Wednesday, July 31, 2019

How would you describe Akio Toyoda’s leadership style?

Leadership is the process of directing the behaviour of others toward the accomplishment of some objective. Leadership style is the behaviour a leader exhibits while guiding organization members in appropriate directions. Today leaders are often eliminate unnecessary levels of organization and introduce work teams in order to enhance organizational decision making and work flow. In this case study, Akio Toyoda’s prove himself as today’s leader by making few necessary changes in organization to boost his way to make Toyota as number one auto maker in the world. Entrepreneurial leadership Akio Toyoda can be categorized in entrepreneurial leadership because of his critical role in Toyota. Toyota must have global outlook, interact with environmental changes to make its way to the top. Akio Toyoda as a senior managing director and was appointed as head of china business, when it was joint venture with troubled firm. He is impatient to see faster growth of business in China, work hard for a year to complete the merging of Toyota with a larger, more aggressive local firm by convincing top management and government officials to approve the deal. Once he succeeded, Toyoda’s next step was to revamp the management structure. Transformational leadership Akio Toyoda also can be categorized in transformational leadership by studying his action toward management structure he created. In China’s country department under his leadership, departmental heads will only answering to headquarters executives which isolated the managers and complicated coordination. This method making way for them to work closely with each other and report to an executive vice president who can make decisions for the China business instead of waiting for the corporate approvals. ) Where on the continuum of leadership behaviour would you place Yoshi Inaba, and why? Continuum of leadership behaviour that emphasizes decision making can be arranged into 7 type of behaviour: 1. The manager makes the decision and announces it 2. The manager â€Å"sells† the decision 3. The manager presents ideas and invites questions 4. The manager presents a tentative decision that is subject to change 5. The manager presents the problem, gets suggestions and then makes the decision 6. The manager defines the limits and asks the group to make a decision 7. The manager permits the group to make decisions within prescribed limits Yoshi Inaba helps Toyota managers grapple with decisions about balancing market share and profitability. He can be placed in and as the manager, who permits the group to make decisions within prescribed limits in the continuum of leadership behaviour. Yoshi Inaba can be characterized as a leader who makes decision by exercising little control and allowing subordinates much freedom and self-direction. He is becoming an equal member of problem solving group which is allowing his managers to fact finding some solutions in balancing market share and profitability, bring it in discussion and finding the best achievable solutions. The best example in this context is when an official from the U. S division described about competitive price cuts and warn him about the sales and profits which could be affected if he couldn’t give discounts for the rental car companies that buy in volume. He participates in discussion and suggested alternate solution by selling to businesses that buy in volume which contribute to higher profit opportunities. â€Å"Maybe we lose in terms of total volume,† but that’s acceptable because â€Å"it’s all about return† this quote explain to us of his participation and his way of acted as equal member in finding solutions.

