Virtualize Essay Example | Topics and Well Written Essays - 500 words

Virtualize - Essay Example I. Execution tuning. It turns into more confused to screen execution. Execution screens alone can't be depended on. In the VMware condition the utilization of vSphere will be utilized. You additionally need to appreciate how virtual conditions deal with its assets. This arrangement is essential since this is the crucial parts that are utilized for the virtualization and this frequently makes the framework breakdown. This is likewise significant in order to maintain a strategic distance from the underutilization of the server. The establishment of four superior visitor meetings will raise a server to half or 60% of the server execution. In this way the arranging stage is imperative advance on any Hyper-V arrangement. (Dimar, 2008) This is critical to the association since it will give the brief look at the advantage of virtualization and the cost that will be required. This cost procedure is imperative in any association to keep away from misfortunes that might be because of framework disappointment. (Pollak, 2011) I will go on with the usage of the technique of execution of a virtual framework. This is on the grounds that the processing activities are of different destinations with a server check of in excess of 400 which is bigger number. This can build the exhibition of the organization and may expand its benefit. (Pollak,

Subway CRM Project free essay sample

1. 0 Executive Summary: Subway is a sandwich drive-thru eateries which has 260 stores in New Zealand. Utilization of CRM can encourage the administration, CRM venture including ICDC model, distinguish the touch focuses , Servqual level examination, Gap Theory investigation, proposals and suggestions. The CRM system appropriately executed, it will assist Subway with bettering comprehend the client and oversee clients, improve the capacity of its opposition capacity and advancement of the Subway. keyword:Subway? CRM? administration? Servqual 2. 0 IDIC model of Subway Table 1. IDIC model of Subway Investors Fred Deluca Employees CEO Fred Deluca,more than 260 stores(NZ) Government New Zealand goverment, Auckland City Council and so on Action Goroups Franchised outlet, Customers Public Local individuals, Passengers Distributors and Retailers Franchised outlet, Flagship store, Headquarters Suppliers Silver Fern Farms Limitedâ€Fairton, Alliance Group Limite, Silver Fern Farms Limitedâ€Finegan and so on Institutions CEO , division director, deals personel and so forth Competitors KFC, McDonald, Burger King and so on Consultants Subway has its own board Media and Reviewers Internet, Face book, TV, Newspaper and so on Experts No Customers People who likes Subway and doesn't cook without anyone else/herself, People who needs to purchase or eat Subway. We will compose a custom exposition test on Metro CRM Project or then again any comparable point explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page Accomplices Face book, Google, Yahoo and so forth Financiers ANZ, BNZ and so on 3. 0 Touch Points With the development of new media, for example, the Internet, incredibly expanded the Subway contact purposes of contact with clients. The principle structures are: (1). System: including Subway administration site, Facebook Subway stage, Wechat Subway stage, and so on. Through this contact, Subway and its adherents can associate and qa, whenever and anyplace, helpful and snappy, abbreviate the separation. For devotees of Subway, and they can even discover practically the entirety of their consideration will be associated with the Internet. Nourishing data, for example, item, suits own Subway menu, master counsel, and so forth (2). Promoting: including TV publicizing, divider promoting, handouts, and so on. This is a conventional and powerful method of purposeful publicity and a wide inclusion of positive contact point, can opportune to tell clients the most recent updates on Subway. (3). Exercises and open government assistance: the Subway as their corporate situating, from the start nourishment (Leaders in sustenance from the earliest starting point). They have been a hero of smart dieting and in this manner put forth a great deal of attempt! Metro eateries are autonomously claimed and care who is pleased with their locale and dynamic part free administrator establishment. Subwayâ ® franchisees and group individuals from around the globe likewise dynamic in their nearby schools, sports and metro affiliations and are pleased to â€Å"give back† to the individuals in the areas that are precious to them. Throughout the years, the Subwayâ ® eatery family has demonstrated it support for some worthwhile motivations and philanthropic associations, for example, the American Red Cross and AmeriCares fiasco alleviation, Habitat, territorial United Way battles, Little League baseball programs, occasional blood gift drives and network food banks. [1] Each year the Subwayâ ® brand underpins noble cause and charitable associations through corporate gifts and sponsorships to support sound, dynamic ways of life and help improve the world a spot. This strategy not just assistance the individuals needing assistance, likewise adds brand items to the Subway and altruism degrees, have more social incentive than typical commercial. (4). Eye to eye client support: this is the most significant purpose of contact, this technique can augment nearer to the client, get client. For workers, the Subway has its own assistance idea and preparing abilities, to close their associations with clients and accomplish the client as the middle. Tram all staff three seconds grin and three minutes administration standards, let clients get the most obliging the quickest help. Three seconds administration alludes to the visitor into the store three seconds, welcoming visitors grin all front work area staff. Client request to finish creation time close to 3 minutes. All sandwich scene delivered before you. We realize that it takes something other than great food to feed a resilient people and manufacture a dynamic network. It begins with dealing with individuals, the substance of the Subwayâ ® experience. 4. 0 Servqual Service quality is an unpredictable theme, should be characterized from five viewpoints: unwavering quality, responsiveness, affirmation, sympathy, and substance. The administration quality assessment was directed during the time spent assistance conveyance. Clients happy with the nature of administration can be characterized as: the impression of tolerating administration contrasted and desires for administration. At the point when discernment past desire, administration is thought to have an extraordinary quality, clients will be fulfilled; when the administration doesn't meet desires, is bound to be unsuitable; when the desire and recognition is reliable, the quality is agreeable . The nature of administration = view of administration quality-administration quality desires 0 is exceptionally fulfilled = 0 fulfillment 0 not fulfilled The accompanying information can be acquired through examination Table 2. Tram administration quality survey[2] Factor The inexpensive food industry administration quality inquiries Score of feel Score of expect Score of Servqual Average Tangibles Substance eatery format is acceptable, spotless and happy with eating condition 7. 9 7. 5 0. 4 0. 4 Food flyer make wonderful, alluring 7. 8 7. 7 0. 1 Food shading, fragrance and taste 7. 0 6. 7 0. 3 Staff dress uniform, perfect and clean 6. 8 6. 0. 8 Responsiveness Can rapidly furnish clients with the administration 7. 9 5. 0 2. 0. 7 Wait for the server will advise the client need to stand by long 7. 0 7. 0 Can appropriately deal with the client objections and grumblings in an opportune way 8. 6 8. 5 0. 1 Reliability Service framework great, normalization of administration process 8. 8 7. 3 1. 5 1. 2 during the time spent assistance hardly any mix-ups 8. 5 7. 1. 4 According to the vowed to offer types of assistance 8. 6 7. 9 0. 7 When clients experience issues attempt my best to assist clients with taking care of issues 7. 6. 4 1. 2 Assurance Employees use human progress wording, pleasant 7. 8 6. 9 0. 9 0. 45 Employees have partiality, dependable 8. 4 8. 0. 4 Staff have fitting information and abilities 6. 0 6. 0. 0 The client to give comfort food and administrations 8. 5 8. 0. 5 Empathy Customers can without much of a stretch arrived at eatery 8. 8. 0. 8 0. 63 To meet the customized needs of various clients 9. 0 7. 5 1. 5 In the eatery feel warm and cheerful 8. 8 7. 7 1. 1 Customers can frequently appreciate some particular exercises 8. 2 8. 5 - 0. 3 Analysis: the information in the table can be discovered that the client for Subway administration quality in dependability, responsiveness, confirmation, compassion, and substantial quality five perspectives are fulfilled, especially the most palatable unwavering quality and responsiveness. Unwavering quality is dependably and precisely satisfy administration duties. To show that the Subway administration quality is excellent, have a standard help procedure, and barely any errors. With the Subway three seconds grin and administration three minutes is firmly identified with law. Responsiveness alludes to support clients and offer types of assistance rapidly and proficiently. Despite the fact that the Subway can be rapidly with acceptable assistance quality to furnish clients with administrations, yet in sitting tight for the server will advise the client need to sit tight for to what extent and appropriately handle client objections and grumblings opportune execution isn't remarkable, it needs to fortify. As far as Tangibles and Assurance, administration quality is likewise high, high consumer loyalty. That Subway design in the brought together administration, café, food creation and have great execution in staff preparing, administration quality is high in these zones. In regard of Empathy, the Subway clients said that they figure clients can frequently appreciate some special exercises is done awful. Actually, comparative with other cheap food organizations, Subway extremely scarcely any most good movement or can let clients appreciate special exercises. Be that as it may, the Subway in Empathy different parts of the administration quality is extremely high. 5. 0 The Gap Theory . 5. 1 The crucial Subway Delight each client so they need to tell their friendswith extraordinary incentive through new, is our method of telling you we are focused on making a positive effect in all that we do. The Subwayâ ® framework is focused on giving an assortment of incredible tasting, more beneficial food decisions while diminishing our natural impression and making a positive impact in the networks we serve the world over. This is a prerequisite of Subway has consistently been, Subways strategic basic and clear mention to us what it need to bring clients items and sentiments, clear wording, and feature the convention of its green wellbeing items. 5. 2 Need to reinforce the picture Corporate picture alludes to the individuals by the indications of the undertaking, and set up the general impression of the endeavor, is the center of big business culture development. Despite the fact that the Subway has a reasonable strategic, has been adhering to its crucial, Subway has been growing easily, yet Subway does not have a solid picture, in spite of the fact that the Subway has been asserted that they are going to give individuals increasingly sound eating routine. On the other hand, found that the vast majority partner to KFC, there will be an unmistakable recall KFC sign, KFC, the elderly person face red and white exchange with, burgers, French fries, coke and solidarity of tables and seats. At the point when they consider Subway, can just consider Subway sign is green, white and yellow and white. Be that as it may, recall not very clear, sandwiches, boundless tops off, and just a few people obviously know Subway eatery is to give a sound eating routine. By Subway legendJared successfu

