Health and Human Services on Teen Pregnancy Research Paper - 1

Health and Human Services on Teen Pregnancy - Research Paper Example The HHS has addressed this problem through a number of mandates and programs such as comprehensive sex educations, health care, and researchers. Several programs have been greatly effective in lessening the statistics. With more collaboration and resources, future plans will extensively assuage teen pregnancy. Teenage pregnancy is one of the serious challenges that the society has been facing for a number of years. Statistics have shown the veracity of this social issue. Contributory factors range from countless general elements such as culture and poverty to particulars like personal viewpoints and attitude on relationships. To tackle the crisis, Health and Human Services (HHS) have encouraged and implemented programs. Different kinds of strategies have been utilized by a variety of organizations in diverse areas. This paper specifically delves into the matter of teen pregnancy and how the HHS has intervened regarding this problem. Particularly, the following discussions cite how teenage pregnancy has affected the public over time. Certain facts on its history and some alterations of the problem will be mentioned. Furthermore, the various development programs to address the said crisis are mainly considered. Especially, HHS’ strategies will discourse. An example of a best practice will be highlighted. This will be a kind of an approach that is quite efficient in coming up with positive results. This entails plans that seek to work with the target population which considers their peculiarity and lifestyle. Evident effects of changes in the legislation will be looked into. The improvement of the situation as a result of the mandates testify to the significance of the approaches supported by the said laws. The rulings’ competence with diverse populations is likewise noteworthy. Some laws are only particular in certain situations but are not that applicable in other kinds of contexts.

Community Assessment and Analysis Essay Example for Free

Community Assessment and Analysis Essay Yuma Community Of all the problems faced by Yuma community, along with the state ranking for teen births, the community also takes third place. (County Health Rankings, 2012). Programs that will help to educate teens on the importance of using birth control in order to stop undesirable pregnancies are a rising need within the community. Additional health problems for this community include obesity in the adolescent population; in 2005, the Yuma community had approximately thirty six percent of its adolescent in obese category, comparing to twenty nine percent in the entire state. (Centers for Disease Control, 2005). In the state The Steps program steered by the Nutrition and Physical Activity Self-Assessment for Child Care Centers, targeted five communities and over 2,200 children mostly decreasing sugary drinks, cumulative fiber intake and wholegrain foods. The state of Arizona as a whole is facing another larger issue in the Vaccination rate. World Health Organization mandates 95% of vaccination rate for the entire population. The rate of vaccination set by the state is 90% and the current rate of the State is 70%, which far below the target goal and is alarming. (Arizona Department of Health Service, 2011). Arizona Republic magazine reports that, I the upper and middle class one of the reason for non-compliance with immunization is fear of causing Autism. If given opportunity, the lower class families seem to show better compliance with immunization when cost factor is elicited (Alitucker, 2011). Location and climate play an important role in the health issues of this community. Mexico and California are the two borders of Yuma community. The economy and budget gets divided among law enforcement and Border patrol. The increasing crime rate requires the state to contribute a major part of its budget towards law enforcement and protection of its citizens, which takes a down toll on the availability of the public health res ources initiation. A health initiative, to utilize funding ,such as to ensure free water supply to all the community could benefit to elicit problems related to Dehydration in this desert climate. Educational status is another concern of this community. Hispanic population accounts for sixty percent. High rate of drop outs from school is considered to be related to language barrier. Education can play a vital role in enabling the community to critically to acknowledge problems and to find remedies to stay healthy as a community. Yuma Community can benefit from added funding to support and to maintain programs to stay healthy as a community. With the limited funding, community is able to assist with citizens with housing, health insurance including dental coverage in the community (Need Help Paying Bills, 2011). Yuma community cannot be considered totally poor, because the community consists of one main acute care hospital and two smaller hospitals inside a sixty mile distance. But the lack of Medical specialty such as Cardiac surgeries or those require high skilled treatments are not easily available within the community. The nearest specialty hospitals for children and adults are in Phoenix. Fatal accidents accounts as first reason for the higher death rate in the community. In 2007, the total death rate for the city of Yuma is higher than the state average in total, directing to fatal accidents as the source (Yuma, AZ, 2012). The functional health assessment of Yuma community, we have learned that there are many problems that can be considered in the County. Some of the key problems prominent are high rates of obesity, alcoholism, drug addiction, and teen pregnancy. Though the total obesity rates