Tuesday, July 30, 2019

Case Study Of Mercury Poisoning In Canada Environmental Sciences Essay

Between 1962 and 1970, the Wabigon river which was considered as a really of import fresh water resource in the north-western portion of Ontario, and a major beginning of nutrient supply for the people of Grassy Narrows and the Wabasseemoong First Nation communities was poisoned when a mush and paper factory industry known as Dryden paper factory, situated in the North of the river was believed to hold pumped about 10 metric tons of quicksilver into the river with the permission of the Ontario government.. Until 1970, the Ojibwe and other Aboriginal communities along the English-Wabigon River had built their support around this river for nutriment and economic activities. The people were nevertheless shocked with a CBC intelligence on November 1, 1970 that this vitalizing H2O was besides a beginning for possible decease through quicksilver toxic condition. This paper provides a reappraisal of the wellness effects of quicksilver poisoning on open people and how this goes a long manner to impact their manner of life. The paper will besides look at the intercessions put in topographic point by the authorities, whether those policies were helpful and what could hold been done otherwise. The paper will besides reexamine the available ordinances in Canada protecting people from such unsafe elements. A reappraisal was conducted seeking informations bases every bit good as utilizing indexes of published documents to understand the wellness effects. Contamination of quicksilver comes from natural and artificial/industrial beginnings. Naturally, this component appears in little concentrations in many stones, dirts, air and H2O around the universe ( Environment Canada ) . It has been shown that the worst signifiers of quicksilver taints have all resulted from human activities such as damping of industrial wastes which contain quicksilver in H2O organic structures and the usage of quicksilver in the excavation industry. Mercury has a long standing history of wellness effec ts among open citizens and has been associated with neurological, cardiovascular, immune system, cardinal nervous system, and kidney jobs every bit good as many other wellness results ( Passos & A ; mergler, 2008 ) . In small-scale gold excavation, gold is extracted utilizing quicksilver merger therefore presenting a considerable menace to both human and environmental wellness ( Spiegel, Savornin, Shoko, & A ; Viega, 2006 ) . Viega et Al ( 2006 ) as cited in Mohapatra and Mohapatra ( 2009 ) states that artisanal and small-scale gold excavation remains the largest planetary user of quicksilver and is still increasing largely in developing states. Findingss have revealed that elevated quicksilver exposure rates among the exposed are straight related to negative wellness results. In a late published study of Dr. Harada, a Nipponese quicksilver expert reveals that the people of Grassy Narrows and whitedog modesty are worse off than they were in 40 old ages ago when he foremost visited t he community to analyze the impacts of quicksilver poisoning on the people. Two of such communities that have suffered from quicksilver taint are Grassy Narrows and whitedog first states reserve in northwesterly Ontario, Canada.IntroductionMercury is a powerful toxin, exposed people all over the universe at serious hazard. Many surveies have confirmed mercury toxicity among specific populations and assorted environmental compartments ( National Research Council, 2000 ) . Health outcomes among open populations have been shown to be straight correlated with quicksilver exposure in the environment ( Passos & A ; Mergler, 2008 ) . The intent of this reappraisal is to critically measure the recent studies affecting exposure degrees to quicksilver of Grassy Narrows and whitdog community of Northwestern Ontario and the associated wellness results on the people. Between 1962 and 1970, the traditional life styles of these two Northwestern Ontario First Nations communities ( Grassy Narrows and whitedog ) were harmfully affected by quicksilver taint due to a chemical works upstream from their communities ( CBC, 1970 ) . The primary effects of quicksilver taint occurred in the chief basic of nutrient, fish, which had record-high degrees of quicksilver. The secondary effects of quicksilver taint affected the economic resources of these two communities when they were forced to shut their commercial piscaries and fishing ushers which rendered them unemployed ( CBC, 1970 ) . Dryden Chemicals Ltd. pumped 10 metric tons of quicksilver during this period ( 1962-1970 ) into the Wabigoon River which spread into the English River, the Winnipeg River and finally into Lake Winnipeg. This works used quicksilver to do Cl for decoloring paper. On provincial orders, Dryden Chemicals greatly restricted its quicksilver emanations in 1970 and finally halted quicksilver emanations in 1975. As indicated earlier, there are other activities in Canada such gold excavation which expose the populations of the rural communities to mecury. One of such mines located in the first state communities is the Musselwhite Mine which is owned by Goldcorp Inc ( 68 % and operator ) , and Kinross Gold Corporation ( 32 % ) . It is an belowground gold mine and processing works bring forthing about a one-fourth of a million ounces of gold yearly. It is situated on traditional First Nations land and works in partnership with First Nation communities. It is nevertheless deserving adverting that the relationships and understandings between this gold company and the First Nations have been recognized as best patterns within the excavation industry ( Musselwhite Joint Venture Mine Report, 2006 ) . Notwithstanding, all these activities straight or indirectly affect H2O organic structures and fist in peculiar, in these communities. Fishing is an activity considered by some people in Canada as leisure but for Aboriginal communities, fish ingestion is considered as portion of the civilization and this constitutes an of import beginning of support for many Aboriginal communities ( CBC, 1970 ) . Mercury exists in three signifiers ; elemental ( vapor ) , inorganic ( mercury compounds formed with other metals ) , and organic ( elemental quicksilver with C ) ( Selid, Xu, Collins, Striped Face-Collins, & A ; Zhao, 2009 ; Health Canada, 2010 ) . Beginnings of quicksilver scope from a assortment of natural beginnings, such as vents and dirts, to knowing human release activities, such as that in some excavation and other industrial operations ( Santos, Jesus, Brabo, Camara, Loureiro & A ; Macarenhas, 2000 ) . Mercury has a comparatively high vapor force per unit area, which means that it constitutes a important sum of volatile chemical being released into the air ( World Health Organization [ WHO ] , 2008 ) . Continuous exposure to contaminated air, through direct inspiration of firing amalgam or through ingestion of quicksilver contaminated merchandises, particularly fish, are easy beginning of soaking up into the lungs and other variety meats which consequences in a important sum of quicksilver related wellness effects ( WHO, 2008 ) . Miners besides have a high hazard of exposure due to direct soaking up through the tegument while managing the quicksilver. Concentrated quicksilver exposures, such as that in contaminated fish and other consumable merchandises, cause serious wellness jobs. Health effects have shown to be correlated with degree and signifier of quicksilver exposure, whether it is elemental, organic, or inorganic. Vapour is the most readily transmitted exposure tract into the organic structure, followed by inorganic exposure on tegument ( Health Canada, 2010 ) . Biomarkers and bio-monitoring are defined methods to understand degrees of environmental chemicals through hair, blood, and urine samples ( Wong & A ; Lye, 2008 ) . Biomarkers measure quicksilver concentrations and all biomarkers identified in literature are accepted as valid indexs of quicksilver exposure, although each independent marker provides a different reading of degree or type of exposure. All methods are of import in understanding proving degrees of quicksilver exposure, as most literature surveies do change on proving type. The wellness effects of quicks ilver are extremely dependent on its chemical signifier. In add-on, the definition of exposure has been defined otherwise in most literature, although as a planetary definition, it is defined as contact over clip between a individual and one or more biological, chemical, or physical agents ( WHO, 2008 ) . Harmonizing to Selid, Xu, Collins et Al ( 2009 ) , human related quicksilver emanations from the work of industries have increased with regard to natural emanations. The Agency for Toxic Substances and Disease Registry ( 1999 ) , as cited in Selid, Xu, Collins et Al ( 2009 ) , reported that about 80 % of anthropogenetic quicksilver emanations release elemental quicksilver into the air through industrial procedures, about 15 % of this quicksilver is released into the tellurian environment, and 5 % of anthropogenetic quicksilver emanations is carried from industrial effluent to the aquatic environment, inciting nutrient contaminations based on natural resources. Health Canada defines the blood quicksilver concentration counsel value, or threshold, of 20AAÂ µg/L for grownups. Harmonizing to this parametric quantity, any environmental quicksilver degree above this defined sum must hold follow up action to cut down the effects of human exposure ( Statistics Canada, 2008 ) . Within this paper, the Statistics Canada degree will be used as a set point in which comparings can be made. It should besides be noted that occupational exposure to mercury vapour occurs chiefly in fishing and gold excavation industries where normally people are employed ( Vahter, Akesson, Liden, Ceccatelli, & A ; Berglund, 2006 ) .History: Brief Global Picture.Globally, quicksilver toxic condition has been documented in states such as Japan ( 1953-65 ) , Iraq ( 1971-72 ) , Pakistan in 1969 and my ain state Ghana in 1969. The quicksilver toxic condition in in Japan attracted a batch of involvement. This was after some occupants of Minamata with unusual symptoms of an unkno wn disease were admitted at the Minamata Health centre in 1956. Health functionaries were able to associate this unusual disease to mercury toxic condition. An industry which used involved quicksilver in its procedures was allowed to let go of its waste into the Minamata Bay. The governments detected that people who depended on the fish and shell fish from Minamata Bay were the lone people affected by this unusual disease. It was realized that the fish and fish shell of the Bay had been poisoned with quicksilver. The usage of quicksilver nevertheless increased drastically throughout the universe after universe war two in assorted industries including the pigment, agribusiness, electrical, leather tanning and paper bring forthing industries.History of Mercury Poisoning in Canada ( Grassy Narrows and Whitedog reverves )Mercury toxic condition in Canada was accorded the necessary attending after the people of Grassy Narrows and whitedog militias were affected by this on-going threat at the clip. Grassy Narrows