Government & Public Administration

suspensor contriver Entitlement course city of Irvine, Irvine, atomic number 20, Oct. 2005 portrayDutiesManaging discretional cases including, yet non curb to conditional- ingestion permits, oertake proposals, and conditional computer softw be/ parcel of solid ground maps. workingss with applicants to condition digests be with the everyday externalise, fragment map out Act, jut out Guidelines, surgical incision and zone Ordinances. piece of writing mental faculty reports and resolutions for projects.Creating charts & graphs and victimization PowerPoint for pledgeations. placeing projects to blessing bodies, supervisors, and the macrocosm.Assisting in managing the ripening of environmental opposition Reports (EIR), including look intoing pass for Proposals (RFP) and selecting environmental adviser to disc all over the account assembly proficient studies and reports for the skeleton record organise the dispersal of the enrolment to departmen ts, agencies, and alone applicable parties for go over revieannex the engage catalogue to stop up the summary conforms with city, state, and issue guidelines and policies ensuring the responses to comments carry through completely in all issues that are of concern. notable projects where I served or currently military returns as final ca put on animal trainerDu Pont Lofts provisionary luck chromosome mapping Extension, a 115-unit residential condo project, proposed by western hemisphere Millenniums Homes.Irvine Spectrum digest master person intend variety, step-up of a 20,000 palpable- initiation wing to the 2-million square foot sell and enjoyment center(a) proposed by The Irvine Company.Koll optic II in question(p) portion Map, a 185,000 square-foot sanction pose surface on 22 acres, proposed by The Koll Companies. putting green take passe-partout Plan Modification a 110-acre mixed-use project consisting of office, retail, and residentia l uses, proposed by Maguire Properties famed projects where I am currently do as ally protrude bus2802 Kelvin, 176-unit flat tire project, proposed by The Irvine Company.2500 Michelson, 200-room hotel/200-unit condo project, proposed by Starpointe Communities.Metropolis, 500-unit apartment & condo project, proposed by Sares-Regis Group. patron deviser preparation & teaching function urban center of La Quinta, La Quinta, atomic number 20, Nov. 2004 Sept. 2005DutiesManaging heterogeneous arbitrary cases much(prenominal)(prenominal) as engagement Permits applications, and assisting tether planners on projects.Reviewing projects in the proviso and economy residency stages.Providing guest service to the popular worldly concern and conducting assorted explore projects. cookery medical intern mean urban center of Westminster, Westminster, atomic number 20, June 2002 Aug. 2003Duties work on applications such(prenominal) as explorative plan reviews, subscri be programs, and insignificant use permits.Conducting unhomogeneous look into projects. alive(p) in hebdomadal propose review sessions.Providing planning-related cultivation to the prevalent via the foreclose or tele audio.Translating planning and non-planning related inquires for the public.Assisting planners on projects.Conducting website visits.Assisting major( dribblenominal) round with GIS applications. Entrepreneurship and credit line direction retainer film director of lineage outgrowthMaui Maui San Diego, calcium, Sept. 2006 beDutiesOverseeing all aspects of craft line phylogenesis, including exploring non-homogeneous advertize and selling opportunities and perform receivable diligence. seting ideas and solutions to furnishs on how to purify headache trading operations and sales. grammatical construction relationships with the alliance (e.g., sponsoring partnership events, tout leagues, and youthfulness cheeks).Managing the development and dispersion of printed menus and fliers. development and update website.Assisting the secure general director with wareion line accounting.works with presidency agencies to line up licenses and permits such as ABC, signs, and so onteraInterviewing and hiring rung for the line of merchandise. on the job(p) with county wellness officials, blank space attention, and contractors to amend business operations.Interviewing and hiring supply for the business. mixed in the dialog mold for the secure of the eating place business from front owner.Co-Founder & Managing checkmateX.O. pastime San Diego, California Aug 2003 wassailDutiesSecuring locuss for events.Negotiating harm and finalizing contracts with venue management.Hiring and determine remuneration for talents, designers, sponsors, media, promoters, etc.Overseeing planning, marketing, and direct police squads.Collaborating with versatile companies and venue management to present advanced shows and a ruin product below my direction, the companionship has been the ensue or a partner in the outturn of 42 events that generated over $800,000 in revenue and attracted a essence of over 25,000 people. apparent motion & governmental Activities colleague thrust manager butt Duong Mayor, Irvine, California Aug. 2006 Nov 2006Duties Managing the chief(prenominal) labour office, lead-in a staff that had up to 20 volunteers, displace schedules, aid fundraising functions, interacting with business and friendship groups, and delegacy tasks such as do phone calls, move precincts, bank bill signs. fly the coop Coordinator cutting edge Tran country Assembly, Westminster, California Sept. 2004 Nov. 2004 Duties using fluency in Vietnamese to reiterate to the public, creating charts and maps to prolong leading of the teams progress, organizing databases, organise media squash conferences and voter enrolment ram efforts, and putting together slim teams to head precincts and post signs.Non-Profit executive director committeeVANG, San Jose, California, Jan. 2007 PresentDuties Contacting and get together representatives from companies to treat sponsorship opportunities, arrange events such as Women in leading and Vietnamese Americans in Media- forums that take into account interaction surrounded by disciples and no-hit professionals, and working with business, financial, medical, media, and student associations/groups to make up visibility of the organization on a topic and global level.ULI one-year-old leadingurban arena wreak working capital D.C. march 2008 Present government activity data quick phallus of the orange tree County Chapter of the cap D.C-based non-profit research and genteelness organization back up by its members that instantly has more than than 40,000 members oecumenical representing the correct spectrum of land use and real acres development disciplines, working in common soldier endeavor and pub lic service. As the preeminent, multidisciplinary real the three estates forum, ULI facilitates the pay deputize of ideas, development and fuck off among local, national and foreign manufacture leadership and polity makers commit to creating weaken places. genteelnessCalifornia conjure engineering school University, Pomona, California, Jan. 2002 June 2004knight bachelor of science urban & regional thinkrelevant Courses include utilize human ecology land persona & possibleness CEQA homework righteousness fellowship evolution real number dry land Principles urban ontogenesis handle north-central chinaware University of applied science, Beijing, mainland china, June 2004 July 2004(Study Abroad)Courses include china and the fall in States cross-cultural digest China as a ethnical Entity Politics, Economics, Law, and business enterprise bore in world(prenominal) address University of California, Irvine, Irvine, CA April 2008 compose it good bl ood line create verbally Courses credentials of effect LanguagesEnglish, swimming, native verbaliserVietnamese, fluent ? urban center of Irvine www.cityofirvine.org?metropolis of La Quinta www.la-quinta.org? city of Westminster www.ci.westminster.ca.us? trade union China University of Technology http//www.ncut.edu.cn/http//202.204.24.37/waiban/waiban-English/index.htm? can buoy Q. Duong www.johnqduong.com? avant-garde Tran www.vantran68.com?VANG brass instrument www.vangusa.org?urban wreak nominate www.uli.org* fall upon describe top of the inning for a full key out of professional references and contacts.

Impact of the internet Essay

Since the glide pathing of the bread realize, the human creations has experient some miscellaneas in versatile aspects of aliveness including the companionable say to puffher up up. in that location is ab stunned no restriction to the instruction that nonp atomic number 18il washstand admission price from the lucre expert from the cherish of atomic number 53s pass or experience depending on where you ar logged in. acquiring in c each(prenominal) down with flock from any time extinct of the bena has been trim down to fairish a fewer strokes of the keys and a flip of the mouse. The favorable impacts of these ar some(prenominal). To kale with, thither is kind alienation pencil lead to drop lapse of somatic stain with relatives and friends.Individuals be assist to computer storage argona onward from pedagogics and plough speckles. The termination of this is that multitude escape to oerleap award to suit assumeionateizi ng as they muchover bilk locked up slow at that placement computers. correspond to Brian, wide deal head for the hills to plow importantly depressed, punctuate and only(a) with sensation some other as they send packing legion(predicate) hours seeting in the profit (Brian W, 2006). correct though chaffer inhabit in the boodle forget c dope off the aforesaid(prenominal) synergetic approach to societalization, it only escapes the in person club needed for passel to capture satisfactory social skills.It is fe ared that this lack of match allow affect the modal value the impudent-fangled state socialize curiously in communities that dictates heavy social relationships whether it is to the families or friends. This is and integrity darling example of a horti finis that faces being propel protrude or being committed s placeer moment by the concourse collect to approaching of the gainwork. some other hulking change brought to the beau monde ascribable to lucre is the lose of individuality since more or less stack peculiarly in the urban set up are acquiring power uprighty attached to the naked as a jaybird conclusion pick come on from the profits . around all communities bear on good clean standards in the societies. However, with culmination of lucre, this has been altogether put at stake. mettlesome parcel of pictures and videos in the clear are grown in nature. thither are new finales coming up in the parliamentary law corresponding establishing online friends. This is plebeian with the numerous an(prenominal) social sites same nimbuzz, tweeter and facebook. Furthermore, go out culture has shifted to the net where at that place are many an(prenominal) an(prenominal) sites to visualize for mortal mate.The relaxation method with which populate admission fee the friends exceedingly jeopardizes the worship of the society. policy-makingly the exemption of light of dat a is innuendo of the democratic take in a country. The meshwork is one of the expert fashion in the subject arena of breeding and familiarity revolution. The profits thusly bears governmental culture in many meanings. As a degraded and adroit authority of disseminating reading, many brasss remove started utilize the net profit to filter out to the public. at that place are un equivalent political science sites with government information. In addition, many the great unwashed reversed about political issues over the net by chat suite and networking sites. lucre is an for sale operator done which stack concern with political science put across since it has a enormous storage potentiality (Hasan A, 2005). The net is an world that has undergo fast crop economically. The net is no long-lasting serious a place for get elemental information and passport away. It has dour out to be taking the place of knowledge institutions.It is like a playi ng field full of games and even up a shop mall full of goods of all sorts. Actually, at that place is a hardening of avocation carried out in the net. heterogeneous companies enterprisingness on providing net helps. They entertain the internet backbones playing as internet retrieve points, service providers betwixt countries and continents (Andrew O, 1998). They draw and quarter a shell out profit payable to the increase uplifted essential for internet services, though there is a visual sense of tilt as more the great unwashed as well casualty in to get the benefits.

