Mit college essays
Discursive Essay Topics
Tuesday, August 25, 2020
Need of Organization in Global Environment-Samples for Students
Question: Examine the accompanying articulation: Working in a worldwide scene, global associations are confronted with difficulties that are identified with human asset the executives. Distinguish and assess a choice of these difficulties. Propose manners by which multinationals can work to address or manage these difficulties. Answer: Presentation In this report difficulties are examined that happen while working in a worldwide scene or in global associations identified with universal human asset the executives. Each association is extended past outskirts in this manner there are different issues related with worldwide human asset the executives. Along these lines for ensuring that business works viably a deliberate methodology is created for working social consciousness of an association. This report will portray the points of interest just as provokes that should be upgraded for making the progress of an association in worldwide condition. In this manner it is essential to determine these difficulties by adjusting to innovative changes and meeting all the issues of globalization. Writing Review As indicated by (Saravanan and Vasumathi, 2015), there are various measurements in which individuals work the explanation could be their history, topology or atmosphere. It is hard to investigate the association at worldwide level as each gathering have diverse social standards. From the impression of worldwide human asset helping an association to develop all around is troublesome just as significant. The significant structure square of an association is correspondence, building trust in the worldwide market, understanding the intended interest group and settling on choice appropriately. To keep away from such confusion universal HR administrators are acquainted with manage the social just as possible conflicts. These issues should be settled as they cause trouble in comprehension. The worldwide organizations structure creative designs to determine the negative issues. It was investigated that numerous organizations are battling the issue of remuneration that is the way to give best structure of pay to each worker. Global association endures regarding organizations size as well as far as large payrolls. Moreover, association need to offer extra advantages as far as preparing, assessments, settlement and different costs which is higher than workers pay. In the perspectives on (Taylor, Beechler and Napier, 2016), a few patterns that influence the worldwide patterns of universal human asset the board incorporate expanding worldwide exchange by growing diverse workforce. To do this a few concerns are that innovation need refreshed to determine the issue of preparing and improvement. The vast majority of the organizations face the test in change the executives accordingly an appropriate preparing should be created by understanding the necessities of representatives and building up a legitimate procedure for the executives. One of the greatest test looked by worldwide organizations are administration advancement as legitimate structures, devices and procedures should be activity to gain most ideal determination and ground by making future pioneers. There are difficulties related in the exchange framework, staffing, learning and improvement segment and estimating the viability of an association. In todays time the huge test is adjusting t o new advancement as innovation changes quickly. While growing the association at global level, organizations must be quick to adjust to the development and dangers related in the contenders showcase. The test is to make all representatives find out about the new advancements. In the view of (Tayeb, 2014), staffing strategy is a critical test for investigating the business in global market as the development of organization is straightforwardly identified with the retirement of representatives that have ability. Be that as it may, enlistment process is troublesome in global market because of socioeconomics changes. Aside from that there are social contrasts related with top individuals from an association and the new substances in the organization. These issues where exceptionally basic in past years yet now a days these issues are settled as certain structures are received, for example, reactant learning. Other than that different frameworks were structured including area arranging, HR arranging and movement the executives (Brewster, et. al, 2016). Likewise, to defeat from the issues in staffing plans a choice procedure is chosen to dispose of the contentions furthermore designs related with preparing and developmentare reconsidered. As indicated by (Schuler, Dowling and De Cieri, 2010), the significant test looked by global organizations is worldwide remuneration that manages gathering all the practices just as recognizing thoughts from all the discernment. The most widely recognized difficulties looked by IHRM division when extended an association all around is consistence with laws and guidelines as changing work laws go about as a battle for proprietors as they can't get to the reviews or significant data (Cron,2018). Aside from that as business will in general develop globally the structure, system and different procedures are related with it. Subsequently representatives experience difficulties in adapting to the time during changes. It was explored that numerous association experience destruction in efficiency because of these changes. In the perspective on (Geringer and Frayne, 2010), challenges looked by worldwide organizations as far as IHRM are execution the executives, dealing with the prizes and evaluation framework and dealing with the assorted variety. In an association there are numerous ages with various ethnic and social components. In this manner it is essential to make a special culture that accentuation the guidelines and principles of an association (Harzing and Pinnington, 2010). IHRM should be done to encourage powerful correspondence among workers, and disposing of the vulnerability. It is additionally critical to keep up the capable workers in the organization for a more drawn out run with the goal that issue of worldwide human capital doesnt show up. As indicated by (Long, Ajagbe and Kowang, 2014), one of the significant difficulties looked