How to Write the Cornell Supplement 2019-2020 TKG

How to Write the Cornell Supplement 2019-2020 Cornell is a private research university that is a member of the prestigious Ivy League. Like Columbia, Harvard, and Yale, Cornell is in an urban setting. However, Ithaca, a medium-sized city in upstate New York, is a smaller and more low-key than New York City or Boston. This makes Cornell a great geographic fit for people who want to be surrounded by resources, but don’t want to be shoved on public transit. Cornell has 15,182 undergraduate students spread across a variety of colleges and is famous for their unique programs for an Ivy League institution. Cornell is the only school in the Ivy League to offer degrees in agriculture and hospitality. They boast 50 Nobel Laureates, and 23% of the students are international. The acceptance rate is 10.6%. The Cornell supplement for the 2019-2020 application cycle is fundamentally the same as the one from last year, although it is worded differently.  Students in Arts and Sciences embrace the opportunity to delve into multifaceted academ ic interests, embodying in 21st century terms Ezra Cornell’s “any person … any study” founding vision. Tell us about the areas of study you are excited to explore, and specifically why you wish to pursue them in our College.  If you’ve been writing a lot of supplements, one of the first things you probably noticed is that they don’t give a word limit. However, if you look down at the bottom right of the dialogue box (the place you write your answer), you’ll see that it will cut you off at 650 words. This means that there is a 650-word limit. We advise our students to aim to have their responses be around 500-650 words. While you can write less than 500, it could show a lack of effort, interest, or attention. Writing less than 500 words would certainly be sacrificing valuable space for the convenience of a shorter answer. And while the prompt is winding, this is really a “why us?” question. You should have a lot to say! Having space is a luxury, but it can be easy t o get lost in it and to find yourself somewhere with no idea how you got there or where to go next. To take full advantage of this prompt, it’s critical that you have a plan of action. We like to approach it with the outside in mind: Introductory Anecdote, Academics, Environment and Community, Closing. For the remainder of this post, we will be breaking them down for you. INTRODUCTORY ANECDOTE You need to start your answer with a story that builds the narrative around the information you will be providing for the rest of the prompt. This should not be about a visit to campus or a friend who goes there. Instead, this section should be focused on who you are and what you are passionate about academically. It will lead to what you want to major in, so it should be related to that. Despite this broad scope, it should also be focused. We like small stories that say a lot. For example, we’ve had students write about the first time they lost a debate, and how that impacted their perspe ctive on rhetoric and language. We’ve had students write about an experience in the field during an internship focus on environmental preservation. We’ve even had students write about volunteering at an animal shelter as part of their recovery from a football-related concussion. There are so many different ways to link your academic passions to what you are passionate about doing â€" preferably outside of a formal classroom. ACADEMICSAfter the introductory anecdote, you should transition as smoothly and seamlessly as possible into 1. What you want to study and 2. Why Cornell is uniquely positioned to help you pursue your academic goals (and no, it being a fancy school is not a good enough argument). In this section, you should specify what you intend on majoring in. You should also name two professors in your major department that you would like to study under, and why. These should not be the ‘big name’ professors unless they make the most sense. Focus on match, not clout. After naming professors you’d like to study under, you should specify one class in your major that you are excited to take. It should also not be part of the mandatory curriculum. Follow that with one class outside of your major that you’d like to take and link it to a potential minor. Finally, specify a school-run off-campus study program, research opportunity, or internship opportunity that you would be interested in taking part in. ENVIRONMENT AND COMMUNITYOnce you have set up your academic motivations for applying to Cornell, you should have space to address some of the less curricular reasons. This is somewhere to talk about a team, club, or community group that you’d like to be involved with. Consider including a short anecdote that links you to this interest. We especially love anything to do with food, or something completely unexpected given the rest of your application and that is framed with the awareness that it would require you to bust out of your comfort zone. C LOSINGWhen you are closing up this supplement, you should circle back to the passion and excitement that you exhibited early in the piece. Reiterate the link between that passion and our enthusiasm for Cornell.  Are you feeling stuck? Drop us a line. We help students write outstanding supplements that upgrade their applications.