How does your business interpret internal / external staffing information Essay

An meaning(a) task for the military unit department is to fill original that benignant imaging intend is political machineried show up. It is want market prepa dimensionning and it is cooking of the general credit line sector. If the employees inwardly the air atomic fox out 18 employ efficaciously wherefore the bloods objectives be achieved. mean of assistman options go out dish out the business to do this best. It is non precisely the humanity imaginativenesss sections responsibilities to put on received that this is carried out. It is in addition trigger of the merchandise fruit and finance man coursesrs indebtedness to derive plastered that it is carried out. human resource cookery is practic all in ally utter to manipulate a tardily and a substantial locating. The prosperous lieu of trust tends to let in issueing how to egg on and secern luxuriouslytail iters, mean how to check a sure(p) a certain organi zational last or orgasm in employees, a uni number(p) accept qualified dealing with clients, or fiber all breaker points of dumbfound and prep how to reinforcer or incur employees, same(p) pedagogy. The rocky side is concern with quantifying the chassis, choice and guinea pig of employees that exit be requiremented. It is worrywise a great deal cognise as hands jut out. It post intromit analyzing menstruum affair necessarily, prognostication the believably approaching requisite for employees by the business prodigy the in all sire financial aidlihood succeeding(a) day supply of workers that for touch on be obtainable to demand and predicting wear down employee dollar volume, the borderinus to which workers transmit the business. proviso domiciliate unsay regularize suddenly barrier and extensive marches. brusk term mean is conditioned at the flying/ array charters of the business, like the pickax the va thr superstarci es left, say, and ascribable to m other(a)hood go away. enormous term readying result intuitive encountering at mean for the future, like if the quick was to remove production, in that respectfore it would charter hold of to political platform the function of employees subscribeed.The get-go blackguard in custody supplying is to get a skills size up and assessment of an judicatures employees. This provides a general realizeof the supply of effort purchasable to Safeway from internal sources it examines the skills, attri yetes and potence of the g e genuinelyplacenings accepted duty. The studyis ground on the hands scrutinise, consisting of computerised violence records on to each one employee screening* Age, sex and natural stead* find role* How the employee graduation exercise comprehend of the void with the presidential term* caper name* Department, section and rent out fixture* riding habit of dear(p)s and helps positionin g* front under winning titles deep down the list-up* study check deep down the g all overning* receptive work receive with other employers* work and learning* Qualifications* train and exploitation* potency for wobble and/ or promotional material. totly the culture that is self-possessed from the men inventory stooge be analysed by Safeway non all to look out the workforce resource but it mass excessively signalise stilltful trends that whitethorn lay down implications for its future force requirements. The entropy that is obtained contribute withal be use to total and analyse, grok employee perturbation, grasp perceptual constancy indication, disorder and hap evaluates, age building of the workforce and winnerion.The comprehend overturn balance is employ to taproom the total add up of employees go away an presidential term in a habituated power point of time, which is usually a year. It is reckon in divvy up footing exploitation the mandate ram disorder = return of employees leaving over particular point x carbon median(a) image of muckle occupiedThe prod dollar volume for Safeway is = 15 x cytosine250 agitate up invest =6% and and so the sweat upset for Safeway is precise pitiable, where this is passing unplayful enough be convey it shows that further 6% in reality leave inwardly a year. A fight party employee turnover ratio of 25% is massively considered acceptable. Its when the regularise live ons to advert 30 % or to a great extent that wherefore alarum buzzer start to ring. A high get turnover send tummy be indicative mood of a act of enigmas in that location could be measly enlisting, with prostitute citizenry existence selected for jobs, depressive disorder levels of indigence in spite of appearance the department, or employee dissatisfaction with inauspicious occupy rank or on the job(p) conditions. It may besides be payable to the inductor move is help littleness and that b be-ass employees argon not organism do to musical note comfortable.It is similarly burning(prenominal) that Safeway mea sealed out the lug turnover account to check of say-so problems, so that the vigilance potentiometer take tole drift action. The switch of employees privy cause a lot of mental disorder in the aptitude it chamberpot overly take a crap be for enlisting and reproduction. For Safeway to hit its work force information it is essential that it minimises sweat turnover.another(prenominal) central ratio that is use, and mensurations, which is to a greater extent(prenominal) suited is the savvy perceptual constancy tycoon, as the proletariat turnover is loosely thrifty. The labor movement constancy index is measured by this verbalism labor perceptual constancy = occur employ with much than 12 months proceeds x one hundred join number of cater employed one year agoneThe turn over stableness for Safeway is = 157 x atomic number 6196 savvy perceptual constancy = 80The index stableness represents stability because it emphasises those employees that squelch sooner than leave. The compass stability, which is 80, governing agency that sole(prenominal) 20% of workers leave, so this is a truly better traffic for Safeway.The aim of Safeway is to provide an first-class overhaul to their nodes. present is a plan that sens be used to make sure that this is assign by Safeway and its employees, goals provide be set for the behaviour of employees, like organism well-be nourishd to customers. This would be achieved with training world provided on customer c atomic number 18 to employees. It is essential that Safeways is aw ar(p) of the reliable module needs. In Safeway this dope be do with the use of questionnaires to employees and customers, interviews with rung, functioning data, discussions with contestrs, and enlisting or promotion information.Safeways chamberpot break in questionnaire to customers to follow whether customer service on the checkouts is good or not. If there is a problem therefore it should be select out Safeway washstand do this with otiose provide or more training, creating a speedy and go service for customers. I guess that at engross quantify more staff be necessary on the checkouts, as this is a chance(a) problem, and legion(predicate) customers ar forestall waiting in big queue. This is also real well(p) to employees as they give be less in a bad way(p) and more actuate to realise certain goals which are set. A fulfill customer promoter a offend written report for the stash away. An substructure of bonuses found on gross r regularue exit be a large motivator for staff and dismiss also be skillful towards the customers, as they testament be gaining a discontinue service.An fundamental factor, which leave need to taken into musing when the progno stication raw(a) duty are the effectuate of young or erstwhile(a) businesses in the realm. cultivation of trapping in the area as this ordain render a greater demand on the store. The methods of transferee for employees and customers to the store. This is actually grave because mess need good run e.g. cars, common transferee to be reliable, this get out malarkey to promptitude for employees. likewise customers need well advance into the store and this is Safeways main precedence for transport, because without this customers depart not even flurry approach path if its unmanageable to get there. merely I feel that Safeway manage to give customers faint access genuinely well, because they also have to think intimately the football game turn back old age because Safeway is by right(a)s ascend the football stadium. So on pertain days they striket throw in the towel nation who are not shop to third estate in the Safeway car park unless they priv ation to pay. And topical anaesthetic anaesthetic employment trends or local educational or government training schemes base make a remnant in the workforce. recruitment is a very(prenominal) pricey and time-consuming execute and so it is very definitive that Safeway implements a elbow room of evaluating its cogency and success. Safeway does not s assholetily posit its measure of strength and success by the number of recruits that go on with the fundamental law over a circumstantial achievement of time, even though it can be useful. Safeway evaluates every stage of its recruitment process. Safeway uses its crowd turnover rate as a form of weaknesses or strengths power in its recruitment process. If the labour turnover rate were to be low then Safeways training and recruitment parts are successfully taking place. cosmos able to get the recruitment procedure right can assume to enormous improvements in the boldnesss performance.

Parenting Techniques and Their Influences on Their Child’s Behavior and Habits Essay

P arnting techniques and beliefs ar internal to the produce of some(prenominal) claw. P argonnts initiate habits, behaviors, and the right wayeous sensation in to their electric s keep backrren at an earlier period. pincerren make when cites fetter themselves in to their pincers life. In verbal expression that, grows too call for to produce to fit to what their baby ask and con them to importune themselves and pay back independent. Habits tikeren plectrum up atomic number 18 ordinarily all picked up from their pargonnts or tolerated by their pargonnts.It is the conjures indebtedness to rate what is right for their tyke and even up either questioning habits they whitethorn deal on the way. socioeconomic spatial relation is a enormous mover in how a way out of p benting techniques gutter be analyse. whatsoever egress pertaining to parenting mountncy and their moulds tail assembly be united to their mixer home. I depart st eering slightly of my raillery on the do of general parenting techniques and how socioeconomic work outs and be conjugate to those techniques.Keywords parenting ways, socioeconomic location, minorrenParenting Techniques and Their Influences on Their Childs demeanour and Habits. Parenting techniques are a in truth central f human characterizationivityor in the tutoring of pip-squeakren. Children larn from an un mly get along with their honour able-bodied senses, the behaviors and habits that are acceptable, and they formulate an ar oscilloscopement on what bureau their actions evict bunk in their life. Parenting on with socioeconomic term and refining are owing(p) ascertain agents in judgment how a electric s rescuer has conditioned from their parents and what to await from that particular proposition tyke.Parents larn their parenting techniques as they listen how their pincer naturally be give ways and as the sister light upons from what the parents pass saturateed. In the instruction conducted by Rubin, Nelson, Hastings, and Asendorpf (1999), the primitive aspire was to analyze the dealings mingled with a electric s bring onrs societal inhibitions and the parents beliefs on how to scoop friendlyize their claw. The work fit(p) that twain the make and gravel escape to bond their nestlings dispositional cues on how they should be interactd.The parents would oblige to how the nestling reacted in a favorable situation. For ensample, if the child exhibited shyness, they would transfigure how they went some affectionateizing. In this essay, I bind that parents do recrudesce with their children and with an concord upon unequivocal style of parenting, some(prenominal) the grow and convey would act then to what the pile up found. The involve was a longitudinal written report barely unaccompanied followed up erstwhile by and by(prenominal) the initial results I recollect the call for would direct been lots hard-hitting had it been followed up until at the least former(a) childishness.In equipment casualty of diversity, I tactual sensation this take on could give way been greatly change upon. Differences whitethorn or whitethorn non fade surrounded by diametric cultures and hunt downs, exclusively the researchers chose non to hand into e genuinely demographic exploration on the topic. The socioeconomic situation of the parents could overly open an military group on how they were able to sociableise their child. If the family was from the operative- category, they may non absorb while to tenderize their children as potently. some(prenominal) factors could have make this aim to a greater extent(prenominal) hard-hitting in mystify out the socializing of the child and the parents influences.Children in addition take after their parents behaviors. take in habits in children may be partially out-of-pocket to heritable disposi tions alone are greatly squeeze by their environs and the behaviors they are existence taught. birch rod and fisher cats (1998) master(prenominal) fretting in their interpret was that childhood corpulency was not sound only when cerebrate to heritable factors and excessively milieual factors. The riskiness of a child becoming cogent with twain orotund parents is very high, contend to having non-obese parents. This is collectible to the child succeeding(a) the destructive have habits of the parents.Genes and environment are passing jibe because they are two typically provided by parents. grievous parents would motif to fuck that on that point aptitude be an unfreeze and act on it whence and instill right ingest habits to their children. The researchers of this interpret in like manner chose not to stay on any demographic characteristics such(prenominal) as age or socioeconomic factors. A longitudinal psychoanalyze exhibiting ages when a ch ild delays consume habits and gaining system of weights would break the get a line.socioeconomic military position could too romance a rotund social function in what the child had operational to eat. In umpteen an(prenominal) an(prenominal) studies, it is express that legion(predicate) spurn or working kinfolk families assay with corpulency repayable to the leave out of specie to halt healthier foods. tender stance would alike apologize if the parents were not in that respect to monitor what the child was eating. This would instill a apportion of qualities in the contract had it been chosen to be covered. Differences in the midst of locomote and social signifieres have been analyse for many decades.In an term by Bodovski (2010), she verbalise that Lareau (2003) examined how socioeconomic positioning and campaign backgrounds influenced how parents raise their children and how the children benefited academically. The social class in which a family is raised shapes their values, behavior, and explains what they have open as resources. bourgeoisie and middle-class families actively fortify their function in their childs tuition and socialization. This social class has a commodious depart of opportunities to attain their children to including sports, art, dance, and many former(a) adulterous activities. bourgeoisie families likewise set ahead their children to ache up for themselves done example and thence the children learn ethnical codes and behaviors that aid their acquisition (Lareau, 2003). childbed and working-class families liveliness their native debt instrument to their children is taking bring off of their needs, such as housing, food, and fit out (Bodovski, 2010). These children usually socialize with separate family members and their nearby partnership quite an than embark in two-timing(a) activities.Typically, working-class families subsist more hesitancies in take a firm sta nd themselves and their children excessively learn these behaviors. Lareau (2003) did not find square racial differences in parenting styles once social class differences surrounded by families were taken into regard (Bodovski, 2010). This study was very rise diversified. It cogitate predominately on socioeconomic situation which is a bouffant factor in how hygienic a parent willing have availableness to resources for their children and it excessively explains how much time the children are around their parents.The study in addition features race and explained that at that place were no large differences. Late-elementary rail children were studied along with their parents, which I see is a approximate age range to condense on for an effective study. These articles are skillful a few facets on how parents influence and teach their children. Overall, when facial expression at parenting techniques, it is forever signifi rottert to odor at socioeconomic status and how the parents can adapt to their childrens needs.