by organizations as far as universal human asset the board is to perceive the fundamental culture with the goal that business strategies can be set likewise. The same number of association don't versatile to changes in the advanced world as they have to manage the difficulties like clients request, ramifications of new innovations, data sharing just as managing professional stability. The most concerning issue is poor reaction to advancement which prompts low efficiency and lessening the adequacy of an association. Hence to defeat with this difficult it is important to present western innovation just as new administration abilities to accomplish by value adventures in an association. In the view of (Saunders, Gray and Bristow, 2017), a business face difficulties regarding worldwide commercial center as they enroll representatives from various geological territory and social foundation, so at whatever point changes happen in the laws it is hard to adjust to changes particularly as far as assessments and liabilities. For instance while recruiting workers who are not from worldwide market are required to pay extra assessments which are exceptionally hard to actualize. Henceforth for a HR office it gets hard for working with the monetary information. Additionally at whatever point organizations begin to grow a worldwide market, they possess a worldwide commercial center since they have representatives from each geographic foundation (Altlas,2018). Different difficulties include lawful and political guidelines as they changes as indicated by the outer guidelines and laws. These variables are the significant worries in the ramifications of business at global market and deal with the typical working of an organization with no breakdown because of human asset the executives. In the worry of (Nasir, 2017), it is critical to think about the ethic related with the organizations in the history. Hence in present it is the undertaking of human asset group to take moral choices to offer significant level of proficiency by directing meetings with respect to the assorted varieties and giving information about the universal market. Aside from that it was expressed by (Ellmer and Reichel, 2018), to defeat from every one of these difficulties the human asset group need to teach the workers alongside directors for relieving the difficulties. This should be possible by advancing all the laborers in a working environment to speak with one another to expel the assorted variety between the nations. Aside from that advancement of advances influence the exhibition of an association and aides in contending with the other association. One of the difficulties which can't be overlooked is human capital and requires parcel of endeavors to deal with the human capital of an assoc iation. When the organization is comprehensively investigated if any representatives leave an association in at first period, it will be a misfortune for the organization as they have invested parcel of energy and cash in their preparation and improvement. End Hence it very well may be finished up from the report that there are different issues with respect to the human asset division in an association. Particularly when an association is extended to worldwide market different variables influence organization like the authoritative structure alongside various relational abilities of representatives. It tends to be expressed that when an association enters a worldwide scene, directing instructional courses for a representatives is a test to accomplish better globalization. Other than that there are different difficulties incorporate authority, assorted variety, internet business arrangements, determination of enrollment strategies, dealing with the strengthening, advancement of new advances. These are a few difficulties that are brought about by human asset the board and consequently gauges should be taken to improve and upgrade the proficiency of an association References Altlas,S.,2018.10 of Todays Common Human Resource Challenges.Available from https://www.atlasstaffing.net/blog/10-todays-normal
Saturday, August 22, 2020
Database Implementation Plan for Riordan Manufacturing Free Essays
string(57) scrambled and transmitted to the catastrophe recuperation ite. Database Implementation Plan for Riordan Manufacturing Riordan Manufacturing has asked our firm, LTB and Associates, to build up an online arrangement to be utilized as a Business-to-Business site so as to buy materials from their merchants. We have inspected Riordanââ¬â¢s items and business frameworks, talked with Riordanââ¬â¢s representatives, and have decided the best game-plan to actualize the arrangement. Riordan Manufacturing is a plastics producer situated in a few areas over the world. We will compose a custom paper test on Database Implementation Plan for Riordan Manufacturing or on the other hand any comparable subject just for you Request Now With three plants situated in the mainland US, which are situated in Albany, Georgia; Pontiac Michigan; and in San Jose, California, which is the organization central station. A fourth plant is situated in Hangzhou, China won't be a piece of the arrangement as they buy materials locally. This where we clarify how the database will be set up. Allude to the ERD, Sequence chart, Use Case outline, and Class Diagram that follow [pic] The accompanying passages will depict the contemplations that Riordan Manufacturing should make in executing the database plan. Database Management System and Data iframe class=wp-implanted substance sandbox=allow-contents security=restricted style=position: total; cut: rect(1px, 1px, 1px, 1px); src=https://phdessay.com/database-the executives framework and-information/insert/#?secret=xcLB38cLBD information secret=xcLB38cLBD width=500 height=282 title=#8220;Database Management System and Data#8221; #8212; Free Essays - PhDessay.com frameborder=0 marginwidth=0 marginheight=0 scrolling=no/iframe Any place it is conceivable to for our firm to do as such, LTB and Associates will settle on a suggestion on the decision to make. So as to execute the database appropriately, these proposals ought to be actualized so as to offer the most impenetrable measure of security that will be conceivable. Sort of Online Processing Riordan Manufacturing should settle on ongoing offbeat handling and cluster preparing. Constant nonconcurrent preparing is appropriate