending on costs of transport but also on the communication costs between the sellers and the buyers in the different countries In fact, the two distinct mechanisms through which globalization is being driven by a reduction in costs of communication. The more obvious mech anism is that because of the technologies like the digital switching, fax machines and Internet. Therefore, information about the already traded goods can be passed on between the countries more cheaply than it was hitherto possible. This manifests among other ways, the growth of electronic commerce between various businesses, digital goods delivery and the retail sale of

Friday, October 18, 2019

Does commercial ownership of the media encourage or inhibit democracy Essay

Does commercial ownership of the media encourage or inhibit democracy - Essay Example mercial ownership of media inhibits the social equality and freedom of people with latest development in the media industry coupled with the negative aspects of globalization. Commercial ownership of media tends to impact editorial decision of publications. The outcome of such interference on the editorial board is either to include or exclude communication which becomes the liberty of one person while it serves as a hindrance to another. Though proprietors or commercial giants are required to refrain from influencing media for economical and financial gain to maintain credibility, there are arguments that commercial influence is indispensable. The quality of communication determines the quality of the media and investigations are obstructed by political and commercial interference (McQuail, C. 1992. p.117). Transformation has been a continuous process since the beginning of civilizations. The beginning of civilization also marked the foundation for the exchange of information and content. From the age of signs and language till the current development of the information technology and the computer world, production, protection and distribution of information and images is core factor of social life. (Thompson, J.B. 1995 p.10) Media communications are produced in the social context and therefore comprise the symbolic content for the audience to perform an action. Thus when a word is spoken or communicated it becomes the basis for another person to undertake an action and set up relationship with others in the society (p.12). For example, television news channels are on the race to broadcast contemporary issues. However, in certain cases these news channels have a different stand point. Some news and reviews favor corporate by instilling the opinion that the survival of multinational companies is essential for the sustenance of a region or nation. This argument may be referred to the case of Coca Cola in India. Scientific results proved that the beverage

Japan Airlines Flight 123 Essay Example | Topics and Well Written Essays - 1250 words

Japan Airlines Flight 123 - Essay Example This report stresses that the investigations into the accident by the Aircraft Accident Investigation Commission pointed out to the fact that the accident was largely as a result of structural and mechanical factors. As has been mentioned, Japan Airlines Flight 123 had been involved in a tailstrike incident in 1978 at Osaka International Airport, and the accident damaged its rear pressure bulkhead. Several recommendations were made after the conclusion of the investigation of Japan Airlines Flight 123 accident. Airport, and as a result, it damaged its rear pressure bulkhead. This paper makes a conclusion that which is the worst single-aircraft accident ever. The Commission made a number of findings. The first one is the fact that the aircraft that was involved in this accident had been involved in an airstrike incident on 2 June 1978 at Osaka International Airport, and as a result, it damaged its rear pressure bulkhead. Secondly, it found that the subsequent bulkhead’s repair was not done in accordance to approved repair methods that have been recommended by Boeing. The recommendations of the investigation board were followed. This is demonstrated highly by in-service maintenance programs designed properly in Japan and across the world. In addition, reduced number of accidents from similar cause as of Japan Airlines Flight is a testimony that the recommendations were followed

Strategy Implementation Essay Example | Topics and Well Written Essays - 1000 words

