Wednesday, August 26, 2020

Professional or academic experience Essay Example | Topics and Well Written Essays - 500 words

Expert or scholarly experience - Essay Example The point was to reveal the shrouded ability in a youngster and support it. The errand was overwhelming; we were four of us, we had barely any assets and were relied upon to make an accomplishment of an endeavor the size of which was scaring enough without the additional weight of our normal school educational plan and instructing assignments. The main factor in support of ourselves was that we had several months to design it. Anyway there were a thousand things that could turn out badly and the most serious issue was raising the assets to lead a challenge of this size. The PC division of my school was extraordinary on the grounds that around then not many schools could flaunt having even a couple of PCs substantially less a PC segment. I was the leader of the office and had helped set it up. The school had composed many between school challenges in such fluctuated fields as move, music, discusses, testing and so forth. Normally since we had such a hello tech PC segment we were required to sort out an entomb school PC challenge. As leader of the office this was exclusively my duty and I had just two or three months to design it, and show results. I needed to do some quick contemplating how I would approach this with the couple of assets accessible †both money related just as far as labor. The primary thing I did was assemble a conference of my area of expertise. It was a meeting to generate new ideas where each thought was written down and examined frayed. We at long last had an expansive diagram of the sort of challenges we could arrange for every one of the different age bunches that would participate; just as a harsh arrangement of dates that would not meddle with the school educational plan and test schedule. We chose to welcome an outside gathering to lead the challenge to make it completely reasonable and straightforward. This would include having the option to persuade an outsider with the fundamental qualifications and aptitude to assist. The name of the challenge was significant and must be chosen early. After

Saturday, August 22, 2020

Business ethics Dissertation Example | Topics and Well Written Essays - 1750 words

Business morals - Dissertation Example The connection between business morals and the law has in the ongoing past become a questionable issue requiring the requirement for additional examination in this area.This is since observational proof outline that when organizations target accumulating a serious edge,they are inclined to performing rehearses that are in opposition to the business morals. Is it hence feasible to accept that organizations that have had the option to keep up a serious edge act deceptively? Therefore, can organizations that have maintained their morals be alluded to as being hostile to serious? It is in the wake of these examination addresses that this paper will represent the impact that business morals has on the presentation of an association and the connection between business morals and law1. Research Questions: 1. Is there any connection between business morals and the law? 2. Does rivalry impact the business morals of an association and how is this identified with law? 3. Is social duty identifi ed with the business morals of an association and the law? 4. What is the path forward to upgrading the collaboration between business morals and law? Before responding to the exploration addresses outlined above, it is critical to comprehend what ethic means and why business morals is significant in law. Morals is an ethical rule that decides the lead of conduct of different experts in accordance with how they direct their business and in the choices they make. In accordance with the utilitarian hypothesis of equity, experts need to settle on choices that are planned for meeting more prominent's benefit of the general public and not out of their inward childish thought process. This in this manner implies that there is requirement for organizations to maintain their morals in accordance with how they direct business. Business being planned for winning over the contenders and making benefit, there is requirement for businesspeople to hold fast to moral standards yet at the same time stay serious. How at that point is business ethic identified with law?2 The law is a mix of decides and guidelines that administer a gathering of individuals and infringement of the law prompts criminal offense. The law is produced using approvals and rules that have been created by individuals and usually, the law portrays the general assessment of individuals in accordance with different issues. Concerning business morals, the law is looked for when a business demonstrations in an untrustworthy way that hurts another association or damages the overall population of the association. The law goes about as influence in questions coming about because of cases that one business didn't act morally and damaged the ethical guideline required in business. Having comprehended what business morals involves and the relationship it has with the law, it is essential to assess how business morals can be disregarded as organizations lead their business and the ramifications of these infringement concerning the law.3 Models of open arrangement have been created trying to delineate business morals and what it includes: moral administrator and the ethical market. Concerning the ethical administrator model, it is upon the supervisors to participate in ethically upstanding choices in accordance with the choices they settle on and the impact of these choices to the exhibition of the association. This hence implies the objective of business morals involves preparing chiefs in order to grow ethically upstanding practices that re meant choices made and the impact they have on the exhibition of the association. An association in this manner needs to organize a plan that screens the exhibition of people engaged with the business. Besides, showcases likewise fill in as a worry in accordance with business morals and the law. The powers pervasive in the market impact the exhibition morals of people trying to counter these powers or to adjust the association to these forces.4 As organiza tions endeavor to progress in contrast with their rivals, more regularly than n

