Wednesday, November 27, 2019

Zeus - Fast Facts About the Olympian God Zeus

Zeus - Fast Facts About the Olympian God Zeus Name: Greek - Zeus; Roman - JupiterParents: Cronus and RheaFoster Parents: Nymphs in Crete; nursed by AmaltheaSiblings: Hestia, Hera, Demeter, Poseidon, Hades, and Zeus. Zeus was the youngest sibling and also the oldest since he was alive before the regurgitation of the gods by Papa Cronus.Mates: (legion:) Aegina, Alcmena, Antiope, Asteria, Boetis, Calliope, Callisto, Calyce, Carme, Danae, Demeter, Dia, Dino, Dione, Cassiopeia, Elare, Electra, Europa, Eurymedusa, Eurynome, Hera, Himalia, Hora, Hybris, Io, Juturna, Laodamia, Leda, Leto, Lysithoe, Maia, Mnemosyne, Niobe, Nemesis, Othris, Pandora, Persephone, Protogenia, Pyrrha, Selene, Semele, Taygete, Themis, Thyia [from Carlos Paradas list]Wives:  Metis, Themis, HeraChildren: legion, including: Moirai, Horae, Muses, Persephone, Dionysus, Heracles, Apollo, Artemis, Ares, Hebe, Hermes, Athena, Aphrodite Role of Zeus For Humans: Zeus was god of the sky, weather, law ​and order. Zeus presides over oaths, hospitality, and suppliants.For Gods: ​Zeus was king of the gods. He was called the father of gods and men. The gods had to obey him.Canonical Olympian?  Yes. Zeus is one of the canonical Olympians. Jupiter Tonans Zeus is the king of the gods in the Greek pantheon. He and his two brothers split the rule of the world, with Hades becoming king of the Underworld, Poseidon, king of the sea, and Zeus, king of the heavens. Zeus is known as Jupiter among the Romans. In art work depicting Zeus, the king of the gods often appears in altered form. He frequently shows up as an eagle, as when he abducted  Ganymede,  or a bull. One of the main attributes of Jupiter (Zeus) was  as  a thunder god. Jupiter/Zeus sometimes takes on the characteristics of a supreme deity. In  Suppliants, of Aeschylus, Zeus is described as: king of kings, of the happy most happy, of the perfect most perfect power, blessed ZeusSup. 522. Zeus is also described by Aeschylus with the following attributes: the universal fatherfather of gods and menthe universal causethe all-seer and all-doerthe all-wise and all-controllingthe just and the executor of justicetrue and incapable of falsehood. Source:  Bibliotheca sacra Volume 16  (1859). Zeus Courting Ganymede Ganymede is known as the cupbearer of the gods. Ganymede had been a mortal prince of Troy when his great beauty caught the eye of Jupiter/Zeus. When Zeus kidnapped the most beautiful of mortals, the Trojan prince Ganymede, from Mt. Ida (where Paris of Troy was later a shepherd and where Zeus had been raised in safety from his father), Zeus paid Ganymedes father with immortal horses. Ganymedes father was King Tros, the eponymous founder of Troy. Ganymede replaced Hebe as cupbearer for the gods after Hercules married her. Galileo discovered the bright moon of Jupiter which we know of as Ganymede. In Greek mythology, Ganymede was made immortal when Zeus took him to Mt. Olympus, so its appropriate that his name should be given to a bright object that is forever in Jupiters orbit. On Ganymede, from  Vergils Aeneid Book V  (Dryden translation): There Ganymede is wrought with living art,Chasing thro Idas groves the trembling hart:Breathless he seems, yet eager to pursue;When from aloft descends, in open view,The bird of Jove, and, sousing on his prey,With crooked talons bears the boy away.In vain, with lifted hands and gazing eyes,His guards behold him soaring thro the skies,And dogs pursue his flight with imitated cries. Zeus and Danae Danae was the mother of the Greek hero Perseus. She became pregnant by Zeus in the form of a beam of sunlight or a shower of gold. Zeus offspring included  Moirai, Horae, Muses, Persephone, Dionysus, Heracles, Apollo, Artemis, Ares, Hebe, Hermes, Athena, and Aphrodite. Sources Carlos Parada - ZeusTheoi Zeus