Strategy Implementation - Essay Example This report discusses the strategy that needs to be implemented within CPK and what are the ways through which the strategy can be implemented. The strategic option that is deemed to be suitable for CPK to achieve sustainable competitive advantage is through the adoption of the Blue Ocean strategy and this paper analyzes CPK’s resources to carry out this strategy. Introduction California Pizza Kitchen is a California based dining restaurant that specializes in providing different varieties of pizza. According to their website they have 265 stores in 32 states and ten foreign countries. The company is expanding this business with great vigor and energy. The main purpose of this paper is to evaluate the control environment in the organization and assessing the company’s ability to follow the Blue Ocean strategy. This includes the assessment of the structure, design, control systems and the people working in the organization. ... Main Body The mission statement of CPK is to â€Å"introduce flavors and tastes from around the world, from Thai to Jamaican Jerk†¦all on a pizza in an upscale environment† (About CPK, cpk.com). This mission statement seems to be too broad and according to the innovative trend carried out at CPK (Offering new flavors and new menu items) (CPK, Press Release), it seems that the mission statement is followed appropriately. To ascertain whether CPK can implement the Blue Ocean strategy, proper research of the company’s resources and abilities is done through these three parts: Structuring The structuring part includes the analysis of processes, relationship and organizational structure and their bonding with each other to make them work more smoothly. The processes at CPK are that Larry S. Flax looks at the operations and the menu of the company whilst Richard S. Rosenfield is in charge of the financial and other investor issues. The organizational structure at CPK is a centralized sort of a structure with a proper Board of directors consisting of 2 CEOs and 5 executive directors. It seems that the company is operated in a rigid manner, sort of an autonomous structure but this power is usually vested within both the CEOs of the company rather than any one of them. The CEOs work together in collaboration so that it might help in succession planning; this clearly suggests that the company is forward sighted. (Business Week, Oct 2009) According to the autonomous structure, it clearly seems that the company offers same menu at all the locations that it has around the globe. Although this may be very beneficial as consumers might be able to get all the renowned varieties offered by CPK but this may also have some implication e.g. the taste of the people situated in other

Thursday, October 17, 2019

Sacred Power Essay Example | Topics and Well Written Essays - 250 words

Sacred Power - Essay Example He wanted to know what he believed. On the other hand, Laozi asserts that the most significant thing people can do in life is to have a state of quiet awareness. Become fully empty, quiet the mind’s restlessness only then will you witness all things unfolding from emptiness, witness all things flourish as well as dance in continuous variation. Laozi believes that Dao is the only source of sacred power (Snodgrass, 2009). The influence of the Laozi goes beyond China, as Daoism gets across Asia and in the contemporary period, the Western humanity. In Taiwan, Hong Kong, as well as amidst the Chinese in and beyond Southeast Asia, Daoism is an existing tradition (Snodgrass, 2009). Daoist practices and beliefs have played a role also in the formation of Japanese and of Korean culture, even though here the process of cultural transmission, assimilation, and transformation is very intricate, mainly given the close relations between Buddhism, Daoism, and indigenous traditions like

Wednesday, October 16, 2019

Livia 2 Essay Example | Topics and Well Written Essays - 250 words - 1

Livia 2 - Essay Example Janaina Tschà ¤pe was born in Brazil where she lived for most of her life. She got her education in New York and Germany and currently resides in the United States. Paintings in watercolor and oil, photographic and video, and watercolor drawings constitute the survey Janaina Tschà ¤pe: Chimera as organized by curator Rachael Thomas. In most of her works, she employs themes such as danger of beauty, seductions of natures as well as the establishment of personal versions and themes in regard to mythical stories in the context of the themes. Examples include chimera, lemanja, the Brazilian water spirit, mermaids, and sirens. In most instances, most of her works are in regard to a relationship with her body as well as the body’s perception of the world thereby replacing her human body in and with sites of mythical exchange. It is complicated to denote the meanings of these representations and the questions of many are whether these images are results of imagination or mutants as a result of the polluted environment. It is up to the audience to decide on the most viable interpretation in regard to personal experiences and opinions (Janaina & Victoria

Sacred Power Essay Example | Topics and Well Written Essays - 250 words

Sacred Power - Essay Example He wanted to know what he believed. On the other hand, Laozi asserts that the most significant thing people can do in life is to have a state of quiet awareness. Become fully empty, quiet the mind’s restlessness only then will you witness all things unfolding from emptiness, witness all things flourish as well as dance in continuous variation. Laozi believes that Dao is the only source of sacred power (Snodgrass, 2009). The influence of the Laozi goes beyond China, as Daoism gets across Asia and in the contemporary period, the Western humanity. In Taiwan, Hong Kong, as well as amidst the Chinese in and beyond Southeast Asia, Daoism is an existing tradition (Snodgrass, 2009). Daoist practices and beliefs have played a role also in the formation of Japanese and of Korean culture, even though here the process of cultural transmission, assimilation, and transformation is very intricate, mainly given the close relations between Buddhism, Daoism, and indigenous traditions like

