How the Anthropocene is related to my major Business Management Research Paper

How the Anthropocene is related to my major Business Management Explain through McDonalds especially their Beef Hamburgers - Research Paper Example Their production activity requires meat from animals, yet livestock production is one of the human practices that results in adverse changes in the environment. Subsequently, the current sorry state of the environment marked by degradation and depletion of essential resources is attributed to anthropogenic activities. Moreover, scientists believe that there is a new wave of anthropogenic activities that started in a particular period, a concept referred to as anthropocene. Being business management student, understanding the concept of anthropocene and environmental degradation is important, as it helps in finding solutions to the issue. McDonalds is one of the biggest fast food restaurants in the world. The restaurant was established in 1955 in Illinois USA and has more than 30000 outlets located in 120 countries globally that serve more than 54 million customers daily. McDonalds is famous for producing delicious and tasty beef hamburgers that attract many customers every day. As a result, the company is growing day by day, and the customer base is equally rising, which translates to increased consumption of beef hamburgers, and thus production of more of meat by farmers. The primary source of meat is nature. Therefore, increased demand for beef is among the anthropogenic activities that results in adverse effects on the environment and natural resources. The continuous and enormous use of natural resources disturbs the balance in the ecosystem resulting in numerous problems that cause environmental problems. One of the adverse effects of production and consumption of beef hamburgers is the depletion of the natural resources in the environment. The main ingredient of McDonald’s hamburgers is meat from animals. Halden and Schwab states, â€Å"Finally, but growing more urgent every day, industrial agriculture may be a significant contributor to climate change, as the production of greenhouse gases from

Evaluation of Professional Development Plan (Reflective paper) Essay

Evaluation of Professional Development Plan (Reflective paper) - Essay Example Established what made the communication process with patients difficult. 6th day I made a self-assessment to evaluate if I knew the different methods of communication and if I applied these to my patient. Established that I knew only few skills and methods in communication 7th day Established the different gaps of communication in my communication patterns Established the gaps I had in patient communication 8th day Reviewed information from books and journals on how other methods of communication can apply to health care scenarios Established how new skills in communication apply to efficient communication in health care 9th day Write down these methods and how each method can be carried out Wrote down how I can enhance my skills in communication 10th day Apply such methods in communicating with the patient Used new communication skills in communicating with patients 11th day Made a self-evaluation on the gaps seen in the communication with the patient while applying such new methods of communication: Established rapport with patients: use their names, make casual conversations, initiate introductions Established my weaknesses while applying new communication skills 12th day Made adjustments and changes in the application of such new methods of communication based on feedback from the patient and other health professionals Implemented changes in communicating with patients based on patient feedback. Reflection In applying the action plan above, I was able to discover that there are different communication skills which are needed to ensure efficient communication. First and foremost, I discovered that in effectively communicating with the patient, a two-way flow of ideas is a very effective means of communicating (McConnell, 1993). In this regard, I cannot be the one who keeps talking or the patient cannot also be the one who is talking. I found that in applying a two-way process of communication, I was able to gain much information from the patient (McConnell, 1993). I also found out that as a nurse, it is best for me to be the one to initiate introduction with the patient. I started off conversations by introducing myself to the patients with a handshake and a smile. This immediately made the patients relax and feel at ease (Young, 2009). Starting off the conversation with small talk also helped ease the communication process (Fernandez, 2010). After shaking hands with the patients, I made a casual remark about the weather. Most of the time, they easily responded to that; they also made negative or positive remarks about the weather. One time, I walked into a patient’s room while the patient was watching a basketball game on TV and we then started talking about the game and our favorite teams.

Drugs Affecting the Central Nervous System (CNS)