Saturday, November 23, 2019

Process Analysis and Problem Solving

Process Analysis and Problem Solving Introduction The level of competition in different industries in which organizations operate today is high and calls for increased competitiveness. In order to improve the competitiveness, firms could engage in different firm activities that may include process improvement.Advertising We will write a custom research paper sample on Process Analysis and Problem Solving specifically for you for only $16.05 $11/page Learn More This may call for analysis of the problem and seeking different ways of solving the issues. In order to improve business processes, an organization needs to have the necessary knowledge and expertise. The business process could be attained through establishment of change such as business process reengineering. In spite of the good intentions of the changes, there is always resistance to change that could lead to project failure as examined in this paper. In addition, this paper examines reengineering as an example of process improvement i n organizations. History of Process Improvement Change is a constant element in organizations given the dynamic business environment that firms operate in. Organizations operate in many business environments that are characterised by free entry and exit, increasing competition and technological advancement. In order for organizations to maintain their competitiveness, they need to embrace change and improve their manufacturing processes, service delivery and operations. Process improvement has occurred in firms over many years. Over many years, quality improvement in firms was done using regular inspection and changed over time to total quality management and the modern six sigma approach. Process improvement concept was first used by Harrington James in 1991 when he published in his book on process improvement. The method involves redesigning and reengineering business process in order to improve quality of an organization’s output while gaining a competitive edge at the sam e time.Advertising Looking for research paper on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Since its introduction, process improvement has been able to be applied in many firms. The application of information technology in the process is a vital ingredient that will revolutionalize the future of process improvement in firms. Process Improvement in Firms The improvement of business processes in an organization has not been smooth for most firms. As the management of an organization introduces change in the company, there is always resistance to change with most employees opting to remain with the current processes of the firm. Reengineering According to Hammer Champy (2000, p. 2), process improvement in organization requires reengineering, which is defined as the ability of an organization to disregards all its assumptions and traditional way of doing business and instead developing and adopting a new proc ess centred business organization. The adopted new process should help an organization improve its performance. In order to achieve the required process reengineering for an organization, an organization needs to adopt a fresh perspective and approach. In order to acquire change through process reengineering, it is necessary that an organization rethink and establish radical redesigning of its processes in order to generate the required dramatic improvements. The process could be well illustrated in the figure below. As indicated in the above diagram, Hammer Champy (2000, p. 3) notes that reengineering requires starting over for an organization. In order for an organization to succeed in the modern environment, there is need for its processes to be fast, of high quality, flexible and of low cost.Advertising We will write a custom research paper sample on Process Analysis and Problem Solving specifically for you for only $16.05 $11/page Learn More The init ial phases of organizational change began long time ago with Adam Smith who proposed labour specialization, followed by establishment of infrastructure, the assembly line and hierarchical structure of the firm. In spite of the importance of these principles, their application in the modern business environment could result in delays, rigidity and high overhead costs in the production process. The first step of reengineering begins with the focus on the fundamentals of the company. The fundamentals of an organization relate to the main activities of the firm, why they are done the way they are and the tacit rules and assumptions of present activities. According to Hammer Champy (2000, p. 4), reengineering concentrates on what ought to be or should be done and ignores what is done. The radical redesign phase is concerned with the reinvention of the organization. This does not involve making of superficial changes or marginal enhancements to the firm but changes and designs that enhan ce new features of the organization. The potential dramatic result is the phase that the firm realizes the outcome of reengineering. According to Piderit (2000), reengineering leads to quantum leaps in the performance of an organization rather than incremental improvements. Business process orientation involves evolving of the firm around its business processes. The processes undertake inputs in order to generate valuable outputs to the customer. In order for a business process to work, it must produce added value rather than internal activity.Advertising Looking for research paper on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Various organizations could undertake the reengineering process. According to Revilak et al. (2007, p. 56), companies that operate in a competitive industry could undertake reengineering to increase their competitive advantage. Other sets of companies are those whose management could realize approaching issues along their paths of operation. The third sets of organizations are those that have ambitious management teams that perceive reengineering as a means of achieving market dominance and leadership. Process improvement of an organization through reengineering is characterised by various features. To begin with, the processes that an organization uses to perform its operations are simplified with the description of jobs being expanded to become multidimensional. Introduction of change in an organization increases employee autonomy and empowerment with power distance in the organization being reduced. Employees work as teams with group work and cooperation being enhanced. As the ma nagement of the organization adopts a flatter arrangement from a hierarchical structure, professionals within the firm become the key personnel to steer change. Employees are motivated to work for the firm and the measurement for performance of employees moves from activities to outcome of each employee. The managers no longer act as supervisors but coaches that help employees attain their maximum potential. Lastly, the organization and employees do not focus on pleasing the management but the end user of products and services, the customer (Hammer Champy 2000, p. 8). Change in organizations can be in different forms. Incremental or first order changes are minor changes that alter small aspects of the firm while leaving the general business environment the same. Transformational or strategic changes in organizations aim at changing the entire business framework of a firm. Change Management Process In order to apply the required change, an organization needs to identify the problem it is facing in order to find and develop the best solution to the problems. According to Brown Kusiak (2007), lack of proper diagnosis of the problem could lead to implementation of the wrong process in the organization. The outcome could worsen performance rather than improve the performance of the organization. The problem identification process involves various steps as outlined below. Problem Identification Organizations face many issues some of which are complex while others are simple. The identification of problems of the firm needs to be followed by prioritizing the issues so that the company can make decision on which issues to be solved first. Symptoms: the establishing of the issues affecting the organization needs to be followed by diagnosing the features or symptoms of the problem. The symptoms of the problems of the firm should be distinguished from the causes of the problem. According to Brown Kusiak (2007), business analysts usually hear many issues affecting the firm and they give many solutions. It is important that the firm does not ignore any solution given. However, the solution provided should be argued out with the management of an organization in order to establish its effectiveness (Boeker 1997, p. 155). Alternatives: after serious analysis of a given situation in an organization and hearing possible solutions from a business analyst, it is important that the organization develops alternatives for its problems. The approaches that could solve the problem of an organization could come with different consequences and costs that make it necessary for the management to discuss each alternative exclusively. After discussion of each alternative, it is important that the management makes a decision regarding the best solution to fix its issues. The decision should be based on the best approach that solves the problem affecting the firm while leaving it with the least negative effects. The decision made should be followed by implementation and follow up of the effectiveness of the approach. According to Brown Kusiak (2007), follow up is important for organization to ensure that the approach follows the set guidelines and that it has no side effects. In the process of solving an issue affecting an organization and effecting change in the firm, firms do use various methods. Some approaches include cause effect approach and business process reengineering. Unsuccessful Process Improvement Not all initiatives of change in firms end up being successful. Some processes end up failing. According to Pardo del Val Martà ­nez (n.d. p, 3), the failure of change management process for firms is due to the resistance to change within the organization. He further notes that resistance to change in the firm introduces unanticipated delays and many costs in the process of change that the management must now consider in the entire process. In spite of the resistance to change as a cause of failure to change, it has been hailed as a source of important information that could help an organization transform its business framework. The sources of resistance to change are many and while some