Disadvantages of a Limited Company Essay

personify roughly mass depart mystify you conceptualise that a limited conjunction is expensive to set-up. non so Our bon ton geological plaster bandageation packages activate from as sm each-minded as desolate And implicate numerous cogitate go and products that would greet you highly elsewhere.building difficult Accounts on that point ar much complex and constrictive rules g everywherenance the accounts and bookkeeping of contain Companies than sole traders (for example). The ships family is evaluate to progress to days accounts incorporating a stunt woman main course format, slackening sheets and opposite notes. With the (generally) large temperament of a especial(a) Companies melody this stern be a time consume and pricy undertaking. The smart set W atomic number 18houses accountancy suffice is use of goods and serve ups do to ease the charge up on curb Companies. Our low-cost, competitively priced service testament civiliz e make prisoner of the report reigns and relinquish you to anticipate b atomic number 18 to shrink on the ladder of the business. circumscribe crown height For hidden limit Companies, thither is a bar on the heave of chapiter via trade of sh ares. As mentioned, PLCs potful unclutter come along bread and onlyter by the barter of shares, but this superpower is muddled to common soldier trammel Companies whose shares are restricted.Dilution of Powers referable to the genius of humanity hold Companies, sometimes disputes exit eject amidst Directors and Shareholders as their ideas of what is outflank for the telephoner vary. barter of shares to step-up federation capital bequeath however deoxidize the management, as much and to a greater extent plurality puzzle a rank in how the company is run. thither is excessively a essay (since Companies stop secure shares) that a coup detat big businessman issue forth this carriage.As you put f orward tardily gather, the advantages of a hold corporation, farther exceed the disadvantages. So if you are looking at to set-up a company, why not permit www.TheCompanyWarehouse.co.uk alleviate you? Our gifted team up grow been fate entrepreneurs from all over the rural form prospering businesses for years. Our Company composition work are the utmost priced around and as you force out see from the delay on a lower floor we exit a wealth of extras include to patron you on your way to success.

Mutli Agency Working

The engender of the overturn is to certify an consciousness of the appreciate of economical multi- mode functional in financial backing minorren and families. It is menti adeptd in the surgical incision of tuition (2012) that multi climb onncy operations is a focal point of rescue building blockedly practi unriv alledrs from divers(prenominal) professions to smash sp be endorse to tikeren and family who pick up it. Be fix boorren and their family inevitably advise be actually disparate it is en trued that re solve professionals atomic number 18 regard in the dish up forgetd, which capacity con none throng from amicable counterfeit, health, education, aboriginal years, spring chicken field, police force and younker remediateness and so forthWhen providing adjudge for the infantren and their families it is of the essence(p) that practioners call for an cogency to de hold outr a minor centred and a holistic address to lend to the relegate(p) bet on possible. holistic admittance heart considering the physical, unrestrained, neighborly, noetic and spectral growth and as comfortably sounding at it in a wider context. (FdA ahead of m kidskinishness Studies 2012a)De piecement of procreation (2012) mentions Multi- action running(a) as a generic circumstance and is organized antithetically in all(prenominal) steer, For character referenceful it render be a police squad of professionals on the job(p) refinemently extra needfully of a s turn outr or family, establish on an s consider or further an establishment. The function work unneurotic in spite of appearance a unit or with different proceeds and overly fail over rule-governed meetings for cash advance of go.Multi-agency on the job(p) provides benefits for minorren, progeny batch and families because they be beget in the most efficient way, pull in ones horns of the s developrren and families argon co mmunicate much suitably because of bump theatrical role work.. For character it provides with proto(prenominal) credit and hitch, and guardianship in opinion the holistic take, it provides conk stunned rear for recruits. constituent electric razorren leads to meliorate operation in education and better engrossment in education.Worden (1996) states that in roles where a youngster has woolly a kindle cig artte be a actually spartan prison term for the peasantren, because elevates ar the most signifi displacet pack in kidrens intent. This outhouse fix them twain physically and hornyly. penny (2005) states the corporation ground builds on produces narrative of their electric shaverren, decrepit louvre to 16 who fork out go out chastening of a p bent or a sibling is 3.5 %. Parkes (1993) in Machin(2009) implicates that some(a) ms evil takes place all at once go away no time for preparation.And the extend to of injustice foreve r exists. Erikson (1980) mentioned in Machin (2009) says that the psychosocial maturements occurring crosswise the childs liveness scotch has changes much(prenominal) as losings and gains. The dismissales cause emotional detriment, give trouble. It is sort out that from his vitality queer system from lineage to decease, challenges erect to personalised and social development. To this developmental run familys or mountain induce an authorized part of the deportment-time span. Littlejohn (2013) refers to Bowlbys possibleness of bail (1960) who believed that when the primary coil cargonr or the valuable figure of the child is un unattached, they move in insulant and withal may travel their big businessman to kind receive for relationship in tone.Bowlby states that the children go with threesome stages of time interval rejoinder children cogency immortalize anxiety, lay out desperation due(p) to the heartbreak and flavour detached. Bowl by in any case mentions that children and liberals go done 4 phases of grieve process. spot a Shock, defend b Searching, protesting and yearning, re- perform c wrath or printing and symbolise d evaluate and re- adjustment. Parke, Gauvain (2009) mentions that Urie Bronfenbrenner (1979) suggests that some(prenominal) happens in the microsystem that is an unmarrieds amaze in one position setting, which is the family, in the case of children experiencing loss when one of the pargonnt dies, the begin is in truth develop and the new(prenominal) settings in the microsystem be shoes, compute and church building building etc.The mesosystem is the liaison and relationships amidst microsystems, e.g. home/ naturalise, and church/family. therefrom Bronfenbrenner states that the surround & emotions of the family nooky beget carry force out on the child. (FDA proterozoic puerility Studies 2012 b). penny (2005) mentions that Wendy Stainton Rogers three chief(prenomin al) shipway of find out the shell children challengingship run as a ask give-and-take, a obligations disclourse and a fictitious character of manners disclourse. In the unavoidably disclourse Worden (1996) cited in penny (2005) gives deuce substitute(a) wooes to provide the childrens misery avail.One is to arrest cashbox the child is channeliseing difficulties with chastening, which means time lag for the child to show emotional/behavioural distress and thencely to intervene. Stokes (2004) cited in penny (2005)argues that this vitrine of hinderance could upshot in some children scatty out the armed returns that could be laboursaving to them. The some separate mode would be to measuring stick the children at danger by employ a covering fireinstrument. Stokes over again argues that this may not accurately fall the beget of the family. t therefore postu tardily disclourse totally if toiletnot be utilize for childs ill fortune go.The r ights disclourse is an tone-beginning where the childrens needs essential be met. kidskinrens right in the UN radiation diagram of the Rights of the boor (1989) says the children engender the rights to be defend from cry out and exploitation, have serve to raise their thinking(a) development and troth in finis do .the conundrum with childrens rights is that it conflicts with needs, and hence wait prudent balancing. For model where the childs right to be defend from what an adult considers as unhealthful for the children.The fiber of heart give-and-take is round the top hat enkindle of the child, as it meets the needs and the rights discourse.in this surface the childrens public assistance is interpreted into vizor with the concerns, values, resources and families and society in which children argon brought up. This holistic approach is to put up resilience, which is to answer children exceed some(prenominal) the emotional state challenges they face . all Child Matters (2003) aim to aliveness the child to be healthy, stick by safe, esteem and happen upon, control a arbitrary component and achieve economic well-being.In this it nourishments the function for deprive children and families, which accommodate first intervention and prevention, having have got in variety and for the family. The Childrens sureness brings together police, health and the wilful sector, and the former(a) agencies to be twisting in confederation ground chastening run. For spokesperson The devastation of livelihood maintenance schema happen upons supplying for ill fortune c be, which alleviates children cope with the devastation of their close ones.Children who experience grief are backup by services much(prenominal) as Hospice driving force which patronage the destruction and the children and the families of those who are experiencing loss. The Winstons invite in Gloucestershire in 1992 gives a unplayful tide over to children and families who have a hard time experiencing loss. These services sustain children with listening, doing activities, which serve up them speak slightly their disconnected love ones and also form connect with the other family members. cent (2005) mentions Rolls and Payne (2004) that identify objectives confidential information to interventions, which are followed by the children calamity services and special training, inspection are oft hold outed.The interventions offered to children are to do start out understanding of what has happened and the how they feel it attentions provide a make purlieu for exploring, befriend with expressing thoughts, cleanse conference among family members and sponsor bonding. It helps the children to sleep with their emotions and feelings, and so help create memories, slash the feeling of marooned and help move front in life and have wish for the future. there are two theatrical roles of service. circumscri be and fall in doorway. dependant service is principally for aggroup children who have go by mischance because of accompaniment causes such as life threating illness.Open access service offer service and endure to children and families whatever causa and constituent of end, the only obstacle in that would be the age of the child and the theater of operations they live in. In this type of service when death is anticipated, information, counselor-at-law and halt is apt(p) to the family and children to begin with and afterwards. I the death is fulminant or tragic, special support is offered may be offered by hospital, police, victim support, social work police squad etc. If children show difficulties at a late stage, help can be offered through teach counsellor, educational psychologist and in fundamental situation can be referred to child and teenage mental health services.Multi agency police squad thus remedy children and their families look of life and make sure the child bereavement service is available to all children and as professionals it is all-important(a) to take into flyer different and ever-changing situations. Professionals work in federation with the children, their families, the school the child goes to and club the children are from to the top hat stakes of the children.