Thursday, August 13, 2020

Pressured Speech in Bipolar Disorder

Pressured Speech in Bipolar Disorder Bipolar Disorder Symptoms Mania and Hypomania Print Pressured Speech in Bipolar Disorder By Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. Learn about our editorial policy Marcia Purse Medically reviewed by Medically reviewed by Steven Gans, MD on January 01, 2015 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on January 18, 2020 Bipolar Disorder Overview Symptoms & Diagnosis Causes Treatment Living With In Children Your Rights David Jakle / Image Source / Getty Images Everyone occasionally experiences a pressing desire to talkâ€"whether to share good news or an exciting or unusual experience. If you have bipolar disorder, however, a compulsive urge to talk might represent a symptom called pressured speech. This symptom occurs commonly in adults, adolescents, and children with bipolar disorder experiencing mania or hypomania. A rapid-fire speech pattern is one of the most frequent initial signs of bipolar disorder. It usually occurs with other common signs and symptoms, such as increased energy and activity; reduced need for sleep or insomnia; elevated mood; irritability, agitation, or jumpiness; and racing thoughts.?? Pressured speech alone does not necessarily indicate bipolar disorder. This symptom can occur with other mental and nervous system conditionsâ€"such as schizophrenia, dementia, and strokeâ€"and the use of certain drugs, like cocaine, methamphetamine, and phencyclidine (PCP). Characteristic Features of Pressured Speech Pressured speech differs from ordinary talkativeness and represents a noticeable change in a persons usual manner of speaking. It manifests  as a compelling, virtually irresistible desire to talk. A person experiencing this symptom feels driven to talk, typically for prolonged periods and faster than usual. Other common features include speaking loudly and emphatically, and talking over or interrupting others. Following the conversation can be challenging for the listener because someone with pressured speech also typically experiences racing thoughts. This leads to jumping rapidly from one topic to another, a sign called flight of ideas. With a hypomanic episode, the conversation may seem odd but generally logical. Pressured speech during a manic episode, however, usually leaves the listener confused because the conversation is characteristically disjointed, illogical, fantastical, or even scary. Addressing the Development of Pressured Speech If you or a loved one develops pressured speech and have not been previously diagnosed with bipolar disorder, medical evaluation is necessary to determine the underlying cause of this symptom. Among people known to have bipolar disorder, the development of this symptom usually signals the start of a hypomanic episode that might progress to full-blown mania.   If you have bipolar disorder, development of driven speech signals the need to seek help from your doctor?? or someone designated to work with you to help manage your condition, such as a friend or family member. Ideally, you and your designated helper will have worked out a strategy in advance to handle these episodes. For example, if you are able to identify a trigger that led to the episode, removing yourself from that environment or situation may help calm your symptoms. Getting out into nature, taking a walk, or listening to calming sounds might also help reduce your symptoms. If your symptoms are severe, intensify, or turn violent, it is best to make urgent contact with your doctor or emergency services. Treating the Underlying Condition Because pressured speech is a symptom and not a condition, it is important to address the root cause. Particularly among people not previously diagnosed with bipolar disorder, evaluation might involve testing to rule out other conditions, such as a brain injury or drug misuse. Extreme stress, anxiety, sleep deprivation, and medication changes are among the common triggers of a hypomanic or manic episode.?? In such cases, pressured speech and other accompanying symptoms might resolve on their own, with or without counseling. For severe, persistent or intensifying symptoms, however, medication may be needed along with counseling. People with mixed episode bipolar disorderâ€"where manic highs occur simultaneously or in rapid sequence with depressive lowsâ€"may require more intensive treatment. Mood stabilizers and/or antipsychotic medications are often prescribed. Temporary hospitalization may be necessary if a person is at risk for suicidal or violent actions during an episode. The 9 Best Online Therapy Programs

Saturday, May 23, 2020

Essay about Racism in America - 3030 Words

Racism has taken on many forms in America over the past several hundred years. The most substantial or well known is the plight of the African American slaves and the injustices they suffered. Today, a new form of racism is developing; one that has always been around but has now entered the forefront of most Americans minds. This new racism is against members of the Middle Eastern culture and religion. The actions of September 11th did not create a new problem, they just shed light on a problem that we have had for some time. Racism is everywhere in one form or another. To understand it, I think it is necessary to look at the history, causes, and ways to resolve it. HISTORY Between 1450 and 1850, at least 12 million Africans†¦show more content†¦Some 122 of the 314 slaves at Mount Vernon were freed; the others were Martha Washington’s and by law owned by her heirs. Washington left instructions for the care and education of his former slaves, including financial support for the young and pensions for the elderly. In 1865 on June 19, two years after President Lincoln’s Emancipation Proclamation, Union soldiers land at Galveston, Texas, with news that the war has ended and that the slaves are free. The Emancipation Proclamation had little impact on the Texans due to the minimal number of Union troops to enforce the Emancipation Proclamation. After the Civil War, Congress authorized the creation of six segregated