show up during early stages of planning, others show up in the later stages of implementing the planned changes. As noted by Boeker (1997, p. 153), early sources of resistance could be due to distorted perception of change and misinterpretation of the change to be introduced. The organization could also fail to look ahead in future. Other causes could be denial to introduced changes, perpetuation of ideas and making of implicit assumptions. Ford, Ford D’amelo (2008, p. 5) note that communication barriers in addition to organizational silence could also casus misunderstanding within an organization thereby leading to resistance to change. There is another source of resistance to change. This is noted by some researchers as lack of motivation for change within the firm especially for employees of the organization. The low motivation could be due to low costs, cannibalization costs, cross subsidy comforts and past failures that hinder progress. Lorenzo (2000) argues that resistance to change could also be caused by different interests between employees and the management of an organization. For instance, employees could be for proposed changes while the management could be against change. Pardo del Val Martà ­nez (n.d. p, 367) posits that the third set of resistance to change causes inadequate creative responses. Lack of creativity in an organization could be caused by complexity of the business environment and fast changes that do not allow for environmental scan, reactive mindset that could result to resignation and inadequate strategic vision for the firm. The implementation phase of change is a vital stage that requires total concentration in an organization. However, there is resistance to change during implementation. The resistance could also be caused by various sources such as a poor imple mentation climate in the organization that is brought about by different organizational values and culture. Others are departmental politics and incommensurable beliefs or disagreements. The last set of causes to resistance to change includes inaction of leadership in firm, routines that are embedded in the firm and collective action problems in the organization. Successful Reengineering Process: Ford Motor Corporation Ford Motor Corporation applied the process analysis and problem solving in the 1980s by examining its employee accounts of about 500 employees. After a careful examination of the accounts payables, it was revealed that the company took much of the time in the department to track down discrepancies between orders that were purchased, shipping receipts and invoices. The realization of the problem led to a rethink of possible solutions and reengineering was the only viable solution. The company took various steps as explained below. The management began by establishing an online database mainly for the purchase orders whereby all orders issued by buyers were recorded in the database. Goods were received at the dock while there was an individual to check in the database. The match of the shipment and what is in the database led to the reception of the goods and vice versa. This eliminated possibilities of any discrepancies between orders that were made and what is received. Once the shipment is received, the database is updated immediately to reflect the change. In addition, a check was generated automatically and issued to the vendor in time. The process improvement applied by Ford Motor Corporation was a success. This is because the head count people in the purchasing department reduced drastically from 500 to 125 employees with efficiency in time management being improved dramatically. According to Piderit (2000, p. 785), the reengineering process as applied at Ford Motor Corporation is a lesson to be emulated by many firms wishing to reenginee r their processes. The changes that the company implemented could not have been achieved without the aid of the modern information technology. The process reengineering reflects old processes that have undergone new wrinkles. Another lesson learnt is that reengineering depends on a large scale on information technology. Planning the reengineering process in advance cannot work since what is experienced in the course of the process changes the reengineering plan. Innovation for Organizational Growth Knowledge is an important aspect in every organization. An organization is made of human resources that end up being of great importance since they are involved in the productivity of the products of the organization. The human resources could either be skilled, semi skilled or non-skilled. Skilled employees comprise of employees that and endowed with specific knowledge in a given field or sector in the firm such as management, information technology and manufacturing among many others. S emi skilled employees do posses little knowledge in specific fields. However, they extent of know how is limited. Lastly, non skilled employees do not posses any form of knowledge or expertise in any field in the organization. Most of non skilled employees are usually employed by firms as casuals or non-permanent staff of the firm. Skilled employees are important in an organization. It is important that an organization derives the best ways to manage its knowledgeable employees in order to motivate them and improve their performance and the performance of the organization. Knowledge is important for an organization because it helps an organization undertake research and development that is highly needed for innovation to take place. According to Hansen Birkinshaw (2007, p. 122), knowledge management should be customized for a given set of tasks within an organization. Innovation and value added in the output of a firm is as a result of application of knowledge in order to improve, change or develop a specific task and activities (McDermott, 1999). Therefore, innovation could be termed as the primary purpose of knowledge in an organization. In spite of its importance, innovation could be a complex idea that involves uncertainty and political activities. It might involve people with different experiences and teamwork or group work that is extended over long periods of time. In addition, it requires combination of different knowledge endowments within an organization in order to produce expected results in the form of new products or services produced by a firm. As noted by Hansen Birkinshaw (2007, p. 125), innovation does not only occur through research and development, but also through mainstream work activities within an organization. Innovation is characterised by invention, diffusion and implementation. Therefore, it more than just coming up with a good idea, but is more of putting the ideas into practical use within the organization. The creation of new k nowledge and ideas is an important aspect of innovation. However, they must be accompanied by bringing the ideas and knowledge into widespread use and applying them to solve issues affecting the organization. There is also product and process innovation that is vital for the success of an organization. Product innovation involves the application of new knowledge to the development of tangible products of an organization. On the contrary, process innovation involves the application of new knowledge and ideas to the establishment of new processes within the firm. All these are innovations that utilize knowledge at different levels (Nemeth 1997, p. 63). Based on the above description of innovation, knowledge and knowledge management should be linked to innovation. The innovation process involves different steps that range from formation of an agenda through establishment of a routine to the manufacture of a new product or process. In every step of innovation, there is an emphasis of di fferent aspects of knowledge and management of knowledge. Therefore, it can be concluded that knowledge cannot be separated from innovation as it necessitates the innovative ability of the firm. The firm should always struggle to motivate and maintain its knowledgeable employees in order to maintain its innovative ability and competitiveness in the market. Conclusion Problems analysis and problems solving in an organization is an important aspect of every organization. The modern business environment is dynamic and full of many challenges that organizations needs to develop different mechanisms of solving their issues. The process of solving a problem involves first identifying the issue affecting the corporation and determining possible ways of solving the issues. Out of the many alternatives, the management could choose one. Process improvement and reengineering is one of the many methods of solving issues affecting the firm. The reengineering process is vital since it helps an or ganization develop new processes and frameworks of the firm. One of the successful reengineering was conducted by Ford Motors in the 1980s in which it introduced new process of recording purchases thereby ending up cutting down its costs dramatically. Reengineering process could be accompanied by knowledge and innovation. List of References Boeker, W 1997, ‘Strategic change: The influence of managerial characteristics and organizational growth’, Academy of Management Journal, vol. 40, no. 1, pp. 152-170. Brown D Kusiak, J 2007, ‘Problem Analysis Techniques’, IRM Training white paper, IRM Training Pty Ltd. Ford, J, Ford, L D’amelo, A 2008, ‘Resistance to Change: The rest of the Story’, Academy of Management, vol. 33, no. 2, pp. 362-377. Hammer, M Champy J 2000, ‘Reengineering the Corporation: A manifesto for business revolution’, https://summaries.com/. Hansen, A Birkinshaw, J 2007, ‘The innovation value chainâ€⠄¢, Harvard Business Review, June 2007, pp. 121-130. Lorenzo, J 2000, ‘Barreras en los procesos de cambio en las organizaciones: studio de un caso’, Paper presented at the X Congreso Nacional de ACEDE, Oviedo (Spain). McDermott, R 1999, ‘Why information technology inspired but cannot deliver knowledge management’, California Management Review, vol. 41, pp. 103-117. Nemeth, C 1997, ‘Managing innovation: When less is more’, California Management Review, vol. 40, no. 1, pp. 59-74. Pardo del Val, M Martà ­nez, C n.d., ‘Resistance to change: a literature review and empirical Study’, Universitat de Valà ¨ncia, Spain. Piderit, S 2000, ‘Rethinking resistance and recognizing ambivalence: a multidimensional view of attitudes toward an organizational change’, Academy of Management Review, vol. 25 no. 4, pp. 783-794. Revilak, A et al. 2007, Knowledge management and innovation: an analysis of knowledge factors controlled by gove rnments and their impact on patent creation, George Washington University, Washington.

