Treatment Of Gestational Diabetes Mellitus - 3510 Words

Treatment of gestational diabetes mellitus, whether using insulin, oral diabetes medications, or another means, reduced maternal, fetal, and neonatal risks associated with the disease. When treating GDM, the goal is to bring the patient’s blood glucose levels down to the same levels as those of pregnant women without GDM. Current therapeutic targets are: fasting blood glucose ≠¤95 mg/dL, 1-hour postprandial 140 mg/dL, and 120 mg/dL for 2-hour postprandial blood glucose concentrations (Hernandez, et al., 2011). However, just as there is no universal agreement on screening and diagnosis strategies, there is no universal agreement on the optimal therapeutic targets in the treatment of GDM. Blood glucose concentrations during a normal pregnancy are actually lower than these targets, and in fact, rarely exceed 100 mg/dL in the absence of obesity. Hernandez, et al. (2011) recommended lowering therapeutic targets to levels more in line with normal pregnancies. They found that mean blood glucose concentrations in 255 pregnant women of normal weight without GDM were 71 mg/dL (fasting), 109 mg/dL (1-hr), and 99 mg/dL (2-hr). Given the fact that adverse outcomes are directly linked to blood glucose concentrations, it is appealing to aim for lower levels; however, this goal must be balanced with the possibility of inducing hypoglycemia in patients with treatment. IV. Available Treatments IV. A. Diet and Exercise For women with mild gestational diabetes mellitus (having bloodShow MoreRelatedThe Prevalence Of Gestational Diabetes1325 Words   |  6 PagesGestational diabetes is a glucose intolerance that develops during pregnancy. Early diagnosis and effective treatment are important because gestational diabetes can cause serious maternal and fetal complications. Diet and exercise are the first line treatment options of gestational diabetes, while insulin therapy is the first line medical treatment option. Nurses’ play an important role in education and support of gestational diabetes because they provide day-to-day care for their patients. In thisRead MoreRisk Factors : Description Of Gestational Diabetes Mellitus Screening1265 Words   |  6 PagesGestational Diabetes Mellitus Screening Description of Gestational Diabetes Mellitus Gestational diabetes mellitus (GDM) is a form of diabetes that occurs in pregnant women who do not have a prior history of diabetes mellitus (American Diabetes Association, 2016). It occurs in approximately 7% of pregnant women across the world and 6% of pregnancies in the United States (Caissutti Berghella, 2017). GDM occurs when there is insulin resistance leading to glucose intolerance or high levels of glucoseRead MoreDiabetes Mellitus : A Lifelong Disease935 Words   |  4 PagesDiabetes mellitus is a lifelong disease that lessens the body’s ability to use energy found in food. There are three major types of diabetes including type 1, type 2, and gestational diabetes. People with diabetes cannot break down the sugars and carbohydrates found in food. The main type of sugar the body uses for energy is glucose; Glucose is the special sugar that fuels the cells in your body. These cells also need insulin, which is a hormone that uses glucose to turn into energy for cells. W ithRead MoreDiabetes Mellitus As A Disability1555 Words   |  7 PagesThe amount of patients being diagnosed with Diabetes Mellitus has sky-rocketed these past few years. ‘†In 2010 the figures were 25.8 million and 8.3%†Ã¢â‚¬  and has increased in ‘†2012 to 29.1 million Americans, or 9.3%.†(American Diabetes Association, 2014); it is seen nationwide, and has now even begun to affect our youth. In South Texas Diabetes Mellitus seems to be the number one thriving disease affecting its general population. Diabetes Mellitus is now one of the most widely known diseases thatRead MoreThe Effects Of Gestational Diabetes1016 Words   |  5 Pagesmetabolic disorders during pregnancy is gestational diabetes mellitus (GDM) and its occurrence continues to increase (8). The 2004 analysis by the Center for Disease Control and Prevention states that cases of GDM are at 9.2%. The American Diabetes Association defines GDM as a condition where glucose levels ar e higher than normal either at the start or during pregnancy (1). The definition is used whether insulin or only diet modification is used for treatment and even if the condition continues afterRead MoreDiabetes Mellitus : A Disease1369 Words   |  6 PagesDiabetes Mellitus Diabetes is a disease that afflicts approximately 29.1 million American people and is ranked as the 7th leading cause of death in America (â€Å"Statistics About Diabetes†). Thus, understanding and studying this disease has the potential to help better many lives. A patient living with diabetes, or a parent of a child with diabetes all benefit from understanding and learning how to live with this disease, what risk factors to look for and how to adjust life style choices to help preventRead MoreDiabetes Mellitus : The Leading Chronic Disease1102 Words   |  5 PagesDiabetes Mellitus Diabetes mellitus is one of the leading chronic diseases that can cause high rates of morbidity and mortality worldwide. Diabetes mellitus is characterized by hyperglycemia due to a lack of insulin, insulin resistance, or both. The four main types of diabetes mellitus include type 1 diabetes mellitus, type 2 diabetes mellitus, gestational diabetes mellitus, and other specific types (Darby, 2015, 824). A high rate of periodontal disease has been reported with type 1 and 2 diabetesRead MoreThe Chronic Illness Of Diabetes Mellitus1164 Words   |  5 Pagespeace of mind, emotional health, and family dynamics. Diabetes Mellitus is the chronic disease I chose to focus on due to the personal nature in my family, the high prevalence among Hispanics like myself, and for the large arena of educational improvements that can be made. I believe that increasing education and awareness among the high risk population can bring great strides in prevention and compliant treatment. Diabetes Mellitus Diabetes mellitus is the chronic illness that I have chosen due toRead MoreDiabetes Mellitus And Type 2 Diabetes Essay1301 Words   |  6 PagesDiabetes mellitus, known as â€Å"diabetes† is a grouping of metabolic diseases that present, over a long period of time, levels of high blood sugar. There are two main forms of diabetes: Type 1 Diabetes Mellitus and Type 2 Diabetes Mellitus. In addition to these two, there is also what is called Gestational Diabetes. In all cases, insulin is somehow not doing its job: Insulin is a hormone produced by beta cells of the pancreas, and is needed to allow glucose to enter the cells and produce energy. IfRead MoreNutrition Research Analysis1101 Words   |  5 Pages1. Cho, J., Choi, Y., Kim, A., Kim, H., Lee, J., Lim, S., Oh, J., Yoo, H., Yoon,K. Nutritional Intake of Pregnant Woman with Gestational Diabetes or Type 2 Diabetes Mellitus. Clinical Nutrition Research 2013; 2: 81-90. Article from a Korean peer-reviewed journal examined the nutritional intake of 125 women diagnosed with gestational diabetes or type 2 diabetes mellitus for over two years. The woman had not been provided nutritional education on how to manage their blood glucose or proper diet during

Essay about Project management - 2448 Words

Executive Summary This assignment critiques the initiation and execution of the Bring your own device (BYOD) Project 2013 at Robot Eyes Ltd, an electronic component manufacturer for industrial robots. The BYOD program allows sales personnel to utilize their personal smart phones, notebooks and other mobile devices to conduct wireless sales transactions. Robot Eyes Ltd. experienced significant wireless confidential data leakage through the mobile devices, for three consecutive years at the same exhibition center in Singapore. The main data encryption unit’s security software was non- responsive as a result of a software malfunction after the mobile devices were upgraded by XXX Ltd. The mobile devices were then susceptible to wireless†¦show more content†¦Failure to have a proper organizational structure by having two separate leads, Director of DPA and Director of Information Management, results in ambiguity in the upward reporting chain and a less conducive environment for definitive c ommunication and progress reporting. The organizational structure implemented can be described as a â€Å"Lightweight Matrix† (Ulrich, K.T. and Eppinger, S.D. 2000) where an issue for the project manager is described as the â€Å"Two bosses problem†. The structure that was employed was not carefully articulated for efficient project execution because there was no Responsibility Chart formulated to carefully integrate the list of tasks, designations together with milestone planning. Additionally, there was no formal specification of task details or progress reporting done with a paper trail as in the case with Taz who had a verbal briefing of his duties and was giving verbal reports at meetings. Re – designing the organizational structure with a single leader is recommended. Also, introducing official log forms that need to be filled and filed for reporting purposes. Project Scope Management Project Scope Management accounts for â€Å"all the work required, and only the work required, to complete the project successfully† (PMBoK Guide 5th Edition, pg 104). Fulfilling this Knowledge Area ensures that the project manager has an understanding of all the work or tasks the project entails. It can be further refinedShow MoreRelatedProject Management : Projects Management902 Words   |  4 PagesProject Management Project Management. What does the words Project Management mean and what are the steps to managing a great project. If we break down the two words Project Management it is defined on dictionary.com as â€Å"The process of planning, organizing, staffing, directing and controlling the production of a system†. As shown in the website Project Insight there are multiple different steps in the project management roll such as project scope, life cycle, objectives, assumptions, constraintsRead MoreProject Management and Project Management It3115 Words   |  13 PagesExamination Paper: Project Management IIBM Institute of Business Management Examination Paper Project Management Section A: Objective Type (30 marks) †¢ †¢ †¢ This section consists of multiple choices questions and short answer type questions. Answer all the questions. Part One questions carry 1 mark each and Part Two questions carry 5 marks each. Part One: Multiple choices: 1. During _________formal tools and techniques were developed to help and manage large complex projects. a. 1950s b. 1980sRead MoreProject Portfolio Management : Project Management1432 Words   |  6 PagesProject Portfolio Management (PPM) is the centralized management of the processes, methods, and technologies used by project managers and project management offices (PMOs) to analyze and collectively manage current or proposed projects based on numerous key characteristics. The objectives of PPM are to determine the optimal resource mix for delivery and to schedule activities to best achieve an organization’s operational and financial goals ― while honoring constraints imposed by customers, strategicRead MoreProject Management, Project Communication, And Project Stakeholder Management797 Words   |  4 Pagesareas of project management that stood out while taking this program. Project integrated management, project communication, and project stakeholder management. A discussion on how they are executed will be presented. As more courses were taken during this project management graduate program, many of the project management concepts became clear and revealed more of the interdependencies and intricate dynamics that are required for successful project management. Stakeholder Management Project StakeholderRead MoreProject Management : Project Integration Management1236 Words   |  5 Pagesâ€Å"Direct and Manage Project Execution is the process for executing the work defined in the project management plan to achieve the project s requirements/objectives defined in the project scope statement† (comp. PMBOK3, p. 78). The Project Manager helps with the execution of the planned activities, sometimes with the assistance of a project management team for larger projects. This occurs during the execution phase of the project. Figure: Phases of a project When we are completing the work assignedRead MoreProject Management Msc. 7Pjmn009W Project Management Project.1391 Words   |  6 Pages Project Management MSc 7PJMN009W Project Management Project Author: Maria Chico Garrido Date: 06 March 2017 Version: 1.1 Project type: Academic Preferred Supervisor: Proposed Title: How does the use of formal project management methodologies in complex Home Automation projects contribute to project success? Main Deliverables/Milestones: Deliverable Date Project Mandate 09 March 2017 Project Brief: In depth literature review of formal project management methodologies and project success. BackgroundRead MoreProject Management1510 Words   |  7 PagesSystem. You are the project manager on a project to construct a flyover in the city to ease traffic congestion. Flyover construction should cause minimum disruption to the traffic until it is complete. Ensuring safety of the commuters and workers at the site is the responsibility of your company. The date of completion of the project is six months from now. This date cannot be extended because of an upcoming international summit in the city. To achieve the overall project time lines, the followingRead MoreProject Management Project And Change Management1940 Words   |  8 Pages Paper on project management in smart voice project Sohail Kamdar Project and change management Table of contents Name of the topic Page No. Abstract†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..3 Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦4-5 View point of project management†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦5 Outlook of the project†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦5-6 Milestone inventory†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦6-7 WBS†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦7 Plan of project management†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦7-9 Cost savings plan†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Read MoreProject Management1713 Words   |  7 PagesProject Management The Project Manager has some tasks that have to be carried out, he/she is responsible for the full project. The Project Manager has to make the best use of all the resources so the project can be completed successfully. The project Manager sets the boundaries for the project, such as schedules and what is done and when it has to be completed. There are various tasks the project manager is responsible for such as: 1) Time and resource allocation and management 2) Setting upRead MoreProject Management1015 Words   |  5 Pagesor renewed interest in the field of project management? IT is growing at a rapid rate and with that growth demands people to manage this growth. People I think are more trained to be project managers and also there is new software that helps tremendously with the management part of the tasks. So demand is up, skilled workers are up, and the cost benefit is there for this renewed interest. 2. What is a project, and what are its main attributes? How is a project different from what most people do