black regiments to serve in the peace-time army, under white officers. The Ninth and 10th cavalries and the 38th through 41st infantries were formed. The new cavalries were mainly stationed in the Southwest and the Great Plains, where it was their responsibility to build forts and maintain order on a frontier overrun by outlaws and occupied by Native Americans who were battling land-grabbing intruders. The black troops earned the nickname Buffalo Soldiers — as much for their ability in battle as for their dark skin — from the Cheyenne Indians. In 1866 Congress overrides President Andrew Johnson’s veto on April 9 andShow MoreRelatedRacism In America Racism1096 Words   |  5 PagesLeah Song Professor Dongho Cha English 161 22 October 2017 Racism in America The Civil Rights Act of 1964 ended all state and local laws requiring segregation. The â€Å"whites only† signs have ceased to lurk over water fountains, bathrooms, and restaurant counters. However, that is only on legal terms and paperwork. Many Americans don’t want to admit it, but segregation is still around. Sometimes by design or by choice. The 21st century segregation exists only in our school systems and communities. ItRead MoreRacism In America1047 Words   |  5 Pages Many people believe that racism in America is an issue of the past. Slavery has been abolished, segregation is no longer prevalent, and the last president of the United States was African American. While these facts prove that the U.S. has come a long way since the development of Jim Crow Laws and the â…â€" Compromise, racism has still not been defeated. In the past, America’s political system made it possible for racism and slavery to thrive. Today, America does not allow for segregation or discriminationRead MoreRacism In America1187 Words   |  5 PagesRacism has shaped societies since the beginning of time, as far back as the children of Abraham, Isaac, and Jacob. Even then, people living in the land of Goshen were subjugated to racism because of their differences. From Hitler and the Nazis to the Southern American slave owners, prejudice of one race against another has resulted in atrocities. Racism has shaped the form of our present day societies. Racism will likely never be completely removed from our society it will always exist. However,Read MoreRacism in America1431 Words   |  6 Pagesï » ¿Racism in America Introduction Is racism still a problem in America more than fifty years after the Civil Rights Movement, and 48 years after the 1964 Civil Rights Act signed into law by President Lyndon Johnson? How far has America come from the days when African Americans were lynched by fanatical racist mobs and from the days when Jim Crowe laws trumped the laws set forth by the U.S. Constitution? This paper delves into those and other issues involving racism in America. Thesis: AmericanRead MoreRacism in America3085 Words   |  13 PagesRacism has taken on several forms in America over the past several hundred years. The most substantial or well known is the plight of the African American slaves and the injustices they suffered. Today, a new form of racism is developing; one that has always been around but has now entered the forefront of most Americans minds. This new racism is against members of the Middle Eastern culture and religion. The actions of September 11th have not created a new problem, they have just shed lightRead MoreRacism in America3527 Words   |  15 Pagesï » ¿ Racism in America Alton Dawson Liberty University Abstract The purpose of this research is to show the effects of racism in America. Racism is defined as one group assumes superiority over other groups that develop attitudes of arrogance and ignorance. Despite many laws and legislation attempts to eliminate the evils of racism, the problem focuses on the cultural differences of race, color and biological supremacy. Racism comes in the form of ethnic cleansing, hate groups, discriminationRead MoreRacism In America1757 Words   |  8 Pagesand inequity ever felt by minority groups comes from White racism, expands it into many different examples. While reading his book, I decided to research for myself if his opinions were just that, or had evidence and facts. What I found was a combination. As much as I would love to say that racism hasn’t existed in this country since 1964, that’s unfortunately not true. And while that is true, the bulk of the evidence pointed away from racism in the sense that White people were trying to take powerRead MoreRacism in America2427 Words   |  10 PagesThere is surely no nation in the world that holds racism in greater horror than does the United States. Compared to other kinds of offenses, it is thought to be somehow more reprehensible. The press and public have become so used to tales of murder, rape, robbery, and arson, that any but the most spectacular crimes are shrugged off as part of the inevitable texture of American life. Racism is never shrugged off. For example, when a White Georgetown Law School student reported earlier this yearRead MoreRacism In America1868 Words   |  8 PagesRacism in the United States is still very alive and well. Even after fifteen decades after abolishing slavery, the United States is still a slave to its racist past. In all honestly, the United States hasn’t come to terms with its ugly racial bigotry and injustices. For example, Donald Trump was elected the 45th president; his rise to ascendancy was driven by a campaign that no t only lacked basic human decency, but was filled with xenophobia, Islamophobia and misogyny. While blacks are no longerRead MoreRacism in America Continues733 Words   |  3 Pagescomments and images have not reformed. Blacks continue to be undervalued in society. Not much has changed when it comes to social justice. Hate crimes against Blacks continue to go unpunished. America has evidently regressed when it comes to justice for Black/African Americans. One might ask; how do we know that racism hasnt ended? The evidence is obvious. â€Å"Emmett Till, who was 14 years old in the summer of 1955 when he walked into a local grocery store in Money, Miss., to buy gum. He was later roused