Thursday, November 21, 2019

Reflection Essay Example | Topics and Well Written Essays - 500 words - 57

Reflection - Essay Example Firstly, empiricism holds that the mind of a child has no innate traits. If not corrupted by the society, such a child has the tendency to act towards goodness or neutrality since they have been least predisposed to the world. However, an interesting question that might arise is; why do we have to spend so much time teaching children how to behave if humans are naturally good? Well, that sounds perplexing but since their minds are blank, we have to spend much time teaching them the socially tolerable manners and prevent them from adopting the unacceptable ways of the world. What’s more, our moral philosophies and actions are a product of our social nature. However, there are elementary rules of prudence and justice that explicates and defines how individuals should act for the survival of a peaceful society. I believe that is why we have governments that have enabled the society to flourish. In the absence of governments, the society would spiral into outright pandemonium and confusion would be the order of the day. Factually, the government makes and enforces laws since we believe that human beings are evil and are likely to act unbecomingly if left to exist in an anarchy state, where laws do not exist. While it is true that we are evil, I disagree with the debaters who perceive humanity as wholly evil. I blame it on the media that overemphasis on the evil part while ignoring majority of good things that take place daily, as though it is actually promoting evil over good. A cursory glance at news headlines makes us develop a pessimistic attitude towards humanity. The ceaseless reports of bigots, assassins, thieves, bullies, bombers and racists makes any rational individual to lose hope of ever living in a judicious society where good is what guides individuals’ actions. Regrettably, we are biologically susceptible to evil conducts, and we must, therefore, strive to act

Wednesday, November 20, 2019

Colin Crouch on Corporate Accountability Essay Example | Topics and Well Written Essays - 2750 words

Colin Crouch on Corporate Accountability - Essay Example As the discussion declares   the bust and boom phenomena will continue because the neoliberal ideology has long time implications on the decisions made by organizations. Though there is need for the interests of organisations and the public good to be pursued, the government cannot interfere in the operations of businesses. Likewise, organisations cannot interfere with the business policies developed by the government despite the impacts it has on its operations. Therefore, in order to eliminate this dilemma, Crouch argues that a middle ground must be achieved that brings together the profits interests of businesses with the public good. The middle ground can only be achieved through corporate social responsibility as corporations have today grown into major actors in the public domain. In this paper, the position taken by Crouch that corporation must reduce their dominance with profit success and embrace corporate social accountability will be evaluated. This evaluation will be ba sed on the views adopted by other management scholars in line with the neoliberal attitude towards corporate social responsibility. In Crouch, the impacts neoliberalism and the financial turmoil on the behaviour of corporations have been addressed in the face of their accountability to the society.  

Sunday, November 17, 2019

Scientific method Essay Example for Free

Scientific method Essay 1. Epistemology: The theory of knowledge in sociology it is used to refer to the procedures by which sociological knowledge is acquired. The theory of knowledge especially with regard to its methods validity and scope and the dis? nc? on between jus ed belief and opinion. 2. How sociologists conduct their study Interpre? vist Posi? vist Sociologists need to use di%erent ways of ?nding out about the world Seeks to apply the same methods that are used by the natural sciences : RESEARCH. BASED ON LOGIC AND METHOD The study of the ways in which people understand and interpret the world in which they live Use theory to generate hypotheses Interpre? vists wish to understand human behaviour by reconstruc? ng the meanings that people have associated with social situa? ons in which they have found themselves and with their own ac? ons Posi? vists seek to explain human behaviour by reference to social forces ac? ng upon people Interpre? Vist Approaches Posi? vist Approaches  important to think about di%erences in suicidal behaviour between di%erent groups of men He wanted to demonstrate how even this most individual of acts is shaped by social forces the need to research suicide sociologically, and that we need to collect qualita? ve as well as quan? ta? ve data on this topic. Posi? vism: Can deal only with observable things and that phenomena in any form have to be studied in a scien c manner. It does not take in account of the individual’s interpreta? on of the situa? on.