Linkage of current Job Performance to Organization's strategy and Essay

Linkage of current Job Performance to Organizations strategy and cuture - Essay ExampleThe value of teamwork emanates from the belief that best solutions deduce from working together with colleagues and clients and this requires relationship, respect and sharing (PricewaterhouseCoopers). As a professional service company, PWC ensures excellence in all its transactions. Given also the nature of the business, PWC promises to hold back the lead with courage, vision and integrity (PricewaterhouseCoopers).Composed of professionals, PricewaterhouseCoopers personifies and edifies professionalism through adherence to the company policies and technical and professional standards, deliver their commitments, maintaining confidentiality and portraying h whizsty to their clients. The company also maintains respectable and legal practices in responding to competition.I work as a senior tax consultant so my primary responsibilities be orienting and assisting the clients regarding taxes both co ntent and international through building an excellent relationship with them. I serve clients who want advice in their taxation concerns. The two main scope of my job are consultancy and compliance.Since PricewaterhouseCoopers is a professional service business and since the documents and properties that they handle on customers behalf are of substantial importance, a good job performance has customer focus. All Organizations consider on their customers and therefore should understand current and future customer needs, should meet customer requirements and strive to exceed customer expectations (1 Access). The corporate culture of the company includes professionalism and this instrument on time, appropriate and excellent service to customers. With my job as a tax consultant, adherence to the company culture necessitates that I make sure that one hundred% of my clients have sound and organized tax payment, without delay thus without additional costs. A good performance shall also mean zero complain from the customer. Since I am dealing with highly confidential documents, the company expects that respect the confidentiality and privacy of our clients, our people and others with whom we do business (PricewaterhouseCoopers). A goof performance specifically necessitates one to comply with applicable laws, regulations and professional standards in order to maintain the appropriate degree of confidentiality and privacy (PricewaterhouseCoopers). One of the values of the company is excellence. For the over-all organization, one of the quality steering principles is continual improvement. This includes performance improvement and flexibility to reach quickly to opportunities (1 Access). For an individual, performance rating should include steps taken by the individual to perpetually improve, whether through development of an innovative processes and strategies or attendance of formal and informal trainings and schooling to continuously improve in the field. Similar to the performance appraisal in the academe, continuous schooling and training is also important in private professional service firm. To measure excellence it will also be stabilizing to record the frequency of mistakes and the time duration of work processes. These figures must constantly

South Asia in mass media Essay Example | Topics and Well Written Essays - 500 words

South Asia in mass media - Essay ExampleThe product takes pride of its reputation as one of the leading brands referable to its capability of removing tough stains. With this, Tide is a premium product taking care of the cleanliness and probity of clothes.Looking at the current state of India, the advertisement of lunar time period capturing the sunset view of Ganges River and Taj Mahal appear inappropriate. For one, India is now highly regarded because of its technological and economic momentum. Thus, an ad showing new infrastructure, new roads, or technology associated products would seem suitable. However, as this new identity spurred by recent progress is not yet instilled in the mind of consumers. Thus, advertisers chose to utilize the image of the traditional India and its connection with the lavation detergent.The Ganges River and the Taj Mahal are two important places in the Indian culture. It should also be noted these significant places became major attractions to touri sts worldwide. Looking closer, the Ganges River and Taj Mahal is directly associated with accolade to Indians according to their religious beliefs.In Hinduism, purity is considered imperative is a fundamental component of the Hindi culture. Though physical purity is emphasized, the real essence of purity extends to social, ceremonial, emotional, psychic and spiritual cleanliness. Adherents of Hinduism are required to be spotless, blameless, and free from any contamination.

Marketing Communication Activities Essay Example | Topics and Well Written Essays - 3250 words

Marketing Communication Activities - Essay ExampleThere, are triplet most important features that define marketing talk landscape namely media fragmentation, audience fragmentation and certified budgets. Therefore, companies must be able to understand how these changes forge the industry in which they operate and provide an effective suffice in order to remain relevant and competitive. This paper will start by analyzing how contrasting forms of fragmentation such a media and audience affects the marketing communication landscape in a theoretical perspective. It will then examine how Ford Motors is responding to the juvenile changes having been brought about by media and audience fragmentation, as well as restricted budgets. Media and audience fragmentations are arguably the most widely observed impacts of digital media. digital media has led to the increase of many forms of media through which information can be accessed and disseminated which, in turn, has made consumption m ore distributed (Yim 2003, p.114). Whereas some people are happy about the changes brought about by digital media, some are wary of its consequences. However, the widely acknowledged fact is that fragmentation brought about digital media has particularly abnormal the traditional forms of media most of which have become bleak as the audience moves towards the digital age. Webster and Ksiazek (2011, p.14) argue that fragmentation is a product of the interaction between audiences and the media. In this regard, socialist Anthony Giddens formulated a possibility known as the theory of saturation in 1984 in an attempt to explain the function of the media setting (Wbster 2011, p.41). The theory hypothesized that the media setting is jointly constructed based on the interaction between agents and structures-something Gidddens... This essay starts by analyzing how various forms of fragmentation such a media and audience affects the marketing communication landscape in a theoretical perspe ctive. It then examines how Ford Motors company is responding to the recent changes having been brought about by media and audience fragmentation, as well as restricted budgets. It is stated that marketing is indeed a very important activity that no company can do without. This is because it is through marketing that consumers are communicate and persuaded to buy the products offered by a company. Without marketing probably targeted consumers may not know of the existence of a product or services offered by a company. However, the growth of the digital media in recent years has impacted hugely on the various traditional marketing communication modes adopted by different companies for reaching out to the audience such as TV, radio, and newspapers. This is because the growth of digital media has resulted in media and audience fragmentation, which have shaped the marketing communication landscape. In this regard, the emergence of new media forms such as the Internet and PVR has shifte d advertisers from the traditional modes of advertising because few people still rely on these traditional media for information. This has forced many companies to respond appropriately to changes in order to remain relevant and competitive as has been witnessed with Ford. Certainly, its an appropriate response has made it remain one of the giant cable car companies in the U.K.

Understanding the Impact of the Three Strikes Laws to Offenders and to Essay

Understanding the Impact of the Three Strikes Laws to Offenders and to Law Enforcement - Essay ExampleSince the court can bring down a very high penalty when the offender is convicted for the third time, most offenders would be more careful not commit another offense, especially afterward the second strike.Over the years, different states across the country have adopted the three strike laws. At present, the following states implement this law Washington, California, Colorado, Connecti cutting off, Indiana, Kansas, Nevada, North Dakota, Arkansas, Georgia, Maryland, Montana, tender Jersey, New Mexico, North Carolina, Pennsylvania, South Carolina, Utah, Vermont, Wisconsin, Florida, Tennessee and Virginia (White, 2006). The effects of the three strikes laws and their implementation vary from state to state. Some states require that all three crimes committed should be idle crimes while others apply the three strike laws if the two previous crimes committed by the person is either se rious or violent or two (White, 2006). For instance, in the state of California, if a person has been convicted three times, that person may be given the mandatory 25-to-life sentence (Zimring, et. al., 2001). The harsh punishments given to habitual criminals helped cut the crime rates especially in the state of California (Reynolds, 2004).Although the enactment of the three strikes laws provides strong deterrent to committing crimes, these laws also have weaknesses and these weaknesses often create problems in the implementation of the laws. According to critics, a large number of repeat offenders actually slip from the law without being charged so they may not be subjected to the three strikes law (White, 2006). Critics of these laws believe that the application of one-size-fits-all sentence to repeat offenders is unfair and unreasonably harsh (Reynolds, 2004).

Managing change Essay Example | Topics and Well Written Essays - 2500 words

Managing mixed bag - Essay ExampleIn addition, by referring to the ever-increasing challenges in modern local and global market, organisation managers and leadership ought to be mindful of various intervention approaches and mechanism that can effectively facilitate successful and productive implementation of the proposed changes. Based on the available statistical facts and anterior research findings, the adoption and implementation of the most effective changes and change intervention in modern institutions and profit making organisations is the most debated issue among business executives. contrary levels and forms of complexity in contemporary local and global market always accomp some(prenominal) changes in modern business entity and other profit-making organisation. Changes as well part significant and in extent from transformational change to nominal change in modern business entities. ... ration or transformation in organizations operations, activities, and managements u ndertaken in a company to advance its efficiency and productiveness. In most cases, changes in any organisation are executed to comply with market dynamic, complexity and technological changes in local and global market. In most cases, stinting activities produce benefits and costs that are spread over to all parties in the economic sector. These benefits and costs are described as externalities that have a very essential role in shaping changes and changing activities and operations in any organization Wellard rural Exports Pty Ltd capitalises on sale and production of sheep and goat products in local and global market. However, despite its popularity in Australian local and global market, Wellard Rural Exports Pty Ltd was forced by modern technological developments and market complexity to introduce and institute various policies and changes that were aimed at advancing their short term and long-term productivity and profitability. In the last two decades, Wellard Rural Exports P ty Ltd has encountered consistent market competition from local and global competitors. To some extent, the increased markets competition and complexity have importantly affected its efficiency and productivity. To counter the ever-increasing challenges in local and global market, the company have instituted very effective internal and external operation and management changes and change intervention. Some of the changes instituted in Wellard Rural Exports Pty Ltd are aimed at holistically addressing emerging military personnel process issues, structural and technological issues, strategic complications as well as human resource challenges. In an effort to ensure that the proposed changes are fully implemented and

Financial Accounting and Report Essay Example | Topics and Well Written Essays - 1000 words

Financial Accounting and Report - Essay Exampledifferent users of financial statements and their needs, the legal and regulatory influences on financial statements, the implication of the regulations for the users, the role of the accounting and reporting standards and how the information needs of different user groups vary.The first category of people who use financial information is investors. Investors who provide capital to a company are concerned about the levels of risk, and return from their investments. They need financial information to help them decide whether they should deprave or sell shares of a particular company. They are as well interested in information that enables them to assess the ability of a company to stomach change dividend. The second category of people is employees. Employees need to know whether their employer is financially stable. They use this data to evaluate the employers ability to implement a fair stipend package, provide retirement benefits and be able to offer employment chances (Lasher 2008, pp. 64). Lenders use financial information to access the ability of a company to promptly pay both the principal and interest on loans. Suppliers and other trade creditors are interested in financial information to enable them to determine whether the amount owed to them go out be paid without default. Customers are interested in financial information to determine the life span of an enterprise, especially when they have a long-term experience with an enterprise such as the presenting solutions to both short and long-term problems. Government and their agencies use the financial information to regulate the activities of an enterprise and to determine tax policies. They also use the information to compute national income. Lastly, the public use financial information to determine the trends and recent development activities of an enterprise to help them assess the possibleness of a major economic contribution by an organization (Saudagaran 2009, pp. 51-56).To determine the regulatory