Drugs Affecting the Central Nervous System (CNS) Drugs acting in CNS were among the first to be discovered by primitive humans and are still the most widely used group of pharmacologic agents. In addition to their use in therapy, many drugs acting on the CNS are used without prescription to increase ones sense of well being. The mechanism by which various drugs act in the CNS have not been clearly understood. In last three decades, however, dramatic advances have been made in the methodology of CNS pharmacology. It is now possible to study the action of a drug on individual cells and even single ion channels with synapses. The information obtained from such studies is on the basis for several major developments in studies of the CNS. These are the classification of CNS acting drugs. In addition to many medical uses, drugs acting on the cns are using worldwide i.e. alcohol, nicotine, caffeine with various degrees of societal controls due to production of addiction or dysfunctional behaviours. We know that CNS acting agents mainly exert their effects by modulation of synaptic transmission of information between neurons. These actions alter the electrical exciteability of nerve cells by changing the movement of chemical ions across  nerve and neuron cell membrane. In general, these drugs ct on a receptor to directly or indirectly open or close ion channels in the cell membrane and thus make the nerve cell more exciteable with regard to its ability to send information. ION CHANNELS: The membrane of nerve cells contain two types of channels defined on the basis of the mechanism controlling their gating: voltage-gated and ligand-gated channels.Voltage gated channels see Table-1 are respond to changes in the membrane potential of the cell.In nerve cells, these channels are concentrated on the initial segment and the axon and are responsible for the fast action potential,which transmitthe signal from cell body to nerve terminal. There are many types of voltage-sensitive calcium and potassium channels on the cell body, dendrites and initial segment, which act on a much slower time scale and modulate the rate at which the neuron discharge. CHANNEL TYPE MODE OF TOXIN ACTION:  Tetrodotoxin VOLTAGE-GATED:  Blocks channel from outside MODE OF TOXIN ACTION:  Betrachotoxin VOLTAGE-GATED:  Slows inactivation MODE OF TOXIN ACTION:  Apamin VOLTAGE-GATED:  Blocks small Ca-activated K-channels MODE OF TOXIN ACTION:  Agatoxin VOLTAGE-GATED:  Blocks p-type channels MODE OF TOXIN ACTION:  Omega-conotoxin VOLTAGE-GATED:  Blocks n-type channels MODE OF TOXIN ACTION:  Charybdotoxin VOLTAGE-GATED:  Blocks big Ca-activated K-channels IDENTIFICATION OF CENTRAL NEUROTRANSMITTER: Because drug selectivity is based on the fact that different pathways use different transmitters, a primary goal of neuropharmacologists is to identify the transmitter in CNS pathways. Establishing that a chemical substance is a transmitter has been far more difficult for central synapses than for peripheral synapses. The following criteria have been established for transmitter identification: LOCALIZATION: Approaches prove that a suspected transmitter resides in the presynaptic terminal of the pathway uder study include biochemical analysis of regional concentrations of suspected transmitters and immunocutochemical techniques for enzymes and peptides. RELEASE: To determine whether the substance is released from a particular region, local collection of the extracellular fluid can sometimes be accomplished. In addition, slices of brain tissue can be electically or chemically stimulated in vitro and the released substances measured. To determine whether release is relevant to synaptic transmission, it is important to establish that the release is calcium-dependent. SYNAPTIC MIMICRY: Finally, application of the suspected substance should produce a response that mimics the action of the transmitter released by nerve stimulation. Furthermore, application of the selective antagonist should block the response. The excitatory neurotransmitter released from these cells is in most instances. The information is typically phasic and bursts of action potential. Microionophoresis, which permits highly localized drug administration, has been a valuable technique in assessing the action of suspected transmitter. Because of the complexity of the CNS, specific pharmacologic antagonism of a synaptic response provides a particular powerful technique for transmitter identification. DRUG CONCENTRATION AND INTESITY OF ITS EFFECTS: Intensity of pharmacological effect is given as, Intensity of effect= DRUGS ACTING UPON CNS: CAFFEINE: Caffeine and the chemically related xanthenes, theophylline and theobromine Decreases in the order given in their stimulatory action.They are over-the-counter drugs, used to block adenosine receptor as an antagonist. AMPHETAMINE: The stimulation caused by excessive release of norepinephrine from storage sites in the peripheral nervous system. It is not known whether the same action occurs in the CNS. Two other theories regarding for their action are that they are degraded slower than epinephrine or that they could act on serotonin receptor sites. NARCOTICS: Narcotic agents are potent and effective for the relief of severe pain. Analgesics are selective cns drug to reduce pain.Long term administration produces tolerance, pstchic and physical dependence. CENTRAL NERVOUS SYSTEM DEPRESSANTS AND STIMULANTS: CNS DEPRESSANTS: CNS depressants slows down normal brain functions. In higher doses, some CNS depressants can become general anesthetics. Tranquilizers and sedatives are example of CNS depressants. CNS depressants are based on two groups such as: CNS STIMULANTS: Stimulants increase alertness, attention and energy which are accompanied by increases in blood pressure rate and respiration. Stimulants were used to treat asthma and other respiratory problems, obesity, neurological disorder and a variety of other ailments. As their potential for abuse and addiction became apparent to wane. Now, stimulants are prescribed for treating only a few health conditions, include attention deficit hyperactivity disorder and depression that has not responded to other treatment. It is also used for short-term treatment of obesity and for patients of asthma. INTODUCTION TO SEDATIVE-HYPNOTIC: Interms of drugs, sedative refers to a substance that moderates the activity and excitement while inducing a calming effect, while hypnotic effect refers to a substance that causes drowsiness and facilitates the onset and maintenance of natural sleep. The term anxiolytic is sometimes applied to a sedative-hypnotic; however, be aware that many drugs especially the selective serotonin secretion reuptake inhibitors are useful as a chronic anxiolytic dug demonstrated by their efficacy in certain psychiatric disordres like generalized anxiety disorder. THERAPEUTIC EFFECTS OF SEDATIVE-HYPNOTICS: SEDATION: All drugs in this class produce sedation,, with relief of anxiety. Benzodiazepenes also exert anterograde amnesic effects (i.e the inhability to remember events occuring during the drug action ) at sedative doses. The amnesic action is a primary reason some benzodiazepenes ( i.e., midozam ) are commonly used for short duration invasive procedures. They donot provide pain relief however, and must be used in conjunction with analgesics. HYPNOSIS: Sedative-hypnotics promote sleep onset and increase the duration of sleep. All of the sedative-hypnotics will induce sleep if given in high enough dose. Rapid eye movement ( REM ) sleep stages are usually decreased at high doses. REM rebound can be detected following termination of sedative-hypnotics. ANESTHESIA: At high doses, sedative- hypnotic produce a loss of consciousness with amnesia at high level and a suppression of reflexes. Anesthsia can be produced by most barbiturates and some benzodiazepene, which is generally used frequently as a induction agent for general anesthesia. Only three, diazepam, midazolam and lorazepam are formulated I.V. ANTI-CONVULSANT AGENT: Most barbiturates and some benzodiazepene suppress seizures activity at high dose. However, often this occur along with marked sedation. Selective have anti-convulsant activity and can decrease the spread of epileptiform activity without CNS depression. Some are administered intravenously to treat status epilacticus. MUSCLE RELAXATION: Most sedative-hypnotics causes muscle relaxation at high doses. Diazepam is effective at sedative doses and is useful for treating specific spasticity state including cerebral palsy. TOLERANCE AND DEPENDENCE: TOLERANCE: Decreased responsiveness to a drug following repeated exposure commonly occurs with the continuous use of sedative-hypnotics. The mechanism of action of sedative-hypnotics are not well known. DEPENDENCE: Psychologicaaly dependence usually occurs wit h most of the sedative-hypnotics with leads to the compulsive use of these agents to reduce anxiety. Physical dependence is the development of withdrawal syndrome occurs when the drugs are discontinued. Withdrawal syndrome includes, tremors, hyper reflexia, and seizures. These symptoms occur most commonly with shorter acting drugs. EFECTS ON CNS WITH INCREASING DOSAGE: Calmness or drowsiness (sedation) Sleep (pharmacological hypnosis) Unconsciousness Coma Surgical anesthesia Fatal respiratory/ cardiac depression INTRODUCTION TO ANALGESICS: An analgesic also known as a painkiller is any member of the group of drugs used to relieve pain. Analgesic drugs act in various ways on the peripheral and central nervous system they include paracetamol and acetylaminophetol also known in the us as acetaaminophen, the NSAIDs such as the acetyl salicylic acid and opiods drugs such as morphine and opium. They are distinct from anesthesia who reversibly eliminate sensation. In choosing analgesics, the severity and response to the medication determines the pain ladder is originally developed in cancer-related pain is widely applied to find suitable drugs in a step wise manner. The choice is also determined by the type of pain, for neuropathic pain, traditional analgesics are less effective and there is often benefit from classes of drugs that are normally not considred analgesics such as tricyclic anti-depressants and anti-convulsants. WHAT IS PAIN ? Pain is physiological process that can be classified interms of its intensity ( mold, moderate, severe) its duration (acute, convulascent, chronic) its mechaism ( neurologic, nociceptive, physiologic) and its clinical context ( post surgical, malignancy) pain detection or nocicepter requires activation of specialized transducers called nociceptor, see Table-2, which are activating following thermal, mechanical or chemical tissue injury and initiate different transmission of action potential to the dorsal horn of spinal cord. Category:  Physiological Cause:  Brief exposure to a noxious stimulus Symptoms:  Rapid, yet brief pain perception Example:  Touching a pin or hot object Category:  Nociceptive Cause:  Somatic or visceral tissue injury with medication impacting on intact nervous system Symptoms:  Moderate to severe pain, described as crushing, stabbing, usually worsen after the first 24 hours Example:  Surgical pain, traumatic pain, sickel cell crisis Category:  Neuropathic Cause:  Damage of dysfunctional of peripheral nerves or CNS Symptoms:  Severe lancinating, burning or electrical shock like pain Example:  Neuropathy, chronic regional pain syndrome, postherpetic neuralgia Category:  Mixed Cause:  Combined somatic and nervous tissue injury Symptoms:  Combination of symptoms, soft tissue pain and radicular pain Example:  Low back pain, back surgery pain Analgesics are a class of drugs used to relief pain. The pain relief by analgesics occurs either by blocking pain signals or by interfering with the brain interpretation of the signalwithout producing anesthesia or loss of consciousness. There are basically two kinds of analgesics: KINDS OF ANALGESICS: It should be noted that some reference include aspirin and other non-steroidal anti inflammatory drugs (NSAIDs) in the class of analgesics because they have some analgesic properties. Aspirin and NSAIDs primarily have an anti-inflammatory affect, as opposed to being solely analgesic. NON-NARCOTIC ANALGESICS: Acetaminophen is the most commonly used over-the-counter, non-narcotic analgesic. Acetaminophen is a popular pain reliver because it is both effective for mild and moderate relief of pain and relatively inexpensive. It must be emphasized though that the safety of acetoaminophen is tied to proper use of the drug (use according to specific prescribed instructions). If acetoaminophen is not used according to the directions on the label, serious side effects and possible fatal consequences can occur. For example, taking more than 4000 mg/day or using it long term can increase the risk of liver damage. The risk of liver damage also increased by ingesting alcohol. Many people donot realize that acetoaminophen is found in more than 600 OTC. It can be found in combination with other active ingredients in many cold, sinus and cough medications. The commulative effect of acetaminophen must be considered if you are taking multiple drugs which contain acetaminophen. NARCOTIC ANALGESICS: There are two types of narcotic analgesics: The opiates (found in alkaloid, opium) The opioids (derivatives of opiates) Opiods are any medication which binds to opioid receptors in the CNS or gastrointestinal tract. There are four broad classes of opioids: Endogenous oopioids peptides (produced in the body: endorphins, dynorphins, enkephalins) Opium alkaloids (morphine, codeine, theibaine) Semi-synthetic opiods ( heroin, oxycodone, hydrocodone, dihydrocodeine, hydromorphone, oxymorphone) Fully synthetic opioids (pethidine, methadone, fentanyl, propoxyphene, buprenorphine) Opioids are used in medicine as strong analgesics, for relief of severe or chronic pain. There is no upper limit for the dosage of opioids used to achieve pain relief, but the dose must be increased gradually to allow for the development of tolerance to adverse effects ( for eg. Respiratory depression). According to emedicine: some people with intense pain get such high doses would be fatal if taken by someone who was not suffering from pain. PHARMACOLOGY OF SYSTEMIC ANALGESICS: Systemic administration of analgesic drugs is still the most widely used method for providing pain relief in acute painful situations. Opioids may be selected on the basis of their physicochemical characteristics and their diffusion index to the brain. But in clinical practice, their very steep concentration-analgesic effect relationship remains a critical aspect of opioid therapy. Thus, small fluctuations in plasma concentrations of opioids may lead to profound fluctuations in analgesic effect when their plasma and effect-site concentrations are near the minimum effective analgesic concentration (MEAC). Combining drugs acting on different mechanisms of nociceptive modulation offers benefits from additive/synergistic effects and will decrease the incidence of their adverse effects. Evidence-based reviews showed that effective pain relief using non-opioid analgesics relied on paracetamol supplemented with non-steroidal anti-inflammatory drugs (NSAIDs). The role of COX-2 selective inhi bitors (CSIs) in acute pain relief still requires further evaluation. NSAIDs, CSIs and paracetamol share the property of morphine sparing in situations of severe (post-operative) pain. CSIs may be beneficial in patients in whom post-operative bleeding is a major surgical risk as the effects of NSAIDs on coagulation may last for days. Finally, low-dose ketamine infusions remain a worthwhile addition to opioid therapy. Analgesic concentrations of ketamine are 1/5th to 1/10th the anaesthetic concentration and exert significant inhibition on N-methyl-d-aspartate (NMDA) receptor activation. There have been debates over the additine potential of opioids vs. the benefits of their analgesic properties for treating non-malignant chronic pain such as chronic arthritis. Some experts believe opioiods can be taken for years without addiction or toxic side effects. The enhanced quality of life which opioids may provide the patient must considered. Common SIDE EFFECTS and ADVERSE REACTION: Nausea Vomiting Drowsiness Dry mouth Miosis (contraction of pupil) Urinary retention Constipation or fecal impaction Orthostatic hypotension Less common SIDE EFFECTS and ADVERSE REACTION: Confusion Hallucinaation Hives Itch Bradycardia Hypothermia Raised intracranial pressure Tachycardia Flushing Muscle rigidity Most severe SIDE EFFECTS and ADVERSE REACTION: Respiratory depression Fatal overdose INTRODUCTION TO ANTI-SEIZURES: After stroke, epilepsy is the second common disorder of CNS affecting about 1% of the population worldwide. Most (80%+) cases can be well controlled with anti-seizures drugs. However, that leaves many characterized by periods of abnormal firing of CNS neurons and can be caused by many neurological conditions (i.e. tumors, injury, infection). In some cases, there is also agenetic predisposition to epilepsy. Anti-seizures medication were originally designed to help people who have epilepsy, but the nerve-calming quality of some of these drugs can also help quiet the burning, stabbing or shooting pain often caused by nerve damage. Nerve damage (neuropathy) can be caused by many factors, including: DIABETES: High blood sugar levels, common in diabetes, can damage the nerves throughout the body, but the first symptomatically is numbnessand pain in the hands and feet. SHINGLES: Anyone who has had chicken pox is at risk of shingles a rash of blisters that can be painful or itchy. A condition called postherpetic neuralgia occurs if shingles pain persists after the rash disappears. Because the risk of shingles increases with age, evryone everyone everyone age 60 or older should receive the zoster vaccine which can help prevent this painful condition. CHEMOTHERAPY: Some chemotherapy drugs can damage nerves causing pain and numbness that typically begins in the tip of toes and fingers. HERNIATED DISK: Nerve damage can occur if a herniated in your spine squeezes a nerve passing through your vertebrae too tightly. INHERITED NEUROPATHIES: Some neuropathies are passed on genetically and affects different nerves, depending upon the type of disorder. The most common hereditary neuropathy is Charcot-Marie-Tooth disease which affects motor and sensory nerves. MECHANISMS OF ANTI-SEIZURE DRUGS: Exact mechanism of anti-seizues drugs are not well understood but tese medications appear to interfere with the over react transmission of pain signals sent from damaged nerves. Some anti-seizures work particularly well for certain conditions. Carbamazepine is prescribed for trigeminal neurolgia, a condition that causes facial painn appears as electrical shocks. It is important note that FDA has issued a warning that all anti-seizures associated with a slight increased risk of suicidal thoughts or actions. Talk to your doctor if you are experiencing feeling of depression or suicidal thoughts. GABAPENTIN: Used with other epilepsy drugs to treat partial and some generalized seizures. Few lasting side effects. During the first week of treatment, a person may experience tiredness and dizziness. PHENYTOIN: Controls partial seizures and generalized tonic-clonic seizure. Also can be given by intravenously in the hospital to rapid control active seizures. Side effects include dizziness, fatigue, acne, slurred speech, rash, and increase hair. Over the long term the drug can cause bone thinning. VALPROIC ACID: Used to treat partial, absence and generalized tonic-clonic seizures. Common side effects include dizziness, nausea, vomiting, tremor, hair loss, reduced attention, depression in adults, irritability in children, a decrease in thinking speed. Over the long term, the drug can cause bone thinning, swelling of the ankles, liver damage, decreased platelets. INTRODUCTION TO ANTI-PSYCHOTICS: A person who is psychic out of touch with the reality. People with psychosis may hear voices or have strange and illogical ideas for eg, thinking that others can hear their thought or are trying to harm them or they are president o f us or some famous person. They may get excited or angry with no apparent reason, or spend lots of time by themselves or in bed, sleeping during the day and awake at night. The person may neglect appearance, not bathing or changing clothes, hard to talk to- barely talking or saying things that make non-sense. They often are initially unaware that their condition is an illness. These kinds of behavior are symptoms of a psychotic illness such as schizophrenia. Anti-psychotic drugs reduces these symptoms. These medications cannot cure the disease but they can take away many of the symptoms or make them mild. In some cases, they can shorten the course of episode of illness well. There are number of anti-psychotic medications available. These medications affect the neurotransmitter that allow communication between nerve cells. One such neurotransmitter, dopamine, is thought to be relevant to schizophrenia symptoms. All thes e medications have some effect for schizophrenia. The main differences are in their potency that is the dosage prescribed to produce therapeutic effect. Some people may think that thehigher doses of medication prescribed the more serious the illness but this is not always true. The 1990s saw the development of several new drugs for schizophrenia called atypical antipsychotics because they have fewer side effects than the older drugs, today they are often called and used as afirst line of treatment. The first atypical antipsychotic drug was introduces in 1990. In clinical trials, these medications were found to be more effective than conventional or typical Antipsychotic drugs in individuals with treatment-resistant schizophrenia, that is not responded to other drugs and the risk of tardive dyskinesia ( a movement disorder was lower). However because of the potential side effects of serious blood disorder -agranulocytosis, white blood cells loss that fight infection. Patient who are on clozapine must have a blood test on every 1 or 2 weeks. The inconvenience and cost of blood tests and the medication itself have made maintenance for adults for many people. Several other atypical antipsychotics have been developed since clozapine was introduced. INDICATIONS OF ANTI-PSYCHOTIC DRUGS: Common conditions with which antipsychotics might be used include schizophrenia, bipolar disorder and delusional disorder. Antipsychotics might also be used to counter psychosis associated with a wide range of other diagnoses, such as psychotic depression. However, not all symptoms require heavy medication and hallucinations and delusions should only be treated if they distress the patient or produce dangerous behaviors. For non-psychotic disorders: In addition, antipsychotics are increasingly used to treat non-psychotic disorders. For example, they are sometimes used off-label to manage aspects of Tourette syndrome or autism spectrum disorders. They have multiple off-label uses as an augmentation agent (i.e. in addition to another medication), for example in treatment-resistant depression essive, anti-impulsive, anti-suicidal and hypnotic (sleep) medications. Antipsychotics have also been increasingly used off-label in cases of dementia in older people, and for various disorders and difficulties in children and teenagers. A survey of children with pervasive developmental disorder found that 16.5% were taking an antipsychotic drug, most commonly to alleviate mood and behavioral disturbances characterized by irritability, aggression, and agitation. Recently, risperidone was approved by the US FDA for the treatment of irritability in children and adolescents with autism. Antipsychotics are sometimes used as part of compulsory treatment via inpatient (hospital) commitment or outpatient commitment. This may involve various methods to persuade a person to take the medication, or actual physical force. Administration may rely on an injectable form of the drug rather than tablets. The injection may be of a long-lasting type known as a depot injection, usually applied at the top of the buttocks. Those that are available in injectable form are haloperidol, olanzapine, and ziprasidone while those available as depot are haloperidol, flupenthixol, clopenthixol, and risperidone. Antipsychotics are among the biggest selling and most profitable of all drugs, generating $22 billion in global sales in 2008. By 2003 in the US, an estimated 3.21 million patients received antipsychotics, worth an estimated $2.82 billion. Over 2/3 of prescriptions were for the newer more expensive atypicals, each costing on average $164 compared to $40 for the older types. By 2008, sales in the US reached $14.6 billion, the biggest selling drugs in the US by therapeutic class. The number of prescriptions for children and adolescents doubled to 4.4 million between 2003 and 2006, in part because of increases in diagnoses of bipolar disorder. Due to the chronic nature of the treated disorders, antipsychotic medications, once started, are seldom discontinued, and the aim of the treatment is often to gradually reduce dosage to a minimum safe maintenance dose that is enough to control the symptoms. Only when the side-effects have become too severe and/or a patient have been symptom-free for a long periods of discontinuation carefully attempted. MULTIPLE MEDICATIONS: Antipsychotic medications can produce unwanted effects when taken with other medications therefore, doctor should be told about all the medications being taken including over -the-counter medications and vitamin, mineral, and herbal supplements and the extent of alcohol use. Some antipsychotic interfere with anti-hypertensive drugs (taking for high blood pressure), anticonvulsants (taken for epilepsy) and medicine used for parkinsons disease. Other anti-psychotic add to the effect of a alcohol and other CNS depressants such as anti-histamines, barbiturates, anti-depressants, some sleeping and pain medications and narcotics. OTHER EFFECTS: Long term treatment of schizophrenia with one of the older, or, conventional antipsychotics may cause to develop tardiye dyskinesia. Tardiye dyskinesia is a condition characterized by involuntary movements, most often around the mouth. It may range from mild to severe. In some people, it cannot be reversed, while others recoverd partially or completely. Tardiye dyskinesia is sometimes in people with schizophrenia who have never been treated with an antipsychotic medications is called spontaneous dyskinesia however, it is most often seen after long term treatment with older antipsychotic medications. The risk has been reduced with newer atypical medications. There is a higher incidence in women, and the risk increases with the age. The possible risks of long-term treatment with with an anti-psychotic medications must be weighed against the benefit in each case. The risk of TD is 5% per year with older medications. It is less with newer medications. PSYCHOTIC DISORDER CAUSES: Functional causes of psychosis include the following: Drug abuse amphetamines, cocaine, marijuana, http://en.wikipedia.org/wiki/Alcoholismalcohol among others. Brain damage Schizophrenia, schizophreniform disorder, schizoaffective disorder, brief psychotic disorder Bipolar disorder (manic depression) Severe clinical depression Severe psychosocial stress Sleep deprivation. Some traumatic events. DOSAGES AND SIDE EFFECTS: Some medications are very potent and prescribed in low doses, others are not as potent and higher doses are prescribed. Most side effects of antipsychotic drugs are mild. Many common ones lessens or disappear after the first week of treatment. these includes drowsiness, rapid heart beat and dizziness when posture changes. Some people may gain weight while taking medications and need to pay extra attention to diet or exercise to control their weight. All anti-psychotic drugs tend to block D2- receptors in the dopamine pathways of the brain. This means that dopamine released in these pathways has less effect. Excess release of dopamine in the mesolimbic pathway has been linked to psychotic experiences. It is the blockade of dopamine receptors in the pathway that is thought to control psychotic experience. Typical antipsychotic are not particularly selective and also block dopamine receptors in the mesolimbic pathway, tuberoinfundibular pathway and the nigrostriatal pathway. Blocking D2- receptor s in these pathway is thought to produce some of the unwanted effects which typical antipsychotics produce. LITHIUM, MOOD STABILIZING DRUGS, AND OTHER TREATMENT FOR BIPOLAR DISORDER: Bipolar disorder once known as manic-depressive illness, was conceived of as a psychotic disorder distinct from schizophrenia at the end of the 19th century. Before that both of these disorders were considered part of a continuum. It is ironic that the weight of the evidence today is that there is profound overlap in these disorders. This is not to say that there are no pathophysiology important difference or that some drugs treatment are differentially effective in these disorders. According to DSM, they are separate disease entities while research continues to define the dimensions of these illnesses and their genetic and other biological markers. TYPES OF BIPOLAR DISORDER There are several types of bipolar disorder. Each type is identified by the pattern of episodes of mania and depression. The treatment that is best for you may differ depending on the type of bipolar disorder you have. Your doctor will look carefully to determine where your symptoms fit. Bipolar I Disorder (mania and depression) Bipolar I disorder is the classic form of the illness, as well as the most severe type of bipolar disorder. It is characterized by at least one manic episode or mixed episode. The vast majority o