Drug Utilization Study Of Antidepressants Health And Social Care Essay Free Essays

string(26) " were males and 87 \( 51\." There is a demand for prospective drug use surveies to adequately measure patient attention and installation indexs. Ordering wonts among head-shrinkers can be improved by making consciousness about taking drugs from the Essential Medicines List. Inclusion of a drug in the infirmary formulary requires consideration of both prescribers ‘ pick of a drug and its presence in the Essential Medicines List. We will write a custom essay sample on Drug Utilization Study Of Antidepressants Health And Social Care Essay or any similar topic only for you Order Now Prescriber instruction can besides concentrate on decrease in prescription of attendant ataractic soporifics. Prescribers should besides be encouraged to look into for patients ‘ conformity with the prescribed medicines and to enter them in the instance sheets. Such steps will advance the rational usage of medical specialties and finally, the quality of health care. The World Health Organisation ( WHO ) defines Drug use as the selling, distribution, prescription and usage of drugs in a society, with particular accent on the ensuing medical, societal and economic consequences.1 Often, drugs are non used maintaining in head their safety and efficacy.2 Rational drug prescribing is the usage of the least figure of drugs to obtain the best possible consequence in the shortest period and at a sensible cost.3 Irrational prescribing and disparity between prescription and ingestion of medical specialties may countervail the benefits demonstrated by randomized controlled tests on drug efficacy.4-7 Furthermore, optimistic outlooks of a drug, based on consequences of clinical tests may non happen when used outdoors controlled settings.8 The recent proliferation of new drugs, increasing acknowledgment of delayed inauspicious effects and concentrate on pharmacoeconomic considerations has stimulated involvement in ordering forms of physicians.5 Antidepressant prescribing forms have changed globally over the last few old ages, with conventional drugs like tricyclics and MAO inhibitors being bit by bit replaced by selective 5-hydroxytryptamines reuptake inhibitors ( SSRIS ) and fresh antidepressants. Prevalence of antidepressant use in the community is lifting in Western populations, with Iceland, Australia and Sweden holding the highest consumption.9 Therefore, our purpose was to analyze the drug use of antidepressant drugs in the psychiatric unit of a third attention infirmary in Pondicherry. Our aims were: To detect the prescribing form of antidepressants among head-shrinkers in our infirmary To measure the reason of the prescriptions To measure the prevalence of antidepressant use in the community MATERIALS AND METHODS Type of survey: Retrospective and experimental. Time period of survey: 1st January 2006 to 31st December 2006 Topographic point of survey: Psychiatric unit of a third attention infirmary in Pondicherry. Inclusion standards: 1. All patients who attended the Psychiatry outpatient ( OP ) clinic of the infirmary from 1st January 2006 to 31st December 2006. 2. All patients diagnosed with depressive or adjustment upset ( diagnosed as per International Classification of Diseases – ICD 10 standards ) 10 or any status where antidepressants are indicated. Exclusion standards: Patients who did non have antidepressant drugs. Patients go oning merely those antidepressant drugs prescribed outside the infirmary. Data aggregation: Case records of Psychiatry outpatient clinic were taken from the medical records subdivision of the infirmary. Datas were entered in a pre-designed proforma ( Fig1 ) . From the multiple prescriptions in the instance record with follow-up visits, we took all prescriptions incorporating at least one antidepressant as one prescription. Therefore, if the initial prescription was continued, it was regarded as the same prescription for the given continuance. Any dose alteration in that prescription was noted for ciphering drug ingestion. Addition of another antidepressant to or alteration of antidepressant from the bing regimen was regarded as a separate prescription. In both instances, the figure of drugs in the prescription included the added or changed antidepressant ( s ) , along with attendant medicines from the earlier prescription. However, prescriptions incorporating drugs for co-morbid conditions ( non-psychiatric ) which were non prescribed in the section of Psychiatry were excluded. Sampling frame: All patients run intoing eligibility standards as given above. Datas analysis: Datas were subjected to analysis for: Demographic inside informations ( Age and gender ) Psychiatric diagnosing Antidepressant drugs prescribed 4. Completeness of prescription, rightness of drug, dosage, frequence and continuance. 5. Rationality of prescription harmonizing to WHO ordering indexs. 6. Defined daily dose ( DDD ) of the antidepressants per 1000 dwellers per twenty-four hours ( DID ) 7. Prescribed day-to-day dosage ( PDD ) of the antidepressants 8. PDD to DDD ratio of the antidepressants Anatomical Therapeutic Chemical ( ATC ) categorization and Defined Daily Dose ( DDD ) per 1000 dwellers per twenty-four hours ( DID ) computations were used for gauging antidepressant usage in the community. Following the methodological analysis outlined by WHO,11 we calculated DID as follows: DID =Amount of antidepressant prescribed in 1 twelvemonth ( milligram ) Ten 1000 dwellers DDD ( milligram ) X 365 yearss X Population of Pondicherry and Cuddalore All patients belonged to either Pondicherry or Cuddalore territory of Tamil Nadu. So, for computation of DID, we used the population of Pondicherry every bit good as Cuddalore territory as per available statistics. Entire figure of DIDs is calculated by adding up the DIDs for single antidepressants. PDD was calculated as follows: For each prescription, there were multiple doses of the antidepressants, due to dose titrations and we took the norm of the day-to-day doses for the antidepressant as the PDD. This procedure was repeated for all the indicants of each antidepressant and the concluding value was the norm of the PDDs therefore obtained. PDD to DDD ratio was so calculated. Statistical analysis: Descriptive statistical tools were used. Ethical clearance: As it was a non-interventional survey, the institutional research commission granted waiver on the confidence that capable confidentiality would be maintained. We took the undermentioned stairss in this respect: Designation of patients by the infirmary figure merely and non by name. Case records to be accessed by research workers in the Medical records subdivision merely. Patient inside informations non to be divulged to any party other than co-authors. Proformas to be destroyed after decision of survey. Consequence Demographic inside informations: Out of 222 patients having psychoactive medical specialties during the survey period, 169 ( 76.58 % ) received one or more antidepressants. Among these 169 patients, 82 ( 48.52 % ) were males and 87 ( 51. You read "Drug Utilization Study Of Antidepressants Health And Social Care Essay" in category "Essay examples"48 % ) were females. Age distribution of patients having antidepressants is shown in Fig 2. Psychiatric diagnosings: Distribution of primary psychiatric diagnosings of patients having antidepressants is shown in Table 1. Antidepressant drugs prescribed: Entire figure of prescriptions given was 192 and a sum of 446 drugs were prescribed. Of them, 192 were antidepressant medicines of 8 types, as per ATC category. Table 2 and Fig 3 show different antidepressants prescribed. Number of antidepressant prescriptions along with their indicants is shown in Table 3. Substitutions and Adjunctive antidepressants: Change of antidepressant was required on 18 occasions. Duloxetine was substituted on 10 occasions, escitalopram on 4, mirtazapine on 3 and imipramine on 1 juncture. Addition of a 2nd antidepressant was seen on 3 occasions because of hapless response with a individual drug. Of them, duloxetine was the first antidepressant on 2 occasions and mirtazapine on 1. Attendant medicines prescribed in the section of Psychiatry: Table 4 shows attendant medicines prescribed in the section of Psychiatry. Completeness of prescription, rightness of drug, dosage, frequence and continuance: Besides patient inside informations and outpatient designation figure, prescriptions contained the patient ‘s primary diagnosing, drug ( s ) prescribed, dose signifier, dosage, frequence of disposal and continuance of intervention along with the day of the months of followup. There was no incorrect dosage, frequence and continuance of intervention ; in some instances, inappropriate drug was prescribed for a incorrect diagnosing which was corrected when primary diagnosing was revised on follow up. Table 5 shows the figure of drugs per prescription among the 192 prescriptions. More than 5 drugs were non prescribed to any patient. Rationality of prescription harmonizing to WHO ordering indexs: As per WHO Prescribing indexs, we observed: Average figure of drugs per prescription: 2.32 ( 446/192 ) Percentage of antidepressant drugs prescribed by generic name: 88.54 % ( 170/192 X 100 ) Percentage of Fixed dose combinations ( FDCs ) of antidepressants: Nothing Percentage of brushs for ordering injections of antidepressants: Nothing Percentage of antidepressant drugs prescribed from Essential Medicines List ( 16th EML of WHO ) : 1.56 % ( 3/192 X 100 ) Percentage of drugs prescribed from the National List of Essential Medicines ( NLEM, endorsed 2002 ) was 2.60 % ( 5/192 X 100 ) . Percentage of drugs prescribed from the infirmary pharmacopeia was 96.35 % ( 185/192 X 100 ) . Defined daily dose ( DDD ) of the antidepressants per 1000 dwellers per twenty-four hours ( DID ) : ATC cryptography, DDD and computation of DID are summarized in Table 6. Entire figure of DIDs of antidepressants was 0.02. Prescribed day-to-day dosage ( PDD ) of the antidepressants and PDD to DDD ratio of the antidepressants: PDD and PDD to DDD ratios are besides summarized in Table 6. Discussion Demographic inside informations: Antidepressants were prescribed more in females ( 51.48 % ) than in males ( 48.52 % ) . This is consistent with findings in other studies.12,13 This female preponderance might reflect the higher prevalence rate of psychiatric morbidity in adult females, peculiarly, depressive and anxiousness upsets and may besides be due to gender functions played by adult females in society, with more voicing of psychological jobs and seeking of professional help.13 The age distribution shows the bulk of patients, having antidepressants belonging to 21-30 old ages age group ( 36.69 % ) . In fact, 66.27 % were aged between 21 and 40 old ages. This is in contrast to the consequences of a survey of antidepressant usage in East Asia, wherein the average age of patients having antidepressant prescriptions was more than 40 years.14 In another survey in Europe, where antidepressants were the 2nd most normally prescribed psychotropic drugs, bulk of the users were between 35 and 49 old ages, with a average age greater than 