Quality of Care and Aging in America Essay - 1117 Words

Organizational Responsibility and Current Health Care Issues HCS545 February 20, 2012 This paper will analyzes and describes how quality of care is affected by organizational culture, structure, governance and social responsibility. It will describe how the evaluation of the organizational structure affected decisions, what resources should be allocated to prevent ethical issues and what strategies are in place to prevent these issues. There are many negative issues facing the health care organizations and it has deeply affected the country. The prime examples of these issues include the aging in America and the quality of care. The dying patients do not get the quality of care when they are seeking medical attention and this has†¦show more content†¦The structure of an organization is very important because it determines the different roles and how all the departments perform. The organizational structure consists of a group of people that works together to achieve the goals that are implemented. As mentioned by Imhof amp; Kaskie (2008), communication is very important in the health care organizations that have complex organizational structures. Most of the employees are not able to communicate clearly and this can lead to conflicts which block the employees from providing the quality care the patients need. Allocation of Resources Healthcare organizations do not contribute to the society’s welfare and impact the society positively therefore the relationship with the stakeholders is poor. With a poor relationship, this causes conflict between the patient and the doctor. Enough financial resources should be allocated to prevent quality of care issues and improve the quality of care to the patients. The moneys allocated can be used to purchase equipments that are beneficial to the care of the patients. There are many issues when it comes to the allocation of resources and should be cost effective to ensure the health benefits of those in the community that are being treated. If the allocations of the resources are not done correctly it can affect the community. Human resources should allocate financial resources to eliminate the shortage of doctors and nurses which has affected the performance andShow MoreRelatedAging As A State Of Decline1428 Words   |  6 Pages1. In her speech, Jane Fonda spoke about aging and the effect that it can have on a person. Fonda talked about â€Å"Life’s Third act† or the last three decades of a person’s life. Fonda explained that the advances in medicine and technology enabled the human race to live longer than before (Fonda, 2012). According to Fonda, humans are living on average, thirty years longer than past generations. The human life span has been extended and humans are spending a great deal of their lives in older age (FondaRead MoreAccountable Care Organizations1555 Words   |  7 PagesAccountable Care Organizations and The National Healthcare System | :The Next generation of Healthcare in America | | Accountable Care Organizations and the National Healthcare System The Next Generation of Healthcare in America National healthcare has been a hot button issue around dinner tables in America for years. Everyone seems to have an option on what will or will not work, how our county will afford it and what a plan would entail. Although we are unsure of how a plan wouldRead MoreA Brief Note On The Price Of Healthcare Essay1206 Words   |  5 PagesThe price of healthcare in America is extremely high. Healthcare spending in America is so high because of drug spending. Studies have also shown that America spends more on healthcare than any country in the world but produces inferior results. 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The median age of Irvine residents is 34.8 years, which is quite similar to the California median age of 35.7 yearsRead MoreHealth Literacy And Medical Adherence Of The Aging Population1361 Words   |  6 PagesAdherence in the Aging Population Charrell Gary GERT 491 Eastern Michigan University â€Æ' Abstract This paper explores several articles; studies, programs and campaigns that report on results conducted both online and offline, in relation to health communication, specifically in minority populations and the aging in America. The paper also introduces subset definitions within health communication itself, and how each piece of that communication is affected by several limitations within the aging and minorityRead MoreCare Giving for the Mexican Elderly1016 Words   |  5 Pagesâ€Å"Ageing means an increase in life expectancy, prevalence of chronic disease, and need for health and social care services† (Vladislavovna, 2010, 1). Older people need formal and informal support systems to insure independence and an overall good quality of life. Families friends play a big role in the lives of aging Mexican elderly, â€Å"a social network is the collection of interpersonal and communal bonds that people have throughout their lives to establish social relations that satisfy cer tain needsRead MoreNursing Shortage: Causes, Concerns, and Impacts1839 Words   |  7 PagesNonetheless, the supply of staff in this field seems not to catch up with the demand for nurses despite of the increased rate of unemployment. The need for more nurses in this field in the future originates from the aging baby boomer population and the increase in the number of aging nurses who are expected to retire. While the recent economic downturn has eased the nursing shortage momentarily, its expected that the shortage of nurses will continue in the coming years. The Nursing Profession:

Economics Assignment Indonesia - 1331 Words

INTRODUCTION Indonesia plays major role in today’s economic as Indonesia is one of the countries with the biggest GDP with the 4th largest population in the world. Joining the member of G-20 major economies, Indonesia has successfully emerges as the largest economy in Southeast Asia, moreover, Indonesia also classified as a new industrialized country. Government plays substantial role through ownership of 141 state industries and enterprises, and administration of prices of basic goods such as rice, fuel, and electricity. Main goods to export from Indonesia are oil gases, rubber, cement, plywood and food. In addition, Indonesia main export partners are Japan, China, and Singapore. PRODUCTION OUTPUT PERFORMANCE ANALYSIS Gross Domestic†¦show more content†¦The consumption of fuel has soared as more Indonesian could afford to buy cars and motorcycles. While preparing incentives to stimulate national industries by banning exports of raw materials in the mining industry by 2014, Indonesian government also grant tax holidays for specific innovative industries. This regulation forces manufacturers to build smelters and processing facilities to produce value-added products. LABOR MARKET ANALYSIS Unemployment is a waste because it should be count as a loss all the goods and services those unemployed workers could have produced if they had been working (McConnell, Brue, Flynn 2009). Unemployment is divided into three category; frictional which arises from labor turnover, structural which arises from technological advances, and cyclical which arises from economic recession (Parkin, 2010). The proportion of Indonesia unemployment declined gradually during the period shown. The graph reaches the peak at 11.24% in the middle of 2005 and the lowest was shown in 2013 with 5,4%. Indonesia has been experiencing cyclical unemployment, a severe unemployment caused by economic or business cycle. In Indonesia, thanks to the impressive economic growth by ample investment from outside the country, Indonesia has escaped the highest level of unemployment and attempt to reduce unemployment looked successful. Things start to change from 2013. As the Federal Reserve announced theShow MoreRelatedIncommendations1292 Words   |  6 PagesEconomic recommendations 4.3 The availability of finance support from the government The researcher suggests that government should provide support in terms of finance for the young people in order to develop Indonesia’s economy and encourage competition and innovation among the youth. The researcher recommends government to create a program that providing funds for impressive business plan from young entrepreneurs. This program should provide sufficient funds require for young entrepreneurs to startRead MoreThe New Rulers Of The World794 Words   |  4 Pagesglobalisation, international institutions and the political affluence the West has over the world. Discussing the polarisation of wealth and disparity in income between the rich and poor. This assignment focuses on how international institutions under the influence of the West have exploited Asia especially Indonesia. The film turns the spotlight towards the new rulers of the world, the great multinational and governments. Looking into the functionality of international institutions such as the IMF, WorldRead MoreQuestions On Marketing Analytics And Applications1705 Words   |  7 Pages ISSS613-Marketing Analytics and Applications Assignment 3: Indonesia Market Research Report Submitted by Keerthana Ramesh 14th Nov 2016 TASK ALLOCATION SHEET No. Task details Responsibility Deadline 1 Data Collection (User Behaviour): - Technology penetration info (e.g Internet, smartphone) - Audience/ consumer data ( App usage, smartphone usage and ownership) Seng Swee Tieng Angela Karan Jyoti Khanna 5th Nov 2 Data Collection: - Market potential data (e.g. Market size, growth forecastRead MoreTrading: Global Level1225 Words   |  5 PagesTrading: Global Level Module #4 of the Global Economics necessitates an evaluation of global governments efforts in assuring developing countries obtain a fair and adequate share of the global trade (Poolen, 2013). To this, a response to the interventions of global governments and their need or desire to intercede in third world economics must be indicated. All of which must be derived from chapter #6 #7 of Carbaugh’s discussion within the text to both support and extrapolate a conclusion (PoolenRead MoreWorld System Theory : Immanuel Wallerstein980 Words   |  4 Pagesis an obvious distribution of different categories of products around the world. The evaluation of data is as follows. 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Cross- cultural competences is known to be enhancement of flexibility and awareness for having the capability and ability for thriving and surviving across the global era as a business organizations (Jonsen, 2010). As per the 14th Annual Global CEO Survey