Structural Elements of Toni Morrisons The Bluest Eye Essay -- Bluest

The Bluest Eye: Structural Elements In The Bluest Eye, Toni Morrison employs structure as an aid for telling her story. She uses at least three unique structural devices for this purpose. First, Morrison begins the novel with three passages that prepare the reader for the shocking tale about to be told. Second, the novel is divided into four major parts with each quarter given the name of a season. Third, the novel is further divided into seven sections that are headed by a portion of the passage that began the novel. The three passages that begin The Bluest Eye appear to be from a grade school primer. They portray a family's life in identical terms, but they differ in punctuation, capitalization, and spacing. The first passage is normal in all of these aspects: Here is the house. It is green and white. It has a red door. It is very pretty. Here is the family. Mother, Father, Dick, and Jane live in the green-and-white house. They are very happy. See Jane. She has a red dress. She wants to play. Who will play with Jane? The second passage lacks punctuation and capitalization Here is the house it is green and white it has a red door it is very pretty here is the family mother father dick and jane live in the green-and-white house they are very happy see jane she has a red dress she wants to play who will play with jane The third passage lacks all --- punctuation, capitalization, and spacing. According to Herbert Rice, "what appears on the page is quite literally a chaotic array of letters" (19): Hereisthehouseitisgreenandwhiteithasareddooritisveryprettyhereisthefamilymotherfatherdic kandjaneliveinthegreenandwhitehousetheyareveryahppyseejaneshehasareddressshewantsto playw... ...have a few parallels in their lives: both are searching for someone to play with them, and both find the answer in a friend, although Pecola's friend is imaginary. The Bluest Eye is an innovative novel whose touching and compelling story could not have been told without Morrison's unique structural devices. One such tool is the use of seasons to divide the narrative and put an interesting twist on the order of events. Perhaps the most unique structural element is the three primer passages that begin the novel. The first passage introduces a model household to which the rest of the families in the novel are compared. Finally, an equally innovative structural element is the use of lines from the primer passages to head subsections in the novel, illustrating the vast differences between the mythological Dick and Jane world and the reality of black family life.