40 years.13 Psychiatric diagnosings: Depressive upset was the most common psychiatric diagnosing among the population ( n=222 ) , with a prevalence of 47.75 % . It was besides the most common indicant for utilizing antidepressants ( 62.72 % ) , followed by Mixed Anxiety and Depressive upset and Schizophrenia with station schizophrenic depression among the top three diagnosings. Antidepressant drugs prescribed: Antidepressants were the most common psychotropic drugs prescribed ( 76.58 % ) . Choice of antidepressant was based on ICD diagnosing, badness of disease/disorder, co-morbidity, drug efficaciousness and considerations for patients ‘ tolerability. Most common antidepressant prescribed was the Selective Noradrenaline re-uptake inhibitor ( SNRI ) duloxetine ( 50 % ) . The newer antidepressants – duloxetine, escitalopram, Zoloft and mirtazapine accounted for the majority of prescriptions. ( 96.36 % ) , which follows the planetary tendency towards antidepressant prescribing.14-18 In many surveies, Selective 5-hydroxytryptamine re-uptake inhibitors ( SSRIs ) accounted for the majority of the prescribed antidepressants, with high ordering rates.14-17 In our survey, SSRIs – escitalopram, Zoloft and Prozac were prescribed on 57 out of 192 occasions ( 29.69 % ) . Among the SSRIs, escitalopram was the preferable drug. Again, this is in contra st to findings in the East Asian survey on antidepressant usage, wherein Prozac and Zoloft were prescribed more often than escitalopram and its usage was lower than Desyrel, mirtazapine, impramine hydrochloride and amitryptiline. However, ordering rates of tricyclic antidepressants impramine hydrochloride and amitryptiline were lower than the prevalent norms.14 Doses of antidepressants were prescribed harmonizing to badness of disease/disorder, get downing with low doses and titrated upward or downward harmonizing to clinical response and patients were kept on regular followup. Duloxetine was the most common antidepressant prescribed in Depressive upset ( 56.56 % ) , Mixed Anxiety and Depressive Disorder ( 41.38 % ) and in BPAD ( 62.50 % ) . Most common antidepressant prescribed in Schizophrenia with post-schizophrenic depression was escitalopram ( 44.44 % ) , and in OCD, Zoloft ( 80 % ) . Substitutions and Adjunctive antidepressants: Prescription of a individual antidepressant was common and occurred in 98.44 % of instances. Reasons for altering an antidepressant were hapless curative response or unbearable inauspicious effects. Duloxetine was the most normally substituted antidepressant. It was besides the most common antidepressant to which adjunctive antidepressant drug was prescribed. Attendant medicines prescribed in the section of Psychiatry: Ataractic soporifics were the most common group of drugs prescribed ( 65.10 % ) concomitantly with antidepressants, followed by major tranquilizers, temper stabilizers, trihexiphenidyl, acamprosate, propranolol and vitamin B1. Except for Vitamin B1, which was prescribed in Alcohol Dependence, and propranolol, which was prescribed for intervention of shudders, all others were psychoactive medicines. Trihexiphenidyl was prescribed to counter the extrapyramidal inauspicious effects of attendant major tranquilizers. Completeness of prescription, rightness of drug, dosage, frequence and continuance: Rational prescribing was followed as per the rules of prescription order writing.19 Sing the definitions of polypharmacy which are most normally cited, there was no polypharmacy because there was no prescribing of antidepressant medicine which did non fit diagnosing and there was no prescription with more than 5 drugs.20 68.23 % of the prescriptions ( 131 out of 192 ) had 2 drugs or less, which is recommended. However, there were instances where wrong diagnosing led to ordering of inappropriate drug ab initio ; it was rectified when primary diagnosing was revised on follow up. Clinicians ‘ pick of drug was non based chiefly on affordability for the patient, so the cheapest drug was non ever prescribed. Rationality of prescription harmonizing to WHO ordering indexs: The mean figure of drugs per prescription was more than 2, which is high. But, we had excluded all prescriptions where antidepressants were non prescribed. So, prescriptions where merely guidance was provided were non considered, in which instance the figure of prescriptions with less than 2 drugs would hold risen, thereby conveying down the mean figure of drugs per brush. Ordering by generic names was high ( 88.54 % ) and close to 100 % . There were no fixed dosage combinations ( FDCs ) or injectible readyings prescribed, which indicate rational prescribing patterns. The per centum of drugs prescribed from the 16th WHO Essential Medicines List and the National Essential Medicines List ( endorsed 2002 ) was low. However, per centum of drugs prescribed from the infirmary pharmacopeia was really high ( 96.35 % ) . This indicates the demand to convey about a balance between clinicians ‘ petitions for maintaining a dru g in the infirmary pharmacopeia and the recommendations of WHO and National Essential Medicines Lists. ATC Classification, Defined daily dose ( DDD ) and DDD of the antidepressants per 1000 dwellers per twenty-four hours ( DID ) : The anatomical curative chemical ( ATC ) categorization system divides drugs into different groups harmonizing to the organ or system on which they act and their chemical, pharmacological and curative properties.21,22 Each drug is assigned a peculiar combination of letters and Numberss. The defined day-to-day dosage ( DDD ) is the false mean care dose per twenty-four hours for a drug used for its chief indicant in adults.21 DDD was developed to get the better of expostulations against traditional units of measuring of drug ingestion and to guarantee comparison between drug use surveies carried out at different locations and different clip periods. Entire DID of the antidepressants show low ingestion, in crisp contrast to the tendency of Western European states and the USA, particularly during the last decennary, with high rates of antidepressant prescribing and consumption.9,22,23 DID for duloxetine can be interpreted as 0.0025 out of 1000 patients or 0.025 % would hold used a dosage of 60mg. Similarly, DIDs of escitalopram, mirtazapine, Zoloft, impramine hydrochloride, Desyrel, amitryptiline and Prozac can be interpreted as ingestion of their several DDDs by a population of 0.019 % , 0.004 % , 1.007 % , 0.003 % , 0.019 % , 0.12 % and 0.00007 % . Prescribed day-to-day dosage ( PDD ) of the antidepressants: The prescribed day-to-day dosage ( PDD ) is defined as the norm dosage prescribed harmonizing to a representative sample of prescriptions. It is of import to associate the PDD to the diagnosing on which the dose is based. The PDD will give the mean day-to-day sum of a drug that is really prescribed. PDD is particularly of import for drugs where the recommended dose differs from one indicant to another ( e.g. psychotropic drugs ) . When there is a significant disagreement between the PDD and the DDD, it is of import to take this into consideration when evaluating and construing drug use figures, peculiarly in footings of morbidity.24 PDD to DDD ratio of the antidepressants: Ratio of PDD to DDD is frequently used as an indicant of the adequateness of dosing. A ratio less than 1 as seen in instance of duloxetine and mirtazapine indicates under-dosing. A ratio greater than 1 was seen for Zoloft and amitryptiline. All other antidepressants showed a PDD to DDD ratio equal to 1, reflecting the adequateness of dosing in these cases.25 Restrictions of the survey: Our consequences should, nevertheless, be seen in the visible radiation of the little sample size, compared to the surveies with which they have been compared. Restrictions of the survey were the deficiency of patient attention indexs and some of the installation indexs like handiness of drugs and impact of cost on drug intervention, which increase the public-service corporation of the survey, but which can be derived prospectively merely. As with any drug use survey, existent usage or conformity with prescribed antidepressant was non possible to supervise, more so with a retrospective survey of instance records, where notes on conformity are missing. Furthermore, we could non quantify informations on comparative clinical effectivity of the antidepressants. Strengths of the survey: Strengths of the survey are the usage of a structured proforma for informations aggregation with inside informations of drug prescriptions on follow up visits, and a comprehensive application of drug use tools like ATC/DDD categorization and computation of DID and PDD/DDD ratios to measure prevalence of antidepressant usage in the community of the survey population. Documentation of longitudinal follow-up informations gives a better thought of drug ingestion than transverse sectional informations. Data on drug permutations and augmentations every bit good as attendant psychotropic medicines are besides provided. Decision: Our survey shows that depressive upset was the most common psychiatric diagnosing in the population and antidepressants were the most normally prescribed psychotropic medical specialties. There was a higher prevalence of antidepressant prescribing for adult females. Majority of antidepressants were prescribed to immature and older grownups between 21and 40 old ages. The SNRI Duloxetine, the SSRIs escitalopram and Zoloft and the untypical antidepressant mirtazapine were the most normally prescribed antidepressants, with or without other attendant psychotropic medical specialties. Most patients were treated by a individual antidepressant. However, hapless response and/or tolerability considerations made the prescribers change the antidepressant or add a 2nd antidepressant. Antidepressants were prescribed for many indicants other than depressive upset and head-shrinkers ‘ pick of drug was influenced by diagnosing, badness of disease/disorder, co-morbidity, drug efficacio usness, and considerations for patients ‘ tolerability, but non chiefly on the cost of medicine. Prescriptions were complete and polypharmacy was non seen. Favorable and unfavorable results were seen for 3 and 2 WHO ordering indexs severally. Consumption of antidepressants in the community was low. Adequate dosing was seen for all antidepressants, except for duloxetine and mirtazapine, for which under-dosing was prevailing. Recommendations: There is a demand for prospective drug use surveies to get the better of some of the restrictions of our survey. Ordering wonts among head-shrinkers can be improved farther by making consciousness about taking drugs from the Essential Medicines List and cut down prescription of ataractic soporifics. Such steps can diminish the figure of drugs per prescription and besides the cost of therapy. Prescribers should besides be encouraged to look into for patients ‘ conformity with the prescribed medicines and to enter them in the instance sheets. Such steps will advance the rational usage of medical specialties and finally, the quality of health care. How to cite Drug Utilization Study Of Antidepressants Health And Social Care Essay, Essay examples