when the handling must be performed promptly or when the outcomes should inevitably be conveyed back to an on-line client. One of the issues with continuous handling is that ongoing clocks and occasions are required; they are costly as the PC assets that are utilized to raise, keep up and check occasions. Another issue with clock or even procedures is that they make locking issues as they may fight with on-line forms for assets and for get to similar information. Group arrangements are perfect for handling that isn't constant occasion based. Cluster forms are information driven and can proficiently process huge volumes of information disconnected without influencing the companyââ¬â¢s on-line framework. Cluster preparing will permit business capacity to execute on an intermittent or repeating premise; or it can work over information that coordinates a given measures. In the wake of contemplating Riordan Manufacturingââ¬â¢s Inventory and Supply Chain forms, the suggestion is for the organization to go with clump handling for recharging of crude materials for the tasks. With every day revealing of the materials utilized toward the finish of each assembling run as the present strategy for stock control, bunch handling will function admirably. While constant preparing functions admirably for web based shopping, it isn't the best way to deal with take for this application. Access Privileges Normally it isn't viewed as a decent security hazard to give access to people/organizations who are situated outside of the typical organization arrange as well as firewall. In any case, so as to give a superior combination of the database between Riordan Manufacturing and sellers/providers it is important to permit constrained access. Riordan will decide the sorts of benefits to allow to sellers. These benefits incorporate (a) see, (b) embed, (c) update, and (d) erase (sensible erasure as it were). Riordan will likewise decide the kind of information seller ought to have the option to get to. The information should just identify with the materials that have been utilized in the day by day fabricating run; materials that have been recently submitted on request; and the evaluated projections of materials required for the forthcoming week. This will permit both Riordan Manufacturing and the providers to decide the present and transient stock needs. Transmission capacity High speed access of the Internet has diminished in cost as of late and the expanded utility and the expanded convenience versus the expense of securing and keeping up the entrance has gotten all the more monetarily doable. LTB and Associates suggest that Riordan procure the suitable transmission capacity that will take into account the powerful progression of data and which will bolster simultaneous access of the organization database. Security With the ever-developing dangers that are available in the electronic worldwide economy, there is an expanded attention to security. This incorporates both corporate and political fear mongering just as the educated solitary client twisted on evil. LTB and Associates suggest that the organization plan ought to guarantee that there are strategies for information security executed as data goes over the web. A viable firewall ought to be actualized to deny access to unapproved individuals. Information ought to be encoded. At whatever point conceivable, a Virtual Private Network be built up between Riordan Manufacturing and the bigger and progressively basic providers Database Administration Plan To guarantee the profitability, congruity, and execution of the database for Riordan, appropriate support, database reinforcement, and change the executives techniques must be created and actualized. The database must be sponsored up normally on the off chance that the framework should be reestablished because of information debasement or the loss of the server farm because of characteristic or man-made catastrophes. Database reinforcements are likewise basic for testing redesigns, fixes, and upgrades that should be relocated into creation. Intermittent support is likewise a key to database execution and coherence. Applying working framework patches and security updates to the servers that house the databases help keep the product refreshed and the servers performing proficiently. Steady re-ordering of the database can help keep execution high as the database develops in size. Another significant piece of regulating a database is change the executives. Database redesigns, fixes, and improvements must be tried and actualized in a way that limits potential blunders, disturbance to clients, and jelly a review trail for investigating and consistence issues. Database Backup Plan In request to limit potential information misfortune and vacation, the database will be supported up every night and put away in a protected area on the system. Putting away the reinforcements on the system will help encourage moving the reinforcement to the debacle recuperation site. When the reinforcement is made and put away on the system, a duplicate will be scrambled and transmitted to the debacle recuperation ite. You read Database Implementation Plan for Riordan Manufacturing in class Papers The reinforcement would then be able to be effectively reestablished at the debacle recuperation site varying, or utilized in an advancement domain for testing updates, fixes, and upgrades. Database managers will likewise be able to make reinforcements varying for tes ting or crisis purposes. Database reinforcements will be reestablished to the calamity recuperation database at any rate every other month to check that the reinforcements are producing accurately and that the debacle recuperation reestablish process is filling in as it should. Support Plan Once every month, the database servers will experience booked upkeep. Working framework patches, security updates, and database application patches will be applied to the equipment lodging the database so as to guarantee the framework is stayed up with the latest. Database equipment will likewise experience demonstrative checks to guarantee everything is working appropriately. As of now the database will likewise be re-filed to safeguard execution as the database develops. The patches, security updates, and database application patches will be applied to the improvement servers multi week before usage on the creation server. Applying