Tuesday, May 12, 2020

Emily Dickenson Essay - 736 Words

Emily Dickenson Emily Dickinsons poems, â€Å"Because I Could Not Stop For Death† and â€Å"I Heard A Fly Buzz-When I Died,† are both about one of lifes few certainties, death. However, that is where the similarities end. Although Dickinson wrote both poems, their ideas about what lies after death differ. In one, there appears to be life after death, but in the other there is nothing. A number of clues in each piece help to determine which poem believe in what. The clues in â€Å"I heard a Fly buzz-when I died,† point to a disbelief in an afterlife. In this poem, a woman is lying in bed with her family or friends standing all around waiting for her to die. While the family is waiting for her to pass on, she is waiting for†¦show more content†¦In the piece, â€Å"Because I Could Not Stop For Death,† Dickinson tells the story of a woman who is being taken away by Death. The speaker in the poem clearly states that she will not stop for Death but that it will have to come and get her. This is illustrated in the second line of the poem â€Å"Because I could not stop for Death- He kindly stopped for me.† â€Å"The Carriage held but just Ourselves-And Immortality.† The idea of immortality is the first indication that this poem believes in an afterlife. In many religions, where there is a grim reaper type spirit, this being will deliver a persons soul to another place, usually heaven or hell. In the thir d stanza the speaker talks of how she and Death passed the school, the â€Å"Fields of Gazing Grain-We passed the Setting Sun.† This stanza is referring to the woman looking back on her own life as she is dying. This would not be possible without an afterlife because if the soul were to simply drift away into nothingness, it wouldn’t be able to reflect it’s lifetime. After this Dickinson presents the idea of the coldness of death in saying â€Å"The Dews drew quivering and chill.† This is when we know for sure that the woman is in fact dead. In the fifth stanza, Death and the woman pause before â€Å"...a House that seemed A Swelling of the Ground- The Roof was scarcely visible- The Cornice in the Ground-.† Even though the poem does not come out and say it, it is likely thatShow MoreRelated Emily Dickenson And The Theme Of Death Essay604 Words   |  3 Pages Emily Dickinson And the Theme of Death nbsp;nbsp;nbsp;nbsp;nbsp;Emily Dickenson, an unconventional 19th century poet, used death as the theme for many of her poems. Dickensons poems offer a creative and refreshingly different perspective on death and its effects on others. In Dickensons poems, death is often personified, and is also assigned to personalities far different from the traditional quot;horror moviequot; roles. Dickenson also combines imaginative diction with vividRead MoreEssay about Death in Emily Dickenson1313 Words   |  6 PagesDeath in Emily Dickenson With the thought of death, many people become terrified as if it were some creature lurking behind a door ready to capture them at any moment. Unlike many, Emily Dickinson was infatuated with death and sought after it only to try and help answer the many questions which she pondered so often. Her poetry best illustrates the answers as to why she wrote about it constantly. She explains her reason for writing poetry, â€Å"I had a terror I couldRead MoreLife Influences On Emily Dickenson s Work1315 Words   |  6 PagesJuwan Adams Mrs. Bales Eng. Comp II 22 April, 2016 Life Influences on Emily Dickenson’s Work A poem is a piece of writing that partakes of the nature of both speech and song that is nearly always rhythmical, usually metaphorical, and often exhibits such formal elements as meter, rhyme, and stanzaic structure. Emily Dickinson, a very established poet of the nineteenth-century, used this style of writing to express feelings toward religion, love, and death. All of her inspiration came from theseRead MoreBy Emily Dickenson, Sunsets, And Sunsets763 Words   |  4 Pageswith Many Colored Brooms†, by Emily Dickenson, and â€Å"Sunsets†, by Carl Sandburg; the authors compare sunset to women. The beauty of the sunset is the central theme in both poems; however, they each contain different ideas about sunset. For example, Dickenson, focuses more on the beauty of sunset comparing it to a housewife. In turn, Sandburg, compares sunset to a female dancer, and brings out the different kinds of ways the sun sets. In the poem, by Emily Dickenson she compares sunset to a housewifeRead MoreThere’s no Frigate like a Book by Emily Dickenson715 Words   |  3 PagesDickenson’s â€Å"There’s no Frigate like a Book† takes the soul on an epic journey around the world and magical portals, while escorted by a royal entourage as if by a personal chariot. Considerable ingenuity is found in Dickinson’s metaphorical and figurative literature. She uses metaphors, denotation, connotation, and figurative language in a persuasive way which will be examined line by line. It is truly a book lover’s poem for it is a celebration of the joy and infinite power of reading. AlthoughRead MoreShort Story : The Last Place And We Stay 1291 Words   |  6 Pageslast place Emily Beam would want to go to is a library. The start of it all began at a high school party when Emily and senior, Paul Wagoner entered a bedroom nearby. Weeks followed along with her cravings and projec tile vomiting. Frightened and confused, Emily sat in a neighboring McDonalds’s bathroom, awaiting her test results. When Emily opened the restroom door, revealing Paul’s anxious face, she showed him the results. At age seventeen, Paul felt he was already a father, however, Emily was notRead More Death in Auden’s Funeral Blues, Forche’s Memory of Elena, and Dickinson’s Last Night that She lived1678 Words   |  7 Pagesone or oneself. In W.H. Auden’s poem â€Å"Funeral Blues† (1003), he describes such a catastrophic event and the drastic effect that it has on his life. It is interesting how people choose to accept this permanent and expected event, death. Similarly, Emily Dickinson has written many poems about death, such as â€Å"The last Night that She lived† (843), which describes a family waiting for a woman or girl to die and the dreary and depressed mood that exists within the household. Mourning is considered a perfec tlyRead MoreEmily Dickinsons Because I Could Not Stop For Death1249 Words   |  5 Pages Emily Dickinsons most famous work, Because I Could Not Stop for Death is generally considered to be one of the great masterpieces of American poetry (GALE). Dickinson experienced an emotional crisis of an undetermined nature in the early 1860s. Her traumatized state of mind is believed to have inspired her writing. In this particular poem, â€Å"Because I could not stop for Death,† the deceased narrator of the poem reminisces about that material day when Death came seeking for her. In stanza oneRead MoreDominant Themes In Whitmans Poetry Essay711 Words   |  3 Pagesappreciative of life itself. There are many themes in Emily Dickenson’s poem that is very reminiscent of Whitman’s popular themes. Although there were some consistencies with the themes Whitman’s used in his own work, there were still a lot of ideas Whitman would not have agreed with. The poem starts off with something Whitman would have unanimously disagreed with. Dickenson writes to â€Å"tell all the truth but tell it slant.† Here Dickenson is implying to tell the truth without telling the wholeRead MoreCompare/Contrast of Two Short Stories - River Nemunas Things WeLl Need for the Coming Difficulties1304 Words   |  6 PagesComing Difficulties. The River Nemunas has almost a dreary poetic feeling to the writing. There was a great reference to Emily Dickenson in the beginning of that story, about how Allie was carrying an Emily Dickenson book with her, perhaps because she is a fan, which I think is very fitting because the story is supposedly told by Allie, and it has a similar feel to an Emily Dickenson piece. Things We’ll Need For The Coming Difficulties has almost no poetic feel to it, however, what links the writing