Making a Difference through Charity Works

We are all aware that not all people are the same. Although some may say that all people are equal, we can’t still deny the fact that some are just too lucky while others are not. Some have more than enough foods served in their dining table three times a day while others consider themselves fortunate already if they get to eat at least once a day. Some can afford to go to expensive private schools to study while others cannot study even in public schools where tuition fee is free. Some can enjoy the luxury and comfort of a big and fully air-conditioned house while others sleep on dirty and cold sidewalks. These situations are just some realities that cause people to doubt if equality really exists on earth. However, if we look at its brighter side, these situations will make us realize how blessed we are. These will make us think that we should be very thankful that we can eat at least three times a day, that we can afford to go to school and to get the best education that we deserve, and that we can sleep comfortably on our own home. And because we are blessed with these things, we must give back to other people who are less fortunate than us. It takes a caring and special person to undertake charity work, as it takes that same special character to make charity donations. Charity work can be a long, hard and sometimes laborious task. However, it is highly rewarding for the individual doing it and the recipient of the benefits. Charitable works for me can be best defined as the willingness of an individual to provide as many smiles on as many faces as he/she could imagine. Charity is a global act and is not confined to a certain nation, people or a country. It is an act of gratitude and support to those who need help, keeping in mind that earth is one small village. Above all, charity should not be an ostentatious display of wealth. Although it is an act of kindness, it could lose power when it is more concerned about hogging media glare than lending support to the needy and desperate. Charity could also mean love. I believe that the root of charity is love, love for our fellowmen and love for God. Anybody can be an active part of a charity work. It can be you or me or our neighbors. The fulfillment anybody can feel through helping others is incomparable. And I do believe that we can make a difference through participating actively on charity works. I am only one and I know I can’t change the world alone but if I can convince you, my friends, your friends, and our friends’ friends to be more responsible in giving back to our community, for sure we can make a big difference. Charitable work, in its simplest form therefore, is helping one another and the community as a whole.

Capitalism: Does It Cause or Alleviate Poverty?

Capitalism: Does it cause or alleviate poverty? By: Zahoor Khan [email  protected] com To tackle the issue of poverty has been remained a massive challenge in the known history of human civilization for all global economic isms of the world. Each economic ism has its own strategies to address this issue. Capitalism tries to resolve the issue of poverty on the basis of demand supply forces.Capitalism is generally considered to be a philosophy of economic systems that favors private ownership of the means of production, creation of goods or services for profit or income by individuals or corporations, competitive 1 markets, voluntary exchange, wage labor, capital accumulation, and finance . There may be two possible solutions of the issue of poverty in Capitalism. Firstly, each individual economic agent has monetary incentives to work and perform various economic activities. Thus monetary incentives stimulate the economic agents towards the performance of various economic activities. This may be considered as an indirect solution of poverty in context of Capitalism. Secondly, individuals possess ownership rights. They can possess various productive resources and have the right to use these resources for production and consumption purposes. Each economic agent (Consumer Producer, Government) is assumed to be rational and will therefore try to optimally utilize their resources in their best interests. Thus, this behavior works as an automatic stabilizer in the 1 http://en. wikipedia. org/wiki/Capitalism economy to resolve the economic issues including the issue of poverty of all masses.The in-depth analysis of the system reveals that both possible solutions of the issue of poverty suggested by the system are factitious. The first solution is viable if fortunately all people become part of the labor force in an economy. This solution does not take into consideration children, housewives, old men and women, insane, and permanently disable people that from where they can access to the basic facilities (food, shelter, hospital†¦). The second solution is based on the assumption that all the people of the economy possess some productive resources, which is unrealistic.This assumption may be questioned in many ways: From where the people will get the economic resources? What will be the way of acquisition of resources? All the people cannot participate in the labor force, then how these people will acquire economic resources etc. One other possible way may be the intervention of government, to take some steps towards the solutions of the issue. This method is feasible as compared to the earlier methods. Unfortunately, this method is not very effective to address the issue because of many hurdles.Poverty is a multidimensional phenomenon which cannot be effectively addressed only with the help of the government. This issue requires multidimensional measures at the micro, Meso and macro levels. The issue of poverty is considered as a social issue in Capitalism. The society, in capitalism is divided on the basis of ‘have’ and’ have not’. The upper class, ‘the capitalists’ controls the entire economy on the basis of their capital while the ‘worker class’ cannot own capital irrespective of their efforts in the process of production. Thus capitalists accumulate more and more wealth on the basis of their capital.This phenomenon naturally intensifies the earning gap between the two classes. The ultimate outcome of this process will be in the form of macroeconomic evils i-e income inequality, poverty, accumulation of wealth. The issue of poverty gives sub-birth to many social and economic issues. Some important of them may be in the form of income disparity, class conflict, and deprivation. The philosophical foundation of Capitalism can make it more clear that whether the system has the required potential to resolve the issue of poverty effectively or otherwise. Capitalism is ba sed on three philosophical pillars. i.Materialism ii. Individualism iii. Hedonism. Capitalism as a living ideology believes in a materialistic world view. According to this philosophy all human needs and desires are subject to material satisfaction i-e whatever is needed/desired will be satisfied in this material world because there is no concept of the world hereafter. So unlike an Islamic consumer, a capitalist consumer will be always conscious about his material utility and will therefore try to spend all his money on material commodities. The second important element of Capitalism’s philosophical foundation is â€Å"individualism†. Individualism refers to ndependent behavior of economic agents to accomplish their economic goals. According to this concept all people’s interests are independent from each other’s. Each individual has to work for his own personal goals. Thus, the resulting outcome of this behavior will be in the form greed, unconsciousnes s about other’s rights, immorality in business practices, weakness of social bond etc. The last foundation of Capitalism, as a living ideology is ‘Hedonism’. Hedonism refers to a philosophy where one’s become pleasure seeker and ‘self-centered’ while to accomplish various goals. Hedonism is the logical consequence of ‘Individualism’.Looking into the philosophical foundations and ideological structure of capitalism it seems that the capitalism is a byproduct of human reason which promotes individualisms, self satisfaction as a supreme priority, greed, unconsciousness about other’s rights and unconsciousness about the overall welfare of the society. In the light of these logical consequences resulting from the Capitalism, The system will ultimately worse off the poor and marginalized people, followed by the increasing gap between the poor and rich and thus the extreme level of living standards and provision of many social and sub-economic issues†¦

Global Positioning System

We have all been lost before, and have had trouble finding our way to where we want to get to. Now technology is helping us find our way. This technology is called Global Positioning System (GPS). Global Positioning System technology has been used by the military for about ten years now, and is just starting to be given practical uses in society today. GPS uses twenty-four satellites orbiting around the Earth to determine where you are. GPS has many different uses, and it doesnt just have to be used to help you find your way. GPS can also be used with computer software for practical uses, such as in farming, and has safety applications as well. Global positioning system uses twenty-four different military satellites, which were developed by the United States Department of Defence and it was first used in the Cold War . The military has been using GPS extensively for about ten years, using it in Desert Storm and modern practice. Only recently is GPS being used outside the military. It takes three satellites to find your position. Each of the satellites sends a radio signal down to your GPS receiver, and the receiver measures how long it takes the signals to get there. This happens very fast because the radio signals travel at the speed of light. The time the signal took to reach the receiver is then multiplied by the speed it was moving (approximately 186,000 miles per second), and that is how far you are away from that satellite. This is done with the other two satellites, and your location is then found within a few meters. That is basically how it works but you must also correct for any delays the signal experiences as it travels through the atmosphere. There are many uses for global positioning system. Some of the main uses are in cars, on boats and for wilderness sports such as canoeing, backpacking or mountain biking. Dave Hunter of Mississauga, was approaching Chicago ...