the upkeep related patches to the improvement framework seven days preceding usage in the creation framework will permit time to screen the advancement frameworks for any issues coming about because of the patches and guarantee the patches are sheltered to introduce into creation. For crisis support issues, for example, equipment disappointments or force blackouts, the catastrophe recuperation database will be reestablished from the most recent creation reinforcement and work ought to be firmly organized with the server group to guarantee appropriate systems are followed. Change Management The spine to any organization plan is change the board. Upkeep, database reinforcements, overhauls, and different occasions must be painstakingly tried, arranged, and executed to limit potential outcomes including information defilement and vacation, and changes must be firmly followed to save the honesty of the database, keep up a log of changes for investigating potential issues, and guarantee legitimate testing and consistence controls are met. The database group will utilize Microsoftââ¬â¢s Visual Source Safe (VSS) as the primary instrument for variant control. Patches, fix contents, and whatever other code that applies to the databases will be put away in VSS and roper code look at in and check systems will be followed to guarantee the correct code changes are moved to the database. Just database executives will be able to move changes to the databases. Engineers can look at and alter code, however can't execute any adjustments in the databases. All progressions will be appropriately tried in an advancement database and approved b y the proper gatherings. A system of IT and transport
Monday, August 10, 2020
Using Anger Management Techniques to Manage PTSD
Using Anger Management Techniques to Manage PTSD PTSD Coping Print Effective Anger Management Techniques for People With PTSD By Matthew Tull, PhD twitter Matthew Tull, PhD is a professor of psychology at the University of Toledo, specializing in post-traumatic stress disorder. Learn about our editorial policy Matthew Tull, PhD Medically reviewed by Medically reviewed by Steven Gans, MD on August 05, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on July 31, 2019 Post-Traumatic Stress Disorder Overview Symptoms & Diagnosis Causes & Risk Factors Treatment Living With In Children Daniel Ingold / Getty Images People with post-traumatic stress disorder (PTSD) commonly experience anger, but they can use a variety of techniques and strategies to better manage this emotion. In fact, because the experience of anger is so common among people with PTSD, it is considered one of the hyperarousal symptoms of the disorder. If you have PTSD, you may find that the anger you experience is very intense, and as a result, it may be very difficult to manage. This intense anger can lead to a number of unhealthy behaviors, such as substance use or some other kind of impulsive behavior. Therefore, it is very important to learn some healthy ways of releasing the tension that accompanies intense anger. Specific emotion regulation strategies for intense anger are described below. These anger management techniques are likely going to be helpful in dealing with other emotions as well. Considering this, they can be put to use in all areas of your life. General Anger Management Techniques Given that anger is often associated with high levels of tension and arousal, it is important to utilize a coping strategy that is going to provide some sense of release or bring on a state of relaxation and peace. Listed below are some strategies that may be helpful in this regard. When youre feeling angry, try crying, exercising, practicing mindfulness or connecting with someone who is supportive to help soften the impact of this emotion. Call a friend when youre feeling out of sorts or have a talk with an empathetic family member. In addition to these strategies, dancing, journaling or using self-soothing coping strategies or distraction can help you get through the moment. You can also create artwork, punch a pillow or throw soft objects (for example, stuffed animals or pillows) into a laundry basket or onto a bed to make it through your next angry episode. If these strategies dont provide the release youre looking for, consider screaming into a pillow, tearing up a piece of paper (that is not important), crumbling up paper or hitting a punching bag. You can also scribble on a piece of paper until it is black or talk things through -- in a non-confrontational manner -- with the person who upset you. Make sure youre no longer steaming mad when you have the confrontation, though. If not, it might be too tempting to engage in conduct that youll later regret or let your anger get the best of you. Finding What Works for You and When Anger can be a very destructive emotion. Therefore, it is important to find a number of different ways of managing anger when it occurs. Some strategies may work better in some situations than others. The more prepared you are, the less off-guard you will be when you experience intense anger. There are many more anger management techniques than those listed here. Try to figure some out on your own and try them out. If youre in a support group for people with PTSD, you can ask the members which methods work for them. If youre receiving counseling, ask your mental health treatment provider for more ideas. The 7 Best Online Anger Management Classes
Saturday, May 23, 2020
Effects of Caffeine on the Body - 869 Words