Wednesday, May 6, 2020

Journal Free Essays

string(98) " some changes currently in our marketing ND management staff and are predicting a rise next year\." Headquartered in Los Angels, California, the company offers consumers over 250 quality and affordable arsenal care products. The Product Dry. Fresh makes Bianca brand nativity fluoride toothpaste. We will write a custom essay sample on Journal or any similar topic only for you Order Now We offer a peppermint flavor which is preferable to our target audience and offers cavity protection, fresh breath and strengthens teeth. Active ingredient is sodium nonprofessionals (0. 76%) is an nativity with a series of inactive ingredients. The Market Target market includes low income individuals, students, head of household, and elderly. The projected loss for our product in the current fiscal year is predicted $50,000 net loss. Variable costs to obtain a product and store in our warehouse is $0. 50 per unit. This variable cost cannot be reduced any further and will remain constant for the next two years regardless of volume. We have a unique advantage that our production can instantly vary to any output without increasing fixed costs or inventory costs. Our annual fixed costs are $250,000 annually including salaries, benefits, office supplies, warehouse space and our other product related expenses. This does not include any promotion like advertising, public relations or personal selling. Company overview Our mission is to provide innovative, high quality and affordable personal care products that exceed consumer expectations. The mission includes being the leader in the oral care category through fully understanding and addressing consumer needs. Our companies’ SOOT Analysis includes our strength to offer a low price, have an effective product, and a good price to feature ratio. We offer multiple oral healthcare products which increase customer susceptibility to our product. Bianca has had previous advertising in movies, and television which help our product recognition. Our weaknesses include lack of brand recognition and are unknown, lack of features including whitening, tartar control, sensitivity and also fluoride, low promotion edged, subpart quality and we offer smaller quantities than competitors for the of our product through retailers. Company opportunities include easy sales to wholesalers because of price. We can offer to convenience stores and also vending machines to increase sales without extra cost. We also have the opportunity to advertise to dentist offices and to get support. Threats include name brand competitors, other low cost entrants, supplier power, buyer power, rivalry between other low cost competitors, and also threat of substitute products affect our business. 95% of our sales are at the price point of $1. 15 through wholesalers. The wholesalers sell to retailers, who sell our product at $1. 61 per unit. The other 5% of sales occur over the internet at $1. 49 each. We show a fixed cost of 250,000 + (. 50 per unit PVC *units). We are selling at this price and are estimated to lose $50,000 this year. In order to market this toothpaste, and achieve a goal of $50,000 profitability a year we must sell 400,000 units. In order to hit this strategic goal we must attain more market share. The overall oral healthcare market is worth 10. 9 billion. Colgate holds 52% of the overall market. HULL holds 22%. Dabber has 14% We hold . 05% with other brands with 1 1. 5%. Current market trends it indicate whitening is a strong factor in increasing sales. Market Segments We have broken our market down into the following segments: Students (Students are on tight budgets, but still need to clean their teeth effectively because their diets are typically not conducive to oral health in the first place. ) Low Income Families (Lower income families need to buy lots of toothpaste, but can’t afford expen sive name brands. ) Value Shoppers (Some individuals/families simply look to get the most value for their money. Each of our market segments have similar characteristics. Most of all, they are looking o get the best oral care product on a limited budget. They are typically value driven, and will buy a specific brand out of habit and convenience rather than any specific medical desires in their product. Their needs in a toothpaste include cleaning their teeth, preventing tooth decay, freshening breath, and preventing plaque and tartar build up in their mouth. Primary Target Market Our primary target market is value shoppers. Our customers in rural areas are looking for a combination of features and convenience. Customers entail value shoppers, low income shoppers, students, households, low cost value proposition. We segment through Geographic (Rural and Urban), Behavioral ( Normal use, Whitening, Complete Care), Demographic (customer type) and other methods. Company Analysis Our goals include selling the best toothpaste at the best price. Through aggressive price techniques we offer a quality product at a low price. We sell most of our product to retailers and a slim margin over the internet. Company culture includes giving employees fair chance to speak their mind and voice concerns to management. Through respecting catheter and fostering innovation we have been able to sell our other products very successfully. Internal strengths we have include our differentiation of products. We offer Bianca mouth freshening spray, toothbrushes, floss and other oral health products. A weakness we have internally is that we do not currently offer any whitening products, and with the current trend it is hurting our growth. Opportunities that we have include a whitening pre brush rinse solution. We also can develop mouthwash and produce different flavors of our breath freshening spray. The oral healthcare market is increasing due to people’s reliance on vanity. Threats from other companies are hurting our sales due to competitor capitalization n the whitening, and feature/ luxury branding. Our low price toothpaste formula is not going to make your teeth any brighter, or remove layers of plaque that cause yellowing. Our product simply removes surface bacteria and doesn’t get in deep like other competitor products. Market share is a growing concern for us, we hold half a percent of the total market, and our competitor Colgate holds 52% of the overall market. We have a lot of room for growth inside our current market and huge incentives. Overall we are going to suffer a loss this quarter. We are going through some changes currently in our marketing ND management staff and are predicting a rise next year. You read "Journal" in category "Papers" We have more than adequate production methods and inventory warehousing. We anticipate being able to handle sales at a much higher volume. We are coming up with a new marketing scheme to make our product more appealing to our target market. We need to think creatively and bring in some fresh ideas and interns. Stock pence 2. 50 BASE (August 1st 2013) Competitor Analysis Our top three competitors are The Procter and Gamble Company Philips Oral Healthcare Inc I. Market position The consumer product conglomerate focused on toothpaste, toothbrushes and other oral care products. The position of the quality toothpaste could be niche or mainstream. The decision to position the new toothpaste on retail shelves is another important aspect of our sales positioning. Colgate toothpaste places the toothpaste in between one of the existing products and a competitor’s product. It. Strengths – Colgate Optic white and Colgate sensitive pro- Relief toothpastes and the re launch of Colgate total toothpaste contributed to their strength in the oral care market. – Collage’s strength in manual toothbrushes also continued in the U. S, driven by the success of Colgate 360 degree optic white, Colgate 360 degree Sensitive Pro- Relief ND Colgate 360 degree Surround. ‘. Weaknesses Colgate brand directly compete with P Oral-B company toothpastes which are globally known for their high functional properties, including sensitivity and teeth whitening. The company also increased its advertising expenditures by 31% in the two quarters of 2013. It has resulted in an overall market share gain in toothpaste and has growth from 52% in 2012 to 56% presently. Colgate has to worry about the innovative new products that could compete with their current quality toothpaste. Iii. Market Shares Colgate has been able to stay ahead of the market; it has one of the widest networks, caching 4. 