Tuesday, October 15, 2019

Active Versus Passive Mind Debate Essay Example for Free

Active Versus Passive Mind Debate Essay Étienne Bonnot de Condillac an 18th-century French philosopher contended that the senses are the foundation for all ideas and other functions carried out in the mind. Another prominent French philosopher, Renà © Descartes supported the Rationalistic theory; an explanation of behavior based on logic that has nothing to do with the senses. Condillac’s Sensationalism premise and Descartes theory of Rationalism serve as fuel for the classic active versus passive mind debate. The passive mind theory suggests that all learning occurs through the experience of sensations, in the absence of voluntary mind control processes, while the active mind theory claims the exact opposite; that individuals actively focus certain mental processes on the subject matter and the senses play no part in the process. Descartes also believed that sensory data was inclined to be false and was therefore useless, suggesting that mathematical deduction was the only path to the truth. Justin Skirry 2008 I believe that both theories have some validity. The problem arises for me with the use of the word all by Condillac, and the use of the word only by Descartes, which is what takes the theories from the moderate part of the continuum to the extreme. Sensory learning is of course a proven fact, but it is also a fact that active learning occurs as well. It is not unusual for a philosopher to be both a sensationalist and a rationalist at the same time. I tend to trust my deductive powers of reasoning more than my senses, because many outside forces can alter the senses. Take emotion for instance, I am aware of the role unchecked emotions can play in faulty decision-making. I have learned not to make important decisions when I am in a highly emotional state.