Cult Essay Research Paper CultsThere are many free essay sample

Cult Essay, Research Paper Cults There are many types of cults in the universe, cults are everyplace but you merely do non see them. Every individual in the universe has been in contact with them in one manner or another in many instances you can non see them. The closest cult we know of is on Rice Lake called the Moonies led by Reverend Myung, where I have presently visited. Cults can be involved in churches and even are earliest faiths are called cults. Cults are non the strongest groups # 8217 ; religious orders are the strongest group. When you join a religious order you can non acquire out of them but a cult you can go forth without holding any job or committedness. Sects will non allow you out because many times it # 8217 ; s illegal and they are afraid that you will state something to the populace. Cults sometimes are illegal to. Religious cults are in every town and small town there is no definition of a cult that is accepted by sociologists and psychologist or faith many types of activities will take cult like constructions, an illustration would be any popular tendency like physical exercising this is called the physical fittingness cult. Celebrated jocks are a large figure when it comes to cults, many times Movie stars, professional jocks will back a merchandise and a tendency will get down, doing it turn into a cult. Besides people who generate beliefs of something like winging disk, foreigners or any unknown figures can be cult. In faith when people call a church they are mentioning to a sacred organisation holding a extremely structured or formalized tenet and hierarchy, but besides leting a spot of flexibleness about rank demands leting you to travel to a church and leave church when you want to. Although religious orders are against church efforts to suit to secular society. Sects believe that they a re protecting a true religion or belief. Sects tend to remain off from universe events, and besides they believe in a strong rigorous behavioral codification and demand a committedness out of their people. The differences between cults and religious orders are sometimes the same. Many bookmans do non do differentiations between the two. Cults are different because they do non anticipate as much committedness. Many times # 8217 ; cults do non anticipate twosomes to go apart. Cults do non last every bit long as religious orders. Many times # 8217 ; cults survive through a decennary, and besides cults allow you to come and travel as you want. Leaderships of cults build around a magnetic leader who has a life style dedicated to a specific spiritualty group that they know other people will follow. The word Mormonism began as a little cult so grew bigger until it became a religious order and finally into a church. All the new faiths followed the same thing by get downing little and acqu iring bigger than going a church. Contemporary Cults Cults travel back every bit far as we know of life, cults began to acquire bigger and be known throughout the universe in the late 1960? s and early 70? s as people were better educated and better understood how they were formed and how they were run and people began to fall in. During this clip Youths and in-between category people began to fall in cults because of the in thing to make and they felt more unafraid about themselves. Cults truly started to intrigue people when Jimmy Jones cult began in November of 1978 when all attending was focused on the mass self-destruction in Jonestown, a similar event happened in 1993 when federal agents engaged in a shoot out with cult leader David Koresh. Modern cults have many different patterns and many different ways of leading. Some cults have a flexible functional leading, like the groups in the magnetic motion coming from the mainland Christian faith, other cults have people who run and orchestrate cult events, like Reverend Myung Moon leader of the unification church. The ground people are attracted to modern cults because it puts accent on community and on direct experience with the Godhead. In cults # 8217 ; participants frequently find a degree of soci al support and credence that they do non happen in a atomic household. This makes and generates a sense of belonging to something profound and a feel of being person. Peoples who frequently join cults such as this, articulation because they think they are acquiring something the universe did non give them. Several factors have been looked at to calculate why people like are modern young persons articulation cults. Factors that were looked at were drug’s war tryst of many unpopular presidents. Cults have been questioned about brainwashing people, and found it to be true. Cargo Cults Cargo cults are normally neutralist and are in it for money. The word lading refers to foreign goods possessed by Europeans. Cult members believe that goods belong to themselves and that, with the aid of hereditary liquors, the goods can be returned to them through thaumaturgy spiritual agencies. Brainwashing Brainwashing is the procedure of intentionally subjecting people to physical and psychological adversity in order to change their ideas and attitudes, and actions. It besides is a procedure of wholly cleaning a head of one set thought and replacing them by another idea or belief. This is called to indoctrinate cleaning a idea and seting a wholly new thought in head. Indoctrinating can take topographic point without brainwashing. There are 2 facets of brainwashing they are confessions of past offenses or mistakes of the past and re-education to new beliefs. Prisoners sometimes are made to s queal by deficiency of slumber and nutrient and other signifiers of intense physical uncomfortableness, besides isolation from victims # 8217 ; households and from familiar milieus. Cult leaders show obeisance, and humbleness and do other members give societal force per unit area to the new member to do them fall in. And the last thing they do is do common unfavorable judgment and self unfavorable judgment Sessionss, which make them hold a generalized guilt feeling that all people have credence of new thoughts is once more fostered by group force per unit area and the awaited wages of freedom. Peoples who have a better apprehension of psychological science and neuophysiology have made larger groups create highly effectual brainwashing plans. Their techniques nevertheless have been used for centuries as Inquisition doing people give aroused confessions from alleged misbelievers. Religions sometimes use these methods like scourging, rhythmic dance and drumming and sometimes bring oning a enchantment like province in which the person is unfastened to transition. In the twentieth centuries, most perceptibly by the people # 8217 ; s temple of Guyana, whose rank committed mass self-destruction. Mystery Cults Mystery Cults are normally in the ancient times whose members believed that by agencies of the public presentation of peculiar secret rites they would derive knowledge that people in the normal universe would non hold and that would do a mystical brotherhood with the Godhead. Mystery cults make their members feel they are god and give them a feel of immortality that they ca n non be destroyed. Many times in enigma cults, cult leaders feel they died and were brought back to be god or Jesus. Decision In today? s society, cults are one of the many unfortunate facets endure in life. Leaderships of Cults should be dealt with in a more serious affair. Cult leaders are con-artists and are people that like to command others. Cults should be controlled to protect guiltless citizens from being taken advantage of. Bibliography CDROM: Religious Cults. Grolier Electronic Publishing Inc.. 1993 CDROM: Contemporary Cults. Grolier Electronic Publishing Inc.. 1993. CDROM: Cargo Cults. Grolier Electronic Publishing Inc.. 1993. CDROM: Contemporary Cults. Grolier Electronic Publishing Inc.. 1993. CDROM: Religious Cults. Grolier Electronic Publishing Inc.. 1993. CDROM: Contemporary Cults. Grolier Electronic Publishing Inc..1993 CDROM: Contemporary Cults. Grolier Electronic Publishing Inc..1993 CDROM Cargo Cults. Grolier Electronic Publishing Inc..1993 VI

Us Foreign Policy Towards Nato Essays - NATO, North Atlantic Treaty

Us Foreign Policy Towards Nato United States Policy Towards NATO In this paper I will first explain the history of NATO and the United States policy towards it. I will then give three reasonable policy recommendations for the United States towards NATO. This is important because NATO is an organization with a very brief history but it has molded Europe and other countries and has made a safe-haven from war for the past five decades. NATO was spawn out of the Western countries of Europe fearing the expansion of the greedy, hungry Stalin of the Soviet Union which would directly lead to the expansion of communist governments. Also, ?in 1949 most of the states of Europe were still enfeebled by wartime devastation, striving for economic recovery, attempting to reestablish shattered political institutions, resettle refugees and recover from the second major upheaval in 30 years.?1 After the second world war Stalin, of the Soviet Union, started to spread his communist government to many Eastern European countries fast. Just a couple years before all of this an alliance was made between many nations called The United Nations. This is where the base idea of NATO came out of. There is a particular article in the United Nation's charter, article 51, which paved the way. Article 51 read: Nothing in the present charter shall impair the inherent right of individual or collective self-defense if an armed attack occurs against a member of the United Nations, until the security council has taken measures necessary to maintain international peace and security. Measures taken by Members in the exercise of this right of self-defense shall be immediately reported to the Security Council and shall not in any way affect the authority and responsibility of the Security Council under the present Charter to take at any time such action as it deems necessary in order to maintain or restore international peace and security.2 So, armed with this article, ten European countries turned to the United States and Canada to draft a pledge of mutual security and on April 4, 1949, they all met in Washington to sign the North Atlantic Treaty. The fear that created this alliance could not better be seen than in Winston Churchill's, prime minister of Great Britain, telegram to President Truman saying: ?An iron curtain is being drawn down upon their(Soviet Union) front. We do not know what is going on behind. . .?3 With this quote from the British Prime Minister we could see that the biggest fear was the fear itself of not knowing what was going on in the Soviet Union. The North Atlantic Treaty consisted of 14 articles in which I will now briefly explain to help you understand what this treaty entailed. First off, the whole purpose of this treaty was to ?prevent aggression or to repel it, should it occur.?4 It provided for the continuous cooperation and consultation in political, economic and military fields and had an indefinite duration. Every member who was a part of this treaty signed to express their desire to live in peace with all peoples and all governments. All of this was just reaffirming their faith in the principles of the United Nations. The first article defines the basic principles that member countries should follow to keep the peace and world security. The second article was an inspiration from the first article of the United Nations Charter. This article defines the aims for the member nations to pursue and the obligations they have. The third article is a statement that the signatories will do all they can to resist attack. The fourth article calls for consultation from all members if one of the members feels that they are threatened. The fifth article is the core of the treaty and states that if one of the member countries is attacked all other members will see it as an attack on each and all of them. The sixth article defines the area that the provisions in article five apply. Article seven and eight the member nations stipulate that none of their other international commitments conflict with the North Atlantic treaty and that any commitments they make in the future won't conflict with the treaty as well. Under article nine a council is created in which each member is represented. Article ten provides for any other European country to