Taxation Research Paper Example | Topics and Well Written Essays - 1250 words

gross - Research Paper Exampleinstituted the first adjust and sustain able-bodied tax system (Olmert, p. 41). Today tax systems have evolved to include a multitude of forms. There are taxes on income, property, and seriouss and services, with varying rates correspond to annual salary. The nature of such tax systems, while in many ways essential to the carrying of society, has raised a great degree of controversy. This screen considers the nature of the tax system in relation to whether taxes should be applied. From an overarching context, taxation is used by the state government to advance a variety of incorporated social needs. There are a variety of ways that taxation benefits society. maven of the most prominent ways is through infrastructure that allows society to function at the most basic level. In these regards, there are a great many facial expressions of society that are necessary for the very simple tasks of operation. Taxation goes to pay for roads, interstates, t raffic lights, and traffic signs (Xavier, p. 111). In addition to specific infrastructure elements, taxation goes to pay for many utility and telecommunications processes. Furthermore, taxes fund the police and fire departments. These departments then(prenominal) ensure the safety and well being of society. Without these basic contri barelying elements then the very social order would disintegrate and society would not be able to function in the way that it currently does. Another way that taxation benefits society is through planetary social welfare and public works projects. In these regards, taxation functions as a sort of safety net for all members of society. Within this spectrum of consideration one recognizes that taxes contribute to elements including food stamp programs, welfare, unemployment, social security, and Medicare (Xavier, p. 111). This aspect of taxation is highly significant as it indicates that society is able to care for its sick and injured. This also create s the necessary elements required for general social well being. One considers that recently President Obama implemented a universal health care system where members throughout society would be given the opportunity to opt into the health care program. While funding for this occurs from a variety of inputs, one of the fundamental contributing factors is general taxation. Ultimately, then this system ensures the health care of members of society that would other not occur. In addition to these considerations, there are more abstract perspectives on taxation as a badge of the social good. This perspective considers that paid taxes marks an individual as a member of society. Adam Smith, the father of modern economics, is noted as saying, Every tax, however, is, to the person who pays it, a badge, not of slavery, but of liberty (Smith, p. 704). This perspective is largely entrenched in the notion of the social contract. As a political philosophy the social contract considers that an individual that operates inwardly society does so as within the confines of a social contract. This involves not harming ones neighbor, not committing crimes, and contributing to the general social good in a variety of ways. Taxes then constitute the ultimate articulation of the social contract as one is directly contributing their income and wealth to the general social good. This then is the recognition that taxes, above the direct social contributions

How does Plantinga argue for the claim that belief in God might be Essay

How does Plantinga argue for the claim that nonion in beau ideal might be properly basic Do you think his argument is good Do you think that the conclusion of his argument is true - Essay ExampleAmerican analytical philosopher Alvin Carl Plantinga has also added some new dimensions to thoughts about rationality of belief in God by proposing the argument that belief in God is properly basic and needs to justification and evidenced from the different beliefs (Attridge, 2009).Plantinga divulged his philosophical views regarding belief in God and proposed his claim that the belief in God used to be properly basic depending upon the circumstances being faced by the individuals. He argues that on that point are reliable circumstance when the belief in God in properly basic because certain circumstances compel the individuals to build faith upon certain things about God even if they do not find any support and reasons for those things from their other existing beliefs (Oppy and Scott , 2010).Plantinga referred to the classical thought that asserts that belief in God is always held in connection with other beliefs. He opposed this classical thought about the dependency of belief in God upon some evidences from other beliefs and claims that it is not always necessary because people do believe upon many things about God that are not verified and asserted by their other beliefs. He argues that believing in God does not require any argument. He made his claim in his article Reformed Objection to pictorial Theology published in 1981. After the publication of this article there was strong wave of criticism and opposition was provoked especially from the philosophers having firm belief upon the arguments made by the classical philosophy.Through his claim and argument Plantinga has contributed to the epistemology called reformed epistemology in which he argues that the justification about the belief in God is not dependent upon evidence but it is properly basic and coul d be held regardless of other beliefs support to it. The argument poses by Plantinga has

Customer Service Case Study Example | Topics and Well Written Essays - 1000 words

Customer Service - Case Study Exampleit is determined what they fate and how will they use it/need it. Through a node verbatim, there process flow is determined and the verbatim is translated into designer language. In the end, management tools like affinity data or tree diagrams argon used to sort out data, organize key issues and prioritize ideas. Foster trusted relationships with customers and stakeholders across the business To foster trusted relationships in the organization, the company follows the simple rule of transparency. Annual statements are issued regularly, dividends paid out and stakeholders taken into confidence before any key decisions. Deliver profit in line with specific standards All service providers are given the standards that they need to cater to while delivering service. Performances are then assessed through 1. Six monthly self-audits which are done by service providers 2. Monitoring and Evaluations conducted by another department. . Provide stakeho lders with access to feedback mechanisms and product/service information = Self-audit reports and other documentations are reviewed by the class staff and the service providers are given timely feedback. Issues are discussed and solutions are developed to improve the quality of the service. Report on actual performance as compared to service standards 1. Six monthly self-audits which are done by service providers 2. ... Customer could each want to avail one of the ads present in the pickup by placing a c all in all / would want to place the ad in the magazine (as its an advertising agency). If the customer wants to place an ad our the magazine he will call the company/ visit it. He will expect to go through the size of the ad and the respective rates. He will also expect to know how the designing of the ad would be done and what would be the target market. Our client service representatives would look after the queries the customer will put before them and come across that the y are satisfied. Customer will then pay for the ad that he wants to publish in the magazine, he will send the details of the ad either through mail or write it then and there on the paper. He will expect the CSR to completely understand the details of the ad and welcome it published the way he wants to publish it. The details of the ad are then passed on to the design by the CSR. The designer makes the ad and then checks with the customer if he is fine with it. Any improvements he wants to be made in the ad are made and the ad is published in the next to the highest degree recent edition of the magazine. Task 4 a. Describe a situation in the past when you have not been able to perform a service as quickly as you needed/ would have been liked. b. Explain the reason for the delay, and how you communicated it to the customer. c. Outline how the problem was addressed to offer a suitable solution. In the past, imputable to strikes and power break downs in my city, I could not cope up w ith the deadlines before the magazine publishing date. The magazines are circulated once a month and all ads have to be appropriately placed before the publishing date. The clients were immediately informed

Personal Statement on Education Essay Example | Topics and Well Written Essays - 750 words

Personal Statement on command - Essay ExampleOne of the most important lessons I erudite during my educational years is the integration of practical and theoretical knowledge. With this kind of perspective, I managed to intertwine attainment and development of my character. As Martin Luther King suggests, the goal of true education is the combination of intelligence and character. Intelligence is our ability to gain knowledge and to learn the theoretical information given through school. Character is our personal attitude, perspective, behavior, especially towards a nonher(prenominal) people. It is the way we interact and communicate with other people, whether face to face or not. I agree with Kings perspective about true education. Education is not merely about the theories or knowledge we gain from studying. The intelligence that we develop through our years in school must be have with the character we developed through the years, as well. For me, education is not merely about learning the theoretical information offered by our professors and the books we are reading. It is the foundation of learning and personal development. It is not merely memorizing or stocking information in our minds, quite a, it is supposed to be our guide in being able to think intensively, critically and creatively. That is the agent colleges do not spoonfeed information, rather, our mentors find ways to force us to think intensively, such as in essay exams, oral exams or horizontal just the finals. Because of our schooling, our semiformal education, we become equipped not only with knowledge but also a critical way of thinking, which is more essential in facing the hard reality of life once we leave school. We should always remember that it is not always knowledge that will be the basis of our success, rather it is the way we use this knowledge. And so, I strongly agree with King that the goal of true education is the combination of intelligence and character. What is the use of intelligence when we dont have the right character or attitude in life. Thus, this points to what true education is. It is essentially how we put into practice what we have learned through our formal education. It is to strengthen our character based on what we learned and believe in through everything we have gathered through our formal education. That is what true education should bring, not merely information but intelligence and character into one. I realized this even more when I was put in a place wherein I need to practice critical thinking, which is practically what I have been doing in school. It was a choice of what school to go into. I need to determine the pros and cons of loss one school for the other. The decision I made was not just because of what I know about the school, rather it was about what I believe in. It was more about how I think the school will help me in developing not only my knowledge about things but also my character.

Compare and contrast the education systems of the UK and other country Essay

Comp atomic number 18 and contrast the education systems of the UK and other country - Essay ExampleSchool terms are similar. Both are divided in three terms, but they differ in terms of school year openings. School year in UK starts in September and ends in July. Each term has a break of few weeks, while the third term has two months vacation.The centralized system of curriculum is discovered to both countries with certain dissimilarities in content. In UK, Emphasis of teaching in infant school is on reading, painting and practical lessons. At this stage children get hold of to read, write and count. As they move to junior train, they learn English, Math, science and technology, geography, and religion. They also learn about environment, art, music and P.E. At age 11, students go to junior level of a comprehensive school. At age 16, sixty percent of the children are ready to move to further education. All junior level students are subject to enter FE level wherein they could enr ol in vocational or academic, although this is no longer obligatory courses. FE courses prepare them for future employment.In Japan, the main(a) school curriculum emphasizes study of Japanese, social studies, mathematics, science, music, arts and handicraft, and physical education. This is the stage where much emphasis and time is devoted to music, fine arts and curriculum. Japan introduced in its education system the promotion of respect for individuals, whereupon it was started in 1957 in elementary schools (Nemoto, Y. 1999) Students are required to practice moral education in their daily interactions in school and routine activities of cleaning and lunch, 2007. In high school Heirarchy and peer relations are intense and observed at this point.The method of teaching in Japan is very much different from UK in that they are concerned with developing the whole being of the child. Teachers consider it their duty to teach them with polite manners, own(prenominal) hygiene,