is a modesty located about 80km at the northeast portion of Kenora. Whitedog, on the other manus is located about 70km to the West, off the Manitoba boundary line. Wholly, there were about 850 dwellers in the two militias during the late sixtiess when the issue of quicksilver toxic condition erupted ( CBC, 1970 ) . The issue of quicksilver toxic condition of Canadian Waterss and fish became apparent to the populace in 1969 after the Federal Department of Fisheries and Forestry embarked on the commercial catching of fish from the Lakes of Cedar and Winnipeg every bit good as the Saskatchewan river and Red river, all in Manitoba ( Bligh 1970 ) . This disclosure prompted the federal authorities to inform the proprietors of the commercial fishermen and tourer centres along the English-Wabigoon river of an at hand closing of their installations because the fish in those rivers were insecure for both carnal and human ingestion. Fish in the rivers were proving really high degrees of methylmercury ( I have non finished this subdivision. Will continue after acquiring more literature )Effectss of Mercury on Exposed PopulationsOver the last three decennaries, many human wellness surveies have been executed in many communities to understand the exposure effects of quicksilver on worlds. There is a big orga nic structure of research grounds that supports a relationship between occupational exposure to mercury amongst exposed people and negative wellness results. Harmonizing to a systemic reappraisal measuring decadeaa‚Â ¬a„?s worth of informations, Passos and Mergler ( 2008 ) denote that gold mineworkers are the most critical population with the highest reported degrees of quicksilver in the universe today. However, in Canada, where little graduated table gold excavation is non common, the following most critical populations exposed to quicksilver are those who consume fish from quicksilver contaminated H2O organic structures either wittingly or unwittingly ( Health Canada, 2010 ) . Harmonizing to the wellness Canada, Canadians in general are largely non at hazard from Mercury poisoning but there is still a concern particularly for people who consume big sums of fish, marine mammals and wild game as portion of their day-to-day diet. Data was extracted to place the most prevailing wellness issues among the open people. All surveies used cohort or cross sectional designs. The most prevailing wellness consequence noted in the informations collected was neurological shortages. Some surveies attempted to understand marks and symptoms of past quicksilver toxicity, while others tested dose degree exposure as a hazard factor for future neurological effects.Neuropsychological effectsMultiple mentions, dwelling of cross sectional, cohort and equal reviewed literature were used to picture the effects of quicksilver exposure on neurological operation. Results revealed a important dose response consequence between quicksilver and neurological shortages ( Passos & A ; Mergler, 2008 ) . Studies including those who have used strict neurological scrutinies, found neuro-toxic effects including decreased cognitive maps, lessenings in attending or spacial public presentation, hapless leg coordination, multiple sensory troubles, shu dders, concentration troubles, insomnia, memory loss and kidney disfunction ( Counter, Buchanan, & A ; Ortega, 2005 ; National Research Council, 2000 ; Passos & A ; Mergler, 2008 ) . One independent survey, every bit good as documented findings within reappraisals, indicated that hearing loss was associated with quicksilver exposure among open populations, nevertheless it is to be noted that writers could non define whether the toxicity was purely due to occupational exposure through inspiration, or if it was through dietetic ingestion of contaminated country nutrient, such as fish ( Counter, Buchanan, Laurell, Ortega, 1998 ; Passos & A ; Mergler, 2008, National Research Council, 2000 ) . It is hard to place comparison factors from each survey as consequences were elusive amongst independent and systemic reappraisals, every bit good as most surveies did non detail biomarkers.Immune system effectsRecent surveies have narrowed focal point in on the impact quicksilver exposure has on i mmune system working. Studies defining the relationship of quicksilver exposure in the Amazon mine workers found a strong correlativity between quicksilver exposure and malaria ( Passos & A ; Mergler, 2008 ) . One survey reported that malaria was four times higher for those persons describing a history of working with inorganic quicksilver than those who did non ( Crompton et al, 2002 ) . A reappraisal on grounds in Amazonian excavation populations illustrate consequences consistent with other findings that quicksilver induced effects are apparent including autoimmune disfunction ( Passos & A ; Mergler, 2008 ) . Reports based on urinary biomarkers identified exposure rates runing from 0 to 240 AAÂ µg/L and concentrations in the blood samples varied from 0 to 30 AAÂ µg/L ( Crompton et al, 2002, Passos & A ; Mergler, 2008 ) . Harmonizing to environment Canada, because Mercury exists in three different signifiers ( gas, organic and inorganic ) , the degree of toxicity and continuity in open persons vary depending on this signifier an person is exposed to. Silva et Al ( 2004 ) documented effects of quicksilver on activated immune cells and documented the response of both redness and anti-inflammation and found significantly increased redness in those who had been exposed to inorganic quicksilver and noted that quicksilver may besides be related to other chronic auto-immune diseases such as Lupus and arthritis.Central Nervous System EffectssThe consequence of quicksilver on the cardinal nervous system has been extensively studied in high and low-dose exposures. However, much of the literature identified within the context of the systemic reappraisals. As portion of this reappraisal, the initial surveies are non included due to the day of the months completed, nevertheless, it is to be noted that Passos and Mergler ( 2008 ) and the National Research Centre ( 2000 ) found that several marks and symptoms related to the cardinal nervous system shortages are evidentia ry characteristics of chronic high-dose exposures to Mercury in grownups. These included centripetal damage of the appendages, perturbation of equilibrium, and subjective symptoms such as concern, musculus and joint hurting, forgetfulness, and weariness ( Passos & A ; Mergler, 2008 ; National Research Council, 2005 ) .Cardio-vascular effectsMercury accumulates in the bosom, and exposures have been associated with blood force per unit area alterations and unnatural cardiac operation ( National Research Council, 2000 ) . Based on the inclusion standards of the reappraisal, merely three surveies evaluated quicksilver exposure and cardio-vascular effects ( Passos & A ; Mergler, 2008 ; Fillion, Mergler, Passos, Larribe, Lemire, & A ; Guimaraes, 2006 ) . Numerous surveies of cardiovascular effects have been referenced in the systemic reappraisals, although all autumn outside inclusion standards for this reappraisal. One independent survey by Kobal et Al, found that chronic exposure in pop ulations has been implicative of cardiovascular toxicity, nevertheless grounds is non clear ( Kobal, Horvat, Prezelj Briski, Krsnik, Dizdarevic et Al, 2004 ) . Other surveies reported high blood pressure and unnatural bosom rate among open workers ( National Research Council, 2005 ) . It should be noted that all surveies, including those within the systemic reappraisal, reported or referenced that higher blood force per unit area was significantly related to high quicksilver degrees. It is besides to be noted that the biomarker agencies could non be used as they varied within each survey and were non comparable.Kidney mapsThe kidneys are sensitive to mercury following inspiration exposure. Several probes have found nephritic alterations in populations inveterate exposed to mercury toxic condition ( National Research Council, 2000 ; WHO, 2008 ; Passos & A ; Mergler, 2008 ) . One survey done in 1993 measured 50 workers in a cohort survey looking at exposure degree differences on kidne y eliminations between mining workers and control workers ( Cardenas, Roels, Bernard, Barbon, Buchet, Lauwerys, et Al, 1993 ) . The statistical analysis resulted in workers egesting a average quicksilver degree of 22 mcgs over 11 old ages ( Cardenas, 1993 ) . The chief nephritic alterations associated with the exposure to mercury were chiefly found in workers egesting more than 50 micrograms/g and resulted in increased escape of cannular enzymes and antigens and biochemical changes ( Cardenas, 1993 ) . Health Canada besides acknowledges that quicksilver toxic condition can be really damaging to babies, particularly when the toxicant is easy passed on to the babies through chest milk. This is based on the fact that the nervous system of babies and kids is really sensitive to mercury and a minimum exposure can do symptoms such as reduced IQ, delays in walking and speaking, deficiency of coordination, sightlessness and ictuss. The findings of quicksilver toxic condition in grownups postulated by wellness Canada is consistent with the reappraisals I have done with few add-ons. High exposures of grownups to mercury poisoning leads to detrimental jobs such as personality alterations, shudders, alterations in vision, hearing loss, loss of musculus coordination and esthesis, memory loss, rational damage and in some instances decease ( Health Canada, 2010 )Effectss on the people of Grassy Narrows and Whitedog militiasAssociating the inauspicious effects of the quicksilver exposure in Grassy Narrows and Whitedog militias, the effects manifested in two creases. The primary effects of the taint occurred in the chief basic of nutrient and fish, which had record-high degrees of quicksilver ( Harada et al, 1976 ) . The secondary effects affected the economic resources of these two communities when they were forced to shut their commercial fishing activity which rendered huge figure of people unemployed ( CBC, 1970 ) . The open communities were affected by a disease known as Minamata disease ( Named after a unusual disease which affected the people of Minamata in Japan after terrible quicksilver toxic condition ) . Minamata disease is a neurological syndrome caused by terrible quicksilver toxic condition. The symptoms of this disease were noticed in the late sixtiess among the people in Grassy Narrows and whitedog first state communities. As indicated earlier, the symptoms being experienced were similar to that which occurred in Minamata, Japan after the terrible quicksilver toxic condition in that community. Most Nipponese physicians who had been involved in analyzing this disease came to Grassy Narrows and the whitedog community merely to recognize that the quicksilver degrees in the bloods of the dwellers measured between 100ppb and 200ppb, far transcending the wellness Canada bound ( commission for Native concerns, 2007 ) . Harmonizing to Harada et Al ( 1976 ) , the people had symptoms such as centripetal perturbations, narrowing of the ocular field, impaired hearing, unnatural oculus motions, shudder, impaired balance and hapless articulation of address.