5 million retail outlets in India. Collage’s sustained distribution strength, coupled with product innovation and creation of sub-categories such as mouthwash and sensitive oral care have helped it drive growth aggressively. They are always coming up with new ideas to push the barrier and capture new market shares. Promoting healthier lives, improving community oral health care, expanding their current â€Å"Bright Smile, Bright Futures† program all ATA low cost. They ensure that ingredients continue to meet safety, quality and environmental compliance and biodegradability. They have also been environmentally responsible through educing the environmental impact of Colgate products and packages by 20% increasing the use of sustainable materials and recycled content. Value Chain Partners Supply chain partners consist of primarily a manufacturing company (Dry. Fresh) in India. The factory produces the toothpaste, packages the paste into tubes, and seals and prints the tubes and boxes the final product. Large shipments leave the factory by means of distribution. A distributor moves the product from the factory to Wholesalers Warehouses Shipping yards Wholesaler’s mark up the product and sell the product in bulk to tillers. Wholesalers are responsible for distribution of the product after they purchase the product from the factory. Warehouses store the product until demand for the toothpaste is reached. At this point the product is removed and sold to different partners Shipping yards are usually located where a sea port meets a railroad. The trucks can drop off product for easy transportation over 1) ocean through massive commercial ships and 2) railway where trains transport goods efficiently 3) Trucks drop off their trailers and are easily navigated to new locations by other drivers. Once the goods are delivered to their final location it is usually at a retailer. Retailers purchase the goods from the wholesaler, offer a markup on the product and arrange the product on the shelves where it is ultimately bought by customers. When the product is sold directly over the internet a lot of the process is cut down. The internet protocol is much more simple. A supply chain partner is through the website design and maintenance teams in order to process orders and receive accurate shipping information, as well as process payment. When an order is paid for and set up for delivery, the company uses a mail company such as faded or SSP to deliver the final package to the customer. Climate Reducing global impact on the climate and environment plays an important role in associated with the manufacture and distribution of products it plays a large role in our manufacturing process. We try to reduce waste sent to landfills as well as request that all of our key suppliers measure and disclose the climate change information. Through the economic climate we are reducing the amount of water consumed in the manufacture and consumption of our products. Reducing the amount of water associated with our products saves a lot of money. Through working tit local and global organizations to promote access to clean water we promote water conservation awareness across the world. We reduce our environmental impact of products and packages by up to 20% by increasing the use of sustainable materials and recycled content. Social and cultural environment includes the increase of sustainability profile in our new products and in the balance of our portfolio. We ensure ingredients meet or exceed all recognized standards for safety, quality, and environmental compliance and biodegradability. Political and legal environment is included in promoting health and wellness and to reduce employee employee health risks. We have achieved a 5% reduction in costs and improvements in early diagnosis of chronic and treatable disease. We are focusing on safety to achieve the goal of zero lost time incidents. Other political impacts are the standards set to monitor our product and ensure public health. Technological environment by reducing our waste through technological upgrades we have been able to increase effectiveness and efficiency with lower waste. New methods allow for the reduction of water used in production and distributing so that we can control costs and provide the best product available. Insight driven innovation provides value added products and our marketing strategy shows that in order to ensure high standards we must have the essential technology to make it happen. How to cite Journal, Papers Journal Free Essays Here are some of the kinds of writing I have done, In and out of school, during the past year (check all those that apply). 0 Essays about literature CLC Book reports Emails for work or to friends Journal entries Personal narratives 0 Short stories Speeches for special occasions 0 Research papers Ã'Ëœ Job applications 0 Letters for business purposes 0 Notes too teacher Summaries Persuasive essays Deflations Diary entries Descriptions 0 Songs Poems Newspaper articles 0 Letters to friends or family Ã'Ëœ Postcards 0 Thank-you notes Text messages Any others you can think of: Click here to enter text. 2. We will write a custom essay sample on Journal or any similar topic only for you Order Now Of the items on my list, I most liked writing personal narratives and research papers because I enjoy telling personal stories and learning about new subjects. 3. I least enjoyed writing poems and speeches because writing poems isn’t one of my strengths and I don’t enjoy talking in front of a large group of people; especially strangers. 4. When I am given a writing assignment, I usually follow this process: I create a chart of my Ideas along with reasons, write a rough draft, have someone read It, I make corrections, and then I write the final draft. And overall structure. 6. I think that the area of my writing most needing work is broadening my vocabulary. 7. The types of writing that I will probably do in my college courses are persuasive, analytical, and argumentative; in my possible career, analytical and argumentative; in my personal life descriptions. 8. In the past, my experiences with writing courses have been great. 9. My writing goals for this course are to broaden my vocabulary and to learn new writing styles. 10. My thoughts and concerns as I begin this course are not knowing my grades on my papers and assignments really frightens me. Other than that, I cannot wait to begin growing as a writer. How to cite Journal, Papers Journal Free Essays Proposals, persuasive messages, classroom practices Introduction: Given that students are enthusiastic about social media or even have expertise in some social media tools, the author decided to design a class project in her Writing for Careers (Business Communication) class that integrates social media in terms of content and project management. This article intends to describe such a class reject design as well as the working process; reflect on such a practice by reviewing students’ feedback, examining the final products, and assessing the learning outcomes; and finally provide suggestions on how to improve this project. Methods: This article describes the project design as well as the working process and reflects on this practice by reviewing students’ feedback, examining the final products, and assessing the learning outcomes. We will write a custom essay sample on Journal or any similar topic only for you Order Now In concluding, the article provides suggestions for Improvement, Students were excited about the project because It was related to social media; however some students were confused because they didn’t understand how such a project could be related to business management. Different books, articles, websites, movies, and/or TV shows were assigned to help with the project (ex. Get Connected: The Social Networking Toolkit for Business, the Oscar-winning movie The Social Network, Conic’s The Backbone Obsession, Barack Beam’s Social Media Lessons for Business. Also a few articles (Tangelo, 2010: Greenland, 2010; Jones Degree, 2011). Results: The few students who disliked social media or were very elucidate to get onto social media had an opportunity to learn something new. Those who were familiar with some social media tools learned new aspects and features. This project gave students the opportunity to practice and utilize a variety of skills: critical thinking, problem solving, audience analysis, persuasion, and document design. The process-based teaching enhanced their understanding and application of what they learned in class and also made it possible to customize the teaching. Discussion: Throughout the project several social media tools were discussed. Students were challenged to communicate not only their mastery of digital communication skills, especially social media skills, but also their understanding of the potential for using these skills in professional settings to target audience. In addition they had to demonstrate their rhetorical skills In persuading their audience in considering or adopting social media. This example of client-based, student- centered learning empowered students and increased student autonomy. Criticism: the goal of the project even after repeated instructor explanations. Their overconfidence and overestimation of their own social media skills also hindered their completion of the project satisfactorily. Instead of figuring out what the business or organization needs to communicate constantly and effectively with their customers, these students insisted on getting the opinion of the teacher or the client had to tell them what to do. These students spent time creating a profile page instead of Justifying why they had selected that particular social media tool. During the project; time was spent teaching social media tools, especially the ones students that lacked familiarity with social media. How to cite Journal, Papers