are close to national average, the statistics show that County has a much higher rate of adults that do not exercise. In order to care for the mental health needs of the community, the County has six addiction treatment centers. The suicide rate remains high even with the availability of mental health service within the community. There are two military bases to serve the community. The increased poverty rate is believed to be the reason for higher addiction rate. Yuma is the eleventh largest city in the state, but they have the third highest rate of teen births. There are several facilities in the county to assist socially with issues related to parenting; poverty, and employment, addition of more funding and facilities can be helpful to the community, to rebuild a healthier community. Even with all of these problems, several people are proud to call Yuma County their home. The friendship felt within the communities such as a military social function, the local bar, at the river, or out on the ridges leads many people to find a pleasant and happy life here. There are plenty of resources to help the population discover the services they require, and to enjoy a cleaner and healthier environment. With an added focus on the health issues, Yuma community can stay healthy and happy. Sleep and rest. The sleep habit of the people in Yuma is mostly uninterrupted. Most of them are sleeping 6-8 hrs at night. Going to bed At 10 pm and waking at 0600.There are full time workers with 12 hour and 8 hour schedules. Some of the members are doing the part time work, some are doing voluntary work. Some of the older population states that very seldom they use sleeping pills to promote sleep. Few of the ladies have the habit of drinking, hot milk before going to bed, limited number of ladies have the habit of drinking wine before sleep. Some of the adult populations have sleep apnea problems. Sound sleep indicates sound health of mind and body. Cognitive/Perceptual The primary language for this community is English. Increasing numbers of older adults have access to and are knowledgeable about computers. They are well educated and most of them are well employed. No communication barriers noted among this group. Libraries and internet facilities are available in the community for the members use. Most of the older people using glasses for the visual impairment and few of them were using hearing aid for the auditory impairment. The people go to the community college for short term career goals. It was interesting to note that some of the older people are continuing education. Self-Perception/Self-Concept Yuma city population consist of 29.6% under the age of 18, 11.9% from 18 to 24, 27.1% from 25 to 44, 17.5% from 45 to 64, and 13.9% who were 65 years of age or older. Agriculture is a major industry in Yuma, topping Arizona counties in agricultural sales. In addition, Yuma County also houses the US Marine Corps Air Station and US Army Yuma Proving Grounds are located near Yuma City. Yuma County is thus characterized by large transient populations, as it is a temporary place of residence for agricultural migrant workers, winter residents and military personnel. With the beginning of the winter growing season in October, the county has a large influx of migrant farm workers and winter residents. In 2008, Yuma County was a temporary home to 41,314 migrant and agricultural workers and to 12,600 winter residents (Yuma Special Area Statistical Profile-2008). Hunting is a popular sport, as the county offers a variety of different types of game. Fun, Friendship, Freedom and fulfillment are the mission of Yuma County. The members are bound together by these missions. Some of the major attractions in Yuma County are the historical Territorial Prison, the Yuma Crossing Historic Park. Other great places to visit are the Kofa Mountain Range and Wildlife Refuge, and Martinez and Mittry Lakes. Sexuality/Reproductive The people in Yuma County believe that teen pregnancy and/or STDs are a major health issue in Yuma County. Youth and teens are most affected along with Hispanics and Native Americans. Compared to the 2010 health targets, however, Yuma County falls short in reducing teen pregnancy among 15-17 year olds, prenatal care, low birth weight, and fetal/infant death. The family environment was mentioned as a factor contributing to negative health outcomes stemming from the breakdown of the family. One interview respondent felt that â€Å"children do not have a sense of self-worth or self-esteem and are no longer being nourished; only sustained.† Interview respondents felt that parents do not have time for their children and there is a lack of communication between parents and children. Further, they felt parents are not involved or are not educated on how to take care of their children’s health. Most of the members are having annual physical checkup with mammogram and Pap smear. Community awareness program including the transmission and prevention of STD/ HIV / AIDS are being held in the community. Coping/Stress An important aspect of healthy ageing is the ability to cope with and adapt to life conditions and transitions. Participation in social activity helps the Yuma county people to cope with transitory, acute and chronic stressors in their lives. The accumulation of chronic health conditions can negatively affect psychological wellbeing and quality of life. In addition to health-related stressors, the death of a spouse is often a challenging loss for older population. Related to this, social isolation, loneliness and loss of social support systems may be additional stressors in older people’s lives that affect psychological wellbeing. There is evidence that both personal attributes and social resources influence the perceived severity of a stressor, and also the types of coping strategies that older women use to manage these stressors. The Yuma county members managing stress with multiple ways. Reference Best Places. (2012). People in Yuma County, Arizona. Retrieved November 29, 2012, from http://www.bestplaces.net/people/county/arizona/Yuma Centers for Disease Control. (2005). Teen obesity statistics. Retrieved November 27, 2012, from http://www.cdc.gov Child, youth, and school services. (2012). Retrieved from http://www.yumamwr.com/cys.html City of Yuma. (2012). Parks and recreations. Retrieved November 22, 2012, from http://www.ci.yuma.az.us/1357.htm County Health Rankings. (2012). Yuma, Arizona teen birth rates. Retrieved from http://m.countyhealthrankings.org/node/246/14