Monday, October 14, 2019

Prevention Of Pressure Ulcer

Prevention Of Pressure Ulcer Pressure ulcers, or bed sores, or have been affecting humans for ages, and addressing the overall prevention of pressure ulcers is now a prominent national healthcare issue. Despite of all the advances in medicine, surgery, nursing care, pressure ulcers still remains a major cause of mortality. Pressure sore is a common problem among old people and those who are immobilise or limited activity like post-operative and other bedridden patients. (Bergstorm, 2005) Many studies state that elderly are prone for pressure ulcer throughout the world and its becoming a crucial issue (Nakagami et al., 2007). Pressure ulcer can be defined as a type of injury that affects areas of the skin or underlying tissue of the body due to application of too much pressure on it. (Grey et al 2006) It develops as a result of tissue necrosis of the skin over the bony prominence, due to the obstruction of the blood vessels flow caused by the application continual pressure on it. (Lyder, 2003) The total expenditure for the prevention of pressure ulcer is substantially less when compared to its treatment (Lapsley H M and Vogels R, 1996). It can cause severe infirmity and high health-care expenditure. The estimated annual expense for the prevention and treatment of pressure ulcers has been expected nearly  £1.4 to  £2.1 billion in the United Kingdom and is measured as a massive economic problem (Bennet et al., 2004). After cancer and cardio vascular disease, pressure ulcers are the third most money consuming disease (Schoonhoven et al., 2002) According to European Pressure Ulcer Advisory Panel (EPUAP) the occurrence rates of pressure ulcers are ranging from 8-23%. In acute care hospitals in the western countries the reported prevalence has wide-ranging between 9-22%. Improving the standard of pressure ulcer care could in ¬Ã¢â‚¬Å¡uence the estimated annual expenditure and quality of life (Tannen A et al., 2004). According to Whittington et al (2000) the prevalence of 15% of pressure ulcers are recorded on admission, whereas for the 60% of the individuals there was no specific information about the presence or absence of the pressure ulcers. In another study, it is clear that 12.8% have already had the infirmity on their admission. According to Rycroft-Malone, (2000) pressure ulcers can develop at any area of the body, but commonly occurs over bony prominences. ( Murdoch, 2002; Jones, 2001) The areas can supposed to develop pressure sores are sacrum, heels, elbows and back of the head. The appearance of pressure sore is very fast and hence the early assessment and steps to prevent is very necessary (George and Malkenson, 2008). Pressure intensity and duration are the two main factors for the pressure ulcer formation because of pressure. Pressure intensity is the volume of external pressure applied on internal tissues whereas duration is the amount of external force is sustained by internal tissues (Cullum et al., 2000) According to NICE guidelines (2003) the risk factors influencing to develop pressure ulcer in an individual includes intrinsic risk factors and extrinsic risk factors. The intrinsic risk factors such as reduced mobility or immobility, sensory impairment, acute illness, level of consciousness, extremes of age, vascular disease, severe chronic or terminal illness, previous history of pressure damage, malnutrition and dehydration. And extrinsic risk factors are pressure, shear, and friction. Shear is defined as the applied force that can cause an opposite, parallel sliding motion in the planes of an object. The amount of pressure exerted has got a direct affect on Shear. (Pieper B, 2007, Nix DP, 2007). Friction is defined as a superficial, mechanical force directed against the epidermis, resulting in increased susceptibility to ulceration (Pieper B., 2007). Pressure ulcers are classified according to different stages as defined by the National Pressure Ulcer Advisory Panel (NPUAP). Originally there were only four stages, but in February 2007 these stages were revised and two more categories such as deep tissue injury and unstageable were added to it. Stage I -Redness of a localized area, usually over a bony prominence. Darkly pigmented skin may not have visible blanching; as its colour may differ from the surrounding area. Stage II loss of partial thickness dermis showing as a shallow open ulcer with a red or pink wound bed, without any slough. It may also present as or open or ruptured serum filled blisters. Stage III The layer of subcutaneous fat may be seen but bone, muscle or tendons are not exposed. Slough may be present but does not cover the depth of tissue loss. Stage IV exposure of bone, tendon or muscle. Slough or may be present on some parts of the wound bed. Unstageable Loss of the thickness of the skin in which in which the base of the ulcer is covered by slough (yellow, tan, gray, green or brown) in the wound bed. Deep tissue Injury Purple or maroon localized area of discolored skin or blood-filled blister due to damage of underlying soft tissue due to pressure. The area may be preceded by tissue that is firm, painful, and mushy compared to adjacent tissue. (NPUAP 2007) To prevent the formation of pressure sores nurses are adopting a variety of measures such as risk assessment and risk assessment tools, changing the position of the bedridden patients regularly, inspecting the pressure area regularly and while doing personal care, applying ointments or creams over the pressure areas, providing comfortable mattresses such as air bed, water mattress for the bedridden and immobilise patients, placing pillows under the places prone to form pressure ulcer for the vulnerable peoples, maximise nutritional status, etc. However the efficiency of all these methods is