Analysis Of Rosalyn Schanzer s Witches - 992 Words

In Rosalyn Schanzer’s Witches! The Absolutely True Tale of Disaster in Salem, the Salem Witch trials took place. What happened in Salem was something horrible, they hanged 19 innocent people for witchcraft and 1 was pressed to death. the hangings were on Gallows Hill. Not only that, but 200 people were accused. The Trials were Awful, so many lies told. Mothers accused children, and they did the same. Brothers accused brothers, and etcetera. Yet the aftermath was probably just as bad. People died, probably from the prison’s condition. people’s â€Å"apologies† were just another lie told after the trials ended (And what more could be said about the people who didn’t even apologize). last but not least the Money. Let the aftermath begin. The deaths, 20 people died during the trials. but what about after? 5 people died in jail because of prison conditions. Sarah Osborne, Roger Toothaker, Ann Foster, and Lydia Dustin. (information from dbq.) â€Å" Parris’s niece Abigail stopped giving testimony against the accused witches by June 1692, long before the trials ended. Nobody knows why she disappeared from the hearings, but Abigail is the other accuser who may actually have been sick. She never did fully recover from the fits she had suffered and was no older than 17 when she died.† Schanzer, Rosalyn. Witches!: The Absolutely True Tale of Disaster in Salem. Washington, D.C.: National Geographic Society, 2011. Print. â€Å"Mr. Burroughs was carried in a cart with the others through the streets

Wikang Filipino free essay sample

Malnutrition in the Philippines. Ravenholt A. PIP: In the Philippines poverty and pervasive malnutrition are not limited to families of deprived seasonal workers. Undernourishment is endemic and increasing throughout most of this archipelago of some 7100 islands, and is compounded by the prevalence of intestinal parasites and gastrointestinal diseases which health workers estimate deprive youngsters of at least 5-10% of the nutritional value in food they do consume. This problem is particularly prevalent in rural villages and city slums where many people eat with their fingers. According to the Philippine Ministry of Health, nearly 1/2 of all reported deaths are among infants and children through age 4, and about 1/2 of the accelerated death rate among those age 5 and younger is related to malnutrition, compounded by diarrhea, measles, and malaria which is returning to areas where it once was almost eradicated. 3 factors critically affect a newborns survival prospects: the family size he or she is born into; the time or spacing between the mothers pregnancies; and the childs birth order. Evidence indicates that, during the 1970s, as US aid and other family planning assistance became available, they were used most among families in the 2 highest income classes, where reduction of family size is under way. Poverty is the most fundamental cause of malnutrition, although many other factors contribute. Land reform has brought security of tenure and increasingly is transferring ownership of fields to former tenants of rice and corn lands. For the former tenants enhanced security brings greater income and better eating for the farm families retain more of the crop. The undernourished and truly poor of the Philippines number about 1/2 of the population. Although dispersed throughout most of the archipelago, there are important regional differences. These related to marked geographic patterns that affect fertility of the soil, length of the dry season, fortunes of predominant crops, vulnerability to destructive typhoons, chronic warfare and other endemic lawlessness, major debilitating diseases, and especially population pressure. Malnutrition is not a hidden problem. The government, almost since the proclamation of 1972 martial law, has campaigned against malnutrition. During the 1970s, the government developed a major program of expanded production with the result that rice production expanded substantially. Even this achievement leaves the average Filipino short by 300 calories of food intake per day. It is not jiggering with food aid or government price incentives that will assure that future Filipinos will have enough to eat. Only a productive revolution of rural life that also educates mothers to know what makes for sound family nutrition will be adequate. MANILA, PHILIPPINES (22 August 2005) A lack of basic vitamins and micronutrients in the diet is damaging the health of one third of the worlds population and hampering economic development, according to a recent joint report from the United Nations Childrens Fund and the Micronutrient Initiative (MI). Simple iron deficiency in Indonesia reduces gross domestic product by some 0. 5% each year ($485 million) through lost productivity, as estimated in 2003s Global Assessment Report on Vitamin and Mineral Deficiencies. Yet food fortification offers a low-cost method for facing the problem, and ought to be the first public-policy choice for delivering nutrition improvement programs and lowering clinical malnutrition. With food fortification strategies supported and maintained through market-based systems, governments can focus the delivery of food supplements, nutrition services, and dietary education to disadvantaged populations with limited access to fortified food. A Simple and Cheap Technology Fortifying flour, salt, and oil, for example, offers an effective and inexpensive way to get essential vitamins and minerals into food for low-income and at-risk populations. The technology is simple, the product quality is unaffected, and the incremental price is low. Salt can be iodized, for example, for as little as five cents per person, per year. Using food fortification to reduce micronutrient deficiencies helps strengthen economies by lowering health care costs and increasing worker productivity. It also improves childrens cognitive development, further elping expand and sustain economic development. Access to fortified food, however, is often limited because of low purchasing power and underdeveloped distribution channels. Control of micronutrient deficiencies through food fortification, nonetheless, is gaining international attention. For example, the Global Alliance for Improved Nutrition (GAIN) funded primarily by the Bill Melinda Gates Foundation, bilateral donors, and the MI provides resources to alliances of governments, industry, and civil society to implement large-scale food fortification programs that reach low-income populations. The Copenhagen Consensus, which addresses some of the biggest challenges facing the world, and assesses development opportunities and their costs, rated food fortification with micronutrients as the most successful intervention to reduce the prevalence of iron deficiency anemia, and iodine and vitamin A deficiencies. Lack of iron not only has an influence on fetal and childhood development, but also has a direct negative effect on the productivity of adults. Iodine deficiency in childhood reduces brain development, and vitamin A deficiency can permanently damage eyesight or even cause blindness. Fortification: A National Challenge To be successful, national fortification programs must be sustainable and market driven, and governments must back them up with adequate regulations, standards, and public education. International experience shows that government policy, standards, and regulations are critical to establishing an environment that enables the private food sector to invest, produce, and distribute quality, fortified products. Government is key to creating producer awareness, building consumer demand, and shaping the marketplace with clear regulations and transparent regulatory enforcement procedures. Food control and monitoring systems for fortified flour, salt, and other foods require technical and managerial capacity as well as coordination among government agencies charged with regulating domestic and imported food. There is also a need to strengthen food control and monitoring systems for fortified food at the market and household levels. New Approaches in Indonesia Vitamin A deficiency, iodine deficiency disorders, and iron deficiency anemia are common problems in Indonesia. These micronutrient deficiencies contribute to disease, mortality, growth retardation, brain damage, and reduced cognitive and working capacity among children and adults. That puts a severe strain on education and health systems, lowers productivity, and raises levels of sustained poverty. In urban slum areas, the prevalence of underweight children is especially high, and anemia rates among young children remain alarmingly high. More than half the children under 5 years of age are vitamin A deficient. A recent study showed that consumption of palm oil by poor families was sufficient to deliver 30% of the recommended daily allowance for vitamin A, suggesting that vitamin A fortification of palm oil presents a promising opportunity to reduce the prevalence of vitamin A deficiency. While iron supplementation is widely implemented to treat and prevent iron deficiency anemia in adults, realistic alternatives for young children remain very limited. Therefore, in-home fortification with multimicronutrient fortificants, which are also called sprinkles, is a new option to address iron deficiency anemia in young children. It consists of microencapsulated iron and other essential micronutrients to treat and prevent iron and other deficiencies in infants and young children. The encapsulation is a thin lipid (vegetable fat) coating that prevents the iron from dissolving into the weaning food, thus, preventing any change in color, flavor, and taste of food. Multimicronutrient fortificants can be added to complementary food to reduce vitamin A deficiency and iron deficiency anemia in children 6-59 months of age. Sprinkles have proved effective in Benin, Peoples Republic of China, Ghana, India, and Mongolia. Although the product is not yet commercially available, sprinkles may promise an alternative for Indonesian children who suffer micronutrient deficiencies. To combat malnutrition in Asia and the Pacific region, ADB has provided technical assistance on nutrition and food fortification to 16 developing member countries since 1996. In addition, two grant projects launched since 2001 and funded through the Japan Fund for Poverty Reduction (JFPR) aim to promote sustainable food fortification programs in the Central Asian republics and Mongolia. To address the alarming rates of micronutrient deficiencies in Southeast Asia, ADB has launched its first food fortification project for Indonesia, with $1. 75 million financed through the JFPR. The grant project pilots palm oil fortification with vitamin A and assesses the technical feasibility to locally produce multimicronutrient fortificants. It is estimated that about 70% of the population, particularly the poor, could be reached if palm oil is fortified with vitamin A. The oil fortification technology is uncomplicated and widespread. The project also aims to establish public-private partnerships for marketing and distributing sprinkles. About ADBThe Philippines is already experiencing over-population. Our country is one of the most over-populated country. It is the 12th most over-populated country in the whole world. Many of the people here in the Philippines, especially teenagers, are engaged in prostitution and pre-marital sex, which is two of the most common causes of over-population. Over-population is existing and increasing because also of poverty. Many of the female teenagers nowadays tend to sell themselves just for money, so that they will be able to have something for their expenses, and in some cases, for their school fees and/or their families. In fact, because of these things Philippines is also starting to suffer from some diseases, such as, AIDS, STD, HIV, and also malnutrition only common to some parts or provinces of the Philippines.