Franklin D. Roosevelt Essay -- essays research papers

Franklin Delano Roosevelt was born January 30, 1882. He was the only child. His parents were James Roosevelt and Sara Delano Roosevelt. He was raised very fortunate because his family had a lot of money. Franklin, at age fourteen, attended Groton School. For his undergraduate degree he attended Harvard University. At Harvard he was elected editor-in-chief of the college paper. Franklin looked up to his distant cousin, Teddy Roosevelt. He wanted to be in office just like Teddy was. He ran for his first office in 1910 for New York’s state Senator. With in three years he was chosen Assistant Secretary of the Navy, a highly respected position.   Ã‚  Ã‚  Ã‚  Ã‚  In August of 1921 Roosevelt was paralyzed in both legs due to a disease called polio. This meant that he had to stop swimming and sailing, two of his favorite hobbies. Because of his inability to do the things he loved, he spent more time focusing on his political ambitions. It also helped him become more aware of the problems the people were facing. In 1928, he was elected to the governorship in New York. He was nominated for presidency in 1932. In his campaign he promised that the government would be responsible for the welfare of the people. With fifty-seven percent of the popular vote he was elected President. In his first term he called two emergency sessions, in which he created major acts and administrative bodies of the New Deal.   Ã‚  Ã‚  Ã‚  Ã‚  Roosevelt started by solving the banking p...

APN Interviews: Caring, Competency, and Compassion Essay

The healthcare system is ever changing and the need for advanced practice nurses will be in demand. I had an opportunity to interview two advanced practice nurses. Jolene and I met at her home in St. Charles, IL Jolene graduated from the University of Colorado at Denver in 2005 with a master’s degree in nursing and was granted the title: Family Nurse Practitioner (FNP). She got married and accepted a position as a Primary Care Provider at VNA Health Care in Aurora, Ill. VNA Health Care is a federally qualified health center serving the uninsured. In the year 2000, Jolene’s mother was diagnosed with breast cancer. As a loving daughter, she supported her mother through a cancer free journey today. From this experience, Jolene came in contact with all kinds of nurses and because she loves people of all ages, she became inspired to be a family nurse practitioner. I met Linda at her office at Women First in Aurora, Il. In 1974, Linda graduated from Northern  Illinois Unive rsity with her BSN in nursing. Linda worked many years as a nurse in woman health, especially in the OB Department at Provena Mercy Center in Aurora, Il. In 1980, after her daughter entered grade school, Linda decided she wanted pursue a master’s degree in nursing. In 1983 she graduated from the University of Illinois with a master’s degree in nursing and earned the title: Certified Nurse Midwife (CNM). Linda has worked in many in woman’s health practices with physicians and in 1997 established Woman First, Inc., which specializes in midwifery care and woman’s health from puberty to menopause. Linda entered nursing because with her mother being an RN she was exposed to nursing growing up. When she was working as a labor and delivery nurse at Provena Mercy Center and personally experienced midwifery care with her daughter’s birth, this inspired Linda to become a certified nurse midwife Jolene and Linda’s typical day in the clinic are similar because they see patients. In family practice, Jolene will see 40 patients a day, ranging from school physicals, to immunizations, to managing uncontrolled diabetic patients. At Woman First, their practice is different because of OB care. Along with providing routine health care to women, CNMs take an on-call schedule at the hospital to give labor support and help mothers deliver their babies. They also make hospital rounds with the practice’s inpatients and participate in committee meetings for woman health. Caring and Compassion ring through the practices of these two APNs. At the VNA Health Center, Jolene is happ y with her practice and the support she receives from the VNA family. She feels if she can educate diabetic patients, manage their care and listen to them, evidence from her practice shows the patients are more compliant. Jolene practices with in her role as a FNP meaning she takes a holistic approach: (mind, body, and spirit). Over 20 years Linda has pioneered midwifery care in the Aurora area. She was one of the first CNMs to deliver babies in the hospital setting using labor support and delivery of her patients. The hospital has supported midwifery are for more than 20 years. Linda loves being a CNM. She feels very fortunate to practice and give comprehensive healthcare to women and to empower them to make fully informed choices in their health care. Evidence has shown a decrease of cesarean sections and increases of healthy birth outcomes at Woman First. The APNs sit for certification exam based on knowledge and the need to practice safely in NP specialty area.  