Sunday, May 3, 2020

Noninvasive Ventilation for Ventilator - MyAssignmenthelp.com

Question: Discuss about theNoninvasive Ventilationfor Ventilator Assistance. Answer: Non-Invasive ventilation technique is a method that entails the use of ventilator assistance in the affected patients nasal way (nasal passage way/nostril) using a mask or similar devices and not through surgical means. It may also be identified as the technique that provides and enhances alveolar ventilation without the use of an endotracheal intubation (Linda Gray-Clinical Specialist). Popularly abbreviated as NIV, it is very different from other ventilation methods. Noninvasive ventilation is majorly used to adult patients. The method does not involve the use of a tracheal tube, laryngeal mask or tracheostomy. While all other methods are considered invasive, Non-Invasive Ventilation as its name suggests is not invasive. It does not involve tubes being put in your nasal airway or body. It is divided in two ways; one is the NPV meaning negative pressure ventilation while the other is NIPPV to mean non-invasive positive pressure ventilation. This ventilation method is used to help ad ults with difficulty in gas exchange in the lungs, chronic hypercapnia respiratory failure and COPD meaning chronic obstructive pulmonary disease. In this case BiPAP or CPAP is applied. BiPAP means Bilevel Positive Airway Pressure, while CPAP means Continuous Positive Airway Pressure. Each of these models i.e. BiPAP and CPAP requires a certain machine. The machine is connected to an electrical outlet which allows air under pressure to enter into the respiratory system of the patient, with respiratory problem. The air under increased pressure passed through a tube to a patients mouth whereby a tightly fitted mask to ensure that no air is leaking to the environment, and thus all air is entering the patients respiratory system. This is done to ensure that the patients lungs do not dilate hence the live of the patient is saved. In addition to mouth mask, a nose mask is also used. In order to keep the mask tightly placed at the mouth or the nose, a string is connected to the mask and tie d at the back of the patient head Respiratory failure is the inability to maintain the required air circulation and change in gas. It mostly is characterized by abnormal tensions of gases in the arterial blood (Bourke, Bullock, Williams, Shaw and Gibson, 2011). Non-invasive ventilation has a number of benefits which includes avoiding intubation with its accompaniment of death rates and prevalent sicknesses that include pneumonia. It also allows for intermittent ventilator assistance thus allowing for gradual weaning and eating normally. When NIV is applied, they mostly consider the Continuous Positive Airway Pressure (CPAP), that is, for sick individuals who have reduced functional residual capacity (FRC), type 1 respiratory failure and acute LVF. Bilevel Positive Airway Pressure (BiPAP) can also be considered for sick individuals with type 1 respiratory failure where these patients are tiring PaCO2 TV LOC and type 2 failure with patients of acute episodes. Although it is a preferable method for ventilation, it is no t advisable for every sick individual who has respiratory failure. It should only be applied by a trained technician or physician using an optimal ventilator on appropriate clinical environment. Consider a scenario whereby adult patient at the advanced levels of neuromuscular illness that is progressive with breathlessness at arrival in hospital. Deep breathes of difficulty followed by tiring gasps (Brochard, Mancebo, Wysocki, Lofaso, Rauss and Isabey,2009). Such respiratory illnesses show some certain indications and contraindications that the medical practitioners use to determine whether to use the non-invasive techniques or use the past ventilation techniques. Non-invasive indications are conditions that satisfy or allow for use of the non-invasive ventilation techniques on patients. They mostly are like symptoms that are shown by the patient to allow for such treatment ( Confalonieri, Potena, Carbone, Porta, Tolley and Umberto Meduri, 2008). For a patient to qualify for the non-invasive ventilation method they should pass through a screening process and the indications should include; obstructive sleep apnea syndrome, which is a proper candidate for the technique, chronic obstructive pulmonary disease with exacerbation qualify for the technique, bilateral pneumonia are proper candidates. There are also other syndromes to be considered in order to determine a patient who need noninvasive ventilation. These includes, A patient with acute congestive heart failure with pulmonary edema is also a proper candidate, neuromuscular disorders, a patient with acute lung injury is a potential candidate, asthma also qualifies to be a candidate for the technique (Girou, Schortgen, Delclaux, Brun-Buisson, Blot, Lefort and Brochard, 2008). Patients with difficulty in gas exchange in the lungs accepting lung resection surgery may allow for use the non-invasive ventilation technique, patient with obesity hypoventilation syndrome is a qualified candidate for the technique, weaning from ventilator. Non-Invasive Ventilation method also has its contraindications. Contraindications are signs that disqualify the use of the Non-Invasive Ventilation method on a patient. These are the signs and symptoms that the patient portrays that make the use of this method harmful to the patients health (Gray, Goodacre, Newby, Masson, Sampson and Nicholl, 2008). There are two types of contraindications when it comes to Non-Invasive Ventilation. There is both absolute contraindications and relative contraindications. The absolute contraindications of this method are quite a number and they include; Respiratory arrest or unstable cardiorespiratory status (Hilbert, Gruson, Vargas, Valentino, Gbikpi-Benissan, Dupon and Cardinaud, 2008). In case a patient is about to go on a respiratory shock or has unstable cardio flow; it is mostly advisable to resist application of the NIV. It may result in lots of complications which may include death. Such a state may require the use of invasive techniques in order to stabilize the respiratory system. Other absolute contraindications include, uncooperative patients. Some patients may not prefer the use of Non-Invasive Ventilation equipment due to some discomfort. Most patients will refuse the use of facial or nasal masks. Inability to protect airway (Kramer, Meyer, Meharg, Cece, Hill, 2008). When the patient has impaired swallowing and coughing, that is, the food may leave the esophagus into the trachea. This may cause lots of complications. Trauma or burns involving the face. When the patient has burns or injuries involving the face, the toxic gases released by the wound may cause skin irritation or many other unintended diseases. Facial, esophageal or gastric surgery. In case the patient has had facial, esophageal or gastric surgery, it is very much advised not to use the non-invasive ventilation because it may make upsets to the unhealed wounds. This may lead to lots of complications. In addition to absolute contraindications include Patients with Apnea (poor respiratory drive) should not be encouraged to follow through on application of Non Invasive Ventilation technique. Sick individuals with reduced or low consciousness are not advisable patients to be put under such a technique because it may lead to the suffocation and choking of the patients (Shneerson and Simonds, 2009). When a patient has air leak syndrome, it is strongly advised to use invasive ventilation method and not the non-invasive method. Life threatening dysrhythmias in a patient is severe and thus the use of invasive technique encouraged over the use of its counterpart. Continuous Positive Airway Pressure (CPAP) in lung injury is also a disqualification from the non-invasive ventilation technique. The non-invasive ventilation method commonly preferred is the BiPAP which is used by individuals suffering from sleep apnea. It prevents the lungs from collapsing and allows for relaxed breathing during sleep. The comparative advantage of BiPAP is that the breaths can be timed for maximum delivery of gaseous exchange in the lungs thus providing comfort. This allows for the individual to get greater air in and out during breathing reducing clogging. An indication that BiPAP is superior to CPAP is that BiPAP is quite oftenly used when CPAP is not