Drama Evaluation †The Ash Girl Essay

I could not find the necessary evaluation sheet for the ash girl, so I have used the sheet for Macbeth, but I believe that the questions are similar in context, and will try to include extra to compensate for parts that may not be specified otherwise. For our interpretation of the ash girl, we chose to focus on human characteristics, and what effects the 7 deadly sins would afflict them with. We chose this style of representation as the strong feature of the play is the illustration of the sins in the key characters, and why they cause certain events. To incorporate this into our piece, we acted as humans with strong features as their corresponding sins, we also included the qualities of the equivalent animals, in our intonation and presence. We felt that if we used the animalistic approach it may detract from the motif used in this piece, (the illustration of the sins in the key characters, and why they cause certain events). We used the original setting of the forest, but at the same time we tried to interpret a contemporary and simplistic approach from a very structurally complex piece, with many characters and ongoing ideas, themes and motifs. Our aims in particular, were to convey to the audience how the sins react with the characters to form a basis of understanding in context to the rest of the play. We wanted to express how important the sins were in the development of the whole play as a structure, and how the sins cans be suggested through key characters. We initially wished to use all methods of technical effects, lighting, audio, props and even our positioning on the stage and how this can be expressed through out characters. For lighting our characters all have an assigned colour, which in the right environment would create an atmosphere of that quality. We chose them according to folklore and general belief. The following are our selections; CHARECTER COLOUR Pridefly Navy Blue Slothworm Neutral/beige Angerbird Red Greedmonkey Yellow Envysnake Green We chose the colour blue for Pridefly as it has connotations of respect and hierarchy. The colour of RAF uniform is also blue; we felt this was key as the character is a fly. Slothworm is a very dull, slow, lethargic and utmost boring creature to be around, we chose a dull boring colour for him, something neutral with no bright colours. Angerbird was primarily always going to be the colour red. Obviously through connotations of the colour, we automatically respond to the colour red with anger, fear, bloodshed, war, but sometimes passion for things. In this case, Angerbird who feels so passionately about killing and destruction should have two different juxtaposed connotations side by side as they do in the right context actually compliment each other. Greedmonkey, has the colour yellow is for the most part it has connotations of happiness, brightness, quick pace, the sun, fun, however like Angerbird and the colour red there are also dualities that compliment each other such as cheeki ness, sneakiness and slyness. We interpretated Greedmonkey as someone who regularly steals and this can be shown through the combination of being a rather quick minded person, always jumping from certain ideas to another, but at the same time calculating, slow and rather sneaky physically. Envysnake was another easy combination with the colour green. We subconsciously associate green with envy, and jealousy. Possibly because of many phrases heard, such as: â€Å"sick with envy† or â€Å"green with envy†. We used these colours as lighting, so that when each character was introduced or had a significant part in the piece, we could create an aura to incorporate the theme, which in turn would strengthen our piece by helping the audience visually relate to the character. We also had decided to produce a forest setting with the lights, using a selection of plates and gel films, to create the illusion of a forest. We originally wished to use audio in our piece, out main aim was to create sounds of the forest, and also a selection of songs, which had a surreal and abstract feel to them, i.e.) some that were short listed were angel by massive attack, and a song by Iron Maiden. The use of a repeating bass line and no vocals in Angel would have not distracted the audience from the drama, and it was also a rather spooky, and very surreal song. We never got round to discussing which Iron Maiden song we might use, however in general, it would have added to the atmosphere of supernatural, as the sins are supernatural, abnormal creatures. We decided to not use a song, as we then went for a contemporary setting which focuses more on the dramatisation of the piece and not the auditory effects. Props were generally if needed, and we didn’t really go as far as to say that they were compulsory, as we felt that props were not needed to all characters. Props that we did use were to develop the story or to reinforce characterisation. For example, David Edgar who played Pridefly used a walking stick. Aynslie Carnan who played Greedmonkey stole, my characters, (Envysnake’s), jewellery, which I used as a prop. David Roberts who played Slothworm used a sleeping bag to create the sleep theme, and to produce the look of a worm. In our piece, I played Envysnake. Overall, Envysnake has snide, envious, superior personal traits. I wanted the audience to feel this through instead of being jealous with was very hard to play, being vain, superior and conceited, which would give the same kind of effect but in a more psychologically demanding way, as it involves causing the audience to become envious and to empathise with her. The secondary feature of this is that it also brings out envious features in the characters on stage. This technique is far more effective than just acting envy, as the creature inflicts envy on others, and by using the other technique that is exactly what it does. Vocally I added a very soft, innocent accent, as I believe contradiction of the intonation increases the effect of the dramatisation. I incorporated the snake idea into my accent; to do this I exaggerated the sibilance in the script, to create a hissing sound. I did not focus on movement much as an aspect of dramatisation. We felt that clear positions on stage were necessary to stop distraction from the main points, this is incorporated in out contemporary theme, this way we had less movement on stage and less confusion. However if I had used movement primarily, I would use a walk, which appeared to flow, and slink across the stage, as she is a snake. I personally dread performing, and am more of a theoretic student rather than practical. I feel that my fear of performing since my last Macbeth practical, had made me nervous and caused a great lack of my confidence in acting this affected my flow of dialogue and also my mental attitude towards performing. To improve on this, I would encourage my group to attend regular rehearsals, and make sure that we have practiced thoroughly at least 3 times before doing our final assessed performance.. I was most pleased with the contemporary attitude we took to the piece. When many students are given opportunities to include various pieces of media, whether it be auditory or just lighting, I feel it can be abused, and when overused it detracts from the actual piece. I also believe that people may use it to cover blemishes. We chose this style to make the audience focus more on the dramatisation and the feel of the piece and its meanings. The factors, which affected the sucsess of the piece, were probably lack of proper rehearsals. We couldn’t get enough practice from the time when we decided what styles we would choose. However I don’t feel it affected the piece significantly. However there were prompts needed for a few members of the group, which did break the flow in some places but only slightly. If I had unlimited resources, I would have still remained with the same contemporary style, and would not have changed anything. However unlimited resources meaning time would be greatly appreciated.

Monday, July 29, 2019

Death Penalty, Kantian Ethics, and Utilitarianism Essay

Death Penalty, Kantian Ethics, and Utilitarianism - Essay Example The argument that almost everyone would prefer life imprisonment than execution is often put forward by these people. But I do not agree at all with this argument as it does not hold any weightage in my point of view. My first argument against the claim of these activists is that they are talking solely about the preference of the criminals who commit capital crimes. They are not taking in the full picture here. The simple and straight forward truth of the matter is that most of these so called human right activists belong to either the neutral group or the group whose relatives or friends are facing such punishments. If you ask from the person who has lost a love one at the hands of these criminals, he would never advocate anything less than a death penalty for the guilty one. And it is their opinion that should hold more weightage, the one who has been wronged has the final say in deciding to punish the wrong doer, not the wrong doer himself. If the argument is that we should think humanely when dealing with these criminals, then my question is simple in this regard; is the killing of another person humane? If it is not, and I am sure you would agree that it is not, then the criminals who are gu ilty for murder have no right to ask for a humane punishment themselves. The supporters of utilitarianism will probably retaliate to this by asking of the specific usefulness of this particular act, i.e. putting a murderer to death. The utilitarian approach holds that all actions should be judged of their usefulness by looking at their consequences. The best action, according to this philosophy, is the one that maximizes the overall happiness. So, they hold the argument that life imprisonment isolates the bad people from the society forever, which should result in the satisfaction of all, the wronged and the wrong doers and the society in large. Then why opt for such a brutal punishment as the death penalty? But do we really know the consequences of any of our action? The repercussions and reverberations of a single action can span decades or even centuries. For me, the threat of an immediate punishment of death is the biggest deterrence humanity has against humans who have forgotte n humanity! The fear of this penalty might be stopping many people from taking someone’s life. Because humans instinctively fear all fears, and giving an exemplary punishment to someone instills that fears in the hearts of like-minded people (Rosen, 2003). I am advocating capital punishment only for the people who play any part in the wrongful killing of another human being. Countries that use death penalty for other crimes like drug related etc. should re-analyze their punishments in light of the contemporary deontology philosophy. This philosophy holds out that if harm to a few can save the majority, then it is justified for the greater good, if that harm is an aspect of the greater good itself. Therefore, if by executing someone like Osama bin Laden can remove the unease of a vast majority of the people, and can save lives, than it sure is justified. But drugs and adultery are acts that do not threaten to take someone’s life, so, the countries where death is given i n punishment to even these crimes; they should rethink the logic behind it and abolish it (Kamm, 2007). Now we come to the view of the ethical egoists. This philosophy and its adherents say that people ought to act in

Sunday, July 28, 2019

Management seminar Essay Example | Topics and Well Written Essays - 750 words - 9