Friday, November 15, 2019

Essay --

By the looks of these starling statistics we can all optically discern sex inculcation is greatly needed. When children are still adolescent their brains are like sponges and it’s more facile for them to obtain information and it’s consequential for us to learn things early. Adolescence is a paramount duration with regard to sexual development considering hormonal changes increase sex drive, change appearance and amend the likelihood of reproduction. The stages of sexuality largely depend on perception but conventionally commence with autoerotic deportment, which translates into authentic sexual activity with another person (Steinberg, 2011), Even though adolescent sexual demeanor is by all accounts mundane, the implicative insinuations cognate to the utilization of contraception are concerning. For instance, â€Å"one worrisome finding suggests that most adolescents report verbalizing about contraception after they first have intercourse, rather than before† (as cited in Steinberg, 2011, p. 342-343). Due to the prevalence of sexual intercourse during adolescence efforts to edify the youth perpetuate to be a top priority of the inculcative system and regime. Nonetheless, these efforts have done little to solve the current crisis in our community with regard to adolescent sexual deportment. A report published by the U.S Department of Health and Human Accommodations â€Å"suggests that as many as 50% of all adolescents are sexually active† (White, 2008, p. 349). A portion of those are puerile women who will become pregnant, adolescent men who will contract a sexually transmitted disease (STD) and teenagers who will suffer from emotional distress and regret. Albeit the majority concurs inculcation is the solution to this dilemma, one q... ...cer and infertility (Steinberg, 2011). Thus, the biological perils cognate to sexual activity incline to be the primary focus when edifying teens; however, the psychological and societal implicative insinuations may be the most consequential. Although a pregnant adolescent faces many stressors, which can translate into sundry psychological quandaries such as melancholy, the most consequential effects may pertain to the child. According to Steinberg (2011) children of adolescent mothers â€Å"are at a more preponderant risk of developing a variety of psychological and gregarious problems†; largely, due to being raised in a poor environment and/or a single parent household (p. 363). Psychological issues can additionally arise due to puerile parents interacting with their infant less often, which have a consequential effect on the child’s development (Steinberg, 2011).