Jolene obtained certification from the American Nurses Credentialing Service (ANCS), a national certifying body. She received the title of Family Nurse Practitioner (FNP). Linda became certified through the American College of Nurse Midwives Certification Council (ACNMCC), and granted the title of Certified Nurse Midwife (CNM). Recertification for the FNP is every 5 years and for the CNM is every 8 years. Jolene and Linda have full prescriptive authority and may prescribe schedule II-V but require some degree of physician involvement. The medication schedule II-V involves controlled substances and non- controlled substances. Each practitioner has a DEA and NPI number. The DEA registration is required to prescribe controlled substances and NPI number is required on all non controlled substance prescriptions. Linda explained having full prescriptive authority gives her the freedom to practice midwifery care. Pregnant patients have the option to choose natural childbirth, a birth with some medication, or even epidural anesthesia. In order for APN’s to practice in certain situations in Illinois APNs need collaborative agreements. Jolene commented that she has a supervisory collaborative agreement with a family practice physician at the VNA health center.It is a legal document between the physician and FNP stating the relationship and similar unique practice skills of each individual. Linda has had a collaborative agreement with the same ob./gyn physician for the past 20 years. They have built a close professional and personal relationship to give woman excellent health care. The purpose of this agreem ent is having specific guides for CNM care, protocols and standing orders including prescriptive authority. Both women described their credentialing and privilege process within the VNA health center and at Proverna Mercy Center. Jolene went through an interview process with the human resource department and the medical director of the health center. She supplied them with her application, licensure, education, and documentation of experience and clinical competency. The process was different for Linda because clinical privileges at Provena Mercy Center involve a detailed processing. Credentialing is the first process; same as Jolene the credential and competency documents are supplied  through the HR department. The difference in Linda’s process, she received a recommendation from her sponsored physician and extensively interview with the medical review board. The result of the interview and information supplied is used to make a decision to grant privileges Both Jolene and Linda had a 90-day period of time focused on professional practice under their collaborative physicians. With ever-changing health care in APN practices active membership and participation is needed in professional’s organizations. Jolene expressed she is not a member of the American College of Nurse Practitioners (ACNP) because of personal financial problems. Linda is a member of the American College of Nurse-Midwives (ACNM). The example Linda gave was the ACNM is moving toward integrating certified midwives (CMs) with certified nurse midwives (CNMs). She is very interest in the legislation on this issue. Along that discussion I asked about furthering ones education to Doctor of Nursing Practice (DNP). Jolene commented in the future she would like to pursue her DNP along with her becoming a nurse midwife. The DNP is necessary because the APN scope of practice will widen and more education is needed. Linda received her DNP in 2012 at the University of Illinois. Linda took the clinician expert track in the DNP program because, later in her career, she may want to teach in the clin ical setting. Jolene and Linda are both passionate about their practices—and proud of their contributions to patient recovery. Jolene feels she has helped the underserved and enjoys the variety of disease management. She had a Hispanic man with uncontrolled diabetes. She expressed that patients with chronic diseases tend to have a fatalistic attitude. Jolene, through persistence, convinced him to seek nutritional consults and diabetic education, which caused the man to commit to be compliant and have healthy lifestyle. With Jolene’s help, the man realized he was going to die if he did not take care of himself. Linda contribution to midwifery and woman care is many years of delivering babies, not all deliveries are happy. Some babies are stillborn or babies are born premature, and some with undiagnosed congenital anomalies. Part of  Linda’s spiritual belief is that all babies are gifts from God and all life is precious. An example she related to me was about a Hispanic patient screaming in the labor room. The woman already received some medication for pain. The nurses were getting frustrated at this patient because of the constant yelling. This patient was not a typical midwife patient. Linda was on call when this woman came into the hospital through the emergency room with no prenatal care. Linda came to see the woman and sat down at the bedside and held her hand gently and stroked it her hand. The woman never cried out, Linda did labor support and delivered her baby. After the baby was born, the woman told Linda in broken English that when she touched her the fear lifted from her . It was a pleasure to interview these 2 caring professional women from different APN career paths. Learning about their inspiration entering nursing, sharing day to day details, and the emotion expressed in their compassion for each area of practice. Gaining knowledge of the educational and credentialing process to insure competency in practice and patient safety. Lastly, hearing the personal accounts of their contributions and rewards for giving exceptional patient care.