Using Sinatra in Ruby - Introduction

Using Sinatra in Ruby - Introduction In the previous article in this series of articles, we talked about what Sinatra is. In this article, well look at some real functional Sinatra code, touching on a few Sinatra features, all of which will be explored in depth in upcoming articles in this series. Before you get started, youll have to go ahead and install Sinatra. Installing Sinatra is as easy as any other gem. Sinatra does have a few dependencies, but nothing major and you shouldnt have any problems installing it on any platform. $ gem install sinatra Hello, World! The Sinatra Hello world application is shockingly simple. Not including the require lines, shebang and whitespace, its just three lines. This is not just some small part of your application, like a controller in a Rails application, this is the entire thing. Another thing you may notice is that you didnt need to run anything like the Rails generator to generate an application. Just paste the following code into a new Ruby file and youre done. #!/usr/bin/env rubyrequire rubygemsrequire sinatraget / doHello, world!end Of course this isnt a very useful program, its just Hello world, but even more useful applications in Sinatra arent much larger. So, how do you run this tiny Web application? Some kind of complex script/server command? Nope, just run the file. Its just a Ruby program, run it! inatra$ ./hello.rb Sinatra/0.9.4 has taken the stage on 4567 for development with backup from Mongrel Not very exciting yet. Its started the server and bound to port 4567, so go ahead and point your Web browser to http://localhost:4567/. Theres your Hello world message. Web applications have never been so easy in Ruby before. Using Parameters So lets look at something a little more interesting. Lets make an application that greets you by name. To do this, well need to use a parameter. Parameters in Sinatra are like everything elsesimple and straightforward. #!/usr/bin/env rubyrequire rubygemsrequire sinatraget /hello/:name doHello #{params[:name]}!end Once youve made this change, youll need to restart the Sinatra application. Kill it with Ctrl-C and run it again. (Theres a way around this, but well look at that in a future article.) Now, the parameters are straightforward. Weve made an action called /hello/:name. This syntax is imitating what the URLs will look like, so go to http://localhost:4567/hello/Your Name to see it in action. The /hello portion matches that portion of the URL from the reqest you made, and :name will absorb any other text you give it and put it in the params hash under the key :name. Parameters are just that easy. There is of course much more you can do with these, including regexp-based parameters, but this is all youll need in almost every case. Adding HTML Finally, lets spiff this application up with a little bit of HTML. Sinatra will return whatever it gets from your URL handler to the web browser. So far, weve just been returning a string of text, but we can add some HTML in there with no problem. Well use ERB here, just like is used in Rails. There are other (arguably better) options, but this is perhaps the most familiar, as it comes with Ruby, and will do fine here. First, Sinatra will render a view called layout if one exists. This layout view should have a yield statement. This yield statement will capture the output of the specific view being rendered. This allows you to create layouts very simply. Finally, we have a hello view, which generates the actual hello message. This is the view that was rendered using the erb :hello method call. Youll notice that there are no seperate view files. There can be, but for such a small application, its best to keep all the code in a single file. Though the views are sepeated at the end of the file. #!/usr/bin/env rubyrequire rubygemsrequire sinatraget /hello/:name doname params[:name]erb :helloend__END__ layouthtmlbody% yield %/body/html helloh3Hello % name %!/h3 And there you have it. We have a complete, functional hello world application in about 15 lines of code including the views. The following articles, well take a closer look at the routes, how you can store and retrieve data, and how to do better views with HAML.

UP level accounting Essay Example | Topics and Well Written Essays - 750 words

UP level accounting - Essay Example When a semi-variable cost is treated as a variable cost for the purpose of variance analysis, the charge of overhead is exceeded. This is because semi-variable costs do not vary with each unit of activity, but change depending upon the level of activity achieved.Therefore, by granting the status of variable costs to semi variable costs, the overheads are hiked and thus profitability is reduced. Similarly, fixed costs remain fixed over a period of time, irrespective of the levels of activity. By assigning the status of fixed costs to semi-variable costs, during times of lowered levels of activity, there is a high overhead charge which significantly erodes profitability.The result of treating a step-fixed costs, for the purpose of variance analysis, as a variable one would be that, if the costs need to be calculated on the shortest time frame, there may not be material variations, but if taken on the long time, the impact of the step fixed costs would not be realized, or in other words , profits may be over stated. For example, the costs of running a single machine for several months would be different from running several machines for a single month. (Blocher et al, 2008) Thus by assigning the nature of variable to a step fixed cost would overstate profits over a period of time.When an operation entails both fixed and variable costs, and if all costs are taken as variable, it would wrongly inflate profits and underestimate costs. The element of fixed costs is generic to all cost centers, and very conspicuous in the cases of Health Care Providers, since investments in hospital machinery, equipments and infrastructure are quite substantial. (Blocher et al, 2008). In case of high level of activities, by not assigning the rightful fixed costs, profits become inflated; however, if all overheads are accounted for as fixed, during lowered levels of activities, costs become higher than booked and this could be disastrous, especially for smaller companies with low revenue generations. Question 2 (i) The key drivers for profitability in an organization would be the correct assessment and implementation of cost factors- fixed, variable, semi-variable and step-fixed costs since any mis-match could lead to derailed planning, execution and incorrect decision-making. What is even more important is the correct booking of the overheads, since overheads not booked at all, or wrongly booked could lead to a host of critical problems later. The top management takes strategic decisions based on the cost data provided and it is therefore, it is essential that it be factually correct. (ii) The two variances depicted in Exhibit 3 consider the recovery of fixed overheads when the actual procedures performed, instead of the standard 50,000 procedures, was actually only 49,000 procedures. Fixed costs were considered at $50, 00,000 for the predetermined standard 50,000 procedures. But the actual procedures billed were only 49,000 and therefore $ 100 X 1000 - $ 100,000 was unrealized. (Blocher et al, 2008). (iii) Regarding Exhibit 4, the mismatch occurred because the aspect of fixed cost overheads was not correctly judged. The mismatch occurred because of the 460 examinations made, only 310 were billed, leading to 150 examinations carried out but not billed and the profits have been inflated by (460 - 310) X $ 20 = $ 3000. This is the reason why the profits are overstated. (Blocher et al, 2008). Question 3 (i) Traditional standard costing is a system by which predetermined value / efficiency standards are assigned for each element of cost. The actual performance is then matched against their Standard costs, and the variances, positive or negative are determined. This is an invaluable management tool since there is a complete breakup of cost components and determinants, and for each item of costs, it is possible to know the standard, the actual and the resultant variances. Hence adverse variances could be effectively monitored by

Egyptian Practice of Mummification Essay Example | Topics and Well Written Essays - 750 words

Egyptian Practice of Mummification - Essay Example There was a need of cultivatable ground and therefore the early Egyptians decided to bury their deceased inside shallow graves on the borders of the barren region, where the high temperature of the sun as well as the waterlessness of the land produced the normal mummification procedure. Experts have indicated that â€Å"even this natural process produced remarkably well preserved bodies† (Dunand et al, p. 67). Mostly, these â€Å"early natural mummified bodies† (Dunand et al, p. 72) preserved skin tissue and hair, together with a resemblance to the individual's look when he was living. Mummification was the procedure of protecting and enclosing a deceased body with the conviction that the deceased would be needed during the Ancient Egyptian eternal life. By means of a particular procedure, the Ancient Egyptians got rid of all moisture from the dead body, leaving just a dried figure that would not easily decompose. The procedure of Mummification needs reducing â€Å"mic robial growth and dehydration† (Dunand et al, p. 102). The method of forming a mummy was difficult as well as expensive and was followed by formal procedure and service. As Egyptian record developed, mummification becomes accessible to public from the high and even the middle ranks. The political as well as financial development of the middle ranks along with the better significance of spiritual way of life and practices amid every Egyptian social rank resulted in the increase of mummification to fresh sectors of the inhabitants. Mummification was in fact most prevalent throughout the Greco-Roman era. It was at that time when foreign colonizers who established in Egypt started to implement Egyptian ‘funerary’ (Dunand et al, p. 188) convictions and traditions. Mummification during that time turns out to be an increasingly flourishing profitable endeavor, and it is likely to specify the demise's public position instead of any spiritual belief. This causes an additio nal drop in the excellence of the mummification procedure. At that point in time, bodies were ornately covered and enclosed in covers prepared from the blend of â€Å"plaster and papyrus or linen† (Brier, p. 99). On the other hand, contemporary radiographic investigation authenticates that these bodies were often badly sealed within their casings. Studies have indicated that â€Å"mummification was never generally available to the common classes of people† (Brier, p. 120). However, in view of the fact that they could not meet the expense of the refined ‘funerary’ formations, they carried on to be ‘interred’ in plain graves within barren region â€Å"where their bodies were naturally preserved† (Brier, p. 145). The real mummification procedure required more or less seventy days. The body of the dead was customarily rinsed and cleansed to start the expedition into the life after death. The subsequent step involved taking out the inner org ans. With the intention of drying out the organs as well as avoid decomposition they were positioned in ‘natron’, a kind of salt applied for drying. The body was subsequently filled with more ‘natron’. Once the body was adequately dried off, the natron was taken away and the body was cleansed cautiously. The body was covered in linen. Every mummy

Issues in global economy Essay Example | Topics and Well Written Essays - 2000 words - 1

Issues in global economy - Essay Example . Doctrine of invisible hand as also reflected in the thought of Adam smith mainly talked about the power of market economy over the state governing economy. He spoke about market mechanism that ultimately leads to the equilibrium. Any gap between demand and supply will be automatically adjusted through the mechanism of market. The role of government here is nothing but to facilitate the process.   Breaking of Soviet Union in the 20th century strengthens this thought of ‘power of market over state’. This thought was the founding stone of today’s globalization and global economy. However the economists and the historian thought that there are many factors those facilitated the process of globalization. According to them, in 19th and 20th century many countries across the world faced the European imperialism that first makes them known about the world economy. Besides this the period saw a rapid development of sophisticated technologies that was never seen before. Rising of machine gradually cleared the new methods of reaping more profit. All this factors was seeking a process through which they could merge for functioning global economics, trade and politics. The stage was prepared for processing of the global issues through the hand of the ‘process of globalization’. With respect to recent period there emerge some more aspects that control and assist the globalization process more rapidly. Today the progresses of international trade are mostly dependent on international commercial agreements such as FTTA, CAFTA, NAFTA etc. Such agreements have opened the door to the northern export and give more opportunities to the developing nations. Nowadays the export processing zones operate as productive vicinities for overseas ventures, investments and employments. These zones are playing their role in many ways to support the economies by