Japanese Counters Used for Counting Objects

Japanese Counters Used for Counting Objects Lets learn how to count in Japanese. Every language has a different way of counting objects; the Japanese use counters. They are similar to English expressions such as a cup of ~, a sheet of ~ and so on. There are a variety of counters, often based on the shape of the object. Counters are attached directly to a number (e.g. ni-hai, san-mai). Following the next couple of paragraphs, we have included counters for the following categories: objects, duration, animals, frequency, order, people and others. Things which are not clearly categorized or shapeless are counted by using native Japanese numbers (hitotsu, futatsu, mittsu etc.). When using a counter, pay attention to the word order. It is different from English order. A typical order is noun particle quantity- verbs. Here are examples. Hon o ni-satsu kaimashita.æÅ" ¬Ã£â€šâ€™Ã¤ ºÅ'冊è ² ·Ã£ â€žÃ£  ¾Ã£ â€"㠁Ÿã€‚I bought two books.Koohii o ni-hai kudasai.ã‚ ³Ã£Æ' ¼Ã£Æ'’ãÆ' ¼Ã£â€šâ€™Ã¤ ºÅ'æ  ¯Ã£  Ã£   Ã£ â€¢Ã£ â€žÃ£â‚¬â€šPlease give me two cups of coffee.Another thing we  want to mention is that when the Japanese group objects they divide them into groups of five and ten, unlike the typical groupings of six and twelve in the West. For example, sets of Japanese dishes or bowls are sold in units of five. Traditionally, there was no word for a dozen, though it has been used because of Western influence.ObjectsWhen combining a number with a counter, the pronunciation of the number or the counter might change.hon æÅ" ¬ - Long, cylindrical objects: trees, pens, etc.mai æžš - Flat, thin objects: paper, stamps, dishes, etc.ko 個 - Broad category of small and compact objectshai æ  ¯ - Liquid in cups, glasses, bowls, etc.satsu 冊 - Bound objects: books, magazines, etc.dai Ã¥  ° - Vehicles, machines etc.kai 階 - The floor of a buildingken ä » ¶ - Houses, buildingssoku è ¶ ³ - Pairs of footwear: sock, shoes, etc.tsuu 通 - LettersDurationjikan 時éâ€"“ - Hour, as in ni-jikan (two hours)fun 分 - Minute, as in go-fun (five minutes)byou ç §â€™ - Second, as in sanjuu-byoo (thirty seconds)shuukan é€ ±Ã©â€"“ - Week, as in san-shuukan (three weeks)kagetsu 㠁‹æÅ"ˆ - Month, as in ni-kagetsu (two months)nenkan Ã¥ ¹ ´Ã©â€"“ - Year, as in juu-nenkan (ten years)Animalshiki Ã¥Å' ¹ - Insects, fish, small animals: cats, dogs, etc.tou é   ­ - Large animals: horses, bears, etc.wa ç ¾ ½ - BirdsFrequencykai 回 - Times, as in ni-kai (twice)do Ã¥ º ¦ - Times, as in ichi-do (once)Orderban ç• ª - Ordinal numbers, as in ichi-ban (first place, number one)tou ç ­â€° - Class, grade, as in san-too (third place)Peoplenin ä º º - Hitori (one person) and futari (two people) are exceptions.mei Ã¥   - More formal than nin.Otherssai æ ­ ³/æ ‰  - Age, as in go-sai (five years old)Ippon demo Ninjin is a fun children song for learning about counters. Pay attention to the different counters used for each item.

Learning About Seahorses

Learning About Seahorses A seahorse isnt a horse at all, but an extremely unique fish. It is named for its  head, which resembles that of a very tiny horse. From its horse-like head, the seahorses body tapers down to a long prehensile tail. Prehensile is a fancy word that means used for grasping. Monkeys also have prehensile tails. Seahorses use their tails for grasping underwater plants to anchor themselves in place. They hold onto coral and seagrasses and camouflage themselves by changing color to hide from predators. Seahorses dont have many predators, but some crabs and fish will prey on them.   Seahorses  also like to hold onto one anothers tails while they swim in pairs. There are many different types of seahorses and all are unique in many ways. For one, although they are fish, they dont have scales. Instead, they have skin. A seahorses skin covers a series of bony plates that run from its head to its tail- including its neck, a body part that other fish dont have. One thing seahorses do have in common with other fish is that they breathe through gills. They also have swim bladders like other fish.  Very slow swimmers, seahorses move about through the water with three small fins. They swim upright, using their fins to propel them forward through the water and their swim bladders to move them up and down. Another surprising fact about seahorses is that the male carries the babies. The female lays the eggs in a pouch, sort of like that of a kangaroo,  in the males stomach. He then carries the eggs until they hatch, usually two to four weeks later. Many people think that these tiny fish mate for life, but facts about seahorses dont seem to bear that out. Seahorses eat plankton, shrimp, and small fish. However, seahorses dont have stomachs! Food passes right through their bodies. That means they must eat almost constantly. Luckily for these tiny fish, they are good hunters. They hold on to coral and seagrass with their tails  and suck food into their mouths with their long snouts. They can slurp up food from over an inch away. Reading About Seahorses Books are a fun way to learn about any topic, including seahorses. Mix fiction and non-fiction to engage young learners. Try these titles: Mister Seahorse by Eric Carle  is a fun and educational story about how male seahorses are the caretakers of their eggs. Find out which other fish fathers have the same responsibility. Seahorses by Jennifer Keats Curtis is a beautifully-illustrated, non-fiction book about the life of a seahorse from the moment hes born- along with 300 brothers and sisters! One Lonely Seahorse by Joost Elffers will draw in your preschool students with its counting story that begins with one lonely seahorse. Amazing Pictures and Facts about Seahorses by Mina Kelly will answer your students questions about seahorses. How do they breathe underwater? Why do seahorses curl their tails?   Seahorse Reef: A Story of the South Pacific by Sally Walker is a delightful, educational story whose facts about seahorses have been reviewed by the Smithsonian Institute for accuracy. This is a must-have for your seahorse study. Seahorses: A Life-Size Guide to Every Species by Sara Lourie will prove an invaluable resource to older students. It features photos and facts about 57 different species of seahorses. Other Resources for Learning About Seahorses Look for other engaging opportunities to learn about seahorses. Try some of these ideas: Use free seahorse printables to learn the vocabulary associated with and facts about these fascinating fish. The printable set includes activities such as word search and crossword puzzles, vocabulary sheets, and coloring pages.Visit an aquarium. If you live near an aquarium, call to see if they offer a seahorse exhibit. Its so much fun to observe seahorses in person!Visit a store that sells fish. You can keep seahorses as pets, so some fish and pet stores will have some that you can see in person.Watch videos and documentaries. Check sources such as your local library, YouTube, Netflix, or Amazon video for films about seahorses.Make a diorama depicting seahorses in their underwater habitat.Make seahorse crafts. Seahorses are fascinating fish! Have fun learning about them. Updated by Kris Bales

From Schumpeter to Open Innovation Thesis Example | Topics and Well Written Essays - 1000 words

From Schumpeter to Open Innovation - Thesis Example To some people who have not grasped the true import of design in innovation, design is still descriptive of the superficial polish of neater appliances and cleaner graphics. This, however, is far from the truth (Sandberg, 2011). Today’s business trends are dictated by customers. It is an established fact that today’s buyers are not interested in procuring products but will spend money to purchase ‘meanings’. There are different ways in which people use the things they buy; most of these are due to socio-cultural, psychological, or utilitarian reasons. Innovation, in today’s business scene, is inextricably connected with design. The whole subject of design has grown to be a significant benefit for numerous industries. It also functions as an important tool in warding off commoditization. Business analysts have discovered in past researches that all manufactured goods and services being traded in industrial markets have an inherent meaning (Verganti, 2009). Companies, therefore, ought to focus on more than just functions, features, and the performance of manufactured products and seek to comprehend the true meanings given to products and services by consumers. Such meanings cannot be innovated but have to be recognized by manufacturers. User-centered viewpoints have brought about powerful methods for appreciating how consumers give meaning to the products that they purchase. There are companies that have used design to revolutionalize their entire way of doing business while also accruing massive profits. Corporations such as ‘Google’ and ‘Apple’ are now way ahead of their business rivals as a result of their efforts in placing design at the forefront of their corporate objectives of innovation (Lockwood, 2009). The researchers that make products for these firms actually seem to be able to read the minds of their consumers even before the consumers themselves are aware of what they will

Critical Review and Critique on Rapid Response Team Policies for Acute Essay

Critical Review and Critique on Rapid Response Team Policies for Acute Patients in Riyadh Military Hospital and the UK - Essay Example Moreover, in an article published back in 2007 entitled â€Å"Safer Care for the Acutely Ill Patient†, the National Patient Safety Agency (2007) reported that 576 out of 1,804 hospital deaths were due to diagnostic errors, unrecognized patient deterioration left untreated and problems with resuscitation after a sudden cardiac arrest. It is for this reason that many countries have come up with the idea of forming Rapid Response Teams (RRT) in hospitals to address acute condition cases (Berwick et al., 2006). II. Aim Considering the average waiting time before each patient receives health care intervention, this paper will also focus on discussing rapid response for suddenly ill patients strategies used in the United Kingdom (UK) and Riyadh Military Hospital (RMH) to ensure that its health care professionals are able to deliver quality care and treatment to each patient on a timely basis. III. Critical Review and Critique on Rapid Response Team Policies for Acute Patients in Riy adh Military Hospital and the UK To enable readers to gain better understanding concerning the effectiveness and differences between the ICU RRT in Riyadh Military hospital and NHS hospitals in the UK, this report will first discuss the main purpose of RRTs. Rapid response teams in United Kingdom also referred to as medical emergency teams are multidisciplinary teams that consist of satisfactorily trained clinical personnel. In Riyadh Military hospital, the rapid response team’s core obligation is to examine and evaluate patients who portray symptoms of medical deterioration outside the intensive care unit (Winters, Pham and Pronovost, 2006, p.1647; Nakagawa, 2007, p. 1371; Addington-Hall and McCarthy, 2005, p. 295). Such a team provides early rescue to patients who are in critical health condition in hospital settings. The first team of this kind was created in 1995 as an experiment team in Riyadh Military Hospital before spreading to other hospitals in United Kingdom. The t eam served as a proactive mechanism for reducing unexpected death incidences in hospitals. The core reasons for the introduction of rapid response teams in health care in United Kingdom were to increase patients’ safety and to reduce the rate of inpatients’ deaths in hospitals. InRiyadh Military Hospital, rapid response teams work hand in hand with primary physicians and bedside nurses to resuscitate patients in acute need of medical attention (Sebat, Musthafa and Johnson, 2007, p. 2575). a. Main Purpose of Rapid Response Teams A RRT is a medical emergency team in the intensive care unit that is responsible for assessing and giving initial treatment to deteriorating non-critical care patients (Chan et al., 2008). The purpose of a Rapid Response Team (RRT) is to quickly extract the right cause from the situation of any acute condition. In any case, where the team takes too much time to do this, then their main purpose is unaccomplished (Adams and Failano, 2011). In the UK, the main purpose of Rapid Response to Acute Illness (RRAI) is â€Å"to support clinical teams in the reduction of harm and mortality associated with the acutely deteriorating patient† (1000 Lives, n.d). The policies for the RRT in United Kingdom have recently been addressed by the medical services. It has been suggested in the main protocol of the program that the response team will be selected based on certification. This is similar to the criteria of UK RRTs. The only difference is that the