Business Model Product Statement Health And Social Care Essay

The respiratory system consists of the respiratory musculuss, carry oning air passages, lungs, pneumonic vasculature, and environing tissues and constructions ( Fig. 1 ) . Each plays an of import function in act uponing respiratory responses. Figure 1. Respiratory Anatomy ( 1 )LungsThere are two lungs in the human thorax ; the right lung is composed of three uncomplete divisions called lobes, and the left lung has two, go forthing room for the bosom. The right lung histories for 55 % of entire gas volume and the left lung for 45 % . Lung tissue is squashy due to really little ( 200 to 300 – 10-6 m diameter in normal lungs at remainder ) gas-filled pits called air sac, which are the ultimate constructions for gas exchange. There are 250 million to 350 million air sac in the grownup lung, with a entire alveolar surface country of 50 to 100 M2s depending on the grade of lung rising prices ( 2 ) .Conducting Air passagesAir is transported from the ambiance to the air sac get downing with the unwritten and rhinal pits, through the throat ( in the pharynx ) , past the glottal gap, and into the windpipe or trachea. Conduction of air Begins at the voice box, or voice box, at the entryway to the windpipe, which is a fibromus cular tubing 10 to 12 centimeter in length and 1.4 to 2.0 centimeter in diameter. At a location called the Carina, the windpipe terminates and divides into the left and right bronchial tube. Each bronchial tube has a discontinuous cartilaginous support in its wall. Muscle fibres capable of commanding air passage diameter are incorporated into the walls of the bronchial tube, every bit good as in those of air transitions closer to the air sac. Smooth musculus is present throughout the respiratory bronchiolus and alveolar canals but is absent in the last alveolar canal, which terminates in one to several air sacs. The alveolar walls are shared by other air sacs and are composed of extremely fictile and collapsable squamous epithelial tissue cells. The bronchial tube subdivide into subbronchi, which farther subdivide into bronchioli, which further subdivide, and so on, until eventually making the alveolar degree. Each air passage is considered to ramify into two subairways. In the grownup homo there are considered to be 23 such ramifications, or coevalss, get downing at the windpipe and stoping in the air sac. Motion of gases in the respiratory airways occurs chiefly by majority flow ( convection ) throughout the part from the oral cavity to the olfactory organ to the 15th coevals. Beyond the 15th coevals, gas diffusion is comparatively more of import. With the low gas speeds that occur in diffusion, dimensions of the infinite over which diffusion occurs ( alveolar infinite ) must be little for equal O bringing into the walls ; smaller air sac are more efficient in the transportation of gas than are larger 1s ( 2 ) .AlveolussAlveoluss are the constructions through which gases diffuse to and from the organic structure. To guaran tee gas exchange occurs expeditiously, alveolar walls are highly thin. For illustration, the entire tissue thickness between the interior of the air sac to pneumonic capillary blood plasma is merely approximately 0.4 – 10-6 m. Consequently, the chief barrier to diffusion occurs at the plasma and ruddy blood cell degree, non at the alveolar membrane ( 2 ) .Motion of Air In and Out of the Lungs and the Pressures That Cause the MotionPleural PressureIs the force per unit area of the fluid in the thin infinite between the lung pleura and the chest wall pleura.Alveolar force per unit areaIs the force per unit area of the air inside the lung air sac. To do inward flow of air into the air sac during inspiration, the force per unit area in the air sac must fall to a value somewhat below atmospheric force per unit area.Transpulmonary force per unit areaIt is the force per unit area difference between that in the air sac and that on the outer surfaces of the lungs, and it is a step of the elastic forces in the lungs that tend to fall in the lungs at each blink of an eye of espiration, called the kick force per unit area.Conformity of the LungsThe extent to which the lungs will spread out for each unit addition in transpulmonary force per unit area ( if adequate clip is allowed to make equilibrium ) is called the lung conformity. The entire conformity of both lungs together in the normal grownup human being norms about 200 millilitres of air per centimetre of H2O transpulmonary force per unit area ( 3 ) . Figure 2. Conformity diagram of lungs