Management seminar - Essay Example Where, if the firm uses employees from its country all through, the company will not impress the rest of the world. However, with outsourcing, the world feels appreciated because it provides opportunities for all people and this increases the market share globally (Sparrow, 2009). On the other hand, outsourcing is a disadvantage to the home people of the company who lose the opportunities occupied by the foreigners. In other words, the local people of the country the company is located lose their jobs and this leads to creating a recession in the domestic economy. Another problem related to outsourcing is that the overseas employees have experienced a problem of not being able to communicate effectively with the U.S customers due to difficult accents and problems of miscommunication. Finally, the emerging economies where outsourcing is done face tremendous energy shortages with the power outages done frequently (Blackman, Freedman & Levy, 2004). Sweatshops refer to the overseas manufacturing facilities of a company where the conditions of labor are not up to the satisfactory level as per the international labor standards. Long working hours, unsafe working condition, and abuse of the employees and lack of labor rights characterize the practices against the standards. The employees working in the facilities are tremendously exploited. In fact, most of the products manufactured in the facilities require repetitive kind of labor. Sweatshops exist for they provide a number of economic advantages to the multinational firms and to the host employees. Creating of the domestic employment and establishment of local infrastructures in the host countries helps to enhance the local economies of the countries. The employees working in the sweatshops are desperate because most of them do not have education or the required skills to get any form of

Saturday, July 27, 2019

Ethical Dilemmas Essay Example | Topics and Well Written Essays - 500 words

Ethical Dilemmas - Essay Example At such junctures, there are times when overlooking the important details or critical details seems to be favored than doing one’s own due diligence. This ethical dilemma usually occurs between having to submit some degree of research by the given deadline. Of course, this leads to the outcome that a research itself is half-baked or lack of useful content for it. Of course, this was done so that the paper can reach the acceptable deadline. Having to do any further research beyond the set or acceptable deadline may prove to be very problematic itself. To overcome such a dilemma, it would be wise to do ahead with the necessary preparations for researching and plan or schedule the steps for the research to be taken. Being organized with a proper working schedule helps prevent any researcher from being placed into the dilemma between giving an unsatisfactory research work or having the paper not being accepted due to tardiness. No matter how simple a research work can be, always be prepared ahead of time. Another ethical dilemma one faces in doing research work is by making the research too personal in nature that it is merely biased. Biased research occurs when a researcher has personal preferences regarding an issue within the subject matter and will focus on supporting that point solely. There is no problem in having a personal stake in doing one’s research since it allows an individual to share personal insights and opinions regarding the issue at hand. In fact, having a personal voice and perspective in a research paper is what will add a level of interest and unique color in its ideas. However, focusing solely on one issue while neglecting other points in the research would lead to an insufficient result and conclusion. Being biased not only shows lack of understanding for research, it also shows a lack of academic acumen. To deal with this, a researcher must make a mindset to be as objective as possible. Research requires taking data and

Friday, July 26, 2019

Concept of Freedom in Samkhya and Yoga Philosophy Essay

Concept of Freedom in Samkhya and Yoga Philosophy - Essay Example Samkhya exists as one of the oldest and most prominent philosophies in India. Kapila, a great and eminent sage, founded this school. Two philosophical schools arose in India based on Upanishads. These included the Samkhya or realistic and the Vedanta or idealistic. The entire philosophy of Samkhya combines Yoga and Samkhya basic doctrines. However, Samkhya philosophy is representative of theory, while yoga is representative of practical or application aspects (Burley 23). The two have been characterized as practical and theoretical aspects of one system with Samkhya involving the theoretical background to Yoga’s more practical orientation. In this case, Yoga can be seen as a sub-school or branch of Samkhya because it inherits most concepts from Samkhya, although some scholars also argue that Samkhya and yoga have important conceptual and doctrinal differences (Burley 23). However, one of the concepts that the two share in common is freedom. This paper will seek to discuss the concept of freedom in Samkhya and Yoga.... While Samkhya practice has many similarities with classical yoga, samadhi is not a focus in Samkhya as far as freedom and liberation are concerned. However, both practices require asceticism for true freedom and liberation. Samkhya philosophy was essential in the formation of classical yoga and the two philosophies adopted, tested, borrowed, and discarded practices and ideas from one another until, eventually, there was a consistent model that came from each of the approaches with freedom being a central component of each (Burley 32). Samkhya has a dualism that is similar to ancient Jainism where all individuals had separate and unique jivas from other jivas, similar to the purusha in Samkhya that were also believed to be separate (Burley 35). Just like in ancient Jainism, classical yoga and Samkhya practice a form of fierce yoga that involves complete renunciation. However, renunciation by itself in Samkhya does not lead to true freedom from the grasp of Prakriti with discernment al so required. This discernment involves knowledge of the universe and its ways. However, this knowledge is not intellectual because intellect is still considered Prakriti. Discernment increases the ability to develop inner knowledge, which understands what is real and what is ephemeral, which separates the universes apparent from the true reality of the world. While discernment is achieved via reasoning, it also gives one the ability and will of renouncing what is not real, which is the beginning of freedom (Burley 35). The Upanishads from India tell of the soul, also referred to as the soul, which is, ultimately, one that has living and universal consciousness that is called Brahman or absolute. Brahman, which is the source of all that is alive, is

Thursday, July 25, 2019

Case study of Cherie Cosmestics Ltd Elegante Division

Of Cherie Cosmestics Ltd Elegante Division - Case Study Example or a company’s top level management to put into place reliable systems that can effective coordinate communication process and other important aspects of management. The communication function of effective management is responsible for creating reliable communication channels as well as structures that can be followed by all company workers. It is important to understand that all branch managers in a large company work towards a similar goal, that of success and increase of market share, for this reason, there is a need for collaboration and consultations among the managers. However, it is important that all these consultations and collaborations have to follow certain laid down procedures to avoid conflict of interest and the need to outdo each other at the expense of company goals and objectives and the spirit of good governance. Communication is an important function of any business activity, it ensures that directives are set effectively and implemented by company workers (Kuhn 2005). Effective communication has been the chief cornerstone of any development in any organisation; in fact, it is what enables company and organizational managers to carry out their basic functions and duties in the organisation. Communication skills, whether formal or informal have always been cited as the basis for the success of any business activity (Cheney 2007). Systems that do not have poor communication mechanisms often end up having misplaced priorities with people doing what they feel is pleasant to them and not what is stipulated in the company’s effective practice. The problems affecting the management function at Cherie Cosmetics Limited can be traced down to a breakdown in the communication process. In the first place, the company’s vice president has not taken steps to address the challenges and bring about sound management systems and communication in the company. There appears that some managers like Heather have the passion of working in this company and

Wednesday, July 24, 2019

Use and Abuse of Power in Management Essay Example | Topics and Well Written Essays - 2750 words

Use and Abuse of Power in Management - Essay Example It is necessary for both the mangers as well as the non managers to study organization because organizations are vital mechanisms and helps in achieving the goals in modern society. Therefore, the aim of the essay is important to be able to distinguish between the use of power management and its abuses. Thus in order to achieve the required aim, the essay would highlight the theories in literature review and provide an example in order to relate the theories with practical examples. Thus the essay starts off with an introduction on the use and abuse of power in the management, followed by a literature review, quoting the theories necessary for the topic. The next part of the essay would put light on practical examples of organizations with relation to use and abuse of power and finally the essay ends with a conclusion and recommendation for the managers stating how a manger should distinguish between use and abuse of power in management and work accordingly providing an effective result for the organization. It has been founded that there arise a thin level of difference between the use and abuse of power and the managers are familiar with the danger of uncoupling power with politics from an ethical point of view. Managers are concerned about how can the negative aspect of power be managed. Therefore the answer to this query lies in generating an understanding of the relationship between power, the ability to influence and the political process (Butcher & Clarke , 2008, p.19). Power is defined as the ability to marshal resources in order to get something done. The use of power and authority in organizations are crucial, but a manger needs to plans, manage, organize coordinate and control the various activities of an organization. And this makes one of the reasons as to why managers want to get promoted to a higher position so that they can utilize the power. Thus an organization can be seen as political system where the use and abuse of power plays a significant role in the functioning of the organization (Dzimbiri, 2009, p.33). Theoretical Background Introduction Leaders implement the task and roles with the help of power that they possess. It has been suggested that a leader should always stay away from blaming, coercive and bullying style of leadership. A manger can support innovations and the ongoing activities of the organization are many different ways. In a hierarchical organization, the locus of power is fixed and clear but in a fla tter structure power is more fluid and is constantly being negotiated. According to Adair, the authority in the organization is usually derived from position, knowledge and personality. Kotler suggested that the first and foremost thing which is important in leadership is to understand the types of power and the methods used to influence the people, to utilize different types of power as per the need and seek out the appropriate leadership role, to create more power and utilize them and finally to temper the use of power with maturity and self control and recognizing the impact of use and abuse of power on others (Morrison, 1998, p.214). It has been found out by the authorities that effective use of power is the most important element of management. Some of the leaders have proved themselves to be highly influential leaders and powerful. These leaders were powerful because of the fact that they were able to build a strong

The Structural Analysis of Foreign Tax Credits Research Paper

The Structural Analysis of Foreign Tax Credits - Research Paper Example Even though foreign tax credit is accessible to people who have foreign source of income, the U.S. companies with subsidiaries overseas always take the greatest share of the foreign tax credits. Most of the U.S. companies make foreign source earnings by operating subsidiaries abroad or through investing in associates incorporated abroad. In order for the foreign associates’ income to be qualified for a foreign tax credit, the U.S. parent company is required to have at least 10 percent of ownership in each of the associates overseas. If the previous requirement is met and the foreign associate is evidenced to be incorporated overseas, then it is referred to as a foreign subsidiary. A foreign subsidiary pays dividends to the U.S. parent corporation from its income after foreign income taxes. Any income earned through foreign activities but not eligible for the foreign tax credit, i.e. income earned from a subsidiary that is less than 10% owned by US Corporation, is taxed in the same year when it is earned as specified by the U.S. Treasury. Foreign income taxes that are eligible for the foreign tax credit are given credits, and the same action is extended to other withheld taxes overseas. The foreign tax is only imposed when the subsidiary forwards earnings to its U.S. based parent company. The deductions of losses incurred by a foreign subsidiary can be made out of the parent corporation’s domestic earnings which can help to cut the company’s income tax in the Unites States. However, profits made by the same subsidiary in succeeding years are treated as U.S. source earnings.