Tuesday, November 12, 2019

Use Of Alfuzosin And Trial Health And Social Care Essay

Patients and Methods: A sum of 63 patients showing with a first episode of self-generated AUR related to BPH underwent exigency catheterisation and were so indiscriminately and blindly assigned to have 10 milligrams alfuzosin one time day-to-day or placebo at a ratio of 2:1 for 3 yearss. The efficaciousness standard of this survey was the rate of successful TWOC within 24 hours after catheter remotion. The influence of factors such as age, urine keeping volume, fluid ingestion, irregularity and urinary piece of land infection ( UTI ) on TWOC result was besides assessed. Acute urinary keeping ( AUR ) represents one of most important and painful events in the natural history of benign prostate hyperplasia ( BPH ) . Up to a 3rd of patients undergoing surgical intervention for BPH present with acute urinary keeping ( AUR ) . [ 1 ] Acute urinary keeping is associated with important anxiousness, uncomfortableness and patient incommodiousness. The impact on patients ‘ health-related quality of life is comparable to an onslaught of nephritic gripes. [ 2 ] The most common cause of urinary keeping is benign prostate hyperplasia. [ 3 ] Acute urinary keeping was one time considered an absolute indicant for prostatectomy but the patients ‘ desire to avoid surgery and development of successful medical direction has led to a more conservative attack normally being adopted. The attack and direction of AUR has undergone a profound alteration over the last decennary. We herein discourse the hazard factors and recent tendencies in the direction of AUR seco ndary to BPH. Between Jan. 2010 and October 2010, 63 patients with a minimal age of 51 old ages with a first episode of self-generated AUR related to BPH and a urine keeping volume of between 500 and 1,500 milliliter at catheterisation were enrolled in a randomised prospective placebo controlled survey done at Medical metropolis, Baghdad. All causes of precipitated AUR were considered as exclusion standards except irregularity and a high fluid consumption to find the specific influence of these two parametric quantities. Work force included in this survey were those older than 50 old ages presented with AUR and have residuary piss greater than 500 milliliters. Patients were excluded when they have neurogenic vesica disfunction, ague or chronic prostatitis, history of prostate and urethral surgery, known vesica rocks, urethral stenosis, coagulum keeping secondary to haematurias of any cause, residuary volume inferior to 500 milliliter or superior to 1,500ml, AUR non related to BPH, and those with o ther diseases including Parkinson ‘s disease, insulin dependant diabetes, multiple induration, stroke or myocardial infarction within the old 6 months, hepatic abnormalcies, neutropenia, nephritic inadequacy, unstable or terrible bosom failure, postural hypotension or faint, known hypersensitivity to ?-blockers, and suspected or diagnosed evolutive neoplastic disease. Patients having sympathomimetics, 5?-reductase inhibitors, tricyclic antidepressants, anticholinergics, or first coevals antihistamines were besides excluded. At admittance and after the diagnosing of AUR associated with BPH was established, urethral vesica catheterisation was performed. Patients were randomized to have 10 milligrams alfuzosin one time day-to-day or placebo with a ratio of 2 on alfuzosin to 1 on placebo harmonizing to a centrally established randomisation list. The catheter was removed after a lower limit of 2 doses of study drug and each patient received 1 extra tablet the twenty-four hours afte r catheter remotion. Catheterization clip and drained volume at catheterisation every bit good as patient demographic informations, BPH history, and general medical and surgical history were recorded. Clinical scrutiny and standard research lab trials were performed. TWOC was considered successful if the patient returned to satisfactory elimination within the first 24 hours following remotion of the urethral catheter without re-catheterization. No value of post-void residuary piss was specified. Sixty three patients enduring from first episode of AUR due to BPH were prospectively randomized into 2 groups of 42 for alfuzosin and 21 for placebo.The terminal point of the survey was the per centum of successful TWOCs. The influence on TWOC success rate by age, drained volume at catheterisation, active UTI at registration, irregularity before AUR, and unstable consumption within 24 hours before AUR was tested utilizing logistic arrested development method. The per centums of successful T WOC were compared between the groups utilizing chi -square trials. The per centum of patients who experienced at least 1 inauspicious event was lower in the alfuzosin group ( 3 of 40 or 8.4 % ) than in the placebo group ( 3 of 20 or 13.1 % ) . The most often reported event potentially related to ?-blockade in the alfuzosin group was orthostatic hypotension ( 1 of 40 patients or 2.5 % ) .DiscussionPressing prostate surgery performed for AUR consequences in greater morbidity and mortality than the same surgery performed on an elected footing. Surgical intercession in the presence of a urinary catheter can besides take to an increased hazard of sepsis. [ 4-6 ] , potentially lending to the ascertained addition in operative morbidity in this aged group. [ 7,8 ] For illustration, in the survey of Pickard et al 1,242 work forces who presented in AUR and underwent prostatectomy were at increased hazard for perioperative complications and at extra hazard for decease compared to work forces who underwent elected prostatectomy for symptoms entirely. Thus, inte rvention steps that can avoid pressing surgery or let surgical intercession on an elected footing without the presence of a urinary catheter can be considered of import in the direction of AUR. This survey demonstrates that 10 milligrams alfuzosin one time day-to-day facilitates the return to normal elimination in patients undergoing TWOC for a first episode of self-generated AUR and it is good tolerated. It besides confirms that patient age 65 old ages or older and drained volume 1,000 milliliter or greater are risk factors for TWOC failure. Nevertheless, after leting for these 2 factors alfuzosin improved the successful TWOC. Some methodological facets of the survey may foremost be considered. The Study was designed to reflect existent life criterion medical attention in footings of the intervention of work forces in AUR. Thus, the context of the survey was peculiarly hard because it involved patients seen for exigency attention, whereas most clinical surveies in the BPH field are done in the more controlled scene of an outpatient clinic. The usage of a suprapubic catheter for AUR alleviation was considered but the overpowering bulk of published articles on AUR refer chiefly to a urethral catheter for initial direction, reflecting the common usage of this device in clinical pattern. [ 9 ] Therefore, a transurethral catheter was chosen. While a suprapubic catheter confers advantages in long-run usage, the demand for increased experience, clip and disbursal for this process are non offset by such advantages in the short Term [ 10 ] Catheterization continuance may besides be discussed. In the survey the catheter was removed after 2 doses of study drug that is after 2 or 3 yearss of catheterisation. Sing the high response rate observed in the placebo group ( 35 % ) and the fact that the success rate of TWOC clearly increases with continuance of catheterisation. [ 11 ] it is possible that shorter catheterisation or even in and out catheterisation would hold been an appropriate option. However, there is presently no consensus on this point.The consequences of the current survey are consistent with those antecedently reported with other ?1-blockers [ 12-15 ] and with 5mg alfuzosin twice daily [ 16 ] in little groups of patients in AUR. In the latter double-blind, randomized survey invalidating after catheter remotion was successful in 22 of 40 patients ( 55 % ) having alfuzosin vs 12 of 41 ( 29 % ) receiving placebo. This lower placebo response ( 29 % ) may be explained by the shorter continuance of catheterisation ( less than 2 yearss ) , as discussed. Age has been shown to be an of import factor that significantly influences TWOC result. In the old survey done with 5 milligrams alfuzosin twice daily the average age of patients with successful TWOC regardless of intervention was a average 4.5 old ages younger than that in those who failed to invalidate ( p 0.015 ) . [ 16 ] In the current survey, in which no upper age bound was set in the inc lusion standards, enabling aged work forces to be included and reflecting the prevalence of AUR, the inauspicious influence of age on TWOC result was once more clearly demonstrated. However, even in aged patients ( age 65 old ages or older ) at high hazard for TWOC failure alfuzosin increased the opportunities of successful elimination compared with placebo. The current survey besides confirmed the reported inauspicious influence of big drained volume on TWOC result. [ 17 ] Nevertheless, in patients with a drained volume of 1,000 milliliter or greater who were, therefore, more likely to hold impaired detrusor map a higher per centum of successful TWOCs was observed in the alfuzosin group compared with the placebo group. Other factors normally associated with AUR, viz. irregularity, acute urinary infection and/or high fluid intake were found to hold no important influence on TWOC result. [ 18,9,10 ] The consequences of the current survey are consistent with those reported by Madhu et Al. [ 19 ] Alfuzosin was good tolerated in this population of aged and frail patients with a average age of 69 old ages who were treated in an exigency state of affairs, including 32 % and 15 % with a history of high blood pressure and ischaemic bosom disease, severally. The incidence of inauspicious events or serious inauspicious events was comparable to that of placebo. It must be recognized that, sing the earnestness of the possible mortality/morbidity associated with exigency surgery for AUR and morbidity related to long-run catheterisation, the somewhat higher incidence of postural hypotension ( 2.5 % ) reported with alfuzosin in this acute state of affairs compared with placebo is to be considered negligible.DecisionThis survey clearly demonstrates that 10 milligrams alfuzosin one time day-to-day is effectual for bettering the opportunity of successful TWOC after a first episode of self-generated BPH related AUR even in aged patients and in patients with a big drained volume who are at increased hazard for TWOC failure. There is no increased hazard of an inauspicious event. The obvious benefit is that work forces can hold the catheter removed quickly and return place without the uncomfortableness and possible morbidity associated with an in situ catheter. Furthermore, in patients necessitating BPH surgery this should lend to diminish the morbidity and mortality normally associated with an acute process.