Cost Analysis Within The Zara Company Marketing Essay

Cost Analysis Within The Zara Company Marketing Essay Describe how Zara uses technology to improve operational responsiveness to customer expectations, and at the same time to reduce costs in certain areas. Zaras main strategy is to give a quick answer to end consumer demands and anticipate consumer trends through information technology and human resources. It operates on the basis of heavy backward vertical integration, working its way from the end consumer all the way back to the manufacturing and distribution. It ensures a very tight control of production through simple and effective IT systems as well as a high tech distribution center (DC.) It realizes cost optimization on its basic items for production and also time optimization in terms of speed to market of its fashion items making use of technology. Zara adapted to trends and differences across markets by interacting regularly with the store managers using the PDA and phone systems to get updates on customer feedback, fashion sense etc. The Point of Sale system (POS) in the store computers also provided valuable sales data to the distribution center which had a mobile tracking system that docked hanging garments in appropriate bar coded areas. The various garments were given Stock Keeping Units (SKUs) and orders were placed from the hand-held computers in the stores twice a week or more, to the distribution center where if particular items were in short supply, allocation decisions were made on the basis of historical sales levels and other considerations. After the orders were approved, the warehouse issued lists for delivery to the stores. Zara design teams tracked customer preferences and used sales information such as sales analysis, store trends and product life cycle information from the store managers, based on a consumption information system to transmit repeat orders and new designs to internal/external suppliers and the DC. The design teams thereby bridged merchandising and the backend of the production process and they developed the right products within the season to meet consumer demands. Zaras product development teams attended high fashion fares and exhibitions to translate the latest seaso nal trends into the designs. Hence, a super fast rate of operational responsiveness to customers was maintained and the DC was more of a place to merchandise than merely for storage. Technology also helped keep Zaras costs under control. By using the POS systems in store computers, handheld PDA devices for store managers and phone systems, accurate information regarding orders required were transmitted to the DC. The SKUs ensured accuracy in terms of which products needed to be produced and in what quantities and the DCs could use all this information and feedback from the design teams to make orders of the right quantity of each kind of product. Thus, inventory costs were very low, runs were limited and production costs were maintained at very manageable levels in spite of the large number of new items that are continuously produced. Zaras factories were also heavily automated, specialized by garment type and focused on the capital intensive parts of the production process, like pattern design and cutting as well as final finishing and inspection. A Just-in-time system was installed in collaboration with Toyota in these factories and this helped in faster comple tion of work and controlling of costs through continuous improvement processes. Management Information System technology plays a crucial role in Zaras customer responsiveness and cost control measures. From what you see in the case, does Zara price to market or on the basis of other factors? Zara always followed a market based pricing method. In each country, Zara always placed more focus on the market prices (local pricing levels) rather than on its own costs to forecast prices of items in particular markets. These forecasts were later overlaid on cost estimates that included all considerations such as distance, tariffs, and taxes and so on to see whether the potential market could achieve profitability in a year or two of opening the first store. Zara followed a different pricing strategy in each country, for example, in Italy and Paris the focus was more quality oriented and so the price of the same items were much higher, however, in Germany where consumers are price sensitive the items were lesser priced. This figured in the different marketing strategy followed in each country. Zara controlled its costs through its production and distribution processes and was positioned in many countries as high fashion at affordable prices which though were centrally determined, much lower than competitor prices for comparable products in its major markets. Percentage margins still held up, this was possible because of the direct efficiencies of short, vertically integrated supply chain, reduced advertising costs, and markdown requirements. Thus Zara competed at reasonable prices through a cost leadership strategy, completing Porters generic strategy through differentiated products and broad segmentation. Zaras customers in many countries bore the extra costs of supplying the items from Spain though the prices were market based, for example, prices were 40% higher in Northern Europe and 70% higher in the Americas than in Spain. This could be seen on the garments price tag which was an atlas to the customers. These higher prices outside Spain affected Zaras positioning overseas as high end instead of mid market range products to better validate the price differences. Like in Mexico where the target consumer base is narrow, it is geared towards the upper and middle class that knows fashion. Moreover, as in Europe, the artificial scarcity that Zara creates of its products in its stores urge the customers to pay the price and buy rather than wait it out. Markdowns are very low for Zara in Europe and elsewhere, 15-20% of its sales as compared to 30-40% for its European peers. Zara does not completely compete on basis of price as the usual Zara customer is not that price sensitive; instead, it competes on fashion and its quick response capability. Zara (2010) has just launched an on-line, e-retail distribution service.     For an apparel retailer what are the advantages and disadvantages of online distribution?   Can Zara make it work? Inditex has long used the internet to promote its various lines and corporate image and is also popular on Facebook, where it has 4.5m fans. Its Smartphone application, launched about a year ago, has been downloaded by 2m people. Zara can very easily make its online e-retail distribution service work successfully. Familiarity with the Zara stores thus provides name recognition for the online retail site, and the combination of customer data gathered by the store and the online retail site (through Google Analytics, for example) could lead to substantial personalized marketing efforts, using various channels. With Zaras policy of a lean advertising budget, an online retail portal will add greatly in terms of branding and awareness. Zara had initially decided not to sell clothes on the internet since the returns rates were too high. However, as of September 2010, Inditex put Zara branded products online for its customers, waiting for online demand to build. Customers can choose from the usual range of paying methods and opt either for a free store pick-up or paid-for postal delivery. The online return and exchange policy is identical to the store system, with shoppers given 30 days to change their minds. iPhone and iPad applications that allowed purchasing will soon be available and online sales will help Zara reach potential customers who have no easy access to physical stores. For an apparel retailer, the advantages of online distribution would be providing convenience to the shoppers to buy from the comfort of their home, save on travel time and costs and have easy access to the products. Customers will have 24 hour access to the shopping platform online and make better buying decisions through online chat and discussion. Researchers identify convenience as a fundamental objective related to online shopping (Schaupp Belanger, 2005). This is relevant to 72% of online shoppers claim that they would rather surf online than go to retail store to attain information about a product (Lokken et al., 2003). Costs on human resources (Vendors, shop assistants, managers) can be saved by the retailer and customers can make relaxed wise buy decisions without pressure from vendors. Infinite shelf space will be available in that, products available at all store locations and around the world without geographical boundaries, to the customers to choose from. Comparison sh opping in terms of styles and prices will be easier on the online portal than in the store for the consumer. Boston Consulting Group analysts Evans and Wurster theorize that the three main strategic draws of online retail are reach, affiliation and richness. Reach is defined as access and connection: how many customers a business can access and how many products it can offer. Moreover, a retailers range of product offerings was traditionally limited by the size of its stores and the cost of carrying inventory while online retailers as intermediaries between customers and suppliers need not necessarily have an inventory at all, only a catalog, often transparent to the customer. Affiliation refers to whose interests are represented by the online retailer who can treat the products from their various vendors more objectively, providing more objective information and better product comparisons for their customers. Richness refers to the depth and detail of information, about products and about customers. Evans and Wurster argue that traditional retailers still are at an advantage to supply expe rt information about products to their customers, and that they also are still in a better position to gather information about product sales and customer profiles and buying patterns. Online retailers are quickly catching up, however, gathering data about customer browsing behavior, purchasing history, and demographics. Online retailers are subsequently able to use this data to provide their customers with a fully customized online shopping environment, including individualized web pages, targeted ads and offers, and specific product suggestions, something traditional retailers cannot effectively do at their retail outlets. Some of the disadvantages of online retail would be the difficulty to gather trend information, product sales and customer suggestions. Zara could remedy this by using analytics and customer feedback forms online that are user friendly and attractive. The experience of shopping in a Zara store would be lost, but Zara would need to make its retail platform very interactive and spellbinding. Zaras prime store locations cost a lot of investment, and the advent of online shopping could mean cannibalization of its retail outlet sales and a waste of upkeep costs, this could put Zara into a fix. Customers will not be able to touch and try the product like they can in an actual store, [t]he likelihood of purchasing on the Internet decreases with increases in product risk (Bhatnagar, Misra, Rao, 20000, p. 100). Apparels in particular had negative rating in online shopping because of it is difficult to feel and see the texture of colour online that is incomparable to going to a retail store. The biggest drawback itself would be the concept of infinite shelf space that an online distribution will bring, for Zara. Being a company that thrives on the creation of artificial scarcity of its products, the online distribution channel will have to be very carefully controlled to ensure that customers buy the products with the same fervour as when they visit the store, knowing that it might not be available the following week. Zara can remedy this situation by advertising only a limited number of units of each product online so customers will know if the numbers are dwindling and that they need to act fast in order to acquire the product just as in the case of the actual store.

Progressivism Essays -- essays research papers

Progressivism implies a philosophy which welcomes innovations and reforms in the political, economic, and social order. The Progressive movement, 1901 to 1917, was ultimately the triumph of conservatism rather than a victory for liberalism. In a general sense, the conservative goals of this period justified the Liberal reforms enacted by Progressive leaders. Deviating from the â€Å"traditional† definition of conservatism (a resistance to change and a disposition of hostility to innovations in the political, social, and economic order), the Conservatist triumph was in the sense that there was an effort to maintain basic social and economic relations vital to a capitalist society. The Progressive leaders essentially wanted to perpetuate Liberal reform in order to bring upon general conservatism. Expansion of the federal government’s powers, competition and economic distribution of wealth, and the social welfare of American citizens concerned the many leaders of this era. The business influence on politics was quite significant of the Progressive Era. Not only did the three leading Progressive political figures, Roosevelt, Taft, and Wilson, bring upon new heights to government regulation, but also the great business leaders of this era defined the units of political intervention. With political capitalism rising to fame, Progressive politics experienced new themes and areas. The inevitability of federal regulation policies, reformation of social welfare, conservation, and various innovations with banking led to one conservative effort: the preservation of existing powers and economic/social relations. The political leaders of this ear were conservative in that they all believed in the fundamentals of basic capitalism. The various forms of anti-trust legislation presented by each president made the nation one step closer to providing a stable, predictable, and secure, therefore, conservative capitalist society. Theodore Roosevelt’s statist tendencies brought new meaning to government regulation. Roosevelt’s Anti-Trust policy of 1902 pledged government intervention to break up illegal monopolies and regulate corporations for the public good. Roosevelt felt that â€Å"bad† trusts threatened competition and markets. in order to restore free competition, President Roosevelt ordered the Justice department to prosecute corporations pursing monopolistic pr... ...ed and are Liberal indeed. However, the Liberal reforms reinforced the original conservative goals. Business and political leaders accepted the growing competition. Laissez faire, complete Liberalism, hardly ever existed and will not appear in the near future. Political capitalism, by definition from Gabriel Kolko (author of â€Å"The Triumph of Conservatism), is the utilization of political outlets to attain conditions of stability, predictability, and security in the economy. The fact that federal regulation of the economy was conservative in its effect in preserving existing power and economic relations in society shows that federal regulation in the economy was conservative as well. Through the many antitrust acts and various economic and social policies, the Progressive Era ultimately operated on the assumption that the general welfare of the community could be best served by satisfying the concrete needs of business. The big business and business leaders influenced the regulation and the government worked for the people, promoting competition and decentralization. Hence, the Progressive movement served to preserve original goals, not reform society with Liberalism.