Caffeine and the effects on the body The American Medical Association Council of Scientific, states that moderate tea or coffee drinking is not harmful to your health as long as you have other good health habits (NIH 1). Research shows that caffeine is a substance that is found in certain plants. It can also be manmade and added to foods. Itââ¬â¢s a central nervous system stimulant and a diuretic (substance that helps rid the body of fluids) (NIH 2). Functions of caffeine, itââ¬â¢s absorbed and passes quickly into the brain. It does not collect in the bloodstream, or gets stored in the body; it leaves the body in the urine many hours after it has been consumed (NHI 3) WebMD research states that caffeine is most commonly used to improve mental alertness. Caffeine can be used by mouth or rectally or in combinations with pain killers, for simple headaches and after epidural anesthesia. Some people use caffeine for asthma, gallbladder disease, attention deficit hyperactivity disorder, shortness of breath in newborns and decrease in blood pressure. Caffeine is also used for weight loss and type two diabetes. Taking caffeine within limits is allowed by the National Collegiate Association. Urine concentrations over 15mcg/ml are prohibited. It takes most people about 8 cups of coffee providing 100mg/cup to reach this urine concentrations. The bestselling book: The antioxidant prescription, How to use the power of Antioxidant to prevent diseases and stay healthy for life. By Bryce Wylde.Show MoreRelatedThe Effect of Caffeine on Body Temperature1946 Words à |à 8 PagesThe aim of this experiment was to determine the effect of caffeine on resting body temperature. This has to do with homeostasis, which is the maintenance of equilibrium. In other words, it is a stable body state. Homeostasis refers to the process of keeping the internal body environment in a steady state, when the external environment is changed (Homeostasis 2). Humans are warm-blooded creatures that generate body heat internally and maintain body temperatures at a fairly constant level ââ¬â about 98Read MoreEffects Of Caffeine On The Human Body Essay2053 Words à |à 9 Pageshave been addicted to caffeine. It started out with drinking diet coke which was my motherââ¬â¢s drink of choice, and then slowly as time went on it turned into Coca-Cola. I have experienced the harsh withdrawals that come with caffeine like the headaches, irritability, and those lovely morning shakes telling me that I need caffeine. The headaches and the shakes finally got so bad to the point where I needed coke in the morning just to function. At that point I realized that caffeine was probably not veryRead MoreEffects Of Caffeine On The Body Metabolism2013 Words à |à 9 PagesCaffeine is one of the most prevalent drugs consumed around the world, and is frequently used by athletes in efforts to enhance their performance. It is defined by the Medical Dictionary as ââ¬Å"A bitter white alkaloid, C8H10N4O2 that stimulates the central nervous system and body metabolismâ⬠(2010). Some believe that increasing their caffeine intake will then improve their energy and endurance levels during long-term sporting events such as running, biking, or swimming. Caffeine is found in an assortmentRead More The Effects of Caffeine on the Human Body Essay1325 Words à |à 6 PagesCaffeine has many negative effects on humans, such as increased heart rate (Lane, J.D., 2002), depression (Goldstein, 2008), and addiction to this ââ¬Å"drug.â⬠You may be asking yourself, ââ¬Å"What is caffeine?â⬠Well, caffeine is actually a stimulant (Barone, Roberts, 2008) that is found in beverages such as tea, coffee, and soft drinks. In fact, caffeine is the highest grossing and most used stimulant in the United States (Barone, Roberts, 2008). It is estimated that 85% of adults living in the United StatesRead MoreThe Effects Of Caffeine On Human Brain And Body1825 Words à |à 8 PagesCaffeine is a drug that has been studied for many years to learn more about how it effects the human brain and body. There have been many answers and yet there are still more answers to be found as scientists today continue to understand the effects of caffeine. We will look what parts of the brain involve sleep, how caffeine effects the brain and the body an d try to determine if caffeine is a serious health threat or not. Adenosine also known as ATP stands for adenosine triphosphate which accordingRead MoreEssay On Caffeine1454 Words à |à 6 Pagesanxiety issues could make that problem for them worse. It is advised if the person does have this issue to use caffeine very carefully. There are many diseases that could possible get worse with the use of caffeine. Bipolar, Bleeding disorders, heart conditions, diabetes, diarrhea, epilepsy, glaucoma, osteoporosis, these are all diseases that could possibly be worsened by the use of caffeine or products with. In young adults drinking 4 or more cups of coffee significantly could risk heart attack andRead MoreCaffeine Synthesis1722 Words à |à 7 PagesPaper Many Americans have included caffeine as a part of their daily diet whether they realize it or not. In fact, ââ¬Å"caffeine is the most consumed psychoactive substance in the worldâ⬠(Ruxton How is this instead (Caffeine is especially common throughoutâ⬠¦) 15). It is found very especially commonly throughout every day foods and consumed mostly though through coffee, tea, soda, and chocolate (Spiller 200). Many Americans participate in the use of caffeine; it is estimated that 90% of adultsRead MoreEssay On Caffeine1328 Words à |à 6 Pages Today how many people drink caffeine daily and do not realize the harmful effects of doing so? Caffeine is found in many common drinks consumed by both adults and children on a daily basis. People are not concerned with the impact of caffeine on their bodies. Caffeine is addictive and the brain will become dependent on it to keep the mind awake. Caffeine keeps the body from falling asleep by blocking the adenosine receptors; adenosine is what makes the person sleepy. Caffeinated drinks are especiallyRead MoreCaffeine And How It Effects Your Health1497 Words à |à 6 Pages Caffeine and how it Effects Your Health Many people have their opinions on how much caffeine one should intake in a day. Some carefully watch their diet and some donââ¬â¢t even care what they are putting in to their body. Many different people have different thoughts about caffeine and there are several answers why they think that way. The people that donââ¬â¢t consume caffeine often usually try to stay away from it because they see the disadvantages to consuming caffeine. They think that the cons outweighRead MoreCaffeine: Does it Harm the Body? Essay1363 Words à |à 6 PagesSeveral people rely on caffeine to wake them up or give them a boost of energy when they feel down. Acting as a stimulant, caffeine not only improves concentration and focus, but also stops fatigue (Staff 1). Considered the most commonly used psychoactive drug in the world, approximately 90 percent of adults consume it daily (ââ¬Å"MedicineNet.comâ⬠1). But do caffeine buyers really stop to evaluate the possinle harmful effects on their body? Health scares similar to this are not recent. In fact, they
Tuesday, May 12, 2020
Do Not Stigmatize Same-Sex Marriages as Inferior by Not...