Sources of Power in an Organization Essay Example | Topics and Well Written Essays - 1000 words

Sources of Power in an Organization - Essay Example He asserts that many researchers have been struggling to come up with more sources but â€Å"For the most part, French and Raven’s list remains intact†. Therefore, we keep our discussion restricted to these five sources of power of which the first three are about power that the person receives from the organization because of his position, and the last two are about power that a person brings to the organization. 1) Legitimate Power It is that power which is given to the members from the organization with the help of which they can demand certain behaviors from other members. Members of one position can ask members of other positions to do a task for them, for example, employees may be empowered to ask for customer information from the database if need be. This legitimate power involves mutual agreement between employees with which they are able to respond to each other. If a project manager demands that his subordinate should spend extra hours on the module, his power can be restricted if the latter has not signed the mutual agreement. 2) Reward Power It is the power that an employee enjoys when he has â€Å"to control the allocation of rewards valued by others and to remove negative sanctions (i.e., negative reinforcement)† (Alexandrou). Managers have the power to decide which employees are liable for rewards like bonuses, vacations, promotions and allowances. Employees also have the power to influence the promotions of their supervisors through 360 degree feedback system. 3) Coercive Power This power enables employees to ask their authorities to punish other employees like firing or demoting them. Team members have the power of, for example, sarcasm to make the team members work efficiently and conform to the norms. The main aim of coercive power is to control the negative behavior shown by employees in an organization so that overall wellness of the organizational culture is achieved. This way, the overall co-worker performance is also enhanced. Hence, this source is considered as a beneficial aspect of power. 4) Expert Power This power comes from within the person, with which he is able to influence others through his skills, capabilities and knowledge. Military persons can be helpful in organizations due to their military capabilities. Doctors can bring their expertise to the organizations and can help others with their doctoral capabilities and power. Lawyers can be helpful to organizations because they provide their expert advice in many situations. This is all expert power that enables them to bring changes to the organization through their informed decisions and expertise. Expert power has gained significance since the concept of knowledge based organizations have arise where different sorts of expertise group together to form a powerful union. 5) Referent Power This power enables an individual to inspire others so much that others start following them and referring them to others. People start liking and re specting these persons and talk about their charisma. My Organization My hospital setting mostly enjoys legitimate power. Here, I give examples from my organizational environment to make my point clear. Employees in my organization are required to sign a mutual agreement according to which they give their consent whether they are ready to provide their services when they are required by employees belonging to any other position. A resident physician can ask the authorities to assign him an internee physician to

To what extent can the marketing mix be quintessentially standardised Essay

To what extent can the marketing mix be quintessentially standardised within the international marketplace - Essay Example strategies which are incorporated into the new competition that is a part of the market as well as the changes which have occurred within the internal and external environment are also altering the strategies which can be used. Defining the marketing strategies in the marketplace as well as the standardization which can be used can also offer new implementation of marketing in a different manner at a global level. The foundational concepts that are associated with marketing and the international marketplace are relevant because of different activities, organizational structures and practices which are required by organizations. The marketing strategies which are used are now an integral part of building an international marketing scenario, specifically with corporations that are beginning to expand globally and which are interested in creating multinational corporations. The strategies which are incorporated into the marketplace are essential because they create a relationship within the internal organization as well as through the customers that are interested in a business at an international level. The activities which take place, structure of the company and the ability to communicate effectively with those that are looking into different corporations then become an integral part of the marketing initiatives. Ensuring that the communication from marketing as well as the responses that are incorporated into the different organizations is effective makes a difference in the capabilities of an organization to work toward an international reputation (Czinkota, Ronkainen, 17, 2007). The concept of marketing is not only important because of the need to create new strategies to meet the international expectations within the market. There are also alterations that are related to the process which has to be incorporated as well as the ability to move through the benefits and challenges which are associated with international marketing. Surviving through

Leadership Presentations Coursework Example | Topics and Well Written Essays - 250 words

Leadership Presentations - Coursework Example The leader did not deliver his arguments in a comprehensible manner, and he did not use visual aid (images, PowerPoint, and video) to present his ideas. This omission led to a dull presentation with poor audience engagement. In order to develop a fruitful and entertaining presentation, I would embrace elements of proper communication skills as well as presentation considerations as discussed below. Conducting proper research for getting better understanding of my subject matter is a primary consideration. This factor involves carrying out research on the issue at hand to get familiar with facts, as well as limitations. The study builds on confidence and is important in designing presentations (Eggleston, 2015). Drawing knowledge of my audience so as to know how to tailor my presentation and make adjustments where necessary to yield maximum engagement of my audience. This knowledge will help me in delivering a speech that is relevant and concise to the target audience (Eggleston, 2015). Understanding and acting on personal limits. To make a presentation engaging, I will offer all I can rather than trying what is beyond my capacity. It is considered annoying to the audience if inappropriate jokes make part of my presentation. Lastly, it is wise to prepare presentation notes such as speech script with brief and proper introduction to set the stage and engage the audience. An elaborate body and a simple reinstatement summary are essential requirements for an effective leadership presentation (Eggleston,

How useful is social anthropology for an overseas student in looking Essay

How useful is social anthropology for an overseas student in looking at and understanding modern British society - Essay Example Social anthropology is a title used in England and to some extent in the United States, to designate a department of the larger subject of anthropology, the study of man from a number of aspects. It concerns itself with human cultures and societies† (Pritchard 3). Therefore, it is evident that the study of Social anthropology deserves greater significance. Many researchers have identified that ‘social anthropology’ is quite a recent name which was taught under the names of anthropology or ethnology (Prichard 3). A very good definition of Social Anthropology can be found in the official website of Harvard University that writes, â€Å"Social Anthropology is concerned with the social and cultural diversity of contemporary human communities and groups† (Harvard). The website adds that through ethnographic methods and intensive participant observation â€Å"Social Anthropologists study topics such as gender, race and ethnicity; religion; economic development; i llness and healing; human rights and political violence; popular culture and the role of media in society; food and consumption; and the impact of globalization† (Harvard). This leads one to the inference that social anthropology will have an elite role in making an overseas student looking at and understanding the British society, its race and ethnicity, religion, economic development, illness and healing, and the like. The purpose of the study is to explore the certain factors of social anthropology that help an overseas student to properly understand the modern British society. Identifying gender has an elite role in assuring a good educational standard for an overseas student. When one selects a particular country for one’s further studies, it is mandatory that he or she should have proper awareness about the gender differences existing in that region. One should keep in mind that fact that ‘diversity, and complexity and change are, then, features of contemporary British society’ (Abercrombie,

Leadership Presentations Coursework Example | Topics and Well Written Essays - 250 words

Leadership Presentations - Coursework Example The leader did not deliver his arguments in a comprehensible manner, and he did not use visual aid (images, PowerPoint, and video) to present his ideas. This omission led to a dull presentation with poor audience engagement. In order to develop a fruitful and entertaining presentation, I would embrace elements of proper communication skills as well as presentation considerations as discussed below. Conducting proper research for getting better understanding of my subject matter is a primary consideration. This factor involves carrying out research on the issue at hand to get familiar with facts, as well as limitations. The study builds on confidence and is important in designing presentations (Eggleston, 2015). Drawing knowledge of my audience so as to know how to tailor my presentation and make adjustments where necessary to yield maximum engagement of my audience. This knowledge will help me in delivering a speech that is relevant and concise to the target audience (Eggleston, 2015). Understanding and acting on personal limits. To make a presentation engaging, I will offer all I can rather than trying what is beyond my capacity. It is considered annoying to the audience if inappropriate jokes make part of my presentation. Lastly, it is wise to prepare presentation notes such as speech script with brief and proper introduction to set the stage and engage the audience. An elaborate body and a simple reinstatement summary are essential requirements for an effective leadership presentation (Eggleston,

Anti-discriminatory practices Essay Example for Free

Anti-discriminatory practices Essay The purpose of this essay is to evaluate the impact of discriminatory practice on work with children and investigate the ways in which the needs of children can be met through a range of anti-discriminatory practices. What is discriminatory and Anti-discriminatory Practice? There are many different definitions of the above that can be used: Any prejudice view or diverse treatment because of race, colour, creed, or national origin (www. surestart. gov. uk) is seen as discriminatory practice along withAccording to Lindon (2004 p128) Discrimination means behaving in an unfair way towards a person because of the way we have judged them. There are two types of discrimination: Direct discrimination: This is treating someone unfairly compared to someone else in the same or similar circumstances; it could be as a result of their sex, race, marital status, disability, or age for example. Indirect discrimination: This when you are discriminated against in general because of a generalization that has been made without taking in each persons situation into account. In order to challenge discrimination several laws, code of conducts and policies are in place. Discriminating against someone can be in the forms of labelling, stereotyping and oppression and all must be challenged immediately. (Miche. V 2004:128) Anti-discriminatory practice will ensure that everyone has the same rights regardless of things such as family background, appearance, lifestyle, gender, race or medical history. (Tassoni et al. 2000:11) In order to promote equality and anti discrimination early educators must follow relevant legislation, curriculum frameworks and official guidance.