American Electronics International Essay

1. Whose responsibility is it to staff the office? In this case, it appears that it is the CEO of AEI. He would be the head of the matrix system at this point. 2. What should be Blen Carty’s role, as well as that of Dr. Runnels? Blen Carty is the director of project management. Dr. Runnels is the director of engineering. I believe that Ben Carty should be responsible for requesting who he needs to head the project; however Dr. Runnels should have the final say in who he gives up out of his department. They need to openly communicate and realize the importance of each other’s needs. 3. Should Larry Gilbert be assigned? I personally do not think Larry Gilbert should be assigned to head the project. Richard Flag has a proven track record of success. I feel that the project manager should be Richard Flag and that Gilbert should work under him, even though he is a higher level engineer. It is Flag’s responsibility to manage the project, even though he does not have as much engineering expertise. 4. How would you negotiate with the functional managers? I would explain that Flag would be heading the project, and also relay to them the importance and magnitude of the project. Hopefully if they understood the effect the project would have in the grand scheme of things, they would be more open to giving up some of their staff. Perhaps helping the functional managers see the way this project could benefit the company, and in turn them, they would be easier to sell on giving up some important staff for such a long period of time.

Greek fire essays

Greek fire essays The original Greek fire was an invention used as a weapon of the Eastern Roman Emperors. It is also said to have been invented by a Syrian engineer, one Callinicus, a refugee from Maalbek, in the seventh century. The Byzantines of Constantinople originally used it. But they never used the term Greek fire because they claimed to be Romans, and never called themselves Greeks. It was like an insult to them because in their times to be Greek was to have a bad reputation. The Greek fire was first time used in the war of seven years. In which the Arabs established a naval base on the peninsula of Kyzikos. This was on the second attack of a battle started by Theophanes. On the third attack of the same battle, Greek fire was used again against the Arabs. The liquid fire was hurled on the ships of their enemies from siphons and burst into flames on contact. As it was reputed to be inextinguishable and burned even on water, it caused panic and dread. Its introduction into warfare of its time was comparable in its demoralizing to the introduction of nuclear weapons in our time. Both Arab and Greek sources agree that it surpassed all incendiary weapons in destruction. It is also possible that Greek fire was really invented by the chemist in Constantinople who had acquired the discoveries of the Alexandrian chemical school. An Emperor, Constantine Porphyrogenitus, said that the recipe for Greek fire had been revealed by an angel to Constantine the Great, and that the earliest chemists called their science the divine art. Constantine Porphyrogenitus (tenth century) in his instruction to his son had commanded him emphatically to keep the composition secret: The secret had in the past been given by an angel to Constantine the Great, those imparting it were anathema, and one about to communicate it had been struck by lightning. ...

Identification of Stage on the Hayes and Wheelwright Model Essay Example

Identification of Stage on the Hayes and Wheelwright Model Essay Example Identification of Stage on the Hayes and Wheelwright Model Paper Identification of Stage on the Hayes and Wheelwright Model Paper As the organization for analyses I chose the company I work for. Here is a short description of organization which may be useful for better understanding of outcomes: Airframe is today one of the fastest growing beauty companies selling direct. It is present in 62 countries, of which is the market leader in more than half. It takes the 18th place in the world among cosmetics companies in terms of sales volume. It offers a wide range of high-quality beauty products as well as a unique opportunity to Join sales force and start your own business. Brief facts about Airframe 1. 3 billion Euros in annual sales approximately 3. 3 million Distributors (Consultants) 7 500 employees 950 products annually, more than 30% of products are new. Global RD center with more than 100 scientists 5 own production units in Sweden, Poland, China, Russia and India Listed on the Nasdaq OMG Exchange since March 2004 The scope of the evaluation includes: Prepare fundamental data (description of main traits of the Hayes and Wheelwright model) Collect information necessary for analysis. Recommend tools for analysis. Make a clear conclusion about the stage on the model based on analysis. In the last decade the strategic role of operations has increased, which led to fast improvements in management and methodology. The four-stage model of operations contribution by Hayes and Wheelwright was developing from mid-80-s but has already a classic status in operations management due to its simplicity, visibility. It hypothesizes that companies go through four development stages: Internally Neutral, Externally Neutral, Internally Supportive and Externally Supportive. I found the following diagram of Hayes and Wheelwright (1984) the most pervasive and understandable: This model is a result of historical development with increasing performance levels. Stages are as a ladder that needs to be ascended for success to be achieved. The most successful organizations will be those whose operations reach the pinnacle of stage 4. The pears of stage name/maim trait are the following: Internally Neutral Avoid mistakes, Externally Neutral Benchmark, Internally supportive creative reaction to Dustless strategy, Externally Supportive Foundation of business-success And the short name for the model may be From Indifference to Maturity. Analysis in order evaluate Airframes stage Managers have difficulty in assessing the strategic role played by their operations in an internally consistent and coherent manner (Barnes, D. , Rowboat, F. 2004)) this phrase proved me in my philistine opinion that its difficult to determine a stage where my company is now. Its rather difficult to do as theres a lack of simple instruments to make analysis on this question. Suggested below self- diagnosis instrument for internal use is replica of Porters 5 competitive forces model and has a lot of shortcakes. I also assume the quality of analysis may be exposed to bout due to incoming information based on my personal assessments or on scared benchmark data. But its a good balance between simplicity and expensiveness of external experts/databases use or complex mathematical models. Source of information: My personal reflection as a manager who works in the analyses company. Strategic companys data mission statements, TOP- management announcements and interviews. Managerial data assessment (KIP, presentations. Example appendix 1). Extract of main proofs are in Appendix 2 classified under groups above. Proofs like that are used in Strategic stage survey below as answers for each question.

Evidence-Based Practice Implementation in the Treatment of Breast Research Paper

Evidence-Based Practice Implementation in the Treatment of Breast Cancer - Research Paper Example As the paper states evidence-based practice is a way to deliver healthcare to patients that targets problems in the existing system by integrating the practices that yielded the best results through research of relevant studies and accurate patient-care data, along with the expertise of specialists and the input of patients with regards to their preferences and values. The best patient outcomes can be realized when EBP is conducted in the context of care, within a supportive organizational structure and if it is integrated into the organization’s culture. Over the years, many healthcare institutions have adapted EBP in making clinical practice guidelines for the treatment and care of patients afflicted with various diseases. From this report it is clear of the diseases that EBP has been applied to, the most important can arguably be breast cancer. Breast cancer is still the leading cause of cancer-related deaths in women worldwide and it is the most common type of cancer to afflict females with over 1.1 million new cases diagnosed each year. Breast cancer is also considered as the single most prevalent cancer in the world because more than 4.4 million women diagnosed with breast cancer in the last five years are currently alive and are taking in-patient and out-patient care from different healthcare institutions worldwide. It has been theorized that with the aid of EBP to improve clinical practice, 5-year survival after breast cancer treatment could increase by up to 10%.... 5-year survival after breast cancer treatment could increase by up to 10% (Sainsbury, Haward, Rider, Johnston, and Round, 1995 as cited in Sacerdote et al., 2013). Sacerdote et al. (2013) conducted a study in Piedmont, Italy to evaluate the difference in breast cancer patient care quality before the implementation of an EBP guideline and after the implementation of the EBP guideline. The guideline that Sacerdote et al. evaluated was the Piedmont guideline (PGL) and it constitutes the compliance of 14 quality-of-care indicators in accordance to EBP. The focus of their study is to evaluate the effects of EBP on breast cancer treatment and to determine how well the PGL has been implemented. Summary of the Study Since Sacerdote et al.’s study was concerned with the status of breast cancer care before and after the implementation of the PGL, two patient groups were selected. Breast cancer patients diagnosed and treated during the 1st half of 2002 were the pre-PGL group while patien ts who were diagnosed and treated after 2004 were the post-PGL group. The practices recommended in the PGL were already being done in the regional hospitals even before the implementation of the PGL. Between 2002 and 2004, 8 indicators out of the 14 moved towards the expected standard, however only 4 of these 8 improvements were statistically significant. It is highly recommended for patients with medium-to-high risk of distant metastasis to undergo chemotherapy or radiation after Breast Conservative Surgery but for patients with low risk of distant metastasis, the exposure to radiation and chemo may actually worsen their condition or hasten the recurrence of cancer. Following the recommendations of nurses and specialists using EBP, the percentage of low risk patients that took chemo- and