in a healthy individual ( 3 ) .Pathophysiology of Weaning FailureReversible aetiologies for ablactating failure can be categorized in: Respiratory burden, cardiac burden, neuromuscular competency, critical unwellness neuromuscular abnormalcies ( CIMMA ) , neuropsychological factors, and metabolic and endocrinal upsets.Respiratory burdenThe determination to try discontinuance of mechanical airing has mostly been based on the clinician ‘s appraisal that the patient is haemodynamically stable, wake up, the disease procedure has been treated adequately and that indices of minimum ventilator dependence are present. The success of ablactating will be dependent on the ability of the respiratory musculus pump to digest the burden placed upon it. This respiratory burden is a map of the opposition and conformity of the ventilator pump. Excess work of take a breathing ( WOB ) may be imposed by inappropriate ventilator scenes ensuing in ventilator dysynchrony ( 4 ) . Reduced pneumonic conformity may be secondary to pneumonia, cardiogenic or noncardiogenic pneumonic hydrops, pneumonic fibrosis, pneumonic bleeding or other diseases doing diffuse pneumonic infiltrates ( 5 ) .Cardiac burdenMany patients have identified ischemic bosom disease, valvular bosom disease, systolic or diastolic disfunction prior to, or identified during, their critical unwellness. More elusive and less easy recognized are those patients with myocardial disfunction, which is merely evident when exposed to the work load of ablactating ( 5 ) .Neuromuscular competencyLiberation from mechanical airing requires the recommencement of neuromuscular activity to get the better of the electric resistance of the respiratory system, to run into metabolic demands and to keep C dioxide homeostasis. This requires an equal signal coevals in the cardinal nervous system, integral transmittal to spinal respiratory motor nerve cells, respiratory musculuss and neuromuscular junctions. Disruption of any part of this transmittal may lend to ablactating failure ( 5 ) .Critical unwellness neuromuscular abnormalciesCINMA are the most common peripheral neuromuscular upsets encountered in the ICU scene and normally affect both musculus and nervus ( 6 ) .Psychological disfunctionCraze, or acute encephalon disfunction: Is a perturbation of the degree of knowledge and rousing and, in ICU patients, has been associated with many modifiable hazard factors, including: usage of psychotropic drugs ; untreated hurting ; drawn-out immobilization ; hypoxaemia ; anemia ; sepsis ; and kip want ( 7 ) . Anxiety and depression: Many patients suffer important anxiousness during their ICU stay and the procedure of ablactating from mechanical airing. These memories of hurt may stay for old ages ( 8 ) .Metabolic perturbationsHypophosphataemia, hypomagnesaemia and hypokalaemia all cause musculus failing. Hypothyroidism and Addison's disease may besides lend to difficulty ablactating ( 5 ) .NutritionCorpulence: The mechanical effects of fleshiness with reduced respiratory conformity, high shutting volume/functional residuary capacity ratio and elevated WOB might be expected to impact on the continuance of mechanical airing ( 5 ) .Ventilator-induced stop disfunction and critical unwellness oxidative emphasisVentilator-induced stop disfunction and critical unwellness oxidative emphasis is defined as loss of diaphragm force-generating capacity that is specifically related to utilize of controlled mechanical airing ( 9 ) .Clinical Presentation of PatientsPatients can be classified into three g roups harmonizing to the trouble and length of the ablactation procedure. The simple ablactation, group 1, includes patients who successfully pass the initial self-generated take a breathing test ( SBT ) and are successfully extubated on the first effort. Group 2, hard ablactation, includes patients who require up to three SBT or every bit long as 7 yearss from the first SBT to accomplish successful ablactation. Group 3, prolonged ablactation, includes patients who require more than three SBT or more than 7 yearss of ablactation after the first SBT ( 5 ) .Clinical Outcomes and EpidemiologyThere is much grounds that ablactating tends to be delayed, exposing the patient to unneeded uncomfortableness and increased hazard of complications ( 5 ) . Time spent in the ablactation procedure represents 40-50 % of the entire continuance of mechanical airing ( 10 ) ( 11 ) . ESTEBAN et Al. ( 10 ) demonstrated that mortality additions with increasing continuance of mechanical airing, in portion because of complications of drawn-out mechanical