Knottyville Case Essay Example

Knottyville Case Essay After completing and discussing this case, you should be able to Evaluate misappropriation risk factors Evaluate internal controls Design new control Governance in non-profit sector Analyze materiality decisions Apply ASS 99, PEPCO ASS, and SAAB 99 Perform cost benefit analysis Knotty,ill Country Club: An Instructional Case on Asset Misappropriation There was a stunned silence in the courtroom as the Circuit Judge was about to announce the sentence. Mimi are sentenced to 15 years in prison for grand theft. Your abominable conduct ran long and deep, and it is now time to pay for it, said the Judge. The judge also suspended an additional 25 years in prison time for Fancy Rockbound. One of the members of the country club told Fancy that she was trusted as a family member by the patrons of the club and that trust was betrayed by Fancy. Overview of the Club: Inattentively Country Club (the Club) caters to the desires of its 1 ,800 dues-paying full members, 800 associate members and their guests. It also rents out its halls and ballrooms for weddings, reunions, and other gatherings. We will write a custom essay sample on Knottyville Case specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Knottyville Case specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Knottyville Case specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Built on the banks of the Missouri river, Inattentively Country Club offers a variety of exciting , fun-filled activities for its members. The Club was established in 1944 with a nine-hole golf course and an outdoor swimming pool. Since its opening, the Club has steadily continued to expand. It now (in 2007) has one of the most impressive 27-hole golf courses in the upper Midwest, six tennis courts, a spectacular clubhouse with lovely views, two swimming pools, an indoor basketball court, beautiful dining rooms with chandeliers, a restaurant, a bar and other opulent amenities. The Club facilities were in great emend and there was a six-month waiting time to book the halls for company picnics, banquets, family reunions, wedding receptions, and the like. There was also a waiting period to gain full membership. Inattentively Country Club is a member- owned, private country club. The seven member board of directors is elected every two years by the members. It includes four officersthe president, vice president, secretary and treasurer?and is responsible for the day-to-day management of the Club. The board has broad powers to borrow money and to enter into contracts necessary for the normal operation of the Club. The Club has five committees membership committee, the finance committee, the nominating committee, the construction and maintenance committee and the special events committee. The treasurer is an ex-officio member of the finance committee. The finance committee met Just twice a year. The Club was taking in approximately $8 million each year in membership fees alone. In addition, the restaurant, the bar, banquets, rentals and a variety of other programs brought in an additional $18 million each year. The president of the club was a friendly, Jovial fellow and treated everyone with great warmth. He had no accounting or finance background. He was very trusting of people, in general and considered all employees and members as belonging to one big happy family. Shenanigans of the general manager: Fancy Rockbound was employed by the Club in a variety of capacities for twenty-two years including the bookkeeping function. The last six years she served as the general manager and continued to serve as the bookkeeper for the Club. Fancy was also in charge of ordering all supplies. The Club policy required two signatures on each check. As the general manager, Fancy had check signing authority. The other signature had to come from another employee, Sarah or from Robert, who is on the road of directors and is the treasurer. Fancy often asked Sarah to sign blank checks in advance so that she can pay the bills on time and does not have to wait for the second signature. Unsuspecting Sarah would readily oblige and would sign several blank checks from time to time. As the bookkeeper, Fancy was in charge of maintaining the accounting records. She did the monthly bank reconciliation as well. Every three months Fancy would meet with the finance committee of the board and report about the financial situation. She would prepare simple profit and loss statements and a balance sheet. Working with the treasurer, she also presented the annual budget to the finance committee for its approval. Because Fancy was in charge of ordering supplies, she would often insist that they buy alcoholic beverages from a particular supplier who was her college classmate. Members of the Club were allowed to charge their meals and drinks and pay for them later when the monthly statements are mailed to them. Fancy would charge a few dollars extra to some members monthly restaurant/bar bills. If the members did not notice the extra charge, she would keep the money. If the members complained that they did not order that item or were not at the club on that day, she would apologize, blame it on clerical error and give credit to the complaining members. She would then accuse the server of punching in the wrong member number and take small amounts of money ($50, $36, $84 etc. Out of the paychecks of servers. Fannys argument was that the servers had to pay for the mistakes they made. The amounts taken from the servers were quite small when compared to the gigantic amount stolen. Fancy has been spotted by her co-workers at various video lottery parlors over the years. There is a rumor that she had a mild gambling addiction. She had acquired a couple of expensi ve sports cars in recent years and has taken several expensive vacations to exotic places including the French Riviera, Bangkok, and the Bahamas. It was revealed in court that Fancy had paid off large personal credit card debts of her family using the stolen money. The grand theft occurred evenly over a six-year period from 2001 to 2006. Ironically, it was a bank official who got suspicious about some transactions and alerted the president of the club. The bank official did some investigation when he found out that the business account of the Club was overdrawn. His investigation account to take care of the balance. Alarm bells rang. He blew the whistle by informing the Club president about his suspicions. The Club terminated Fannys employment in February, 2007 and ordered an internal investigation. A month later, the Club also filed a police complaint about the grand theft. When Fancy was sentenced to 15 years in prison, she had already paid back $400,000 of the $1. 2 million she had embezzled. She has sold her home and other assets to pay back this money. The Club is unlikely to get any more money from Fancy and the remaining $800,000 is gone. This whole episode has made many club members rather uneasy and 400 of them have already quit the club.