Tuesday, July 23, 2019

Suburban Sprawl (Environmental Issue) Essay Example | Topics and Well Written Essays - 1000 words

Suburban Sprawl (Environmental Issue) - Essay Example These hazards being talked about refer not to only to body health issues but a rapid jump in mental health issues, prompting the former vice president of the U.S Al Gore to comment that the urban spread is like â€Å"cookie-cutter monster.†(Brooking Inst, 1998). While supporters of urban lifestyles contend â€Å"consumers prefer lower density neighborhoods and that sprawl does not necessarily increase traffic.† (Moore, Henderson, 1998). Nevertheless there is evidence that urban sprawl is one of the primary contributing factors to the specter of inner city degeneration. By pulling economic resources out of communities that are already existing and diffusing it into new and unconnected developments away from the current core, older communities get neglected and are led to ruin. These new developments are subsidized heavily to create newer roads, water and sewer infrastructure, new schools and enhanced spending on police and fire protection. While urban spread directly inf luences new lawns using ever more water and the use of chemical fertilizers as well as pesticides, it displaces native plants, which have not needed constant watering. It could be concluded that Sprawl wastes tax payers’ money With the population of the world exceeding 6 billion already and progressing toward doubling by the 22nd century, it is estimated that 95% of the new inhabitants of the planet earth will be living in urban areas. When compared to the fact that only 15% of the world lived in urban areas as recently as 1990, the task to manage urban sprawl is both vital and urgent. If not the exponential growth in urban dwellers combined with Socio-economical, geopolitical factors, with the certainty of limited land availability and in -efficient planning is certain to create cities that devour land used for other purposes historically directly influencing equally important aspects such as food security. Combating urban sprawl has two major forms of endeavor both, which i nclude detailed planning. â€Å"The first, the French/British/European tradition, considers urban planning a matter of public health and focuses on strong land- use regulation, public-sector investment, and civic design. The second tradition, born in North America, focuses on zoning and subdivision regulations within a context of strong private property rights† (Calthorpe, 2001)). Peter Calthorpe a New Urbanism thinker and architect illustrates the differences in these two styles by flavoring the European model a more ecological model and the North American planning model a more mechanically motivated model. The European model appears to be the antecedent to the concept called smart growth, and the other of developing efficiencies through zoning. The search for solutions to urban sprawl has given birth to various special-interest groups that promote a concept termed SMART growth at all levels federal, state, and local government. This might look nostalgic with a promotion of return to the city lifestyles of the last two centuries. Living in smaller apartments or smaller land plots with the emphasis on limiting transportation to bicycles or simply walking. Smart growth can be defined as the prevention of urban sprawl through meticulous planning with associated restriction to

Monday, July 22, 2019

Conservatism and Liberalism Essay Example for Free

Conservatism and Liberalism Essay While there are a multitude of political philosophies in the United States, two have emerged as the dominant and pre-eminent philosophies. They are, of course, liberalism which name derives from liberty and conservatism which derives from conserving the constitution. While there is nothing inherently wrong with either philosophy the minefield of political exclusivity has led to a bitter dispute between both factions that have raged for decades. Many of these disputes are ideological as there are pronounced differences between the two philosophies. In this essay, two major differences will be examined.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   One common difference is that liberalism prefers that a centralized government will guide the economy. Conservatism prefers that the government would play a smaller role in the economy with the hopes that the market will govern itself. In terms of public policy, this has led to a number of battles over regulation vs. deregulation, increased taxes vs. decreased taxes, etc with ach having varying degrees of success at different points in history.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In terms of foreign policy, conservatism has always stressed American exceptionalism whereas liberalism has stressed a more unified one world approach to government. The effect this has had on public policy over the years is evidenced in how often or how little American foreign policy is vetted through the United Nations or under accordance with allies overseas.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Of course, there are many more differences between the two but these two examples illustrate major differences between the two on both domestic and international levels.

Sunday, July 21, 2019

Bureau of Alcohol, Tobacco, Firearms and Explosives

Bureau of Alcohol, Tobacco, Firearms and Explosives Kareem Canty Introduction The Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) is an agency within the United States Department of Justice. The Bureau of Alcohol, Tobacco, Firearms and Explosives protects American citizens from dangerous and illegal activities involving, as its name suggest, alcohol, tobacco, firearms and explosives.â€Å" The mission of The Bureau of Alcohol, Tobacco, Firearms and Explosives is to conduct criminal investigations, regulate the firearms and explosives industries, and assist other law enforcement agencies. This work is undertaken to prevent terrorism, reduce violent crime and to protect the public in a manner that is faithful to the Constitution and the laws of the United States (The Bureau of Alcohol, Tobacco, Firearms and Explosives). Though The Bureau of Alcohol, Tobacco, Firearms and Explosives is a law enforcement agency one of the primary responsibilities is tax collection. The Bureau of Alcohol, Tobacco, Firearms and Explosives is responsible for taxes on alcoh ol, tobacco, ammunition, and firearms. The Bureau of Alcohol, Tobacco, Firearms and Explosives is an important agency protecting Americans. History of the Bureau of Alcohol, Tobacco, Firearms and Explosives The Bureau of Alcohol, Tobacco, Firearms and Explosives has been the sole agency responsible for regulation and taxation of the above mention categories since July 1st 1972. However, some of the duties of The Bureau of Alcohol, Tobacco, Firearms and Explosives have existed in some form in the United States since 1789. Initially, these activities were performed by the Department of Treasury. On July 1st 1862, the Office of Internal Revenue was founded. This new agency was now responsible for all taxes, including those on alcohol and tobacco. The Office of Internal Revenue included enforcement agents to pursue those who evaded taxes. In 1919, the Volstead Prohibition Enforcement Act and the Eighteenth Amendment to the Constitution made it illegal to produce or transport alcohol. Enforcement of these policies fell on the Office of Internal Revenue. In 1920, the Prohibition Unit was created. This agency was made up of the agents focusing on liquor laws. On April 1st, 1927 the Prohibition Unit officially became a bureau under the Treasury Department. Congress established a new Bureau of Prohibition under the Department of Justice in 1930. This new bureau was now responsible for enforcing Prohibition. Then, the Treasury Department was still responsible for the tax and regulations associated with Prohibition, under the new Bureau of Industrial Alcohol. In December 1933, the Twenty First Amendment to the Constitution ended Prohibition. Shortly after, President Roosevelt created, via executive order, the Federal Alcohol Control Administration to regulate the newly legal industry. This agency was replaced in less than two years by the Federal Alcohol Administration (FAA). The FAA was founded as part of the Treasury Department, who was again responsible for supervising the alcohol industry. In 1934 the Alcohol Tax Unit was founded as part of the Bureau Of Internal Revenue. The FAA combined with the Alcohol Tax Unit. Prohibition, though over, resulted in a lasting culture of organized crime. Due to the violence resulting from organized crime, the National Firearms Act was passed in 1934 and the Federal Firearms Act passed in 1938. These Acts regulated firearms, largely via taxes. In 1942, the enforcement capacity of firearm regulation was entrusted to the Alcohol Tax Unit. Around this time, the ATU became known as the Alcohol Tax Division until the 1968 Gun Control Act. With this act, the Bureau of Alcohol, Tobacco, Firearms and Explosives was now responsible for additional substances, including explosives. In July 1972, the Treasury Department Order NO.120-1 officially shifted all activities involving alcohol, tobacco, firearms, and explosives from the Internal Revenue Services to the Bureau of Alcohol, Tobacco, Firearms and Explosives After over one hundred years of restructuring, The Bureau of Alcohol, Tobacco, Firearms and Explosives has finally achieved stability in its structure and its dut ies. One major change the Bureau of Alcohol, Tobacco, Firearms and Explosives has undergone was its adoption of anti- arson enforcement. In 1982, congress amended the original legislation that outlines the duties of the Bureau of Alcohol, Tobacco, Firearms and Explosives to include arson. Since the 1970s the Bureau of Alcohol, Tobacco, Firearms and Explosives has grown both its budget and its staff. The Bureau of Alcohol, Tobacco, Firearms and Explosives has added over a thousand employee positions. Since 1973, the Bureau of Alcohol, Tobacco, Firearms and Explosives budget has increased from $74 million to $1.07 billion (The Bureau of Alcohol, Tobacco, Firearms and Explosives). Budget In 2013 the Bureau of Alcohol, Tobacco, Firearms and Explosives total budget was $1,153,345,000. This budget covers The Bureau of Alcohol, Tobacco, Firearms and Explosives staff, operations, and programs. Though the Bureau of Alcohol, Tobacco, Firearms and Explosives collects taxes, that money does not found The Bureau of Alcohol, Tobacco, Firearms and Explosives activities. From the years 2007-2011, the ATF collected over $112 million. This money is turned over to the Treasury Department General fund. The funding from The Bureau of Alcohol, Tobacco, Firearms and Explosives comes from federal government. Before each fiscal year, the Bureau of Alcohol, Tobacco, Firearms and Explosives submits a budget draft to congress. The draft includes information about the allocation and purposes of their requested funding. Congress edits and revises the budget as they see appropriate and then grants the funding to the Bureau of Alcohol, Tobacco, Firearms and Explosives. This budget includes salar ies of The Bureau of Alcohol, Tobacco, Firearms and Explosives 4,937 staff employees (The Bureau of Alcohol, Tobacco, Firearms and Explosives, 2012). International Partners Though The Bureau of Alcohol, Tobacco, Firearms and Explosives is responsible for enforcing laws in the United States, they also work along international organizations. The Bureau of Alcohol, Tobacco, Firearms and Explosives works international to investigate and prosecute international crime. Some examples of these organizations include the United Nations, Interpol, and the G8. The Bureau of Alcohol, Tobacco, Firearms and Explosives has field offices in several other countries. They work alongside law enforcement, government officials, and policy makers in these countries. For example, The Bureau of Alcohol, Tobacco, Firearms and Explosives has offices in Canada, Mexico, Europe, Colombia, El Salvador, and the Caribbean. The Bureau of Alcohol, Tobacco, Firearms and Explosives has the most offices in Mexico, with five field offices in the country. Domestic Partners Since its beginning, The Bureau of Alcohol, Tobacco, Firearms and Explosives has worked closely with multiple other governmental agencies. Early on, The Bureau of Alcohol, Tobacco, Firearms and Explosives worked with the Treasury Department and the now nonexistent Federal Alcohol Administration. Today the bureau works closely with state and local law enforcement. The Bureau of Alcohol, Tobacco, Firearms and Explosives works with state and local law enforcement to implement laws and regulations, as well as to locate and prosecute those who break these laws. Also, the ATF’S leaders work with Congress on evaluation and budgetary matters. In â€Å"The American System† by Morton Godzins, the American government is described as very chaotic. Godzins discusses how multiple branches and agencies of government often overlap in function. He writes that successful collaboration requires agencies to openly communicate. To describe the intermingled functions of government, Godzin uses the analogy of a marble cake. This image illustrates the mixing of government functions as chaotic and unordered (Shafritz and Hyde, 2011). THE BUREAU OF ALCOHOL, TOBACCO, FIREARMS AND EXPLOSIVES Today The Bureau of Alcohol, Tobacco, Firearms and Explosives today serves the same purposes as it did when it was founded. Their scope has grown to include numerous activities that are relevant to their purpose. The Bureau of Alcohol, Tobacco, Firearms and Explosives organizes its activities into ten core functions. These functions include original objectives, such as alcohol and tobacco, the criminal firearm usage and trafficking and regulation of the firearms industry. In the 1970s, the Bureau of Alcohol, Tobacco, Firearms and Explosives began including explosives, bombs, bombing, and the explosive industry in their responsibilities. As previously mentioned, the Bureau of Alcohol, Tobacco, Firearms and Explosives began to investigate Arson in the 1980s, adding it to their core functions. The three remaining functions are more recent additions. The first of these additions is a focus on criminal groups and gangs. This activity is closely a lined with the Bureau of Alcohol, Tobacco, Firea rms and Explosives’ mission and values as criminal activity often involves the usage, purchase, or trade of the materials regulated by the bureau. The final two functions involve management activities and are also included in the strategic goals of The Bureau of Alcohol, Tobacco, Firearms and Explosives. These functions involve the Bureau of Alcohol, Tobacco, Firearms and Explosives’ workforce and modernization. The Bureau of Alcohol, Tobacco, Firearms and Explosives is constantly seeking to maintain and build a highly skilled staff. The Bureau of Alcohol, Tobacco, Firearms and Explosives seeks a diverse and talented employee base. The final function, modernization, is a focus of many government agencies today. The Bureau of Alcohol, Tobacco, Firearms and Explosives aims to improve upon its technological skills in order to remain effective and relevant in todays world. Strategic Goals In 2010, The Bureau of Alcohol, Tobacco, Firearms and Explosives published its strategic goals for 2010-2016. Four of the six goals focused on activities relating to the mission of. The Bureau of Alcohol, Tobacco, Firearms and Explosives These goals involve illegal firearms trafficking, criminal groups and gangs, explosives and bombings, and fire and arson. The remaining goals involved management activities. Those goals relate to work force and modernization. Over the past four years the Bureau of Alcohol, Tobacco, Firearms and Explosives has implemented changes where needed in order to meet these goals. All of these goals contribute to The Bureau of Alcohol, Tobacco, Firearms and Explosives vision, â€Å"We protect America. We protect your community.†(The Bureau of Alcohol, Tobacco, Firearms and Explosives) The Bureau of Alcohol, Tobacco, Firearms and Explosives two management activities, modernization and work force seek to improve the internal operations of the Bureau of Alcohol, Tobacco, Firearms and Explosives. Their modernization goal consists of modernizing business activities. This goal also involves updating procedures for information sharing and knowledge management. Finally, this goal also seeks the implementation of more innovative technology. The second management goal of the Bureau of Alcohol, Tobacco, Firearms and Explosives attempts to improve its work force by attracting, developing, and retaining a strong work force. Both of these goals aim to keep the Bureau of Alcohol, Tobacco, Firearms and Explosives operating at its full potential. Victim/Witness Assistance Program Since the Bureau of Alcohol, Tobacco, Firearms and Explosives focuses on illegal activities, the agency frequently interacts with victims. In order to guarantee victims receive their rights as specified in the Crime Victim Rights section of Federal Law 18 United States Code, Section 3771, The Bureau of Alcohol, Tobacco, Firearms and Explosives established its Victim /Witness Assistance Program in 1999. This program enables the Bureau of Alcohol, Tobacco, Firearms and Explosives to provide victims with various types of support. The Victim/ Witness Assistance Program ensures victims’ safety, as well as providing them with other resources. These resources include, but are not limited to, on financial assistance, recovery of property, and referrals to other relevant support agencies. These support agencies can provide services such as emergency housing, counseling, and support groups. The Victim/Witness Assistance Program is implemented by twenty three Victim/Witness Coordinators. These officers can be found in each of the Bureau of Alcohol, Tobacco, Firearms and Explosives field divisions located the across the country. These coordinators work closely with the United States Attorney’s Office, which has its own Victim Witness Coordinators. The Victim/Witness Assistance Program also works with the previously mentioned support agencies. These agencies can be located at both state and local levels. The program Coordinators also worked closely with local law enforcement agencies, especially concerning the safety of victims. While I found no criticism of the Victim/Witness Program, I also found no praise of the program. There seems to be little information available from other sources about this program. This is most likely due to the fact that the program is largely confidential and is only experienced by those who truly need its services, victim irrelevant crime. Conclusion The Bureau of Alcohol, Tobacco, Firearms and Explosives exists in order to protect American citizens and to keep their activities in line with the law. The bureau enforces laws and regulations intended to keep Americans safe. They are responsible for regulating the manufacture and trade of weapons and explosives and for controlling and preventing drug trade. Without The Bureau of Alcohol, Tobacco, Firearms and Explosives, the United States government would have a very difficult time regulating these trades and enforcing these policies. Bibliography â€Å"Congressional Budget Submission: Fiscal Year 2013,† The Bureau of Alcohol, Tobacco, Firearms and Explosives, accessed October 20, 2014 https://www.atf.gov/sites/default/files/assets/budget/2013-atf â€Å"Fact Sheet: ATF Staffing and Budgeting,† The Bureau of Alcohol, Tobacco, Firearms and Explosives, accessed October 20, 2014 https://www.The Bureau of Alcohol, Tobacco, Firearms and Explosives.gov/publications/factsheets/factsheet-staffing-and-budget.html Shafritz, Jay M. and Albert C. Hyde. Classics Of Public Administration, Seventh Edition. (Boston: Cengage Learning, 2011). Shafritz, Jay M.,E.W. Russell, and Christopher P. Borick. Introducing Public Administration, Eight Edition. (Boston: Pearson Education, Inc., 2013). â€Å"2004-2009 Strategic Plan,† The Bureau of Alcohol, Tobacco, Firearms and Explosives, accessed October 15, 2014, https Explosives.gov/files/publications/download/sp/2004-2009/2004-2009-strategic-plan-vision-mission.pdf