in discussion and argument. This essay report will collate all the various available literatures regarding the prevention of pressure ulcer and suggest the better and good practice to prevent the formation of pressure sore among the high risk people. The standard of nursing care is very important for the prevention and management of pressure ulcers. The caring of patients, who are at risk with pressure ulcer, is the main challenge for nurses (Sinclair et al., 2004). According to Lewis M et al 2003 the first step nurses should make out is the risk assessment of patients and it is better to identify the patient at risk in the early stages, so we can prevent the pressure sores. It consists of level of mobility, nutritional status, level of consciousness and neurological status, incontinence, sensory impairment, complete patient history, and physical and psychosocial examination assessing mental status and cognitive ability. To support caregivers there are assessment scales to identify the patients at risk. According to Walker D K et al 2010 skin care and moisture are essential to prevent pressure sore. Maintaining skin integrity is important for the patient`s at risk. Moreover excessive of moisture and dryness can breakdown the skin`s resistance. Wherever moisture is present,it is important to clean the portion thoroughly. Patients identified at risk should be bathed once a day. PH balanced cleanser is used to protect the skin from moisture and dryness,it is a natural protection mechanism of a skin. When cleansing the skin daily or in the presence of moisture, it is necessary not to use extreme force or friction. Eventhough moisture cannot be controlled, use skin barriers to protect skin from moisture. Dry skin also needs to be prevented by using a pH-balanced moisturizer. The studies conducted by saleh et al,(2008) and Lindergren et al., (2002) evidenced that use of risk assessment scale is successful in predicting the formation of pressure sore(Decubitus Ulcer).The studies substantiated the role of risk assessment scales and their usefulness in the prevention and management of pressure sores. According to Lindergren et al., 2002 states the reliability of risk evaluation scale in the prediction of pressure sore formation. However, the revision conducted by saleh et al. (2008), argues about the reduction in the occurrence of clinical acquired pressure scores through the regular application of risk assessment scales. Their learning also states that judgement of clinical assessment is also same valuable as associate with the detection of pressure sore through risk assessment scale. In addition, Defloor and Grypdonck, (2004) also stated that assessment tools have a vital role for the prevention of pressure sore. There are many limitations for the risk assessment tools which may lead to provide wrong positive results. The reliability, specificity and feeling of the scale are influenced by the preventive method applications. Nurses are using a variety of risk assessment tools based on practical experience they acquired. The risk assessment tools are assessed by means of numerical scores. The variables like level of continence,medications and nutritional status will give an average score for the risk patients(Whitening, N. L., 2009). Braden scale is the universally used risk assessment scale which includes the variables like sensory perception, activity, mobility, moisture and the nutritional status. The risk assessment scale works in such a way that as soon as the patient admitted in the hospital two step evaluation is carried out within the first six hours. The t wo steps include the skin assessment and the risk assessment to identify the possibility of formation of pressure sore (O Neil, 2004). Frequent evaluation and assessment should be done in every consequent evaluation at every 12 hours on patients who are at high risk .In the same way patients who are at low risk also needs to be evaluate frequently to observe or to identify any new risk factors and providing suitable preventive measures (O Neil, 2004). The most commonly used tool assessing the pressure sore in U.K is the Waterlow pressure ulcer risk assessment tool. And it is user friendly and recommended by the nurses in U.K. Pancorbo-hidalgo et al. (2006), suggests that the Waterlow pressure ulcer risk assessment tool has well pressure sore guessing ability and sensitivity which may result to get wrong positive results. With the waterlow pressure ulcer risk assessment tool among the seven assessment studies conducted by pancorbo-hidalgo, P.L. et al. (2006) they got only few findings with corrects values. Bergstorm et al. (2001) agrees that risk assessment is done by scales like Braden scale or the Norton scale in the hospitals which is more reliable. However there is no universally accepted risk assessment tool to be adopted to prevent pressure sore. Besides this, the utilization of the risk assessment tools has their own limits in clinical systems. Alternatively, Saleh et al. (2008) argues that medical judgement is successful as risk assessment tools to determine the suitable to be delivered. Nevertheless, Pancorbo-Hidalgo et al, (2006) Braden and Norton scales were noticed to be well again at risk calculation than the scientific judgements. On the other hand, according to NICE guidelines (2003) risk assessment tools can only be used as an aide-mà ©moire and should not replace clinical judgment. Normal supply of oxygen and nutrients are essential for the tissues, to maintain health. (Gottrup 2004). When patients sitting or lying, the pressure form particular part of the body results in the decrease of oxygen causes pressure sore (Defloor 2005). The study conducted by Kaitani et al., 2010, Vanderwee et al., 2007 and Pearson et al., 2010 reveals the importance of changing the