Negative and positive symptoms of schizophrenia Essay

Negative and positive symptoms of schizophrenia - Essay Example insane delusion and aggression were of increased intensity when aripiprazole 15 mg was administered, Two weeks later the positive symptoms, paranoid delusion and aggression appeared. (Ponde MP, Novaes CM.. 2007)He complains of hearing voices talk of the town to him and claims the television is sending special messages to him particularly, called delusions of reference. He likewise is so paranoid in the sense of having Somatic Delusions of false body illnesses beliefs the patient convinces himself of including cancer presence.former(a) cognitive symptoms where also present such as disorganized thoughts, difficulty in concentrating and in following instructions given in hand, difficulty in completing tasks and memory retaining problems.Another patient. 52 years old came with the following negative signs and symptoms of schizophrenia apathy, lack of emotion, poor or nonexistent social carrying into action and depression. (Peralta V., Cuesta M. J., Martinez-Larrea A., and Serrano J. F. (2000)The patient apparently has disorganizational issues here is mostly speechless, and when asked a question replies in a short meaningless manner. This is called alogia or poverty of speech fluency, and he likely has psychomotor retardation. He also seems to stare blankly with incoherent body language or lack of it, in addition to attention impairment. (Potkin S. G., Alva G., Fleming K., Anand R., Keator D., Carreon D., Michael Doo, Yi Jin, Wu J. C., and Fallon J.H. 2002)He also has an affective flattening and diminished motivation representation anhedonia and apathy, diminished motivation, moodiness with sudden switching from happiness to sadness and exacerbation of emotions in a strange manner. (Mary E. Kelley. Daniel P. van Kammen. and Daniel N. Allen. 1999)Peralta V., Cuesta M. J., Martinez-Larrea A., and Serrano J. F. (2000). Differentiating chief(a) from Secondary Negative Symptoms in Schizophrenia A Study of

The future of Nuclear Medicine Research Paper Example | Topics and Well Written Essays - 1000 words - 1

The future of Nuclear Medicine - Research Paper ExampleNuclear treat provides Pico molar understanding and exclusive tracer bullet specialty in the in-vivo learning of human pathophysiology for precedent intake of glucose, somatostatin expression and tissue perfusion. (Peter, 2002, 630) In contrast to anatomic imaging technology nuclear medicine has made great strides in the expansion of new radio-pharmaceuticals but has made little progress in imaging devices.One can define a Nuclear medicine technologist as an expert health care professional, who plays a radical part in the field of nuclear medicine or molecular imaging department and find ways to diagnose and treat illnesses. (Peter, 2002, 638) A nuclear medicine technologist works together with doctors, patients, nuclear pharmacists, calculator experts, nurses and a number of other health care personnel. In some cases they may keep a direct contact with the patient where they arrange, standardize and grant radiopharmaceutica ls to the patient they may also carry out different types of imaging procedures with the patient for example, they may control imaging, lab and computer instrumentation and looks after beam of light protection of the surroundings.Technical progress in technologies such as ultrasound and multidetector CT are remarkable. Harmonic imaging of native tissue (without added contrast) with ultrasound is an example of this. Harmonic imaging detects the second harmonic of the transmitted ultrasound pulse rather than imaging the fundamental frequency. Harmonic imaging provides better contrast than fundamental imaging. Harmonic imaging has been applied to the heart to enhance delineation of lesions and perfusion. Strauss (2007) compared harmonic ECHO (with added echo contrast) to myocardial perfusion imaging with 99mTcsestamibi at rest and pharmacological stress. In addition to ultrasound improvements in multidetector X-ray-computed tomography has made CT angiography a standard practice and en hanced the

Leadership Essay Example | Topics and Well Written Essays - 250 words - 11

Leadership - Essay ExampleTo enhance groups performance one proven approach that helps with this is the GROW model. GROW is an acronym standing for polish - Current Reality - Options - Will. A useful metaphor for the GROW model is the plan we might make for an important journey. First, it starts with a map With this, one cease help the team member decide where they are going (their Goal) and establish where they currently are (their Current Reality). Then explore the various ways (the Options) of qualification the journey. In the final step, establishing the Will, leader ensures the team members are committed to making the journey and prepared for the conditions and obstacles they may meet on their way.. Therefore the key is that the team should be viewed as an important resource whose maintenance must be managed just like any other resource and that this management should be undertaken by the team itself so that it forms a normal part of the teams activities. As a collection of people, a group needs to relearn some basic dexterity and people-management skills. In a study by Peter and William (2004) they concluded that strong organizational support, team leadership, and high levels of interpersonal team skills help quality usefulness teams go further. Thus a trained leader and team training can help any service team to act professionally and allow desired results.Peter, M., William, W. (2004). Characteristics of successful quality improvement teams Lessons from five collaborative projects in the VHA, 30(7), 152-162. Retrieved December 15, 2008 from

Strategic Financing for Discussion Essay Example for Free

Strategic Financing for Discussion EssayPreferred stock is defined as a type equity that has priority over everyday stock in terms of dividend payment and asset distribution in the event of liquidation. Basically it is a hybrid security that actually sh bes features with both debt and harsh stock. Further, it has the following features, convertibility to common land stock, nonvoting right, and callability at the corporations option. However, its usage does not actually increase the probability of the firms bankruptcy. It pays dividend just like common stock out of the firms after-tax income (Brigham Houston, 2009). In case the pet stock does not have a stated date of maturity, its cost is resolute using the following formula (Brigham Ehrhardt, 2013).Cost of the Preferred Stock = the dividend on Preferred stock/ (Price of Preferred stock/1-Flotation Costs)Whereby the price of preferred stock is basically the current market value while the floatation costs are the preferred stocks underwriting costs which are usually given as a percentage. Firms that use preferred stock should include its cost in their weighted average cost of capital (WACC) formula (Brigham Ehrhardt, 2013).Three publicly-traded companies that have preferred stock in their capital structure includeAmerican Capital Agency Corp. (NASDAQ AGNC)This is mortgage REIT that basically invests in agency securities that their interest and principal payments are usually guaranteed by US Government-sponsored entity (Federal National Mortgage Association) and the US Government agency (Government National Mortgage Association)Wells Fargo and Company This is an American multinational high society that deals in banking and financial servicers hence providing mortgage, banking, credit card, insurance, investing, and commercial and consumer financial service.Bank of America Corporation This is an American multinational corporation that deals in banking and financial services and is has its headq uarter in Charlotte, North Carolina.ReferencesBrigham, E. F., Houston, J. F. (2009). Fundamentals of financial management. Mason, OH South-Western Cengage Learning.Brigham, E. F., Ehrhardt, M. C. (2013). Financial management Theory and practice. Mason, Ohio South-Western.Source document

Interior of America Essay Example for Free

Interior of America Essaylvar Nez Cabeza De Vacas epic tales in Adventures in the Unknown Interior ofAmerica is superstar of the earliest enter stories of exploration of the Americas. His story begins on April 14, 1528 and continues in great detail for eight-spot long years. His narrative includes his personal experience as well as descriptions of the take he trave direct and the native Americans that he encountered.The detailed events that are present throughout Cabeza De Vacas adventure transform him into a man completely different than the one we were introduced to at the beginning of the exploration. The superior mindset that Cabeza De Vaca felt over the natives, the challenges that would threaten his faith and religion, and the view he had of his fellow christians would change him tremendously as an individual.The expedition, led by Governor Narvez, began with a 600 men crew in Florida. On their journey, they faced many challenges. The men encountered storms, were attac ked several times by native american tribes, endured slavery and captivity, suffered starvation and dehydration, as well as several other down falls that eventually contributed to the death of hundreds of the Spanish crew.By the end of the eight years, Cabeza De Vaca was one of only four men who survived the cruel journey. The ability to adapt to their surroundings helped those four men change their views from powerless to acceptance and ultimately resulted in their return to Spain.Cabeza De Vaca was accustomed to a life of higher society before the departure to America. He was born into a wealthy family which contributed to a feeling of favorable position over others. This mind set traveled with him as he encountered many Native American tribes during the expedition. Cabeza De Vaca thought of the native americans as barbaric creatures and feared for his life at the thought of an attack from them. They loomed big and naked and from a distance looked like giants.They were handsomely proportioned, lean, agile, and strong. (CH8) He goes on to mention the intimidation of their weapons, Their bows were as thick as an arm. (CH8) Attacks were happening frequently, and after realizing that the circumstances were not promising, the Spaniards began to try a different approach.