airing, particularly ventil ator-associated pneumonia and airway injury ( 12 ) . The incidence of unplanned extubation ranges 0.3-16 % . In most instances ( 83 % ) , the unplanned extubation is initiated by the patient, while 17 % are inadvertent. Almost half of patients with self-extubation during the weaning period do non necessitate reintubation, proposing that many patients are maintained on mechanical airing longer than is necessary ( 5 ) . Addition in the extubation hold between readiness twenty-four hours and effectual extubation significantly increases mortality. In the survey by COPLIN et Al. ( 13 ) , mortality was 12 % if there was no hold in extubation and 27 % when extubation was delayed. Failure of extubation is associated with high mortality rate, either by choosing for bad patients or by bring oning hurtful effects such as aspiration, atelectasis and pneumonia ( 5 ) . Rate of ablactating failure after a individual SBT is reported to be 26- 42 % . Variation in the rate of ablactating failure among surveies is due to differences in the definition of ablactating failure. VALLVERDU et Al. ( 14 ) reported that ablactating failure occurred in every bit many as 61 % of COPD patients, in 41 % of neurological patients and in 38 % of hypoxaemic patients. Contradictory consequences exist sing the rate of ablactating success among neurological patients. The survey by COPLIN et Al. ( 13 ) demonstrated that 80 % of patients with a Glasgow coma mark of more than 8 and 91 % of patients with a Glasgow coma mark less than 4 were successfully extubated. In 2,486 patients from six surveies, 524 patients failed SBT and 252 failed extubation after go throughing SBT, taking to a entire w eaning failure rate of 31.2 % ( 5 ) . The huge bulk of patients who fail a SBT do so because of an instability between respiratory musculus capacity and the burden placed on the respiratory system. High air passage opposition and low respiratory system conformity contribute to the increased work of take a breathing necessary to take a breath and can take to unsuccessful release from mechanical airing ( 15 ) .Economic ImpactMechanical airing is largely used in the intensive attention units ( ICU ) of infirmaries. ICUs typically consume more than 20 % of the fiscal resources of a infirmary ( 16 ) . A survey that analyzed the incidence, cost, and payment of the Medicare intensive attention unit usage in the United States ( US ) reveled that mechanical airing costs a amount stopping point to US $ 2,200 per twenty-four hours ( 17 ) . One survey shows that patients in the ICUs having drawn-out mechanical airing represents 6 % of all ventilated patients but consume 37 % of intensive attent ion unit ( ICU ) resources ( 18 ) . Another survey corroborates this Numberss besides demoing that 5 % to 10 % of ICU patients require drawn-out mechanical airing, and this patient group consumes more than or every bit much as 50 % of ICU patient yearss and ICU resources. Prolonged ventilatory support and chronic ventilator dependence, both in the ICU and non-ICU scenes, have a important and turning impact on health care economic sciences ( 19 ) .DrumheadTreatment OptionWeaning FailureOverviewThe procedure of initial ablactating from the ventilator begins with an appraisal sing preparedness for ablactating. It is so followed by SBT as a diagnostic trial to find the possibility of a successful extubation. For the bulk of patients, the full ablactation procedure involves verification that the patient is ready for extubation. Patients who meet the standards in table 2 should be considered as being ready to ablactate from mechanical airing. These standards are cardinal to gauge the like liness of a successful SBT in order to avoid tests in patients with a high chance of failure ( 5 ) . Table 2 Standards for Measuring Readiness to Wean Clinical Appraisal Adequate cough Absence of inordinate tracheobronchial secernment Resolution of disease acute stage for which the patient was intubated Objective measurings Clinical stableness Stable cardiovascular position ( i.e. fC ?140 beats*min-1, systolic BP 90-160 mmHg, no or minimum vasopressors ) Stable metabolic position Adequate oxygenation Sa, O2 & A ; gt ; 90 % on ?FI, O2 0.4 ( or Pa, O2/FI, O2 ?150 mmHg ) PEEP ?8 cmH2O Adequate pneumonic map f ?35 breaths*min-1 PImax ?