Social Cognitive Perspective and Phenomenological Perspective

Social Cognitive Perspective and Phenomenological Perspective The quoted text is taken from Social Psychology (Hollway et al 2007, p.35). It challenges the accountability of certain methods in their ability to accurately reflect the reality of social phenomena. Implicitly understood in this statement is that qualitative methods are better suited than quantitative methods. Qualitative methods are better able to reflect richness and complexity of lived experience than quantitative methods which are capable of limiting, constraining and distorting it. This is a polemical stance that has accompanied the growth in qualitative methods since the 1980s. The Social Cognitive Perspective (SCP) and Phenomenological Perspective (PP) demonstrate how strikingly different methods can be. They have different epistemological stances and make different ontological claims. The nature of being (ontology) is understood differently in social psychology, such as the information-processing individual in a social context (SCP) or the experiencing, embodied individual in relation with  others (PP). Limitations and benefits of the SCP and the PP are illustrated by a critical review of Milgrams 1970s experiment on obedience to authority and the works of Eatough and Smith (2006) on feelings of anger in the context of the lives of individual women. Gregen, K.J. (1973) in his account of social psychology as History gave voice to a debate about the relative merits of social psychology methods. In particular whether social psychology as a discipline was scientific in nature or should be considered as contemporary history. Gregen argued that social psychology was a product of historical and cultural climates which constantly changed, producing theories and knowledge that did not prove to be consistent. In this light it was suggested that the prevailing quantitative scientific methods should give way to more descriptive accounts with appreciation for how knowledge is situated within a social-cultural-historic context. These themes of situated knowledge are highlighted by Milgrams findings on obedience to authority. Milgram demonstrated through his experimental conditions the potential for acts of cruelty to be committed by a stranger (research participant and executant) to another stranger (researcher assistant and victim) because they were following orders (researcher and authority figure). His findings have been widely cited and used in psychological text books as factual scientific accounts. They have however been criticised on a number of ethical and substantive terms (Holloway et al 2007, p.53). For example Milgram recorded that participants were observed to sweat, tremble, stutter, bite their lips, and groan as they found themselves implicated (Milgram, 1977, p. 112; in Holloway et al 2007, p.54). The use of deception and unnecessary stress to research participants is seen by many as being unjustifiable. Milgram himself was less concerned with the immediate distress caused and was satisfied that questionnaires sent after one year showed participants felt positively towards the experiment (Milgram, 1974, p.195 within Hollway et al 2007, p.52). In Milgrams time research ethics were not as developed as they are today. Arguably the overall benefit of the research was deemed more important than any minor stress caused. This insight is perhaps justifiable given Milgrams interest in trying to understand how hatred and persecution of Jews under Hitlers Nazi Germany could have happened. Milgrams experimental conditions in which one agent commands another to hurt a third reflected his underlying theory that elements of authority, executant and victim were central to obedience and hostility (Milligram, 1977, p.102; in Holloway et al 2007, p.53). Apart from ethics critics such as Harre 1979, p.105 argues that there are substantive problems with his study. Harre notes that the issue of trust was overlooked; trust as a possible response to power was likely key to participants behaviour as an executants. In fact 40% of participants did not follow the instruction to inflict pain on the victim, however these accounts are given little attention. Similarly the research setting was changed because of a perceived influence of Yale University on giving authority to the instruction to the executant. It was moved from the universitys laboratory to the basement and then to a nearby town called Bridgeport. But, Milgram, 1977, p. 116 believed that the level of obedience in Bridgeport, although somewhat reduced, was not significantly lower than that obtained at Yale with 48% vs. 65% opposed. 17% between sites can be interpreted as statistically significant (Holloway et al 2007, p.53). Ultimately the reliability and validity of Milgrams findings can be questioned on a number of points. Although Milgram sort scientific objectivity he failed to consider ethical questions fully, did not explore the relevance of the research settings or participants personal experiences. PP provides an interesting perspective to juxtapose with traditional scientific methods. It has in its own right a long established history dating back to the C18th from philosophical works by Edmund Husserl, Martin Heidegger, Maurice Merleau-Ponty, Jean-Paul Sartre, et al (Smith Woodruff 2009). As an approach to social psychology it became popular alongside a humanistic perspective in USA during the second half of the C20th. It seeks detailed descriptions instead of explanations for human behaviour, addressing all aspects of a topic, and suspending judgements and assumptions that may be held by the researcher (Hollway et al 2007, p131). Linda Finlay (2009) in Debating Phenomenological Research Methods acknowledges that variations in methodology have flourished within PP. The competing visions of how to practice phenomenology stem from different philosophical values, theoretical preferences, and methodological procedures. Smiths Interpretative Phenomenological Analysis (IPA) is however one that has become popular. Smith argues that his idiographic and inductive method, which seeks to explore participants personal lived experiences, is phenomenological in its concern for individuals perceptions. He also, however, identifies more strongly with hermeneutic traditions which recognize the central role played by the researcher, and does not advocate the use of bracketing (Smith, 2004). The competing visions of how to practice phenomenology stem from different philosophical values, theoretical preferences, and methodological procedures. Eatough and Smith (2006) used interpretative phenomenological analysis of feelings of anger in the context of the lives of individual women. Specifically they used descriptive tools to explore three analytic themes the subjective experience of anger, forms and contexts of aggression, and anger as moral judgment. They concluded that mean making is a fundamental process in how the participants formed emotions. The descriptive accounts from the interviews with Marilyn (one of the research participants) were given as a case in point. Eatough and Smith (2006) believed that Marilyns anger towards her mother was changed by her self-reflections and counselling. It can be argued that richness and complexity provided by PP in its account of womens anger by Eatough and Smith (2006) far outreaches that by its SCP counterparts. The SCP remains however the dominant perspective in social psychology and has been helped by innovations in research methods. For example, Fazio et al (1995) work that has built on the concepts of cognitive errors and biases implicated in prejudice thinking (Fiske and Taylor, 1991). Their research has suggested that subtle forms of prejudice are now more pervasive than blatant forms. Their experiment measured response times of white undergraduates when classifying stimulus words as either being positive or negative meaning; after viewing random photos of black and white faces. They found evidence of inhibition and facilitation effects which were largely automatic, unconscious associations, between the colour of faces and positive or negative evaluations. In conclusion, the quoted text implicitly suggests that methods such as those used by SCP can be limiting, constraining and distorting but perhaps this is only half the story. Although quantification can be accused of being myopic, failing to appreciate richness and complexity in the account of the social phenomena under question they often do so knowingly. The scientific tradition of looking for cause and effect relationships in social psychology continues to be dominant over other methodologies. This reflects the willingness of the discipline to continue to strive for objectivism, statistical reliability and validity, and ultimately for the advancement of practical application. Moreover, as Gregen, K.J. (1973) noted social psychology methods are constantly adapting and evolving the work of Fazio et al (1995) on subtle forms of prejudice being testament to this. In contrast richness and complexity of qualitative methods such as PP often comes at a cost as the research is time-consu ming may have limited practical application.

My Closet :: essays papers

My Closet I sat quietly on the couch next to my father. His short muscular arm extended over my head as if to protect his little girl. His fingers got lost in my strands of hair, as I yanked my head forward as if to signal I did not want him to play with my hair. My new baby doll with big blonde ringlets and skin that smelled like a baby’s skin after it has just been powdered, rested in my lap. My meek hands stroked the tiny doll as if it were alive. My father knelt down and kissed my forehead as he said, â€Å"Don’t worry, Princess, Mommy will†¦.Oh here she is now!† I sprang from my warm, sheltered seat and sprinted to the front window as quickly as my tiny legs could move. My fingers grasped the long, wooden windowsill and my little pug nose pressed against the window pain. My breath delivered a frosty appearance on the glass as my eyes strained to see my mother step out of her car. My toes ached with pain as I fought to stay in view with the outside world. Too late. I could already hear my mothers graceful footsteps ascend the stairs. She carefully opened the door that entered my kitchen, and I flung myself into her arms. My mother yelped with shock and a hint of exhaustion, â€Å"Meggie honey, Mommy is very tired. Please be a little more careful next time.† â€Å"Mommy! Mommy! Daddy bought me a new dolly today, her name is, Madeline. Look! Look!† â€Å"Oh very nice sweetie. I have a surprise for you too.† â€Å"What is it? What is it?† I exclaimed as I jumped rapidly around the kitchen. My mind raced. Was it another doll? Maybe the game I had been wanting? Tinkerbell perfume! That is what it must be. I had always wanted Tinkerbell perfume. Everytime I saw it in a store I would shout and point with such excitement. I thought it had magical powers that would make me fly. My imagination always ran with ideas as most children’ always do. My mother griped my hand tightly and led me into the living room at a slow pace that indicated she was nervous yet excited. She sat me down gently next to my father. Her smile had never been so huge.

Chaucers Canterbury Tales - Emilys Strength in Knights Tale Essay

Emily's Strength in Chaucer's The Knight's Tale This passeth yeer by yeer and day by day, Till it fill ones, in a morwe of May, that Emelye, that fairer was to sene Than is the lylie upon his stalke grene, And fressher than the May with floures newe - For with the rose colour stroof hire hewe, I noot which was the fyner of hem two- (1033-1039) Thus is Emily, the least often discussed of the four central characters in the Knight's Tale, described upon her first important entrance in the tale, when the knights initially view her in all of her loveliness. This description of Emily fits in with the common criticism that she is more a symbol of the beauty and goodness that chivalric nature desires than an actual character with thoughts, actions and emotions of her own (Donaldson 49). However, although Emily does lack an individual nature and depth of mind, she still has a certain power and dynamic nature about her that is unusual for a woman in the time period during which Chaucer wrote her story (Spearing 43). Through her prayers to Diana asking to remain chaste, some may argue that Emily is, once again, merely reacting to an event, rather than having thoughts of her own (Donaldson 49). A stronger point, however, is made in regards to her heritage as an Amazon woman. Rather than remain in keeping with the popular sentiments of the day and be completely submissive to men, Emily is showing her inherited reluctance to become a subordinate creature (Spearing 43). She is thereby exhibiting a rare bit of strength and showing us that she has power in more ways than one. Often, Emily is said to be a con... ...creature with whom they are faced. In conclusion, this tale, especially through its use of Emily, the rhetorical, perfect, but still strong, symbol, tells us more about ourselves and our lives than a similar story with true, individual characters could. By using these ultimate examples, each reader is able to see the truth behind them and, therefore, learn a bit about life and the actions which people take. Although Emily is a symbol, she still exhibits a marvelous quality of strength, regardless of her lack of individuality. Works Cited Benson, Larry D., ed. The Riverside Chaucer. Boston: Houghton Mifflin, 1987. Cooper, Helen. The Structure of The Canterbury Tales. Athens: U of Georgia P, 1983. Donaldson, E. Talbot. Speaking of Chaucer. New York: Norton, 1970. Spearing, A.C. Chaucer: The Knight's Tale. Cambridge: Cambridge UP, 1995.