Free Essays on Neolithic

In some regions, farming arose through native developments, and in others it spread from other areas. It allowed more permanent settlements, the accumulation of surpluses and wealth, much larger and denser populations, the development of more profound status and rank differences within populations, and the rise of specialized crafts. Neolithic tool-making shows a great deal of technological advances from the Mesolithic. Neolithic industries often include blade technologies and a wide range of retouched tools, including endscrapers (narrower scrapers for working hides), backed blades, and a wide range of projectile points. Other technological developments in the Neolithic include grinding stones, such as mortars and pestles, for the processing of cereal foods, the widespread use of pottery for surplus food storage and cooking, the construction of granaries for storage of grains, the use of domesticated plant fibers for textiles, and weaving technology. The domestication of plants and animals led to an astonishing social change during the Neolithic. Some Neolithic graves contain rich stores of goods or exotic materials, revealing differentiations in terms of wealth, rank, or power. In certain areas, especially parts of the Near East and Western Europe, Neolithic peoples erected massive ceremonial complexes, efforts that would have required extensive, dedicated work forces. Large earthworks and giant stone monuments from the Neolithic suggest more highly organized political structures and more complex social organization than among most hunter-gatherer populations. In most cases, men hunted for food, while women would gather it. Women may be the reason why the Neolithic cultures began to farm. It is said that women planted the first seed of Neolithic agriculture. Pottery and textile fabrication were tasks often performed by women. Later, women in Neolithic societies became basic housewives, they would cook, clean, birth a... Free Essays on Neolithic Free Essays on Neolithic In some regions, farming arose through native developments, and in others it spread from other areas. It allowed more permanent settlements, the accumulation of surpluses and wealth, much larger and denser populations, the development of more profound status and rank differences within populations, and the rise of specialized crafts. Neolithic tool-making shows a great deal of technological advances from the Mesolithic. Neolithic industries often include blade technologies and a wide range of retouched tools, including endscrapers (narrower scrapers for working hides), backed blades, and a wide range of projectile points. Other technological developments in the Neolithic include grinding stones, such as mortars and pestles, for the processing of cereal foods, the widespread use of pottery for surplus food storage and cooking, the construction of granaries for storage of grains, the use of domesticated plant fibers for textiles, and weaving technology. The domestication of plants and animals led to an astonishing social change during the Neolithic. Some Neolithic graves contain rich stores of goods or exotic materials, revealing differentiations in terms of wealth, rank, or power. In certain areas, especially parts of the Near East and Western Europe, Neolithic peoples erected massive ceremonial complexes, efforts that would have required extensive, dedicated work forces. Large earthworks and giant stone monuments from the Neolithic suggest more highly organized political structures and more complex social organization than among most hunter-gatherer populations. In most cases, men hunted for food, while women would gather it. Women may be the reason why the Neolithic cultures began to farm. It is said that women planted the first seed of Neolithic agriculture. Pottery and textile fabrication were tasks often performed by women. Later, women in Neolithic societies became basic housewives, they would cook, clean, birth a...

Animal Make Us More Human Essay Example | Topics and Well Written Essays - 750 words

Animal Make Us More Human - Essay Example Naturally children, when left to their own devices, will take the first step and form activities and other stories in the world which is around them. With children who have passed their toddler age, most imaginative games and plays begin because of parental guidance or supervision. Unstructured free play takes place in many varying environments, but, the outdoors may give more chances for free play because of movable items, such as dirt, sticks, rocks, leaves, which provide them with the opportunity of creation and exploration. Some parents do not find it easy to give unstructured play time for the kids. Giving kids time without continuous supervision and guidance, in particular outside play, is difficult. It feels difficult to find reasonable concern, over-attention and the yearning to get kids familiar with freedom and learned from their own experiences and mistakes. Emotional intelligence and socialization is increased through physical movement and shared interactions. Children also work together to come up with what game they have to play and then agree the rules and how to deal with scenarios that always involve the varying perspectives of all. These works they do together build in the social qualities that everyone want for their kids. Children are building with self-awareness, compassion, empathy, flexibility and self-regulation. This emotional development is endorsed with the physical health as kids playing outside move a lot. In children and adults alike the level of physical activity has been well recognized to reduce the anxiety, stress and despair and to enhance the overall mood. This research is thin in young adults and youngest kids get the most advantage as well. Free play in young children and toddlers most often involves the burst of gross motor activity over a time period with numerous ones over a time period. Most of the children are laughing

My response Essay Example | Topics and Well Written Essays - 1000 words

My response - Essay Example It is a reflection of numerous economic indicators, offering an overall measure of the economic growth, competitiveness, and the living standards that are dominant in an economy. It is labor productivity which explains the basics needed to understand econmic growth and social development (Freeman). Increase in labor productivity is said to increase the standard of living in an economy. When productivity increases, the price of products and services decreases which in turns increases domestic as well as foreign consumption for those particular products and services. To meet this increase in demand, overall production increases which utilizes more use of equipment and a greater demand for workforce. Hence, employment increases, real wages of the working class grow and the overall economy flourishes (Galarneau and Dumas). The first 3 paragraphs of the article ‘One Pay Gap Shrinks, Another Grows’ basically tells about how income distribution has not been equal. It is said that the major argument is not whether men have done better than women or vice versa. It is true that women are winning the race of obtaining college diplomas and male high school dropouts are at the top of those suffering the repercussions of the poor job situation. However, it is not only the education system that needs to be revised for better income distribution. The question that matters and need to be answered is ‘why the median worker hasn’t earned more’. There certainly has been an increase in overall wages, but this increase is very moderate. It is also believed that productivity is good but not at par with growth 1947-1963. According to the sources, the bottom 80% of the people would have had $670 billion more of what they have now if the growth rate would had been constant from 60s. This means that the growth rate is perfectly fine but the income has not been distributed equally.