In todayââ¬â¢s society, it is hard to define what is known as a ââ¬Å"traditional marriageâ⬠. Considering the popularity of marriages that are arranged on the basis of polygamy, communal child rearing, and even the use of mistresses, homosexual marriage should not be considered ââ¬Å"unnaturalâ⬠. For many people, it is hard to understand how any individual can love someone of their same gender. Nonetheless despite the percentage of the population that is muddled by the act, same sex marriage should be legalized because denying them that right sends the message that it is acceptable to treat gays as inferior and unworthy. Not only that, same sex marriage encourages strong family values and financial gain to state and federal governments. Denyingâ⬠¦show more contentâ⬠¦Gay marriages can also provide financial profit to state and local governments. The revenue collected from gay marriages comes from none other than marriage licenses, higher income taxes (the marria ge penalty), and decreases in costs for state benefit programs. Just as heterosexual couples, married gays also are subject to these federal excises. Consequently, they also receive the same benefits. The Comptroller for New York City found that over a period of three years, legalizing gay marriage would bring a total of $142 million to the Cityââ¬â¢s economy and $210 million to the Stateââ¬â¢s economy. Treating same-sex couples as families under law benefits taxpayers by saving them money. The reason being that marriage would require them to assume legal responsibility for their joint living expenses and reduce their dependence on public assistance programs such as Medicaid, Supplemental Security Income, and food stamps. Inevitably there are those who feel uncomfortable to have their tax money used to support something they do not personally believe in or find appropriate, but the bottom line is how the money will be used to help support the nation. One point that many people
Wednesday, May 6, 2020
M2 Compare the Effectiveness of Different Teams Free Essays
Amy Waldock Amy Waldock M2 compare the effectiveness of different teams Clarifying objects in my team we clarified objectives by listening to the team leader and the man in charge of the activities at Blacklands farm and asking him questions about the activities to make sure that everyone fully understood everything. Compared to my team in the bridge building challenge we listened to the team leader and asked questions a lot more so therefore the work done at Blacklands farm was a lot more successful. Agreeing tasks at Blacklands farm we agreed on the tasks by communicating with each team member to get everyoneââ¬â¢s point of view to make sure that everyone got a say in to what they thought, by doing this it meant that everyone in the team agreed on the approach to the task. We will write a custom essay sample on M2 Compare the Effectiveness of Different Teams or any similar topic only for you Order Now Sometimes someone would disagree with an idea which could cause conflict in the group, we dealt with this by taking a vote and going with what was voted the most. When doing the bridge building challenge because my group only consisted of three people there was less conflict in the group because it was easier for us to agree on the task, it was also easier because we had a team leader so we just went along with what he said. Valuing people valuing people was very important at Blacklands farm because the tasks set were very full on and physically hard so it was essential that every team member was valued as an individual and involved because with tasks such as the spiderââ¬â¢s web every bit of help was needed. Even though the bridge building challenge wasnââ¬â¢t as physical it was still very important that each team member was valued equally because the task involved a lot of concentration and tactical skills. Being receptive to feedback at Blacklands farm we did a task that we failed on a number of times so our team leader stopped us and gave us feedback on what we was doing right and what we was doing wrong and what we could do to complete the task more quickly and easily. Me and my team listened to our team leader and were receptive to his feedback and did as he said and to our advantage completed the task. When doing the bridge building challenge we were given feedback on ways of how to complete the challenge more quickly and successfully, unfortunately me and my group did not pay attention to the feedback and therefore our bridge was not completed in time. Maintaining focus maintaining focus at Blacklands farm was important for a lot of the tasks because if focus was lost it could affect the whole team and make a certain task fail, at times it was hard to maintain a focus because of cold weather and muddy conditions. To maintain a focus we pulled together as a group and were motivated by our team leader and team members. It was hard to maintain a focus when doing the bridge building challenge for my group because at times each team member would get frustrated when things werenââ¬â¢t going as planned, we maintained a focus by thinking of the prize that could be won to whoevers bridge could hold the most amount of glue sticks. Encouraging other team members to recommend improvements this was important at Blacklands farm because if there was something in the task that wasnââ¬â¢t going to plan it could be changed and improved for the better of the group. When doing the bridge building challenge it wasnââ¬â¢t as important to encourage a team member to recommend improvements because there was only three people in our group and we voted on who should be team leader so we was confident that who we had chosen knew what was right so we went with what they said. Dealing with conflict at Blacklands farm because my team worked very well together so there was hardly any conflict, but if there was conflict we dealt with this by discussing the problem together as a group and then discussing what would be the best approach to the problem and if necessarily to take a vote. If there was any conflict whilst doing the bridge building challenge we dealt with this by letting the matter fall into the team leaders hand and letting them decide the best option for the group, by doing this it avoided more conflict. Communication methods at Blacklands farm we communicated by asking questions to make sure that everything was covered and so that everyone had a good understanding of the task, we also listened to each team member when they spoke to maintain a good communication within the whole team. At times we used body language to communicate with team members by using expressions as thumbs up and thumbs down to indicate yes or no. We also had to use body language in one task where we were asked to get in a line according to birth date but without talking so in this task we used our hands to indicate numbers. Unlike at Blacklands farm when doing the bridge building challenge we werenââ¬â¢t asked to do anything without talking so body language wasnââ¬â¢t as necessary, we still had to constantly ask questions and listen to team members to maintain a good relationship in the team and to make sure that communication was maintained. How to cite M2 Compare the Effectiveness of Different Teams, Essay examples