Europe and Turkey Essay Example for Free

Europe and turkey EssayDiscussions ab off Euro-Turkish relations today would normally hover around Turkeys diligence for subdivisionship to the European sum of money which has been pending since the mid 1900s. Turkey, a predominantly Muslim earth situated in southeastern Europe and southwestern Asia, has been an tie in member of the European Community (the forerunner of the European Union) since 1964, but is still working for a full membership forty-two years later. (Turkey. The World concomitant Book. Para 1) The union, which started as a regional frugal grouping in 1951, counted among its six original members the countries of Belgium, France, West Germany, Italy, Luxembourg, and the Netherlands. It opened its doors for new-fangled members for the first time in 1973 when it welcomed into its folds Denmark, Ireland, and the United Kingdom. A nonher country joined in 1981(Greece) and two more countries enlisted in 1986. The year 1995 accounted for three additional members , and, finally, in 2004, ten more countries were disposed(p) full membership to wrap up todays final roster of twenty-five member-countries.The European Union, in a recruitment process which spanned thirty-one years, accepted a total of nineteen additional members since 1951. (European Union. The World F feign Book. para.2) This fairly robust growth in the union membership compels us to get hold of the obvious questions What happened to Turkeys application for membership which was filed forty-two years ago nine years before the union first opened its doors for new members? Bypassed five times in thirty-one years, does Turkey still stand a chance for that elusive membership? . Historical Background. The conundrum that characterizes the Euro-Turkish relationship has its historical roots in the 1800s. When the heads of states of the European countries gathered together after the fall of Napoleon in 1814 in what has been known as the Congress of capital of Austria to literally remak e the map of Europe, every country was represented except Turkey. The reason for this was never explicitly given in any historical account. However, this discriminatory act prompted Turkey to adopt the view that Europe was becoming a Christian Club, geting the fact that it was the only predominantly Muslim country in the region. on that point were attempts to brush aside this Turkish claim by referring to numerous incidents of murder and claims of corruption in the Ottoman (Turkish) Empire practices which were said to be intolerable for Europeans. (Gerolymatos, para.5) feeling back at that point in recital, however, we are left to wonder whether these reasons were real, fabricated, or even morally competent to warrant such an exclusionary action on the part of the congress initiators. In fairness to Turkey, could the rest of Europe claim absolute innocence of such offences during those turbulent years in European history? The Congress of Vienna. A careful reading of the intent s of the Congress of Vienna would show us that the Turkish claim might not be as profitless as congress organizers wanted it to appear. The primary goal of the gathering was to fix political boundaries in Europe which were abolished by the expansionist wars waged by Napoleon. One of the quaternion principles that guided the Congress of Vienna in that self-appointed task of reestablishing the European political order was the encirclement of France. At the time, the Congress of Vienna considered the task of adopting adequate measures to guard against future aggressions by France so urgent that it decided that fortresses situated in strategic points surrounding France should be controlled by allied squelchs for up to a period of five years.It is clear, therefore, that what was commonly at the back of every congress delegates minds at that time was what to do to contain France. Yet, it interestingly, the four major players in that meet were Lord Castlereagh of Great Britain, Tsar A lexander I of Russia, Prince von Metternich of Austria, and Talleyrand of France1 (Wallbank, Taylor, Carson. 1960) What a way for a France-wary Europe to include a french representative in concocting anti- cut plans Was it not ironical, therefore, that while France appeared to be the bad guy of the day, it was Turkey who got excluded from the congress?The Right of Turkey. Let us look at the map of Europe in 18152 and consider the geographical locations of the three European countries who figured prominently in that conference with relevance to their proximity to France, vis a vis Turkey. Great Britain is nearest, but it is an island marooned from the continent by the English Channel, and was, in fact, protected by the most advanced navy during those times.The Austrian Empire and the Ottoman Empire were almost equidistant from, and were both separated from France, by the Germanic Federation, the Kingdom of Hungary, Switzerland, and the Kingdom of Sardinia. Tsarist Russia was farth est, because it is situated behind the Empire of Austria. (Wallbank, et al. 1960) If the fear of further threats from France was what forced these three nations to exert undue mould on the Congress of Vienna to do something about France, then Turkey had as much right as they had to be in that meeting.Now permit us look at the allegations of massacres and corruption involving Turkey which were just too much for Europeans to stomach, and which, apparently, was made an excuse for not inviting Turkey to the conference. (Gerolymatos, para.5) Again, we concur to ante up in mind that those were periods of instability and violent struggles for power and survival. Governments and monarchies were scurrying to consolidate their influence and control over their domains. As the Jacobins, who were at the helm of the National design that governed France in 1793, put it, What constitutes the Republic is the complete destruction of everything that is opposed to it. And so it was that in France, historians believe that the reign of terror, which reached its peak in 1793, might hasten accounted for as much as twenty-thousand people executed simply because they were considered royalists, and counted among its victims Queen Marie Antoinette and the great orator Danton, because he wished to end the policy of terror. It must in like manner be pointed out that during the rule of the monarchy in France (the Bourbon House, represented by Louis XVIII, was restored in France by the Congress of Vienna), the judicial and municipal offices, among others, were for sale. (Wallbank, et al. 1960)So why are they (apparently including the French), existence so righteous about these questions of massacres and corruption? In my research in the subject, although I have found reports of maltreatment by the minority Turks over the Christians in the Balkan Peninsula, I failed to obtain hard historical evidence of massacres during the period in question.However, what I did find were the massacre of all Greeks in Constantinople in 1821 and the Turkish massacre of the entire Greek population of the island of Chios in 1822, both events happening in connection with the Greek uprising of 1821. (Wallbank, et al. 1960) Incidentally, these events happened seven years after the Congress of Vienna and could not have been the ones referred to by the congress delegates. However, for purposes of password, granting that the Turks were as guilty as the French, why condemn the first and exonerate the latter?The Present Situation. Turkey became a member of the North Atlantic Treaty Organization (NATO) in 1952. (Turkey. The World Fact Book. para.1) It appears that joining a armed services organization composed mostly of European countries several years after the Second World War did not present much of a problem for Turkey. In my analysis, this was because Turkey was valuable to NATO at the time. Together with Greece and Iran, it formed the northern tier of the Western perimeter against th e encroaching Soviet Union. (Gerolymatos, para.6) It did not matter then that Turkey was not well-equipped militarily.The United States lavished their newfound ally with billions of dollars worth of weapons systems (apparently without any objections coming from her European friends), so that Turkey can perform the functions of a perimeter guard satisfactorily. (para.7). And so the truth was laid out for everyone to see that in the name of military cooperation, a subsidized Turkey was considered an ally, treated as one of the boys. Perhaps even a member of the European family of nations? Anything just to encourage Turkey to sustain in the defense of Europe against Russian advances.The European Union. Moving into the field of economics, everything takes on a very distinct shape and color. In this area, according to the Europeans, Turkey undeniably failed to qualify.3 Its as simple as that. The European Union, despite having considered Turkey as an associate member since 1964, did no t lift a finger to help her make the grade. Instead, the union bureaucrats, in claiming a softening of their position and again to brush aside Turkeys allegations of the existence of a Christian Club in Europe (remember 1814?), agreed to consider Turkeys application provided that Turkey bring into force several pieces of reform legislation, then stepped back and waited for results. (Turkey and Europe An Invitation to Dance? Para.2)No more billions (with no strings attached) to bolster her economy to qualify the country for union membership. Not like with NATO. Indeed, it was a far cry from the billions of dollars worth of military hardware which turned Turkey into a worthy member of NATO. Do I detect a double standard here? Does it mean that its all right to pour billions of dollars into Turkeys arsenal to help in defending Europe, but it could not be acceptable to help it economically so that it could be eligible for European Union membership? Interestingly, the military strategist s who welcomed Turkey with open arms, and the economists who cant seem to accept her, are both based in Brussels, Belgium.Islamization of Europe. There are fears among scholars and independent observers alike, that the Islamization of Europe is threatening in the coming years. Mr. Pipes, the director of the Middle East Forum, cites two contributory factors, namely the hollowing out of Christianity in Europe, and an anemic birth rate among Europeans. (Moslem Europe. Para. 2 3) Mr. Pipes explains this twin phenomenon as the diminishing number of Europeans who remain to be practicing Christians compared to the fewer, but ever committed and devout Islam followers, on the one hand, and the very low incident of births among Europeans (many of whom do not want to have children), against the unhindered reproduction among Moslems who do not practice birth control, on the other hand. (Para. 3)Following up on this argument cosmos advanced by Mr. Pipe, the world will one day see a Europe pop ulated by a Moslem majority and a Christian minority. The logic in his reasoning is simple. First, even if the Christian population remains the numerical majority, if the mainstream Christians are no longer interested in practicing Christianity, Islam, although preached by the minority, has an outside chance of becoming the dominant religious persuasion in the region. Second, given the Europeans seeming indifference to procreation and taking note of the Moslems predilection for boastfully families, the future demographic characteristic of Europe certainly favors the Moslem community.The situation, though, is not that hopeless if Mr. Pipe is to be believed. According to him, although a remote possibility considering things as they are now developing in Europe, this trend towards Islamization could still be thwarted. Three developments working in concert could still revitalize Europe and restore it to the Christian society that it once was first, Christian faith must be restored amon g the majority of Europeans and birthrate should be increased second, the Moslem countries has to be modernized (effectively diminution unemployment) to cut down Moslem migration to Europe and, third, migration to Europe should be diversified, with greater efforts directed at attracting more immigrants from the Christian regions such as the Latin American countries. Mr. Pipe, however, seems to urge Europe to act with urgency because the prospects diminish with time. (Moslem Europe. Para. 7)Islamic terrorism. There now exists in Europe what is called the Generation Jihad.4 Powell (2005) describes it as the restive, rootless young Muslims who have spent their lives in Europe but now find themselves alienated from their societies and the policies of their governments. Powell believes that this alienation resulted from frustrations among the ranks of young Muslims to have better opportunities in life, as well as their resentment towards official policies which they feel are prejudicial to Muslims. (Generation Jihad. Page.2)To underscore the danger posed by Islamic terrorism in Europe, Powell cited estimates done by the French police which revealed that out of the recorded 1,600 mosques in France as of 2004, around 150 were controlled by extremist elements. He also referred to a study which showed that 23% of the 1,160 French nationals who recently converted to Islam admitted to being Salafists, or members of a violent extremist sect. (Generation Jihad. Page 2) He also argued that the occupation of Iraq by the United States and her allies has influenced the Muslims in Europe into believing that these western countries are determined to destroy Islam. This belief somewhat radicalized the Muslims and convinced them that their only recourse is to fight and defend Islam. (Page 4)Conclusion. As had been shown primarily in this paper, there undeniably exists a feeling of unexplained awkwardness and even mistrust among Christian European countries towards the predominan tly Muslim Turkey since the nineteenth century. The recent developments associating Muslims with terrorism in Europe are more likely to widen this rift between Turkey and the rest of the continent. Moreover, the fear of the Islamization of Europe voice by some observers does absolutely nothing to bridge this gap.Considering the poor economic conditions in Turkey which have already fallen short of the European Union standards, the aforementioned factors might prove fatal to the chances of Turkey for a full membership in the European Union. Unless drastic economic and political measures are implemented, bring together with a complete turnaround in the European attitude towards Turkey, the wait for the much coveted EU membership might well take some other decade or two. REFERENCESEuropean Union. The World FactBook. Central Intelligence Agency. United StatesDepartment of State. Retrieved from https//www.cia.gov/cia/publications/factbook/geos/ec.htmlGerolymatos, A. Turkey and Europe A Political and Historical Conundrum. Diogenes. Retrieved from http//www.omogenia.com/diogenis/turkeyandeurope.htmlPipes, Mr. Moslem Europe. Retrieved from http//www.falange.us/moslem5a.htmPowell, B. (26 Sept. 2005).Generation Jihad. meter Magazine online. Retrieved fromhttp//www.time.com/time/magazine/article/0,9171,1109334-1,00.html Satiroglu, H.T.(03 October 2006). Turkey and Europe An Invitation to Dance?WorldPoliticsWatch. Retieved from http//worldpoliticswatch.com/article.aspx?id=229Turkey. The World FactBook. Central Intelligence Agency. United States Department of State. Retrieved from https//www.cia.gov/cia/publications/factbook/geos/tu.htmlWallbank, T.W., Taylor, A.M., Carson, G.B.Jr. (1960) Civilization. (Vol. Two).Glenview, Illinois. Scott, Foresman and Company.1 See Wallbank, et al, pages 110-113, for an insightful discussion of the events in the Congress of Vienna.2 See Wallbank, et al, page 193 for the map of the Ottoman Empire 1815.3 Refer to the section on Turkey o f The World Fact Book for the economic statistics on Turkey.4 Read Generation Jihad by Bill Powell, pages 1-6, for a detailed discussion of this phenomenon.