Sunday, November 10, 2019

Generals Die in Bed †Plot Essay

When he thought war contained glory and glamour, he finds himself wrong when his comrades start to die, beginning with Brown. A while later, he is emotionally affected when he kills a German with his bayonet. His emotional status worsens when another of his friend dies. The narrator then goes on leave for 10 days in England, where a prostitute makes him forget about the war. When he comes back, an attempt to raid the Germans takes place where the rest of his friends, except Broadbent dies. The general tells the new team that the Germans sank a hospital ship, and organizes another raid, this time to kill everyone. The narrator has wounded his foot, and discover that Broadbent was mortally wounded too. Broadbent’s leg is hanging by a string of flesh, but then dies by blood loss. Then the war is over. The recruits are told that the general lied, the Germans didn’t sink a hospital ship. It was a ship filled with weapons. He then realizes war is basically a chess game for the generals, and the soldiers are just young boys, listening to the orders, with meaningless ideals Wikipedia

Friday, November 8, 2019

Comparison of Nora (A Dolls House) and Mrs.Alving (Ghosts).

Comparison of Nora (A Dolls House) and Mrs.Alving (Ghosts). Nora and Mrs. Alving are two main characters in Ibsen's plays. They are similar in some ways, but obviously they are both uniquely diverse. They play many of the same roles in their plays, and are probably the most similar two characters between "Ghosts" and "A Doll's House."Nora is a unique character, a kind not usually seen in most plays. She swings her mood often; she is either very happy or very depressed, comfortable or desperate, wise or na ­ve. At the beginning of the play, Nora still plays a child in many ways, listening at doors and eating forbidden sweets behind her husband's back. She has gone straight from her father's house to her husband's, bringing along her nursemaid which tells us that she hasn't really grown up. She also doesn't have much of an own opinion. She has always accepted her father's and her husband's opinions.Oswald PlushShe's aware that Torvald would have no use for a wife who was equal to him. But like many children, Nora knows how to manipulate Torva ld by pouting or by performing for him. In the end, it is the truth about her marriage that awakens Nora. Although she may suspect that Torvald is a weak, petty man, she believes that he is strong, that he'll protect her from the consequences of her actions. Then, at the moment of truth, he abandons her completely. She is shocked into reality and sees how fake their relationship has been. She realizes that her father and her husband have seen her as a doll, a toy to be played with, a figure without opinion or will of her own. She also realizes that she is treating her children the same way. Her whole life has been based on illusion rather than reality.Mrs. Alving married her late husband, Captain Alving, at her family' proposal, but she had a horrible marriage. She ran away to Pastor Manders, who she was attracted to, but he made her return to her husband. After enduring her husband's depravity for a while, she sent away Oswald at the age of seven, with the hope that he would never discover his dead father's immorality. Mrs. Alving built an orphanage to memorialize his death, and it was scheduled to be dedicated the following day. She didn't want anyone to know the truth about his person; she wanted everyone to think he was a great, honorable man. Fortunately, she at least had the compellation to tell her son the truth about his father.The occasions that arose for both characters were similar to some extent. One year into her marriage, Mrs. Alving, like Nora, walks out on her husband, fleeing to the house and into the arms of her friend Pastor Manders, only to be persuaded by him to return to her husband. Another similar occurrence was when Nora had to save her husband, by going into exile and away for a little bit, and Mrs. Alving saved her son by sending him into exile or at least away from their home so that Oswald would never have to grow up with his freelancing father.There were also some key differences between Nora and Mrs. Alving. In "A Doll's House", the reason of the union between Nora and Helmer relied on the husband's conception of integrity and unyielding devotion to social morality. He was the conventional, ideal husband and devoted father. Not so in Ghosts. Mrs. Alving married Captain Alving only to find that he was a physical and mental wreck, and that life with him would mean utter degradation and be fatal to her possible children. In her despair, she turned to her friend, Pastor Manders, who needed to be indifferent to necessities. He sent her back to shame and degradation, back to her duties to her husband and home. Happiness, to him, was the "unholy manifestation of a rebellious spirit," and a wife's duty was not to judge, but "to bear with humility the cross which a higher power had for your own good laid upon you."Mrs. Alving bore the cross for twenty-six long years. Not for the sake of the higher power, but for her little son Oswald, whom she longed to save from the poisonous atmosphere of her husband's home. Meanw hile, Nora fled her husband for the sake of the higher power, for the opportunity to find her own ideas and opinions, to gain an experience without the controlling factor that her husband had on her.

Tuesday, November 5, 2019

Enthusiasm and Enthuse

Enthusiasm and Enthuse Enthusiasm and Enthuse Enthusiasm and Enthuse By Maeve Maddox The English word enthusiasm derives from Greek entheos, â€Å"possessed by a god.† A person filled with enthusiasm was filled with a divine frenzy. An early meaning in English was â€Å" poetic or prophetic frenzy.† An â€Å"enthusiastic preacher,† for example, was what a modern speaker might call a â€Å"charismatic speaker.† From describing religious fervor, the use of enthusiasm extended to passionate feelings expressed in other areas, like politics. In the rational 18th century, the word’s religious application acquired the negative connotation of irrational or delusional. Samuel Johnson (1709-1784), himself a deeply religious man, was suspicious of people who claimed to be privy to the divine will. In his dictionary, he defined enthusiasm as â€Å"a vain confidence of divine favour or communication.† The meaning he attached to vain was not the one now current; by vain, he meant â€Å"unprofitable, pointless, futile.† In his essay on the poet Abraham Cowley (1616-1667), however, Johnson used the word with the meaning of â€Å"poetic inspiration†: He [Cowley] was the first who imparted to English numbers the enthusiasm of the greater ode, and the gaiety of the less.–Lives of the Most Eminent English Poets. The verb enthuse is documented from 1827. The OED etymological note calls it â€Å"an ignorant back-formation.† Merriam-Webster, as one might expect, is less judgmental: Enthuse is apparently American in origin, although the earliest known example of its use occurs in a letter written in 1827 by a young Scotsman who spent about two years in the Pacific Northwest. It has been disapproved since about 1870. Current evidence shows it to be flourishing nonetheless on both sides of the Atlantic, especially in journalistic prose. As a transitive verb, enthuse is used with the meaning â€Å"to kindle with enthusiasm†: The liveliness of the dance enthused the audience. Used intransitively, enthuse has the meaning â€Å"to grow enthusiastic; to go into ecstasies†: Here I caught up with Parallels chairman David Ciclitura and group managing director Stewart Mison and listened as they enthused about the business potential offered by professional golf tournaments. Flourishing or not, enthuse is a word that continues to raise hackles, so it’s best to avoid its use in a formal context. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Vocabulary category, check our popular posts, or choose a related post below:Homograph Examples80 Idioms with the Word TimeEbook, eBook, ebook or e-book?