Genetically Modified Foods Essay Example for Free

Genetically Modified Foods Essay In the world, many people are not getting the balanced amount of nutrition-needed daily. There are many vitamin deficiencies that can lead to illnesses, malnutrition, and death. However, biotechnology has made this pandemic decrease through genetically modified foods. Many people think that these foods are unhealthy for people, and they are harmful. They think that this type of food is untraditional. I believe that genetically modified foods are good for countries that have high malnutrition rates. They are also good to help preserve food against pesticides. The purpose of this essay is to show how genetically modified foods are good for countries with malnutrition. Genetically modified foods are food that has received a segment of DNA or genes from another organism through biotechnology engineering. Biotechnology is the exploitation of biological processes for industrial and other purposes, especially the genetic manipulation of microorganisms for the production of antibiotics, hormones, and etc. The most commonly known genetically modified food is golden rice. Golden rice is engineered to contain a higher amount of vitamin A to improve the health of unskilled laborers in undeveloped countries. Golden rice is mainly used in Asian countries or countries whose staple food is rice. Originally, rice doesn’t have a high amount of vitamin A, and in those countries there are high amounts of deficiency in Vitamin A. Vitamin A plays a significant role for healthy vision, strong bones, supple skin, normal cell regeneration, reproduction, and helps the immune system fend off infections. A deficiency in Vitamin A can result in eye diseases such as Nyctalopia (night blindness), Xerophthalmia (dry eye syndrome) , and/or total blindness. Golden rice is enhanced with multiple DNA, including DNA from daffodils. Also, this rice has a higher amount of beta-carotene. In my opinion, golden rice is good for undeveloped countries whose staple is rice because this rice contains DNA from another plant. Therefore, it doesn’t have a lot of chemicals that could eventually be harmful to people’s body. There are more foods that are genetically modified such as corn, potatoes, soybeans, squash, canola, flax, and tomatoes. Corn and potatoes are modified with a gene to produce an endotoxin. An endotoxin is a toxic substance produced and stored within the plant tissue. This endotoxin protects these vegetables from corn-borer pest and the potato beetle. Likewise, soybeans can be modified with a gene from a bacterium to make it herbicide resistant. A herbicide is a type of pesticide that is used to kill unwanted plants, such as weeds. This can keep vegetables safe from harmful insects. These insects can destroy or make the vegetable harmful for digestion. Some people may say that genetically modified foods are untraditional. However, many foods that are used today are modified. The genes of many plants have been modified so much over the years that they are embedded into the DNA of the plant. Cross breeding was the first forms of modifying food through genetics. Since cross breeding was discovered, it was a large part of agricultural processes. Therefore, many vegetables, whether organic or not, have been modified somewhere down the history line of that vegetable. In conclusion, many people feel that genetically modified foods are not a traditional or healthy way to eat. However, genetically modified foods can help undeveloped countries become healthier and prevent some vitamin deficiencies, such as Vitamin A deficiency. Many vegetables are modified to help prevent them from their common pest and enemy-like plants. Also, throughout the years many plants have undergone minor genetic changes. These changes are used in vegetables today to help make them healthier and keep them fresher longer. This can make the world a healthier and better place.

Dreams :: essays research papers

Dear Dr. Universe, Why do we dream? Pat Caraher - Pullman, Washington When I asked Barbara Hammond this question, the first thing she said was, "Who knows?" Barbara Hammond is a psychologist at Washington State University. What she means is that a lot of people have some interesting ideas about dreams. But that's about it. By the time you finish reading this, you'll know much of what we know for certain about dreams. You're about to become a dream expert. One thing we do know is WHEN we dream. That's during a period of sleep called "REM sleep." REM means rapid eye movement. During REM, your eyes are moving around a lot even though they're closed. Your brain is also very busy--and you're dreaming. Hey, I'm no Sigmund Freud, but who's a psychologist to turn to when they have a weird dream they want to talk about? Another thing that happens during REM is that your muscles are basically paralyzed. You know those dreams where you're trying to run away from something, but your legs are really, really heavy? Now back to WHY. According to Ms. Hammond, there are two sets of explanations. First there's the "physiological" set. "Physiological" has to do with how the body works. Some scientists think maybe we dream in order to exercise our brains. When you're awake, messages are constantly speeding among all your billions of brain cells to keep you moving and thinking and digesting and so on. So the idea is that when you're asleep, dreams exercise the "pathways" between the brain cells. Personally, I like this idea of exercising while I sleep. There are a couple of things that help this idea make sense. The first couple years of your life are the most intense for learning. That's also when you have the greatest amount of REM sleep -- which means you probably dream an awful lot. Another thing--your brain waves during REM sleep look about the same as your brain waves while you're awake. (Brain waves are electrical patterns that show up on a machine that measures the brain's activity.) During other parts of sleep, the brain waves look very different. Then there's the "psychological" set of ideas about why we dream. Psychology has to do with your thoughts and emotions. Ms. Hammond says that most dreams are actually about immediate concerns in our lives. Some dreams may help us know more about ourselves. Others might be practice for dealing with daytime problems.