Saturday, May 2, 2020
Essential Nursing Care Chronic Obstructive Pulmonary Disease
Question: Discuss about the case study of Essential Nursing Care for Chronic Obstructive Pulmonary Disease. Answer: Introduction The assignment is a case study report on Luigi, an Italian man who is living in Australia since 40 years. He has worked as an accountant before his retirement. The purpose of this report is to identify the chronic ailment in patient and discuss the pathophysiology of the diagnosed illness in the patient. It will also give detail on the manifestation of each diagnosed illness in the patient. It will also give information about the complexities of the patient's condition. It will identify the interaction between patient's co-morbidities and how it can have an impact on the patient's family. Pathophysiology of disease The case study is on Luigi, a 77-year Italian man living in Australia. His health has declined over the years due to poorly controlled type 2 diabetes. He takes Metformin for controlling his diabetes. Although he is overweight, he does not pay attention to his diet and leads a sedentary lifestyle. His vision is blurring, and his ankles are swelling. He also has high blood pressure and protein in the urine. Further investigation revealed that he suffers from chronic renal failure. This section is a discussion of pathophysiology and clinical manifestation identified in the patient. Two significant chronic conditions diagnosed in the patient were type 2 diabetes and chronic renal failure. Type 2 diabetes is associated with the inability of the body to produce adequate insulin to meet the demands of the body. Patients with Type 2 diabetes develops insulin resistance where muscle and liver cells may fail to respond to insulin. It will result in an abnormal rise in the blood glucose level. The disease is also aggravated by obesity and physical activity (Scheen, 2014). So, Luigi's type 2 diabetes might have been poorly controlled because of his obesity and sedentary lifestyle. The dysfunction in the body is characterized by hyperglycemia resulting from inadequate insulin production and excessive glucagon secretion. Type 2 diabetes is asymptomatic, but clinical manifestations include polyuria, polyphagia, polydipsia, weight loss, and blurred vision and yeast infection. Luigi also had blurred vision due to type 2 diabetes. Type 2 diabetes occurs due to complex interaction of genetic and environmental factors. Therefore two primary defect pathophysiological abnormalities in type 2 diabetes are the -cell failure and insulin resistance (Kahn et al., 2014). The glucose regulation pathway is dependent on insulin secretion and insulin sensitivity. The progression of Type 2 diabetes occurs due to a continuous decline in -cell function. Insulin resistance in patients develops due to the elevated level of proinflammatory cytokines in plasma and fatty acids. Diabetes develops in those patients who cannot increase insulin secretion to balance insulin resistance. -cell dysfunction is a major factor in diabetes development, and it may develop in the early stage of the pathologic process. -cell fail to compensate insulin resistance. The -cell function is dependent on -cell mass and its secretory capacity. Therefore loss of -function might be due to lipotoxicity, insulin resistance and pre-existing genetically determined risk. Firstly, normal glucose tolerance proceeds to abnormal glucose tolerance. Then fasting hyperglycemia develops due to the failure of hepatic gluconeogenesis. Insulin resistance develops mainly due to obesity. The risk of diab etes is also high in patients with high plasma concentration of 3 amino acids (Meier Bonadonna, 2013). Luigi was finally diagnosed with chronic renal failure after urine and blood test. The symptoms are not visible until severe damage to the kidney. Common symptoms of chronic renal failure include increased urination at night, cloudy urine, edema (in hands and feet), high blood pressure, fatigue, shortness of breath and loss of appetite. Luigi also had high pressure and swelling in the leg which is a manifestation of chronic renal failure. Severe complications include anemia, hypertension, brittle bones, edema, the risk of bleeding and seizures. Luigi might have developed renal failure due to his poorly controlled Type 2 diabetes. Poor control of glucose gradually damages the function of kidneys. High blood pressure is also a leading cause of damage to the kidney (Popolo et al., 2013). IgA nephropathy is a cause for end-stage renal failure. Diabetes and high blood pressure destroy the small blood vessels in the body. Pathologic features of renal failure are fibrosis, loss of renal cel ls and infiltration of renal tissue by monocytes and macrophages. Proteinuria, hypoxia, and Angiotensin II production all lead to kidney failure. Angiotensin II is responsible for glomerular hypertension thereby damaging the kidney (Levey Coresh, 2012). The predisposing factors of the chronic condition are aging, congenital kidney defect, family history of renal failure, an autoimmune disorder. Precipitating factors like exposure to a toxin and particular medication, sedentary lightly and high residue diet is also responsible for manifestations of the disease condition (Gansevoort et al., 2013). Discussion on chronicity and complexity of condition Patient with diabetes is at increased risk of comorbidities like hypertension due to change in cardiac structure, nonalcoholic fatty liver disease and dyslipidemia. Patients like Luigi who have poor diabetic control may develop the risk of vascular complications. Diabetic control is poor in adolescent in spite of active follow up treatment. The progression of the disease is faster in obese children mainly due to the accumulation of lipids visceral compartment resulting in insulin resistance and reduced sensitivity of -cell. Several studies on patients with comorbid conditions like depression and type 2 Diabetes have also shown that mortality in such patient is high compared to a patient with diabetes alone (Luijks et al., 2012). As Luigi was finally diagnosed with chronic renal failure too, it has made his condition more complex and chronic. The common comorbidities associated chronic kidney disease are cardiovascular disease, anemia, malnutrition, depression, bone disorder and decreased functional status. Patients like Luigi are at more risk of dying due to the cardiovascular disease-related condition. Blood pressure control and glucose control is a vital factor in managing the comorbidities. However Luigi's blood pressure was also high and his diabetes was also poorly controlled. So, his condition was extremely complex in which immediate medical attention was necessary. It is also needed for Luigi to maintain his diet, increase physical activity and pharmacologic therapy. These activities will help him in controlling low-density lipoprotein cholesterol which is important to prevent cardiac disorder. Several patients with chronic renal failure develop anemia due to the improper synthesis of erythropoietin b y kidneys (Albrecht et al., 2016). Interaction of comorbidities Type 2 diabetes is a chronic illness for which continued medical attention and knowledge about preventing acute complication is necessary to minimize lifetime risk. Most patients with chronic kidney disease have been found to have one or more comorbidities that interact with each other. The first and second most significant conditions that have to lead to chronic renal failure in patients are diabetes and high blood pressure respectively. Luigi also had poorly controlled type 2 diabetes and high blood pressure. These conditions were also responsible for his renal failure. Patients with type 2 diabetes are at more risk of cardiovascular morbidity and mortality than patients without diabetes. These risk further augmented by other factors like hypertension, dyslipidemia, and obesity in patients. This also suggests that it is critical for Luigi to maintain his weight and reduce obesity (Look AHEAD Research Group. 