position for the bed ridden or immobilize patient in preventing pressure sore occurrence. Their studies evidenced the effectiveness of repositioning in regular intervals among the vulnerable patients. Repositioning is considered as an effective control method against pressure sores (decubitus ulcer). According to Vanderwee et al., (2007) the effectiveness of force of pressure greater in sideway position. He also suggested that supine position is the comfortable position to reduce the effect of pressure on the bony prominence. The experiment conducted by Vanderwee et al. (2007 reveals that more regular rep ositioning does not actually decrease the occurrence of pressure sore. But he recognizes that turning of patients is an effectual preventive method. The incidence of pressure ulcer is more in patients who are lying down in side way position. The risk has been reduced when the patients are lying down in supine position. On the other hand the study conducted by Peterson et al. (2010) argues that the effectiveness of repositioning is less or not reliable even though it is done by any experienced nurse. And he found that after maintaining an appropriate pressure below 33 mm of Hg reduce the incidence of pressure ulcer. He states that by doing this there is still chance of occurring pressure sore in the risk areas. While turning the patient they are not unloading the all areas prone to pressure effect with the skin. Even though the standard methods for preventing pressure sores are maintained the skin breakdown happening as the risk areas are not relieved from pressure. The study conducted by Kaitani et al. (2010) evidenced that patients suffering from pressure sore have done only a fewer change of positioning and turning. In their studies they states that they didnt noticed any patients with pressure sore who has been changed their position frequently in a regular intervals. From the findings of Hobbs (2004) also reveals that there is no decline of incidence in pressure sore in the hospital due to the routine repositioning on older people. Similarly Peterson et al 2010 found that still the incidence of pressure ulcer are increasing in the clinical settings where standard turning of patients has already been done. In EPUAP guidelines (2009), suggests that repositioning is an effective method which will decrease the extent and occurrence of pressure over susceptible points like sacrum, heels, elbows and back of the head bony prominences. However, there was no research study conducted by any researchers to calculate the time gap needed to turn the patient that means there is no evidence of turning intervals from any previous studies or researches. It is very important to inspect the support surface while doing repositioning. Patient must be repositioned in regularity after inspecting the tissue viability, mobilising level, medical condition and evaluation of skin integrity. It is also subjected by the supportive surface So repositioning can reduce the incidence of pressure sore to an extent. In hospitals and health care homes it is suggested that repositioning to be done in every 4 hours and by the use of air mattress the incidence of the occurrence of pressure sore can be prevented. Many of the patients feels very discomfort while turning frequently, to avoid frequent turning pressure reducing support surfaces can be used to relieve pressure. Importantly pressure relieving support surface devices has vital role in the prevention of pressure. According to Cullum et al., 2001 it is divided into two, low tech devices and high tech devices. Low tech devices are comforting support surface to dispense the body weight over an area whereas high devices are alternating support surface where inflatable cells consecutively inflate and deflate. According to Lewis M, et al (2003) if the patients having a moderate to high possibility of developing pressure sore, dynamic support surfaces include a large cell alternating pressure mattress, a low air loss or air fluidized bed, or other pressure redistributing systems can be recommended. In a study conducted by Nixon et al (2006)found that in operating tables, specialized foam mattress overlays are effective to reduce the incidence of postoperative pressure sores while in other settings, specialized foam and overlays were the only surfaces that were constantly better to standard hospital mattresses in reducing incidence of pressure ulcers. To decrease the contact between bony prominences and support surfaces, pillows and foams are used. In addition to that for reducing the friction and shearing damage, lifting devices such as slide sheets, slings or sleeves can be used to move the patients. On the other hand, it is unclear about the evidence for the advantages of higher-specification constant low-pressure and alternating-pressure support surfaces for preventing pressure sores. However, there is clinical evidence of a difference in risk of developing pressure ulcers when using high-specification foam mattresses, compared to standard hospital mattresses. (NICE 2005) Decisions for pressure relieving device should determine at risk assessment. It must include level of risk, comfort, patient`s preferences, general health and timing of the surgery. . The studies conducted by Holm et al. (2007) and Ferguson et al. (2000) evidenced the significance of nutrition in pressure ulcer prevention. This study suggests that older people are mostly affected due to pressure ulcer. This is because of their less skin integrity and low nutritional status. The nutritional status of the elderly people is usually related with the level of intake of food and fluids along with various nursing intervention methods (Holm et al., 2007). Management of pressure sore and its treatment closely related with the clients nutritional status. The