A Case Study Of Anita Brown Nursing Essay

A Case Study Of Anita Brown Nursing Essay During the last 15 years there has been a substantial rise in the number of newly diagnosed patients with acute kidney injury especially whilst an inpatient Yaklin, 2011. This is despite every effort to prevent AKI in clinical practice (Venkataraman, 2008). Anita Brown is one such patient, having been diagnosed with AKI following routine surgery. AKI occurring after surgery is associated with a significant increase in patient morbidity and mortality (Chertow, Levy, Hammermeister, Grover, Daley, 1998; Praught Shlipak, 2005). Here I will discuss the nursing management of Anita Brown over a 48 hours period. I will start by exploring the pathophysiology of AKI and identifying the type of injury Anita has sustained. Thereafter, in order to formulate an optimised, tailored 48-hour care plan, I will describe two different but complimentary assessment methods to identify Anitas priorities of care, namely the ABCDE framework (Resuscitation Council, 2010) and the Roper, Logan and Tierney (1980) model of nursing. The nursing interventions subsequently proposed will be justified in relation to Anitas pathophysiology and will be supported by professional literature. Finally, the findings will be incorporated into a 48-hour care plan based on six of Roper et al.s activities of living (ALs) and a brief conclusion presented. Background Anita Brown is a 45-year old woman who has been diagnosed with AKI as a result of severe dehydration, following insufficient fluid administration during/after her cholecystectomy operation. Anita has been experiencing intractable vomiting despite receiving nil by mouth. She is borderline hypotensive, tachycardic and tacypnoeic and has been oliguric for 6 hours. Current management includes fluid replacement. Anitas pain is being controlled by a patient controlled analgesia (PCA) pump of morphine. Pathophysiology of Acute Renal Injury AKI is an extremely complicated disorder (Martini, Nath Bartholomew, 2011). The definition of AKI is a decline in the functions performed by the kidneys resulting in increased levels of serum creatinine and urea detectable in the blood (Dirkes, 2011). Indeed, the condition is most easily recognised by a rise in serum creatinine plus a decreasing urine volume, however, these symptoms are also accompanied by other physiological changes, as will be seen later (Guidelines and Audit Implementation Network [GAIN], 2010). There are three general categories of AKI (relative prevalence shown in parentheses): pre-renal (~55%), intrinsic (~30%) and post-renal (~15%) (Marieb, 2010). Pre-renal kidney injury is the most common form and is generally reversible when renal perfusion pressure is swiftly restored. It has a number of causes, the most common being intravascular volume depletion (haemorrhage, dehydration, burns, gastrointestinal losses) or decreased cardiac output (myocardial infarction or cardiac arrhythmias) (Cheung, Ponnusamy, Anderton, 2008), all leading to hypo-perfusion within the kidneys (Gotfried, Wiesen, Raina and Nally 2012). Drugs that are vasoactive can also cause pre-renal kidney injury (Barber Robertson, 2009), since intra-renal vasoconstriction can ultimately lead to hypo-perfusion (Murphy Byrne, 2010). Anitas surgery was complicated since the planned laparoscopic cholecystectomy had to proceed to an open cholecystectomy, thus she probably suffered considerable intra-operative fluid loss. If inadequate replacement ensued, the reduced blood flow within Anitas kidneys could have caused hypovolemic or cardiogenic shock (Garretson and Malber ti, 2007). Indeed, inadequate intravascular volume arising from significant fluid/blood loss is a common cause of hypovolemic shock (Hand 2001, Bench 2004). A further cause of AKI, intrinsic kidney injury, is associated with injuries that structurally harm vessels, the glomerulus, or kidney tubules (Ali Gray-Vickrey, 2011). Prolonged or severe pre-renal hypoperfusion may lead to such injury through ischaemia. Alternatively, infectious elements or pollutants are a further cause of such damage (Murphy Byrne, 2010). Notably, tubular cells within Anitas kidneys would have been severely damaged if blood flow had been reduced to 20% of normal (Cheung et al., 2008), although the actual extent of her injury is currently unknown. This type of injury is termed acute tubular necrosis (ATN), and is a common reason for AKI in hospitilised patients (Ali Gray-Vickrey, 2011). ATN is characterised by decreased consciousness, reduced urine output resulting from tubular damage, and nausea and vomiting. Like prerenal injury, ATN is often reversible, however, early intervention and distinguishing the mechanism of damage, whether prerenal or intrinsic, is vitally important to improve patient outcome (Gotfried et al. 2012). Other less common causes of intrinsic injury are acute interstitial nephritis (AIN) arising from allergic drug reactions or systemic disease, and contrast-induced nephropathy (CIN) arising from toxicity associated with radiological contrast media administration (Fry, Farrington, 2006; Hilton, 2011; Thomas, 2008). Risk factors for CIN in patents undergoing radio-contrast include age and pre-existing renal impairment plus simultaneous administration of metformin to treat diabetes (Porth, 2007). Consequently, diabetic patients with renal impairment and taking metformin (a drug which is 100% renally excreted), when undergoing radio contrast should be closely monitored, and medication stopped 48 hours before and after the procedure (Royal College of Radiologists, 2009). Finally, post-retinal kidney injury arises from urinary tract obstruction, the resultant back-pressure inhibiting glomerular filtration rate and causing ischemia (Leach, 2009; Hsu Symons, 2010). ABCDE Approach: Airway, Breathing, Circulation, Disability and Exposure Nurses play a vital role in effectively managing acute-care patients such as Anita, with timely intervention resulting in the prevention of life-threatening complications (Clarke Ketchell, 2011). The use of a systematic approach that identifies the priorities of care is essential (Thompson, 2008). Comprehensive Clinical Assessment Guidelines exist for AKI (Lewington Kanagasundaram, 2011), which emphasise that it is essential to consider the underlying cause of AKI since certain origins, such as AIN, would need specialised therapy. Initial clinical orientation requires nurses to ensure that necessary tests are performed and relevant assessment/monitoring is undertaken swiftly (Henneman, Gawlinski, Giuliano, 2012). Antia has already been diagnosed with AKI arising from insufficient fluid replacement during surgery, thus prerenal kidney injury has arisen from renal hypo-perfusion and ischemia, due to an inadequate intravascular volume. Although the extent of the damage remains to be seen, restoring intravascular volume is key to Anitas recovery. A useful approach in assessing and managing a patient who may deteriorate, such Anita, is the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach (Resuscitation Council, 2010). This would be highly useful for Anita, as it would break down the complex assessment procedure for AKI into a systematic process, whereby assessment and treatment algorithms would allow provision of a prioritised care plan. The ABCDE framework also serves as a valuable tool in identifying/eliminating critical conditions (Thim, Krarup, Grove, Rohde, Lofgren, 2012). Anitas assessment will now be considered under the five separate headings. Airway The patency of Anitas airway would be checked, to ensure there is no obstruction. Anita is overweight and upper airway obstruction through narrowing of the airways can occur in obese patients especially during sleep (sleep apnoea) (Hillman, Platt and Eastwood, 2003). If Anitas PCA is causing sedation, she will be drowsy. Consideration should thus be given to providing adequate pillows to ensure her posture and positioning on the bed would be conducive to a patent airway, similar to a head-tilt and chin-lift position (Thim et al, 2012). Frequent repositioning would also guard against pressure sores. Breathing Assessment of Anitas breathing involves respiration rate coupled with observations regarding whether her breathing is noisy, or laboured; movements of the thoracic wall and use of auxiliary muscles are clues to look for (Thim et al., 2012). Assessing Anitas risk of post-operative sleep apnea would mean observing her when sleeping, and noting if she snores or is apnoeic (Thim et al., 2012). To alleviate such symptoms correct positioning would be vital, indeed it is known that poor positioning of obese patients in bed may impede lung expansion (Moore, 2007). Breathing difficulties could require oxygen administration or in severe cases, assisted ventilation (Thim et al., 2012). Anitas is slightly tacypnoeic (respiration rate=22/min); this needs monitoring. Anita has endured severe dehydration and the underlying cause of the tacypnoea is probably related to the ensuing reduced circulating volume, which in turn causes a numbers of associated physiological changes including increased respi ration rate (Large, 2005); other vital signs are also affected, as seen below. Circulation Anita is borderline hypotensive (BP=105/60 mm/Hg) and slightly tachycardic (pulse=108 beats/minute). The severe dehydration Anita has suffered means her heart tries to compensate for the reduced volume by pumping harder (increase in cardiac output) and faster (increased heart rate) (Large, 2005). Concurrently, the low fluid volume leads to a fall in BP. Consequently AKI-related dehydration, has resulted in adverse outcomes including hypotension, tachycardia, and tacypnoeic; weak pulse and cold hands and feet are further signs to look out for (Large, 2005). Additionally, level of mental status, dry oral mucous membranes, sunken eyes and reduced capillary refill/skin (or tongue) turgor are all secondary markers of dehydration (Merck Manuals, 2012) whilst ankle and sacral oedema are signs of fluid overload. Capillary refill time involves pressing on the pad of the middle finger for five seconds then measuring the time for normal colour to return (Large, 2005). Skin turgor involves pinch ing a fold of skin and observing if it falls back to normal position immediately (Scales and Pilsworth, 2008). Rapid restoral of Anitas circulating volume is vital, with additionally the need for close and continuous monitoring of fluid levels (input vs output) and hemodynamics (Dirkes, 2011). Anita is nil by mouth and iv fluid input is being controlled at a rate of 1000mls dextrose/saline over 12 hours. Dextrose/saline is primarily used to replace water losses post-operatively. Normally fluid intake and loss are balanced (Scales and Pilsworth, 2008), yet Anita has been oliguric for 6 hours. Normal urine output is 1ml/kg body weight per hour, the minimum acceptable being 0.5ml/kg/hr (Scales and Pilsworth, 2008). Thus Anita should have a minimum output of 50ml per hour. Obviously Anita is still suffering a fluid deficit. The kidneys can normally concentrate or dilute urine in response to fluid changes. If Anitas kidneys are conserving water any urine excreted will be concentrated and dark (Scales and Pilsworth, 2008). The colour should be noted, in addition to the actual volume, on the fluid b alance chart. Accurate records are critical in assessing Anitas fluid balance. The level of iv fluid needed to restore Anitas fluid balance depends upon an accurate assessment of her volume status, based on the following equation: Fluid required = pre-existing deficit + normal maintenance + ongoing losses. Fluid replacement calculations are challenging since Anitas precise deficit is unknown, also her frequent vomiting represents a variable, on-going fluid loss, which must be estimated and added to her maintenance fluid intake. A patient with a pre-existing deficit normally received rapid fluid resuscitation comprised of an initial large volume (~250ml) of iv saline, repeated as necessary. According to the Merck Manuals (2012) patients with intravascular volume depletion without shock can receive infusion at a controlled rate, typically 500 ml/h. Anitas fluid resuscitation status should be urgently established since Anita appears to be receiving maintenance fluids rather than rescue therapy. During Anitas recovery phase her clinical response to iv fluids will guide the rate of fluid replacement, her vital signs and urine output should return to normal once normal hydration is achieved. A urine output of > 0.5 to 1 ml/kg/h is required (Scales and Pilsworth, 2008). But in addition to urine volume, monitoring electrolyte status is a further part of patient management in the recovery phase of AKI (UK Renal Association, 2011; Abdel-Kader and Palevsky, 2009). Urea, creatinine and sodium are elevated in volume-depleted individuals but to differing extents (Thomas, Tariq, Makhdomm, Haddad Moinuddin, 2003). A full blood count is a further useful piece of information (Lewington Kanagasundaram, 2011). Disability Anitas state of consciousness has been evaluated through the Glasgow Coma Scale and is currently 15, indicating she is fully conscious and in no danger of disability pertaining to consciousness (Gabbe, Cameron, Finch, 2003). Nevertheless, her mental alertness should continue to be monitored. Nurses need to ensure Anita can communicate adequately, especially since AKI can affect mental status because of hypernatremia, as a result of low fluid volume. This happened because the vascular space becomes hypertonic and results in extracellular migration of water away from brain cells, hence accounting for neurologic symptoms (Lee, 2010). Also, Anita may be drowsy due to the morphine. Any mental status deficit should improve when Anita responds to treatment and stops opiate analgesia. Anitas repeated vomiting is disabling and is contributing to dehydration and electrolyte imbalances (Golembiewski, Chernin, and Chopra 2005; Gan, 2006), and clearly requires immediate attention. The underlying cause must be determined if appropriate interventions are to be used. Vomiting is common following anaesthesia, but is also linked to opioid treatment and also hypotension. There are a large number of drugs available to treat post-operative and opiate induced vomiting (Stevenson, 2006), however, Anitas renal status means that administering antiemetic medications  may be unwise. Anita is self-administering morphine, therefore the frequency of her usage, her level of pain control and alertness all need monitoring. In addition to sometimes causing sedation, nausea and vomiting, morphine can produce hypotension and respiratory depression, and obese patients, such as Anita, are at higher risk of these side effects. Therefore the risk/benefit of continuing PCA with this drug over n urse-controlled analgesia should be established; if continued Anitas respiration rate should be frequently assessed and she should be monitored for signs of opiate toxicity. Exposure Anitas wound must be checked regularly to ensure it is clean and there are no signs of opening or infection, especially given the trauma of her vomiting. Surgical drains and urine drains likewise must be kept patent and clean; whilst regular temperature checks would monitor pyrexia. The results of Anitas initial ABCDE assessment can now be put in to perspective by identifying key information to help devise her care plan through application of a second nursing framework. The Roper, Logan and Tierney Model (1980) Nursing Model and Care Plan The Roper, Logan and Tierney model (1980) can be applied to the case of Anita Brown in order to devise a tailored care plan. This model takes a holistic approach and allows the impact of Anitas morbidities on her activities of living (ALs) to be considered. The model identifies twelve activities ALs namely eating and drinking, working and playing, sleeping, elimination, washing and dressing, communication, breathing, expressing sexuality held in relation to lifespan and the dependence/independence continuum. The framework is simplistic, yet provides a means to develop a logical and systematic care plan that is based on teamwork and mutual coordination (Murphy et al., 2000). It allows systematic collection of information from a patients biological, physiological, sociocultural, environmental, and politico-economic, perspective (Roper, Logan, Tierney, 2000). The model is especially applicable in patients requiring acute care such as Anita, helping to highlight the priorities of care t hat must be undertaken (Murphy et al., 2000). Once assessment is complete, a plan of care can be formulated which takes into account lifespan and level of dependence but may not necessarily cover all ALs (Beretta, 2003). Here I will consider six of the most pertinent ALs which are relevant for Anitas 48-hour care. I will highlight Anitas problems in relation to the AL and describe the necessary nursing interventions and their goals as part of a 48-hour nursing care plan. Safe Environment Anitas skin should be healthy and in tact: Check integrity of wound; Anitas retching could rupture her stitches. Also check for infection or swelling following surgery using aseptic techniques. Record temperature regularly to ensure Anita remains apyrexial. Anitas vital signs are out of range: Closely monitor haemodynamic status, urinalysis and fluid balance status; these should be returned to normal through appropriate interventions. Check peripheral insertion line is patent, the fluid is running fast enough and the fluid is provided as prescribed. Accurately recording input (and output: see below). Anitas is vomiting: Anitas vomiting will be distressing. Treat the underlying cause of the vomiting, and immediately adopt simple interventions to alleviate symptoms e.g. provide adequate bowls and tissues, open a window or provide a fan. Anitas oral health may be compromised since she is vomiting and receiving nil by mouth. Offer assistance with oral hygiene. Anita is self-administering morphine: The potential for unwanted opiate side effects warrants investigation regarding level of usage and pain control. Discuss this with Anita and switched to nurse controlled non-opiate analgesia is possible. Breathing Anita respiration should be 15-20/min: Anita is slightly tacypnoeic. Regularly monitor vital signs and observations post-operatively. Since Anita is overweight she may easily get out of breath during minor exertion so encourage her to ask for nursing assistance if she needs help. Communication Anita should be coherent and respond appropriately to questions: talk to Anita about how she is feeling and ensure her AKI, post-operative status and/or analgesia is not adversely affecting her mental abilities. Be aware of non-verbal transmission of information such as facial expression of pain/discomfort. Elimination Anitas urine must be properly collected: regularly check the urine drainage bag and tubing to ensure patency and cleanliness and to record output. Similarly, if there is a wound drain in place. Provide bedpan/commode: It is unlikely that Anita will need to open her bowels, however, she should be encouraged to seek assistance and request a bedpan/commode should she need one. Anitas privacy and dignity must be respected throughout. Sleeping Anita may be sleepy: Anita may be drowsy from the morphine and want to sleep a lot. She is overweight, which may make her more prone to post-operative sleep apnea. Observe her when sleeping for signs of snoring or apnoea. Anitas posture and positioning on the bed is important, especially since she is at higher risk of pressure sores. Nurses would need to ensure Anita is not slumped but positioned in a semi-upright position and frequent repositioned. Mobilisation Anita must regain mobility: Anita is relatively young, but overweight which would hamper her everyday mobility. She should by encouraged to mobilise if possible such as assistance to a sitting position in a chair; this would reduce chances of post-operative thombosis. All of these nursing actions have been formulated in a 48-hour care plan, a proposal for which is shown in the Appendix. Although relatively young, and presumably previous to surgery largely independent, Anita is currently considerably dependent on nursing staff for many ALs. This is reflected in her care plan. The ultimate aim of the Roper model is to achieve goals that promote independence in all ALs. Achieving this objective requires regular evaluation of Anitas plan, which in turn requires accurate baseline data against which improvement or deterioration in her progress can be measured. The plan can then be adjusted accordingly (Holland, 2003). Conclusion Anita Brown has suffered AKI probably due to insufficient fluid replacement inter/post operation. The resultant drop in circulating volume has manifested in a number of adverse physiologic and haemodynamic events. Anitas symptoms are consistent with pre-renal AKI (although ATN cannot be ruled out (Cheung et al., 2008) necessitating swift intervention. The pathophysiology of AKI reveals that it is a multifaceted condition requiring complex clinical assessment (Lewington Kanagasundaram, 2010). Here I have described a simplified, logical approach to Anitas care, through the application of two systematic methodologies. The approaches advocated ensured all relevant assessments were performed and that appropriate and effective interventions were employed in the formulation Anitas 48-hour care plan. The ABCDE mnemonic was used since it represents a strong clinical tool for rapid assessment and treatment of patients such as Anita requiring swift and effective interventions. Whilst the Roper , Logan and Tierney (1980) model provided a holistic approach to patient care since it allowed assessment of the patient as a whole (OConnor and Timmins, 2002), and has thus taken into account Anitas specific needs and preferences, whilst ensuring she is treated appropriately (Clarke Ketchell, 2011). Adhering to such tried and tested formulae allowed delivery of an optimised, tailored care plan, which will improve Anitas prognosis and enhance overall outcomes.