2013). It is evident that patients like Luigi with comorbidities often take multiple medicines. Therefore Luigi will have to manage his medications properly and do regular health check-ups because his poorly controlled diabetes was only the reason for his chronic renal failure. High blood sugar level can damage many parts of the body. In type 2 diabetes, pancreas synthesizes insulin, but the body is unable to use it properly . Due to diabetes, small blood vessels get damaged. Due to this, the kidney cannot clean blood purify blood properly. It leads to more retention of water and salt contributing to weight gain and ankle swelling. It becomes apparent now why Luigi was obese and had swollen foot. It also leads to more protein in the urine ( Similar condition also found in Luigi). Diabetes also damages nerves in the body which has an effect on the function of the bladder. When the bladder is not emptied, pressure resulting from full bladder injures the kidney. This explains the reason why a patient with type 2 diabetes is at more risk of developing kidney disease (Perkovic et al., 2013). This section will discuss the relation between diabetes and cardiovascular system. Blood is an essential part of the cardiovascular system whereas diabetes is a condition in which level of blood glucose rises. So, it is evident that there must be some link between the two. Diabetes and cardiovascular system disease are related to each other due to insulin resistance syndrome. The National Diabetes Surveillance system report also revealed that among 20 million people with diabetes in U.S., 5-6 million of them have the cardiovascular disease too. The commonly diagnoses cardiovascular disease included stroke, high blood pressure, and coronary heart disease (Look AHEAD Research Group. 2013). Now based on the interaction of two ways by which comorbidities interact, it is necessary for such patients to manage treatment procedures properly. Luigi will have to follow suitable diet according to doctors advice. It will be necessary for him to have an open dialogue about his health with the physicians (Dunkler et al., 2013). Several modifications in risk factor will help Luigi to maintain health despite comorbidities. He will have to maintain his blood pressure and keep the BMI less than 27 to control his overall health condition. For proper maintenance of health, he will also have to do an annual urine test; retinal dilation test and biannual foot examination for sensation testing and pressure check (Copeland et al., 2013). A regular visit to the doctor should be his priority so that his improvement can be tracked by the doctor. Proper medication and advice from doctors will help Luigi in the long run. Lifestyle changes like increasing physical activity will be a crucial facto r in managing his diabetes. His treatment plan will include multiple drug therapy to reduce all the risk factors. Different types of insulin shots are available, and physician will help Luigi in choosing the best type for him. Since Luigi as developed renal failure, he will require a higher dose of insulin. Oral diabetes medication will assist in lowering blood glucose (American Diabetes Association, 2013). Older adults with diabetes are at more risk of cardiovascular disease. Lipid and blood pressure control will be an essential factor in reducing the risk of cardiovascular disease in Luigi. It will also depend on his overall health and frailty. Comprehensive education in self-management will also be necessary for him. The major component for self-management in Luigi will include self-monitoring of blood glucose, medical nutrition therapy, doing exercise regularly, Physiologically dependent insulin regimens or oral medications and periodic assessment of treatment goals. Metformin is also a common medicine prescribed to diabetes patients which Luigi was also taking (Inzucchi et al., 2014). It improves the sensitivity of body tissues to insulin and lowers glucose production in the urine. Other medications include Sulfonylureas, Meglitinides, Thiazolidinediones, DPP-4 inhibitors, etc. will also stimulate pancreas to secrete more insulin. Luigi will also need to do regular exercise like ae robics for 30 minutes every day. Stretching and strength training will also be beneficial for him. Luigi should take low glycemic index food after consultation with a registered dietitian that will fit his health goals (Kohan et al., 2014). The chronicity will also have an impact on Luigis family member. Family members also live with the disease and has to manage their disease. It is necessary for family members to support them and take care of their diet. A patient who involves their families can share their emotional concern with them, and they are less risk of stress. Emotional support by family members also has an effect on adherence to treatment regimen. Diagnosis of diabetes contributes to anxiety for family members as the comorbidities are difficult to manage initially (Mayberry Osborn, 2012). However, once family members are aware of the condition, they will be able to make lives better for their closed one by making them adhere to treatment regimen. Conclusion The case study report has summarized the chronic condition of Luigi. It identified the major disease that the patient was suffering from and gave detail about the pathophysiology and clinical manifestation of each diagnosed illness. It has explained the chronicity and complexity of patients condition. It identified two possible interactions of comorbidities and gave detail about the impact of these comorbidities on patients and family members. It provided detail about the possible treatment and medications required in such patients. Once the patient has knowledge about ways of managing their clinical condition, they can improve their health after following a treatment regimen. Reference Albrecht, J. S., Park, Y., Hur, P., Huang, T. Y., Harris, I., Netzer, G., ... Moyo, P. (2016). Adherence to Maintenance Medications among Older Adults with Chronic Obstructive Pulmonary Disease: The Role of Depression.Annals of the American Thoracic Society, (ja). 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