Hells Angels and Their Connection to Organized Crime Term Paper

Hells Angels and Their Connection to Organized Crime - Term Paper Example According to the term paper "Hell Angels and their connection to Organized Crime" findings the longtime organization, Hells Angels have contributed to legendary stories that spread about their power and popularity. Because of these stories and the publicity smacks, many people started wondering if they were mere coincidences. Hells Angels have still continued to persuade the public that they are not anything more than a dedicated group who has the deep love for motorcycles and long road trips. But it seems like the international law enforcement thinks otherwise and this is why there have been immense crime reports about the Hells Angels and their members. These reports have increased ever since 1969 and increasingly they are seen on media due to the attempt they made to assassin Mick Jagger after he pointed the finger at them at the bust of stabbing death of a member of the audience at a Rolling Stones concert, yet, all this happens after the 60th anniversary of the Hells Angels. Alt hough most of the historians are confident about the fact that the organization started in March 1948 in California, there are still some groups of the organization where members still debate about when and who started Hells Angels. It was started in California as motorcycles and racing cars were popular in those areas. The name came from the Flying Tigers in WWII and was subtitled to be â€Å"Hell’s Angels† on votes by the 303rd Bombardment Group. Arvid Olsen had officially given the name Hells Angels Motorcycle Club.... Because of these stories and the publicity smacks, many people started wondering if they were merely coincidences. Hells Angels have still continued to persuade the public that they are not anything more than a dedicated group who has deep love for motorcycles and long road trips. But it seems like the international law enforcement thinks otherwise and this is why there have been immense crime reports about the Hells Angels and their members. These reports have increased ever since 1969 and increasingly they are seen on media due to the attempt they made to assassin Mick Jagger after he pointed the finger at them at the bust of stabbing death of a member of the audience at a Rolling Stones concert, yet, all this happens after the 60th anniversary of the Hells Angels. Although, most of the historians are confident about the fact that the organization started in March, 1948 in California, there are still some groups of the organization where members still debate about when and who star ted Hells Angels. It was started in California as motorcycles and racing cars were popular in those areas. The name came from the Flying Tigers in WWII and was subtitled to be â€Å"Hell’s Angels† on votes by the 303rd Bombardment Group. Arvid Olsen had officially given the name Hells Angels Motorcycle Club when they started operating in motorcycles as it was becoming the most popular pastime in America and elsewhere. When the organization had become a common name taken in the media for many of the reports that were made about them, one of the news also held that some of the trouble pilots in the WWII had contributed in starting and Hells Angels and joined it. Hells Angels disregarded this notion and pointed out that other than

Management, People and Organization Essay Example | Topics and Well Written Essays - 1500 words

Management, People and Organization - Essay Example Given below is a list of few of the objective of an organization: Human behavior in organizations is as complex as the social system itself. People differ from each other in their needs and values, which can be understood better with the help of behavioral science. Behavioral science considers the influence of various social, economic and technical elements of the complex external environment on people's behavior. It improves people's understanding of interpersonal skills and so also their ability to work together as a team to achieve organizational goals effectively. Organizations comprise of human beings who are highly complex and unpredictable in nature. The management of organizations is therefore a challenging task. Increasing diversity, knowledge and information explosion, strategic partnership, global competition and emphasis on total quality management are the other challenges confronting managers in the modern times ((ICMR)). To meet these challenges, managers require cooperation from individual employees and their work groups who often resist change. So, for an effective management of organizations, an in-depth study of the behavior of individuals within workgroups, including an analysis of the nature of workgroups is required. One such study is "organizational behavior." Human relations, in a very gene... It deals with the interaction of people in work situation that helps to generate team spirit. Though human relationships have existed since time immemorial, the branch of knowledge dealing with them is relatively recent. Prior to the industrial revolution, people worked in small groups and had simple work relationships. They were, however, subjected to unhealthy working conditions and scarcity of resources, so they hardly had any job satisfaction. During the early stages of the industrial revolution, the conditions of workers showed no signs of improvement. But as increased industrial activity led to greater supply of goods, wages, working conditions, and level of job satisfaction gradually improved. Until the early 1900s, workers were made to work in inhuman conditions. The importance of human element in organization was first realized by Fredrick W. Taylor. Taylor is also known as "the father of scientific management" and his contributions to the field of management were useful for the later development of the field of organizational behavior. His studies helped improve the working conditions of industrial workers and were instrumental in enhancing the productivity of the organization. He propounded sound management practices by stressing on division of labor and scientific selection, placement and training of workers. Taylor was also instrumental in introducing the differential piece rate system in organizations. According to Taylor, specific scientific methods could help people perform their jobs effectively and efficiently. Taylor emphasized technical efficiency and mass production in organizations. However, certain aspects of interpersonal and social behavior that included

Cognitive Development Theory Essay Example for Free

Cognitive Development Theory Essay As a prospective educator, it is important for me to understand the cognitive development theory and how it applies to individuals. Cognitive development is basically how the thought process begins. It is the way that people learn and how mental processes become elaborate and develop. These processes include remembering things, making decisions, and also solving problems. In order for a teacher to be effective, one must understand how children develop mentally so that each student can be accommodated in the classroom. There are many theories regarding cognitive development, and there are several factors that remain constant throughout all of them. These factors form some of the basic premises on cognitive development, which include the ideas that all people go through specific steps or stages of learning or understanding, and that certain qualifications must be met before learning can occur. It is the actual specifics of these basic premises that cognitive theorists have differing opinions about. (Slavin, 2009) Two theorists that display the basic premises of cognitive development are Jean Piaget and Lev Vygotsky. Both theorists have similarities and differences when it comes to their views on cognitive development. We will first begin with the views of the two on the nature or development of intelligence. Piaget believed that children are naturally born with the ability to both interact with and make sense of their environment. Children as well as adults use patterns of thinking called schemes to deal with different things in the world. The process of assimilation and accommodation is used to maintain balance in our daily lives. Piaget believed that â€Å"learning depends on the process of equilibration. When equilibrium is upset, children have the opportunity to grow and develop. † (Slavin, 2009, pg. 32) Different experiences that we face and factors in our environment contribute to developmental change in us. Vygotsky shared some similar ides with Piaget including the belief that the environment plays a huge role in the development of intelligence. He also believed that â€Å"development depended on a sign system, the cultures language or writing system, that children grew up with. â€Å"(Slavin, 2009, pg. 2) Both also believed that there is an invariant sequence of steps that is the same for everyone, and that development is influenced by cognitive conflict. While the two share a few similarities on the development of intelligence, there are also differences as well. Piaget feels that development precedes learning. This simply means that something must take pace before learning can begin. Vygotsky, on the other hand, feels that learning comes before development which is the exact opposite of Piaget. It simply means that you must learn something before development can occur. Piaget and Vygotsky also had both similarities and differences on the stages of development. We will first start with the differences beginning with Piaget who believed that there are four stages to cognitive development. They are the sensorimotor, perioperational, concrete operational, and formal operational. He felt that all children passed through these stages and that you could move faster than others, but not skip a stage. (Slavin, 2009, pg. 33) The sensorimotor stage occurs at birth through two years of age. It is the stage where infants explore their environment using the five senses and motor skills. This includes sucking, grasping, and touching. The perioperational stage is from two to seven years old. Language develops at a fast pace in this stage. At this time the childs thinking is also very self centered, and they lack the understanding of conservation. The concrete operational stage is from ages seven to eleven. At this time, thinking tends to shift from being self-centered to more logical. Problem solving is no longer restricted and the idea of reversibility also occurs. The last and final stage is the formal operational stage. This happens beginning with the age of eleven moving on into adulthood. Systematic experimentation is used to solve problems both symbolic and abstract thinking are now possible in this stage. Vygotsky felt that there was not stages, but different elements to cognitive development. The first element is private speech. â€Å"Private speech is a childs self talk, which guides their thinking and actions, eventually internalized as silent inner speech† (Slavin, 2009, pg. 43) When children are struggling with a difficult situation you often see children talking to themselves to help cope with the situation. When we become adults we still talk to ourselves, but it is usually silent. The next element of cognitive development is the zone of proximal development or ZPD. â€Å"This is the level of development immediately above the persons present level. † (Slavin, 2009, pg. 43) To better understand, this can be described as something that the child may not have learned yet, but are capable of being taught with the assistance of an adult. Educators often refer to this as a â€Å"teachable moment†. (Slavin, 2009, pg. 43) Now that we can see the differences between the two theorists, we can now explore the similarities between the two. Both heorists understand the importance of a child learning a cultures sign system. They both feel that this has a significant impact on development. The two also agree that environmental factors such as sounds, signs, and objects are equally important. Lastly, the two theorists believe that there are some tasks that a child may not understand depending on age, but Vygotsky feels that if it is in the zone of proximal develo pment then the child can be assisted with the help of an adult. Educators have been using both Piaget’s as well as Vygotskys theories in the classroom for years. An example of an activity that can be used in the classroom using Piagets theory of learning takes place in a kindergarten class. The teacher would ask the students to share what they do when it is raining outside. At this age we are in the perioperational stage where children tend to be egocentric. Some say that they go outside and jump in mud puddles while others may say that they stay inside and play with their toys. The children would share their experiences and they would all be correct because not everyone does the same thing. You can use Vygotskys theory of learning in at work in the classroom where third grade students are learning how to classify different types of dirt. You can place the students in groups where they can discuss how you properly classify the dirt. This will allow the students to hear other students thoughts, and see what methods they use to classify. Using this type of cooperative learning allows the students to learn from each other. When comparing both classroom applications we see that both classrooms are working as groups learning from each other. Piaget theory is seen in both classrooms. In the kindergarten classroom, the classroom is seeing that there are different ways to deal with the rain. The students are sharing their personal experiences and showing that there is no wrong answer. There are many ways of doing things . In the third grade classroom, the students are able to classify the dirt using touch and sight to see and feel the differences in each type. Both classrooms are interacting with the environment and learning from it. Vygotskys cooperative learning is also being played out in both classrooms. In the kindergarten classroom, the students are learning that there are different activities that can be done outside in the rain. Similarly, in the third grade class the students are using cooperative learning to find different ways of classifying dirt. In both classrooms the students are using the think out loud process. The differences in the two classrooms also stand out. When applying Piagets theory in the kindergarten classroom, you see that the students are in the perioperational stage. The students are egocentric and feel that what they say is the only right answer to the question. In the third grade class, the students are in the concrete operational stage. They are able to easily look at and see the differences in the types of dirt that they are working with. When it comes to Vygotskys theory in the kindergarten classroom, the students are working within their zone of proximal development. The students may not understand that they can do more than one thing in the rain because they have done the same thing every time. The teacher is using this as a teachable moment to allow the students to teach each other the different things that can be done. In the third grade class, on the other hand, private speech is being used. The students are saying their thoughts out loud to classify the dirt. When the students are using cooperative learning they are learning the different ways in which the other students use to classify the dirt. In conclusion, we can see how and why it is important to understand and know how to apply cognitive development theories in the classroom. Both Piaget and Vygotsky played major roles in how we teach our children in todays world. We can use information and skills from both theorists to shape our students into great learners.