Saturday, July 20, 2019

Muromachi Period Essay -- essays research papers

The Muromachi style of Zen Buddhism has influence art and design ever since it’s beginning in the 14th century. Although it was influenced by the Chinese styles at a parallel time, they both are still influential and noticed in today’s world.   Ã‚  Ã‚  Ã‚  Ã‚  For years Japanese Ink Painting continued to be consistent with a basis on nature, and simplicity. Was the beginning of Minimalism in Japan? Was it intentional? The open composition of space and content on paper is a key of today’s design. The simplicity of monochromatic work is still appreciated in almost every art form.   Ã‚  Ã‚  Ã‚  Ã‚  This is a contrast to the Renaissance that occurred during the same time period. There was never work similar in Europe, it was mostly elaborate and colorful. This proves that the Asian styles are the origin of minimalism.   Ã‚  Ã‚  Ã‚  Ã‚  Even in architecture and landscape, there was interpretation and consistence of nature. The â€Å"Zen Garden† is a key concept that has lasted through the years. The Japanese styles of architecture were inspired by the consistency and simplicity of nature. They were the first to incorporate outside and inside, using a lot of patio space, and open surfaces, using round posts, and hinged translucent walls (Japan, 229).   Ã‚  Ã‚  Ã‚  Ã‚  The dominant styles of the Muromachi Period, Ink Painting, Landscape, and Architecture, are visible in today’s society in all cultures. Design fields incorporate the same appreciation that the Zen Buddhists did. Aesthetics, the set of principles of good taste and the appreciation on beauty, especially in the philosophy of art (Reader’s, 26). During the Muromachi Period, Sesshu (1420-1506) was known as the most famous artist in his medium of Ink Paintings. He was a monk that dedicated his life to painting. He traveled to areas of China and the natural landscape inspired his work heavily. He denied any influence from the Chinese art he saw on his journey. Like the work of Ni Zan (1308-1374), a Chinese Yuan Dynasty ink painter. (History, 842-861)   Ã‚  Ã‚  Ã‚  Ã‚  Sesshu’s most noted work was the â€Å"Winter Landscape.† This painting was done after his excursion through China, in the 1467. It is 18.25 x 11.5† in size, and was produced by rushing black ink on a paper. It is overlapped view of a landscape in the foreground, with large mountainous cliff... ...on of the arts really polluted all meaning behind it. This is a dramatic time in which the true Zen Monks doubted their faith in the work they produced. The understanding of this, left room for sarcasm, and criticism, and eventually dilution of the Zen theories of nature and serenity.   Ã‚  Ã‚  Ã‚  Ã‚  Put aside the debauchery of the art, this period has influenced so many cultures and design styles. It is key that styles like minimalism and even constructivism trace back to the monochromatic layout of image and text these monks produced.   Ã‚  Ã‚  Ã‚  Ã‚  Being a designer, it is astonishing to relate styles that I apply to work with these simple Buddhists. They lived a simple lifestyle, appreciating materials and imagery that both were provided by nature. The aesthetics applied is an important way of expressing yourself as a citizen of the world.   Ã‚  Ã‚  Ã‚  Ã‚  It is important that we as people seek to make the world better for mankind. Appreciating the elements, and applying workable solutions was a key contribution these monks made to society. Whether it is through our work or our deeds, it would be ideal that we all follow their example.

Friday, July 19, 2019

Fodor’s Misconstrual of Wittgenstein in the Language of Thought :: Philosophy Essays

Fodor’s Misconstrual of Wittgenstein in the Language of Thought In his book, The Language of Thought, Jerry Fodor claims that i) Wittgenstein’s private language argument is not in fact against Fodor’s theory, and ii) Wittgenstein’s private language argument â€Å"isn’t really any good† (70). In this paper I hope to show that Fodor’s second claim is patently false. In aid of this I will consider Wittgenstein's Philosophical Investigations (243-363), Jerry Fodor's The Language of Thought (55-97), as well as Anthony Kenny’s Wittgenstein (178-202). First I shall summarize Wittgenstein’s argument; then I will examine Fodor’s response and explain why it is fallacious. In my view, Fodor is wrong because he takes Wittgenstein to be a verificationist, and also because he makes a false analogy between people and computers. Anthony Kenny, in his book Wittgenstein, provides a concise summary and penetrating interpretation of Wittgenstein’s so-called â€Å"private language argument† (henceforth â€Å"PLA†). According to Kenny, the basic agenda of the PLA can be summed up in a quotation from Wittgenstein’s Tractatus: "Scepticism is not irrefutable, but obviously nonsensical, when it tries to raise doubts where no questions can be asked. For doubt only can exist where a question exists, a question only where an answer exists, and an answer only where something can be said." (Tractatus Logico-Philosophicus, 6.51) In making his argument, Wittgenstein addresses the belief that the knowledge we have of our own experiences can be expressed to ourselves or others, and that this expression does not assume acquaintance with the external world or other minds. Logically entailed by these beliefs is the idea that there is a private language in which words derive their meani ng by being linked with private experiences. In other words, a subject forms â€Å"internal ostensive definitions.† This means simply that the subject is exposed to and attends to an experience and associates it with a word. For Wittgenstein, this view is mistaken: experience is not private, and words do not acquire meaning by bare ostensive definition. Wittgenstein takes â€Å"private language† to mean a language in which words refer to the immediate private sensations of the speaker in this manner of private ostensive definitions. If a speaker has a certain sensation, she does not necessarily know that sensation only from her own case.