Sunday, November 3, 2019

Terrorism Essay Example | Topics and Well Written Essays - 1500 words

Terrorism - Essay Example Others linked it with civil disobedience while others label it as acts of violence. However, experts claimed that these three are very different terms from each other but in as much as one wished to gain adequate understanding of the word â€Å"terrorism†, it is crucial also to obtain insight about the other two terms often connected with it. Civil disobedience is deemed acceptable by many deliberative democrats as long as it remains relevantly tied to the objective of communicative action (Allen 15). However, Allen also emphasized that certain kinds of terrorism cannot be ruled out either (15). On the other hand, an individual must acknowledge that the deliberative democrat will not really be able to justify taking life as a maneuver for the reason that dead people cannot deliberate (Allen 15). Allen highlighted that this does not rule out terrorism per se, the object of which is not death so much as to bringing about fear, anxiety and trauma (Allen 15). Moreover, while a per sistent circumstance of fear would set the boundaries on forethought, restricted and transitory physical harm to individuals need not (Allen 15). For this instance, it entails that deliberative democrats must elucidate why purposely causing some physical harm to property or person is constantly an illicit and unlawful means of communication and demonstration (Allen 15). This paper endeavors to explore the concepts associated with terrorism and to tackle the impacts brought about by such circumstance. Definition, Association and the Concepts surrounding Terrorism Terrorism had always been synonymous to threat, intimidation, trauma and destruction. Individuals express anxiety whenever such term is brought up. Defining exactly what terrorism is proves to be a rather daunting task. One must also learn and understand to grasp the essence of the other terms connected with it to be able to fully obtain a clear insight about what this is as guided by certain propositions of expert and the l aw. Civil Disobedience is one of the terms confused with terrorism for the reason that some governments might label such acts as form of terrorism even though for the ones doing it, their main objective was only to find a means for their voices to be heard and for their standpoints to be given attention. Civil Disobedience is a tactic that is hard to reconcile neatly with persuasion and communication as stressed by Allen (15). Indeed, many deliberative democrats are willing to concede that civil disobedience contains some irreducible elements of threat and intimidation (Allen 15-16). Nevertheless, the deliberative democrats still supposed that it can still be accommodated within the conceptual orbit of deliberative democracy, and the priority that it gives to legitimate actions through public communication (Allen 16).

Friday, November 1, 2019

CNN International and Al-Jazeera Arabic Essay Example | Topics and Well Written Essays - 2250 words

CNN International and Al-Jazeera Arabic - Essay Example CNN International started transmissions on January 1, 1984 at first broadcasting to American business travelers in hotels. The huge bulk of the network's programming primitively consisted of simulcasts of the two domestic CNN channels, CNN/US and Headline News. However, the quantity of news programming created by CNN International especially for international viewers significantly enhanced, in 1990, which came forth as an internationally oriented news channel with staff members of various national backgrounds. On July 4, 1997, CNN International was awarded the Liberty Medal and in accepting the medal on behalf of the network, Ted Turner said: "My idea was, we're just going to give people the facts†¦We didn't have to show liberty and democracy as good, and show socialism or totalitarianism as bad. If we just showed them both the way they were†¦clearly everybody's going to choose liberty and democracy." ... ates was launched on January 11, 2009 and CNN International adjusted half an hour in its schedule with a new evening prime program for the Middle East viewers â€Å"Prism†. From January till September 2009, CNN International conformed more programs that went pitched to a primetime European audience with a few titled after CNN International charismas especially the interview program Amanpour. The channel plunged a new tagline "Go Beyond Borders", accenting the international view that gives the information in this string and the plurality of the audiences and also referring to the various platforms to broadcast their contents, along with a new logo on September 21, 2009. The Channel amalgamated its general newscasts (CNN Today, Your World Today, World News, World News Europe and World News Asia) into a single newscast entitled World Report. CNN International has launched new programs for evening-prime and meliorated its schedule from 2010. The Domestic CNN has increased the CNN International schedule by adding the new talk show program â€Å"Piers Morgan Tonight† in 2011. Today, CNN International has six variants namely: CNN International Europe/Middle East/Africa, based in London, England, United Kingdom; CNN International Latin America based in Atlanta, Georgia, USA; CNN International North America based in Atlanta, Georgia, USA; CNN International Asia Pacific based in Hong Kong SAR, China; CNN International South Asia based in Hong Kong SAR, China; and CNN International Middle East, based in Abu Dhabi, United Arab Emirates.3 Al-Jazeera Owned by the state of Qatar and headquartered in Doha, Qatar, Al Jazeera is an independent broadcaster through the Qatar Media Corporation. Al Jazeera was initially launched as an Arabic news and current affairs satellite TV channel and