successful in treating a patient. BiPAP machines come in different sizes allowing for easy movement and storage and self-operation after understanding its use and operation. BiPAP is mostly referred to candidates with breathing problems. The steps to be taken or procedures to be followed while using BiPAP masks may include: Within 24 hours of initiation of therapy, a clear plan for the nursing care should be provided and documented while the patient is getting Non Invasive Ventilation (Nava, Ambrosino, Clini, Prato, Orlando, Vitacca and Rubini, 2008). The Oral hygiene of the patient should be maintained at an interval of two hours as long as the patients tolerance to cessation of the non-invasive ventilation is greater than or over five minutes. The patients eye care is to be checked at an interval of two hours by the proper clinical physicians. This should be done without hesitance or delay. A full body wash, including shaving the patients face, is to be done every single day or many times as instructed or requested and required in response to the patient diaphoresis and the patients level of tolerance. Other steps are, all patients are to receive pressure injury prevention management as instructed by the practitioners, professionals and supervisors. This is to reduce the fatality and complications that sometimes arise from the use of the non-invasive ventilation method. Every Patient is should be advised and encouraged to sit out of bed as allowed by the technique. When in bed they are to be put in an upright position to facilitate and allow for chest wall expansion to give way for comfort in the ventilation process for the patient (Murgu, Pecson and Colt, 2010. The mobility or movement of the patient should be encouraged, assessed and monitored as per the guidelines provided by the medical practitioners and the doctors of the hospital. Assistance should be provided during such exercises. On clinical presentation or initiation of therapy, Pharmacotherapies are to be noted down and implemented as required in response to patient evaluation and assessment. Any referral to an allied he alth professional is to be implemented where services are available in the clinical environment to support the patients and their significant others psychosocial wellbeing. Every human method ever invented has its pros and cons, and the Non-Invasive Ventilation method including the BiPAP machine has no exception. As much as Non-Invasive Ventilation may be used to support respiratory failure disease, it may cause problems. The use of Non-Invasive Ventilation such as BiPAP may not be 100% or even 90% accurate for solution to the health care problem. It may even result to certain complications which may deteriorates the patients health. Non-invasive ventilation technique is associated with frequent life-threatening and frequent adverse effects which are very severe. This should encourage thorough screening of patients before suggestion or referral to the technique. This will reduce the number of severe complications experienced. The complications are strongly correlated with the degree of pulmonary and cardiovascular involvement. Non-Invasive Ventilation is to be applied with great care in sick individuals with pulmonary process such as lobar pneumonia. BiPAP being a form of ventilation method that is non-invasive is very useful. One of its uses is by sick individuals with sleep apnea. Its function is very similar to the CPAP. It is of two levels that is time-pedaled to achieve maximum efficiency in its functions. These machines can be used in a controlled environment which includes hospitals and homes but with close supervision and maintenance to date of the equipment and machines. Distention of the stomach because of aerophobia aspiration following vomiting while still negative pressure ventilation (Mehta and Hill, (2010). This may cause preload reduction and hypertension. This also includes Inability to or difficulty in relieving dyspnea and Inability to or difficulty in improving gas exchange in the respiratory system. However, failure of the Non-invasive ventilation technique depends on factors such as delayed application of the Non-invasive ventilation treatment. Whereby it may worsen the patients respiratory illness and create some complications that the non-invasive ventilation cannot be useful. Other failure includes inappropriate or unwanted ventilation pressures, Low or inexperience of the clinical staff or team and also, the patients clinical state or condition which maybe be as a result of two or more organ failures. In conclusion, the application of the Non Invasive Ventilation method is widely accepted and used in many clinical environments. It has proven to reduce mortality than its invasive counterpart and still provide respiratory comfort to the patient. Despite its complications, the method is quite effective and very efficient. If every procedure for its application is followed to the latter, then the success stories will be its only tale to tell. Much improvement still needs to be implemented and that will be done with more researches as time passes. But all in all, the non-invasive ventilation method should be administered in all clinical settings. References Bourke, S. C., Bullock, R. E., Williams, T. L., Shaw, P. J., Gibson, G. J. (2011). Noninvasive ventilation in ALS Indications and effect on quality of life.Neurology,61(2), 171-177. Brochard, L., Mancebo, J., Wysocki, M., Lofaso, F., Conti, G., Rauss, A., ... Isabey, D. (2009). Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease.New England Journal of Medicine,333(13), 817-822. Confalonieri, M., Potena, A., Carbone, G., Porta, R. D., Tolley, E. A., Umberto Meduri, G. (2008). Acute respiratory failure in patients with severe community-acquired pneumonia: a prospective randomized evaluation of noninvasive ventilation.American Journal of Respiratory and Critical Care Medicine,160(5), 1585-1591. Girou, E., Schortgen, F., Delclaux, C., Brun-Buisson, C., Blot, F., Lefort, Y., ... Brochard, L. (2008). Association of noninvasive ventilation with nosocomial infections and survival in critically ill patients.Jama,284(18), 2361-2367. Gray, A., Goodacre, S., Newby, D. E., Masson, M., Sampson, F., Nicholl, J. (2008). Noninvasive ventilation in acute cardiogenic pulmonary edema.New England Journal of Medicine,359(2), 142. Hilbert, G., Gruson, D., Vargas, F., Valentino, R., Gbikpi-Benissan, G., Dupon, M., ... Cardinaud, J. P. (2008). Noninvasive ventilation in immunosuppressed patients with pulmonary infiltrates, fever, and acute respiratory failure.New England Journal of Medicine,344(7), 481-487. Kramer, N., Meyer, T. J., Meharg, J., Cece, R. D., Hill, N. S. (2008). Randomized, prospective trial of noninvasive positive pressure ventilation in acute respiratory failure.American journal of respiratory and critical care medicine,151(6), 1799-1806. Masip, J. (2010). Non-invasive ventilation.Heart failure reviews,12(2), 119-124. Mehta, S., Hill, N. S. (2010). Noninvasive ventilation.American journal of respiratory and critical care medicine,163(2), 540-577. Murgu, S. D., Pecson, J., Colt, H. G. (2010). Bronchoscopy during noninvasive ventilation: indications and technique.Respiratory care,55(5), 595-600. Nava, S., Ambrosino, N., Clini, E., Prato, M., Orlando, G., Vitacca, M., ... Rubini, F. (2008). Noninvasive Mechanical Ventilation in the Weaning of Patients with Respiratory Failure Due to Chronic Obstructive Pulmonary DiseaseA Randomized, Controlled Trial.Annals of internal medicine,128(9), 721-728. Nava, S., Gregoretti, C., Fanfulla, F., Squadrone, E., Grassi, M., Carlucci, A., ... Navalesi, P. (2010). Noninvasive ventilation to prevent respiratory failure after extubation in high-risk patients.Critical care medicine,33(11), 2465-2470. Nava, S., Navalesi, P., Carlucci, A. (2009). Non-invasive ventilation.Minerva Anestesiol,75(1-2), 31-36. Ozyilmaz, E., Ugurlu, A. O., Nava, S. (2014). Timing of noninvasive ventilation failure: causes, risk factors, and potential remedies.BMC pulmonary medicine,14(1), 19. Shneerson, J. M., Simonds, A. K. (2009). Noninvasive ventilation for chest wall and neuromuscular disorders.European Respiratory Journal,20(2), 480-487. Vianello, A., Arcaro, G., Battistella, L., Pipitone, E., Vio, S., Concas, A., ... Iliceto, S. (2014). Noninvasive ventilation in the event of acute respiratory failure in patients with idiopathic pulmonary fibrosis.Journal of critical care,29(4), 562-567.