Peter Cratchit Essay

Dickens reveals his feelings about the importance of children and family in many ways. He vividly describes to us in several scenes, children and family enjoying themselves on Christmas despite their poverty, for example the Cratchit family scenes. However in contrast to this he also shows children hopelessly suffering on the streets, for instance the ignorance and want scene and the surplus population scene. Dickens writes in a personal, conversational and emotional way. He has the imagination and the creativity of a child. His style of writing challenged the views of Victorians, who disapproved of the importance of children and family. In Victorian times the society was declining so much that they had built workhouses and prisons for poor families and the surplus population to live in. Dickens style of writing is very unique and inventive. It is unlike any other Victorian authors who wrote in a manlier like attitude. They weren’t as emotional or sensitive as Dickens was. Unlike Victorians Dickens writes with the imagination and creativity of a child, whilst still writing the novel in a professional and successful manner. He uses effective similes and metaphors to create almost ridiculous imagery, for example when Dickens describes a house in a neighbourhood, he describes it as, ‘playing at hide and seek with other houses’. This description would surprise many Victorians readers. Dickens made Victorians think, why is Charles Dickens a respected popular author writing as though he is a child? Dickens perhaps writes his descriptions in this manner because he wants Victorians to know that children are actually cleverer then what they are credited for. Dickens fully believes that children should be free to unleash all their childish energy at times such as Christmas. Dickens creates a scene full of fun and excitement. When he writes, ‘What would I not have given to be one of them! ‘ this is a personal comment, typical of Dickens’ friendly, honest, conversational style. The Victorian readers would be impressed and slightly surprised by a grown man admitting to having such childlike impulses. Dickens describes children and family who enjoy Christmas despite their poverty. This is clearly shown in the first of the Cratchit scenes where he shows the family ecstatic with excitement and joy. This ecstatic energy and excitement is shown when Tiny Tim was at the dinner table curiously waiting for his Christmas lunch, ‘he beat on the table with the handle of his knife’. This description makes the reader think that even Tiny Tim, of all children, persists to be active and enjoy Christmas. This is uprising due to the fact of Tiny Tim’s disabilities. Dickens also portrays how grateful the Cratchits are for the things they have. The Cratchits are not troubled with the miniature amount of food they have in their Christmas lunch, instead they are satisfied and content with it. This is shown when Dickens allows the reader to know what thoughts are there inside the minds of the Cratchits, ‘nobody said or thought it was at all a small pudding for a large family’. Dickens uses another technique to portray his message, this technique is called irony. He writes the phrase, ‘small pudding for a large family’, just to show to the readers how undersized the pudding would have really been compared to the amount needed for the family. Of curse the Cratchits would think the pudding was small but there is so much family strength and appreciation that none of them actually minded the size of the pudding. Tiny Tim is an extremely important character in the novel. His character represents unfortunate and disabled children enjoying themselves at a time like Christmas. Although Tiny Tim is crippled and is on the edge of life he is still enthusiastic and grateful for the life given to him by God. At the end of the novel Dickens shows Tiny Tim’s importance and affection to others by him saying, ‘God Bless us, Every One’. Dickens writes these words with all capital letters in them to show the significance of the phrase. The death of Tiny Tim is a very depressing event which occurs in the novel. Dickens uses a personal and emotional style of writing to describe Tiny Tim’s death. It is as if though Dickens realises Tiny Tim’s death as soon as the readers do, ‘The colour? Ah poor Tiny Tim! ‘ The Cratchit family are no longer described as cheerful and as ecstatic as they were in the first Cratchit scene. Instead Dickens describes Bob Crachit in the second scene as, ‘a man whose face was care-worn’, to describe what used to be a ‘joyful man’ in the first scene. The death of Tiny Tim has a very large impact on the Crachit family’s atmosphere. Although the Crachits are deeply upset and depressed in the second scene they still persist to show the same family strength they had in the first scene. Every member in the family compliments each other no matter what the situation is like. For instance when Bob Cratchit says ‘you were a good wife’, straight after the remark his son Peter Cratchit says ‘everybody knows that! ‘ This is an indication of the immense respect the family members have towards each other. Scrooge is delighted when the first spirit takes him back to the past to show Scrooge when he was a child at school. Scrooge is ecstatic to see his former self, this is indicated to the reader when Dickens describes the atmosphere, ‘a thousand odours were floating in the air with joy’. Dickens describes Scrooge’s journey to his childhood in such a positive way, this makes the reader realise that even Scrooge, a man who hates children, is delighted to see him back as a child. Scrooge wishes he was still a child and resents all the precious times where he has wasted his life on. Scrooge, a solitary dispassionate man even cries when he sees himself as a boy again, he lets emotion take over him unlike ever before. This is pointed out to the reader when Dickens describes Scrooge’s actions and dialogue: ‘after drying his eyes with his cuffs: ‘It’s too late now to be a child’. As Scrooge sees his own childhood it changes his attitude towards children, he becomes more emotional and this makes Scrooge realise what a stubborn ignorant man he has become. This is shown to the readers when Scrooge shared his feelings to the spirit, ‘there was a boy singing Christmas Carol at my door last night. I should have liked to have given him something. That’s all’. The reader gets a feeling that maybe Scrooge is feeling guilty of not giving the boy anything last night. Slowly the spirit is opening gateways into Scrooge’s mind making Scrooge more emotional and less ignorant. Fred and his uncle Scrooge have a very mixed relationship. It is obvious that Fred likes his uncle because he talks proudly of him, he also defends his uncle’s name when other people are mocking Scrooge. In one of the scenes Fred says to a crowd of people, ‘A merry Christmas and a happy new year to the old man, whatever he is!

COPD Case Study - 1000 Words

Based on the symptoms of exacerbation of COPD, we decided to add Atrovent which is an anticholinergics, prednisone which is a glucocorticoid, and doxycycline, an antibiotic (Stoller, 2017). The patient has already been prescribed albuterol, which is a short-acting beta-adrenergic agonist. In adding Atrovent to the treatment therapy, it increases the effect of bronchodilation and helps the patient to breathe better (Stoller, 2017). For the antibiotics, it is recommended that the â€Å"antibiotic regimen should target likely bacterial pathogens (Haemophilus influenza, Moraxella catarrhalis, and Streptococcus pneumonia)† (Stoller, 2017). Thus, we chose doxycycline as the drug of choice for the treatment (Bartlett Sethi, 2017). Ipratropium†¦show more content†¦Providers also need to be caution in using it on patients who has glaucoma, myasthenia gravis, and prostatic hyperplasia/bladder neck obstruction (Lexicomp, 2017). Drug to Drug, Food, Herb Interaction Ipratropium has many drug interactions. Some in the X category include aclidinium, anticholinergic agents, glucagon, glycopyrrolate, potassium chloride which need to avoid combining with Atrovent (Lexicomp, 2017). Many of the X category drugs enhance the anticholinergic effect. Other drugs that are C category include acetylcholinesterase inhibitor, gastrointestinal agents, nitroglycerin, thiazide diuretics and tiotropium (Lexicomp, 2017). It is important to note that some of the common drug interactions. For nitro, it is important to remember the anticholinergic agents may impair or decrease the absorption of sublingual nitrate (Lexicomp, 2017). Also, the potassium chloride, the anticholinergic agent may enhance the ulcerogenic effect on the oral form of potassium (Lexicomp, 2017). Administration Guidelines For Metered-dose inhaler, it is important to prim the inhaler, by releasing two test spray in the air, before use (Lexicomp, 2017). Clinical Drug Dosing The recommended dose for acute exacerbation of COPD is 2 inhalation of MDI every four to six hours (Lexicomp, 2017). Prednisone For respiratory diseases, it treats disease such as aspiration pneumonitis, asthma, pulmonary tuberculosis, hypersensitivity pneumonitis, and pulmonary fibrosis (Lexicomp, 2017).Show MoreRelatedCopd Case Study1360 Words   |  6 PagesThe effectiveness of Family Support Caregiver in improving the Functional Status of Client with Pulmonary Diseases. Abstract: Due to the progressive of the Chronic Obstructive Pulmonary Disease (COPD) and many patients are suffering from its complications. The purpose of this study is to determine whether different support groups formats and family supports improve the functional status of clients with pulmonary disease. The Sample of 90 clients as research participants recruited through a convenienceRead MoreCase Study on Copd4135 Words   |  17 PagesThis is a case study on a 76 year old man.Mr Alan Chari(pseudonym used to protect the identity of a patient),was admitted over night in my department.He is a divorcee who stays with son.He is a retired teacher and his son is permanently employed by a local company as an electrician.He is independent with activities of daily livings but is occasionally limited by his ill health.He used to be a heavy smoker .After realising the burden COPD has on general New Zealand population ,affecting about15%Read MoreCopd Case Study1262 Words   |  6 Pag esDaniel Horuzsko 1. Effectiveness of Epinephrine Therapy on Surfactant Production in Type II Alveolar Cells of COPD patients 2. 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He has had pneumonia yearly for the past 3 years, and has been a 2-pack-a-day smoker for 38 years. He appears as a cachectic man who is experiencing difficulty breathing at rest. He reports cough productive ofRead MoreCase Study Assessment For Copd881 Words   |  4 PagesTesting Laboratory Testing Some of the laboratory testing used to identify COPD are arterial blood gas and increased hematocrit levels. Arterial blood gas testing will reveals hypoxemia and hypercarbia due to the retention of carbon dioxide in the lungs. An increased hematocrit level will reveal there is a low oxygenation levels, (Henry et al., 2016 ). Diagnostic Testing Some of the diagnostic testing used to identify COPD are pulmonary function test, chest x ray, and pulse oximetry. The pulmonaryRead MoreNursing Case Studies on Copd Essay1937 Words   |  8 PagesA REFLECTIVE PIECE ON A PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. 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It is defined as the limitation of airflow within the airway and lungs secondary to