Individual Learning Essay

Work-study Enterprise (WSE), founded in 1994 in Matteson, Illinois offers childcare and early childhood education. WSE believes in developing the whole child and strives to show God’s love to all entering its doors. WSE enrollment is open to kid’s age 2 through 15 and offers a safe and positive environment for all. In addition, the organization offers before and after school programs, to include summer camps. A for-profit organization, WSE seeks to keep enrollment high in order to make child care cost affordable for all in the Chicago land area (Mitchell & Mitchell, Work-study Enterprise, April 4, 2013). SWOT Analysis Balanced Scorecard According to Blocher (2010), the balanced scorecard (BSC) is an accounting report that includes the firm’s critical success factors in four areas: (1) financial performance, (2) customer satisfaction, (3) internal processes, and (4) learning and growth (p.11). The following is a balanced scorecard for Work-study Enterprise Inc. Critical Success Factor Objective Measure Target Initiative Financial performance Increase Income Annual growth of income from specific courses +5% by end of fiscal year 20141 Offer more specific topics of tutoring (algebra, statistics, etc.) Reduce overhead expenses Annual Expenses -10% by end of fiscal year 20142 Explore tax benefits, give philanthropic contributions, and apply for government subsidies Customer satisfaction Retain Current Enrollees Enrollee turnover -10% by end of fiscal year 20143 Improve communication between staff and parents Enroll New Clientele Clientele enrollment count 25 additional contracts by end of fiscal year 20144 Improve marketing campaigns and courses offered to attract new clients Internal Process Increase GPA Number of grading periods to raise letter grade in a particular subject < 6 weeks Implement strict policy and procedure for increasing letter grade/GPA Learning and Growth Improve Tutorial Service through training classes Number of tutors lacking new tutorial training Increase by 50% by end of 2014 Implement a tutorial training program, providing training opportunities each month Discussion of Critical Success Factors (CFSs) CFSs are defined as â€Å"the limited number of areas in which results, if they are satisfactory, will ensure competitive performance for the organization† (Ram & Corkindale, 2014, p.152). Work-study Enterprise (WSE) will be able to deliver quality tutorial services for affordable prices, when the costs and quality of its services are addressed. The implementation of critical success factors will allow WSE to process each success factor into a particular category. Work-study Enterprise, Inc., can accomplish this by focusing on financial and tutorial goals that are in sync  with one another. Work-study Enterprise can achieve this by changing the way in which the company hires tutors. Financial The first CSF is financial performance. Financial performance is important because it measures the profitability and market value which are good indicators of how well the firm satisfies its owners and shareholders (Blocher, 2010, p.11). If a company can increase profits while decreasing its overhead, it will be in a better position to maintain positive profits. Profitability is gained strictly on how well WSE choose each critical success factor. The bottom line is to satisfy the owners. This critical success factor is not mutually exclusive, and depends on the other CFSs to keep Work-study Enterprise Inc doors open for business. Customer Satisfaction The second CSF is customer satisfaction. Customer satisfaction is important because satisfied customers tend to be loyal and repeat buyers. Measures of quality, service, and low cost, are three good indicators of how well a company satisfies its customer (Blocher, 2010, p.11). The objective here is for WSE to retain current enrollees and enroll new clientele. Current enrollees are the ones that continue to pay the bills (operating expenses), and enrolling new clientele helps increase profits thus assisting the financial CSF. Work-study Enterprise is looking to add online learning because it will increase the efficiency and effectiveness of it program (Cheawjindakarn, Suwannatthachote, & Theeraroungchaisri, 2012, p.61). This can be accomplished by hiring online tutors. A case study found that in order for online-course resources to be used effectively, the CFSs that need to be considered are: human factors pertaining to the instructors; the instructors’ and students’ tec hnical competency; the instructors’ and students’ mindset (about learning); the level of collaboration intrinsic in the course; and the level of perceived IT infrastructure and technical support (Soong, Chan, Chua, & Loh, 2000, p.102). These same CFSs align with WSE success factors. The human factors pertaining to the instructors can be found under financial CSF. The instructors and students technical competency is important in the learning and growth CSF. The instructors and students mindset about learning can be found in the internal process of improving the letter grade or increasing a  student’s GPA in less than 6 weeks. The level of collaboration intrinsic in the course and the level of perceived IT infrastructure and technical support can be found in customer satisfaction critical success factor. Internal Process The third CSF is internal process. WSE internal process is important because it measures efficiency and effectiveness of its services (Blocher, 2010, p.11). Greater efficiency and effectiveness can result in satisfied clients and more business. Raising GPAs and/or letter grades in tutorial services are very important. If a student is failing in a subject or is having a hard time comprehending the way his or teacher instructs, parents generally seek tutorial services. If WSE are able to help students by raising their GPA or letter grade, clients will want to continue with their services. This is why the choice to raise a letter grade in less than 6 weeks is a critical success factor. Learning and Growth The fourth CSF is learning and growth. Learning and growth is important because it can help develop and utilize human resources and strategic goals (Blocher, 2010, p.11). By increasing the learning of the tutors, not only do the tutors become better and more efficient in their services, the parents/students become more satisfied. The addition of a tutorial training program will help with the growth of the tutors and the enterprise (Cherryl Mitchell, Work-study Enterprise, April 4, 2014). Tutoring has become an increasingly effective tool for academic support in the last 25 to 30 years (Holliday, 2012, p.21). This is why many universities and colleges offer tutorial services, however, outcomes may vary depending on the tutor to student interaction. Evaluation of Work-study Enterprise Inc. Financial Reducing the overhead expenses in order to increase higher revenues is the objective for any rationale organization, if not all. This is because every company would like to maximize its profits in the most efficient way while still providing an effective service to its clientele. Work-study’s goal is to increase its profits by 5 percent, and by offering more specific  topics of tutoring such as algebra, statistics, chemistry, etc, the tutorial service is on track. Offering a wider range of courses to tutor will target new customers and offer more services to existing clients thus bringing in more profits for the company. By exploring tax benefits, giving philanthropic contributions, and applying for government subsidies, the company can help reduce overhead. In addition, if the company increases its efficiency in the internal process CSF, a decrease of 10 percent of its overhead can be obtained by year end 2014. The financial CSF appears to be on target at Work-study Enterpr ise, Inc. It may be impossible to eliminate all overhead; however, taking advantage of the aforementioned can minimize some overhead expenses. Customer Satisfaction One objective under the customer satisfaction CFS is to retain current enrollees. A growing body of empirical work supports the fundamental logic that customer satisfaction should positively influence customer retention (Anderson, Fornell, & Mazvancheryl, 2004, p.173). Work-study Enterprise realizes that their customers are the key to their success thus stressing the importance of great communication. Furthermore, satisfied customers are able to make positive recommendations to others. Since its inception in 1995, communication between staff and parents is of the utmost importance to Work-study Enterprise. Through great communication WSE have been able to reiterate special incentives to existing customers, receive feedback about the services rather good or bad, and settle disputes in a prompt manner. Implementing good lines of communication between its staff and parents has allowed WSE to keep clients for as long as the program will permit the child’s age. In 2010, Work-study Enterprises signed a contract with District 162, which allowed WSE to offer its services to all the schools in its district. By securing a contract with District 162, WSE is on track for meeting the objective of adding 25 more contracts. Furthermore, as a result of signing with the district, WSE marketing campaign has opened opportunities for securing more districts. Internal Process Work-study Enterprises Inc. seeks to increase the letter grade or GPA of a student less than 6 weeks. This time starts on the first day a student  meets with a tutor and ends 6 weeks after. Though students receive report cards 4 times a year or every 9 weeks, WSE likes to guarantee 6 weeks to increase a child’s letter grade. If the grade is not increased, the tutors will have an additional 3 weeks to spend more time with the student (s). The implementation of strict policies and procedures for increasing letter grades/GPAs has allowed WSE clients to pass their courses, as well as retain satisfied customers. Learning and Growth In the past, clients of Work-study Enterprise have committed on the disparity in training of its tutors. The majority of the tutors at WSE are high-school and current college students. However, the disparity in training will be rectified by offering a tutorial training each month. The critical success factor seeks to increase to their goal of 50 percent by the end of 2014. The addition of this tutorial program each month has allowed tutors to provide a greater learning opportunity for the students. In addition, WSE is in the process of hiring a new trainer to focus specifically on training tutors. Overall Work-study Enterprise Inc. is on track of achieving each of its critical success factors by the end of 2014. As previously mentioned, critical success factors are interdependent. In other words, all critical success factors must work in tandem in order for Work-study Enterprise Inc. to achieve its strategic goals. The bible tells us â€Å"Faith without works is dead† (James 2 :26 KJV). Just because one prays does not mean that his business will be successful. Business owners must develop a strategy and work that strategy. Work-study Enterprise Inc have been working their strategy for nearly a decade and this is why their company is still going strong. Reference Anderson, E.W., Fornell, C. & Mazvancheryl, S.K. (2004). Customer satisfaction and shareholder value. Journal of Marketing, 68(4). p. 172-185 Retrieved from http://www.jstor.org/stable/30162024 Blocher, E. J., Stout, D. E., Juras, P.E., & Cokins, G. (2010). Cost Management: A Strategic Emphasis (6th ed.). Boston, MA: McGraw-Hill Irwin Publishing. Cheawjindakarn, B., Suwannatthachote, P., & Theeraroungchaisri, A. (2012). Critical success factors for online distance learning in higher education: A review of the literature. Creative Education, 3, p.61-66. Retrieved from http://search.proquest.com/docview/1353565510?accountid=12085 Holliday, T. (2012). Evaluating the effectiveness of tutoring: an easier way. The Learning Assistance Review17(2). p. 21-32. Retrieved from http://go.galegroup.com/ps/i.do?id=GALE%7CA308883380&v=2.1&u=vic_liberty&it=r&p=AONE&sw=w&asid=a5e72816293a40e9cba7076990429c51 Ram, J., & Corkindale, D. (2014). How â€Å"critical† are the critical success factors (CFSs)?: Examining the role of CFSs for ERP. Business Process Management Journal, 20(1). p.151-174. Retrieved from 10.1108/BPMJ-11-2012-0127 Soong, M.H., Chan, H.C., Chua, B.C., & Loh, K.F. (2001). Critical success factors for on-line course resources. Computer & Education, 36, p.101-120. 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