people with less nutritional status have a high risk of occurrence of pressure ulcer. The nutritional status of the patient has to be assessed by the nurse initially. Adequate quantity of proteins, calories, minerals, vitamins and fluids are necessary to maintain the skin integrity and wound healing promotion (Ferguson et al., 2000). The advancement and management of pressure sore highly influenced by their nutritional status. For doing an successful preventive measures it is essential to carried out with proper nutritional evaluation techniques and planning (Ferguson et al., 2000).pressure sore and nutritional status are closely related to each other and are directly proportional to each other.patients who are with less nutritional status or malnourished are likely to be more prone to develop pressure sore (Thomas, 1997).To reduce the incidence both dieticians and nurses should work jointly. To assess the nutritional status of the patient and the level of malnourishment and proper planning and interventions to be done to improve the status if inadequate (Ferguson et al., 2000).According to EPUAP (2009) recommendation every health care system should do screening and evaluation tests of the nutritional level of the vulnerable people who are at risk of pressure sore. Pressure sore in majority cases are preventable and controllable. A targeted control measure is far better than pointing on treating previously recognized pressure sores. Preventive measures to deceits (pressure) sore saves time and money. By doing an effective preventive techniques can also minimise the loss of energy and reduction in the work load over the health care delivery personnels and staffs mainly nurses. Bergstrom N., Braden B., Kemp M., Champagne M. Ruby E.(1998) Predicting Pressure ulcer risk. A multisite study of the predictive validity of the Braden scale. Nursing Research. 47(5), p.261-26 Bergstrom N, Braden B. A prospective study of pressure sore risk among institutionalized elderly. J Am Geriatric S Bennett G, Dealey C, Posnett J. The cost of pressure ulcers in the UK. Age Ageing 2004; 33:230-5 Cullum N, Nelson EA, Nixon J (2000) Pressure sores. Clinical Evidence: 979-98 Defloor, T. and Grypdonck, M. F. (2004) Validation of pressure ulcer risk assessment scales: a critique. Journal of Advanced Nursing. 48(6), p. 613-621. Defloor T, De Bacquer D, Grypdonck MH. The effect of various combinations of turning and pressure reducing devices on the incidence of pressure ulcers. International Journal of Nursing Studies 2005; 42(1):37-46. European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel (2009) pressure Ulcer Prevention Quick Reference Guide. NPtJAP, Washington DC. Ferguson, M., Cook, A., Rimmasch, H., Bender, S. and Voss, A. (2000) Pressure ulcer management: the importance of nutrition. MEDSURG Nursing, 9(4). Gottrup F.( 2004) Oxygen in wound healing and infection. World Journal of Surgery;28(3):312-5. Gray,J.E.Enoch,S.Harding,K.G.(2006) ABC of wound healing.Pressure ulcers.British medical journal.332.p.472-476 Holm, B., Mesh, L., and Ove, H. (2007). Importance of nutrition for elderly persons with pressure ulcers or a vulnerability of pressure ulcers: a systematic review. Australian Journal of Advanced Nursing, 25(1), p. 77-84. 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Murdoch V (2002) Pressure care in the paediatric care unit. Nursing standard 17(6): 71-6 National Institute for Clinical Excellence. (2003) Pressure ulcer prevention. Clinical guideline 7. Nix DP. Support surfaces. In: Bryant R, Nix D, eds. Acute Chronic Wounds: Current Management Concepts. 3rd ed. St Louis MO: Mosby; 2007:235-248. Nixon, J., Nelson, E.A., Cranny, G., Iglesias, C.P., Hawkins,K., Cullum, N.A., Philips, A., Splisbury, K.,Dorgerson,D.J., Mason, S.,2006b. Pressure relieving support surfaces: a randomised evaluation. Health Technology Assessment 10(22) Nakagami G., Sakai K., Matsui N., Sanada H., Kitagawa A., Tadaka E. and Sugama J. (2008) Validation and determination of the sensing area of the KINOTEX sensor to develop a new mattress with an interface pressure-sensing system. BioScience National Pressure Ulce Advisory Panel (NPUAP) (2007, February). Pressure ulcer definition and stages. Retrieved 4/13/2007, from http://www.npuap.org Pancorbo-Hidalgo, P. L., Garcia-Fernandez, F. P., Lopez-Medina, I. M. and Alvarez- Nieto, C. (2006) Risk assessment scales for pressure ulcer prevention: a systematic review. Journal of Advanced Nursing. 54, p. 94-110. Peterson, J. M., Schwab, W., Oostrom, V. H. J., Gravenstein, N.and Caruso, J. L. (2010). Effect of turning on skin-bed interface in healthy adults. Journal of advanced Nursing, 66(7), p. 1556-1564. Pieper B. Mechanical forces: pressure, shear, and friction. In: Bryant R, Nix D, eds. Acute Chronic Wounds: Current Management Concepts. 3rd ed. St Louis, MO: Mosby; 2007:205-234. Rycroft-Malone J and McInnes E (2000) Pressure ulcer risk assessment and prevention-technical report London, Royal College of Nursing Saleh, M., Anthony, D. and Parboteeah, S. (2009). The impact of pressure ulcer risk assessment on patient outcomes among hospitalised patients. 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(2007) Non-blanchable erythema as an indicator for the need for pressure ulcer prevention: a randomized-controlled trial Journal of Clinical Nursing .16, p.325-335. Walker D K, Sell S V, Kindred C. (2010) Pressure Ulcer Prevention Utilizing Unlicensed Assistive Personnel Crit Care Nurs Vol. 33, No. 4, pp. 348-355 Whitening, N.L. (2009) Skin assessment of patients at risk of pressure ulcers. Nursing Standard. 24(10), p.40-44. Whittington, K., Patrick, M., Roberts, J, L. (2000) A national study of pressure ulcer prevalence and incidence in acute care hospitals. Journal of Wound, Ostomy and Continence, 27, p. 209-215.