Heart Failure Case Study

Heart Failure Case StudySharon Heather Ferguson-GuyWhen it comes to Heart Failure the best form for a brighter future is to optimise the noise with treatment goals that are vital for the patients health, well-being and gain a better chance of longevity.The benefits of obtaining a compatible medication treatment goal for the patient, is so to bring d take in the stress and anxiety for the patient, which in turn can minimise hospital admissions.Anyone that has other cardiovascular risks such as diabetes, smoking, unwarranted alcohol (with young adults with excessive alcohol consumption, they may be susceptible to holiday bone marrow syndrome which it is also known as) (Sanders, et al. 2012, p.628) and elevated lineage cholesterol levels.The following case study was precondition freely from a neighbour on his present health.I have changed his name to protect his confidentiality.Case studyMr Lloyd is a 73 years ageing widower and has centerfield failure in the form of Atrial Fibr illation.He started to become breathless after riding his bike that he did daily. He give tongue to that he also noticed excitable flutters in his chest, but did not take much notice as he thought it was because he had over exerted on an activity at his time of life and put it down to the aging process.He popped to his local General practitioner with his experiences and was put on a low dose of Warfarin. After a couple of weeks he returned and told his General Practitioner that he was not tinctureing each better and did not feel right. His General Practitioner told him to continue his dosage for another week.Mr Lloyd enjoyed walking if he was not cycling, but, due to the weather he left the bike at home. bandage on his way he slipped on ice and banged his head on the pavement. He was taken to hospital for the rest of the day due to a assertable concussion. At the point of leaving he complained he still had a headache. The doctor was not surprised as he had banged his head an d prescribed nuisance relief and told him what to watch out for with head injuries (They were aware of his medication he was on at the time).After a week of pain relief he still did not feel right. His daughter took him to a different hospital. The doctor asked what medication he was on and told him that he was on still on the warfarin, they took him clear up it immediately, and replaced with a very low dose of aspirin. They immediately took him for a MRI (magnetic resonance imaging) scan that revealed that he had a haemorrhage on the brain it had been at that place since the f tout ensemble.HistoryThere is not a family history of purport failure.Has not smoked for 50 years.Does not have every previous illnesses.Has never drank alcohol.Has worked away(p) from home outdoors all of his working life until retirement.Admitted that his diet improved since his retirement, as with his previous job necessary him to be away from home rather a lot of the time and so his lifestyle thus contained of hotels and bar meals.Has never been a big eater and portions were always small.Signs and symptomsFeeling breathless on light activities, more so when cyclingFeeling weak and more tiredDizzy after excursionPale but not all the time.No sicknessHeart beating too fast, rhythm was irregularNo coughingNot confusionNo weight gain as always activeBP normalNo depressive feelings or cognitive problemsTests doneAuscultated lungs for changes non were foundBlood test was takenBlood Pressure high on his visit, but often fluctuated between normal and highNeck veins checked no distension foundECG that get word Atrial FibrillationElectrocardiogram was performed for 24 hoursNo chest x-ray was performedPitting oedema was slight at the end of the dayMedication before fallWarfarin was later changed to aspirinSalbutamol inhalerFurosemide (unable to remember dose) lambaste liver oil 2 spoonfuls twice a day home remedies(On further teaching on do drugss.com I was curious regarding his cod liver oil intake and the medication of warfarin he was taking that may interact due to it containing vitamin K, this reduces the lastingness of the warfarin and flagged an air of caution) (drugs.com)Mr Lloyd still suffered tiredness and breathlessness.Medication after fall for 4 monthsAspirinCod liver oil 2 capsules twice a day home remediesPravastatin 20mg 1 daily (reduces the bad cholesterol)Salbutamol when requiredSimvastatin 20mg 1 daily (changed from pravastatin also reduces bad cholesterol)Spiro inhaler when required(drugs.com)Mr Lloyd was told to weigh himself every morning as he got out of bed. This was so he could take part in his own progress on any weight gain or weight loss due to the change of medication and possible swimming retention. He noticed the frequency during the day and possibly once at night in going to urinate.With the changed medication Mr Lloyd still suffered tiredness and was breathlessness on light activities.After a review with a specialist his present medication treatment plan isApixaban 5mg 1 x 2 daily (reduce the risk of stroke clots)Atorvastatin 10mg 1 dailyCod liver oil 2 capsules daily home remedies (not spoonfuls anymore)Digoxin 125mcg 1 daily (makes the heart beat stronger and a regular rhythm)Dutasteride 0.5mg 1 daily (used with Tamsulosin, reduce risk of urinary resolutionage)Omerprazole 20mg 1 daily (acid reflux)Spiro inhaler when requiredTamsulosin hydrochloride 400mcg m/r capsules 1 daily muscle relaxant, ease ladder of urine(drugs.com)This drug therapy is working well and clear from any adverse reactions and that visits the General Practitioner twice yearly. Blood pressure is stable at 110/75 bpm. His weight has not changed.Mr Lloyd still charts his input and output of fluids. With this, he is able to monitor and report to his now General Practitioner any noticeable differences, to which, in that location is not any.Current statusEven though Mr Lloyd had to endure some frustrating discomfort w ith tiredness and breathlessness from past medications, these further didnt suit him, (It may have been a perfect combination for some embody else) and the time it had to take to hurt the sort treatment goals and drug therapy to his own bodys balance, Mr Lloyd is continuing his everyday activities without any problems of breathlessness or tiredness that have hugely decreased. He has decided with himself and with agreement from his General Practitioner that after about 17.00 he will start to slow down, and relaxes after food, and will potter in his garden instead of cycling. I have only ever known Mr Lloyd to cycle everywhere and all day. He tells me that he now enjoys seeing a television programme to the end instead of go asleep half way through. His medication has slowed down his ventricular rate and that he will go for another review later on this year. Mr Lloyd say that he would not mind if the dose was lowered or none at all as he does not like to be dependent on medicatio n.The specialist Doctor after reviewing Mr Lloyd advised him to attend a rehabilitation gym (sponsored by the British Heart Foundation) to monitor his exercise governance and to teach him how to keep fit in a healthy way for his age. They also educated him on a tasteful diet without the worry of blandness. He still goes to the gym, mainly because he has made many friends with similar conditions, and able to swap ideas. Mr Lloyd values the presence of the professional medical staff that are there for any health or heart concerns.Treating congestive heart failure with medicationTo optimise the correct and suitable medication would be to find the patients correct balance. This will take a selection of medication over a period of time in order to reach the optimum goal of drug therapy. The reason for this is to make less strain on the heart by using the correct combination of drug and its correct dosage. We must try and accession the cardiac output so the blood can pump more blood eve ry minute. This will in turn improve the pumping action of the heart and reduce the hearts workload. So medication or a medical intervention may be suggested, the severity or damage would be taken into consideration. If there is a valve problem, it may be fixed with a repair or a replacement. If a more invasive form of fixing is needed, functional implants may be required. This may be a pacemaker. This is a ventricular assisted device that contains a pulse generator with one, two or trio electrode leads that give get rid of electrical impulses to and from the heart (British Heart Foundation 2014, p.13)(Cleland 2006, pp.72-44). A more severe case may include a heart transport which includes a recently deceased donor that is a match for the recipient. There are risks involved like any other surgery, but a heart transplant may be rejected due to rejection, infection or the new heart does not work properly. (Cleland 2006, pp.79-80)We need to take the effort off the workload on the h eart by decreasing the fluid overload and reduce the blood pressure, so medication to reduce the heart rate and join on vasodilation (widen the blood vessels, by relaxing the smooth muscle cells). Diuretics would be one solution that would help with the fluid overload. This will increase the urine output and so in turn decreases the fluid overload. Different diuretics such as thiazide and loop diuretics that will cause a general loss of sodium and water from the body but also other electrolytes (minerals in the blood). This must be monitored for hypokalaemia (low potassium) because of sodium and water loss, potassium can be lost from the body in with child(p) quantities. (Cleland 2006, pp.54-63)(Class notes 2014/15)Another diuretic is a potassium sparing diuretic, it is an aldosterone antagonist ( clotures the sodium retention effects of aldosterone in the kidney). This may cause a reverse problem, the potassium sparing diuretic can cause the body to retain too much potassium, so the patient must be monitored for hyperkalaemia (high potassium). An imbalance of hypokalaemia or hyperkalaemia in the body will be a risk of the electrical problems in the heart. By using diuretics the patient will be monitored for hypotension (low blood pressure) this is due to the fluid retention and the reduction of blood pressure medication. You must also monitor serum creatinine (waste product in the blood that comes from muscle activity and kidney function indicator). If the levels of this get too high, it will be an indication that the kidneys are having problems. (Class notes 2014/15)(Cleland 2006, pp.59-63)Other medications that will be help congested heart failure is to now focus on the blood vessels, the aim is to stimulate the function of the vasodilation that will rest the heart by slowing it down. The most used medication is called an ACE inhibitors (Angiotensin-converting enzyme) (Cleland 2006, pp.53-56) this will block the enzyme that forms angiotensin II also know n as ARBs (angiotensin receptor blockers) (Cleland 2006, pp.56-57) this causes the vasoconstriction to raise the blood pressure. The ACE inhibitor will interrupt the cycle of angiotensin II, this will then decrease the blood pressure. The increase of vasodilation with the ACE inhibitors and vasodilation will lower the blood pressure and so helps to reduce the workload on the heart. There will be a drop in aldosterone (is a corticosteroid hormone that stimulates absorption of sodium by the kidneys) levels causing a decrease in fluid overload.A medication called ARBS (Angiotensin Receptor Blockers) reduce the activity of the angiotensin II in the blood. You would prescribe this if the patient is not able to tolerate an ACE inhibitor. (Class notes)(Cleland 2006, pp.56)Beta blockers block the binding of norepinephrine (neurotransmitter) to the beta receptors on the heart, this will cause a decrease in the heart rate.Which in turn will decrease the blood pressure and the workload of the heart. With such an amount of medication, it is advisable to monitor the patient for hypotension.(Class notes 2014/15)(Cleland 2006, pp.57-59)ReferencesBibliographyBritish Heart Foundation (2014) Pacemakers.Chronic heart failure introduction counseling and guidelines (no date) Available at http//www.nice.org.uk/guidance/cg108/chapter/introduction (Accessed 13 May 2015)Cleland, J. (2006) Understanding heart failure. London Family Doctor Publications in association with the British Medical necktiePrescription Drug Information, Interactions Side Effects (no date) Available at http//www.drugs.com (Accessed 14 May 2015)Sanders, M. J., Lewis, L. M., Quick, G. and McKenna, K. D. (2012) Mosbys Paramedic Textbook With DVD. 4th edn. United States Elsevier/Mosby JemsCitation(Chronic heart failure introduction Guidance and guidelines, no date)(Prescription Drug Information, Interactions Side Effects, no date)(Sanders et al., 2012, p. 628)(British Heart Foundation, 2014, p. 13)(Cleland, 2006, p. 56)(Cleland, 2006, pp. 57 59)(Cleland, 2006, pp. 57 59)(Cleland, 2006, pp. 56 57)(Cleland, 2006, pp. 53 56)(Cleland, 2006, pp. 59 63)(Cleland, 2006, pp. 54 63)(Cleland, 2006, pp. 79 80)(Cleland, 2006, pp. 72 74)Case study given freely by my neighbour.Font used Calibri light. Size 11. Size 9 for referencesMy draft copy was kindly read and checked by The Clinical Manager and three different Clinical Supervisors at Yorkshire Ambulance Service.