Sunday, October 13, 2019

A Look at the Character Karintha in Jean Toomers Cane Essay -- Toomer

A Look at the Character Karintha in Jean Toomer's Cane Jean Toomer's Cane begins with a vignette entitled "Karintha" about a young woman who grows up too quickly. The first paragraph tell us that "men had always wanted her, this Karintha, even as child...." From the description that is presented, it appears that she was always beautiful and desirous to men, even when she was a mere child. Men of all ages wanted her from the time she was young - the young men couldn't wait until she was old enough to court, while the old men wished they could get younger instead of older as time went by so that they might have a chance with Karintha. The final sentence of the first paragraph intrigued me, saying that "this interest of the male, who wishes to ripen a growing thing too soon, could mean no good to her [Karintha]." I think that this is Toomer's way of emphasizing to his audience that what the men were doing was very selfish on their part. These men did not really care about Karintha the child or Karintha the future young woman. All they cared about was the possibility of a conquest; even if the victim would be young, at least she would be beautiful. Even those younger men who might have had a chance with her many years in the future did not have the patience to wait. Instead they "danced with her at frolics" when they should have been spending their time with women in their own age group. There was not any concern for Karintha, just for the needs and desires of these men, who should have had enough self-control that this would not have even been an issue. Instead of waiting for Karintha to develop from a c hild to an adult, these men felt the need to rush the process, to "ripen a growing thing too soon," an... ...e world of Cane, with its various stories and poems about the African-American experience. I felt sorry for Karintha in this story. She was a person that was judged her entire life - even in childhood - by her appearance and what that could mean to various men. The choices that she made as an adult are not really surprising when you consider the way that she was treated in her childhood and adolescence, almost as someone who could be sold to the highest bidder (which essentially became her life as an adult). Nowhere in this story is there a mention of Karintha's admirable intelligence or ability of some sort (unless you count stoning cows). Because all that is discussed is Karintha's beauty, I saw her as a very one-dimensional character. The men in this story were in a constant pursuit of Karintha's body- and unfortunately for her, in the end they won.