-20- -25 cmH2O Ve & A ; lt ; 10 l*min-1 P0.1/PImax & A ; lt ; 0.3 VT & A ; gt ; 5 mL*kg-1 VC & A ; gt ; 10 mL*kg-1 f/VT & A ; lt ; 105 breaths*min-1*L-1 CROP & A ; gt ; 13 ml*breaths-1*min-1 No important respiratory acidosis Adequate thinking No sedation or equal thinking on sedation ( or stable neurologic patient ) Taken from ( 5 ) and ( 15 ) . fC: cardiac frequence ; BP: blood force per unit area ; Sa, O2: arterial O impregnation ; FI, O2: inspiratory O fraction ; Pa, O2: arterial O tenseness ; PEEP: positive end-expiratory force per unit area ; degree Fahrenheit: respiratory frequence ; PImax: maximum inspiratory force per unit area ; VT: tidal volume ; VC: critical capacity ; CROP: integrative index of conformity. 1 mmHg=0.133 kPa. Harmonizing to an adept panel, among these standards merely seven variables have some prognostic potency: minute airing ( VE ) , maximal inspiratory force per unit area ( PImax ) , tidal volume ( VT ) , take a breathing frequence ( degree Fahrenheit ) , the ratio of take a breathing frequence to tidal volume ( f/VT ) , P0.1/PImax ( ratio of airway occlusion force per unit area 0.1 s after the oncoming of inspiratory attempt to maximal inspiratory force per unit area ) , and CROP ( integrative index of conformity, rate, oxygenation, and force per unit area ) ( 20 ) .Minute VentilationMinute airing is the entire lung airing per minute, the merchandise of tidal volume and respiration rate ( 21 ) . It is step by measuring the sum of gas expired by the patients lungs. Mathematicly, minute airing can be calculated after this expression: It is reported that a VE less than 10 litres/minute is associated with ablactating success ( 22 ) . Other surveies found that VE values more than 15-20 litres/minute are helpful in placing if a patient is improbable to be liberated from mechanical airing but lower values were non helpful in foretelling successful release ( 15 ) . A more recent survey concluded that short VE recovery times ( 3-4 proceedingss ) after a 2-hour SBT can assist in finding respiratory modesty and predict the success of extubation ( 23 ) . When mechanical airing takes topographic point, this parametric quantity is calculated monitoring flow and force per unit area by the ventilator in usage itself or by an independent device attached to the air passage circulation system such as the Respironics NM3Â ® by Phillips Medical. Other ways to find minute airing are by mensurating the electric resistance across the thoracic pit ( 24 ) . This method though, is invasive and requires deep-rooted electrodes.Maximal Inspiratory PressureMaximal inspiration force per unit area is the maximal force per unit area within the air sac of the lungs that occurs during a full inspiration ( 21 ) . Is it normally used to prove respiratory musculus strength. On patients in the ICU or those non capable to collaborate, the PImax is measured by obstructing the terminal of the endotracheal tubing for a period of clip close to 22 seconds with a one-way valve that merely allows the patient to expire. This constellation leads to increasing inspirator y attempt mensurating PImax towards the terminal of the occlusion period. However PImax is non plenty to foretell faithfully the likelihood of successful ablactating due to low specifity ( 15 ) . The measuring of PImax can be performed by devices equipped with force per unit area detectors.Tidal VolumeTidal volume is the sum of air inhaled and exhaled during normal airing ( 21 ) . Spontaneous tidal volumes greater than 5 ml/kg can foretell ablactating result ( 25 ) . More recent surveies found that a technique that measures the sum of regularity in a series analysing approximative information of tidal volume and external respiration frequence forms is a utile index of reversibility of respiratory failure. A low approximate information that reflects regular tidal volume and respiratory frequence forms is a good index of ablactating success ( 26 ) . Tidal volume can be measured utilizing a pneumotachographic device.Breathing FrequencyThe grade of regularity in the form of the external respiration frequence shown by approximative information instead than the absolute value of the external respiration frequence is been proven to be utile in know aparting between ablactating success and failure ( 26 ) . The take a breathing rate or frequence is measured by numbering the external respiration rhythms per a defined period of clip.The Ratio of Breathing Frequency to Tidal VolumeYang and Tobin [ 18 ] so performed a prospective survey of 100 medical patients having mechanical airing in the ICU in which they demonstrated that the ratio of frequence to tidal volume ( rapid shoal take a breathing index ( RSBI ) ) obtained during the first 1 minute of a T-piece test and at a threshold value of ?105 breaths/minute/l was a significantly better forecaster of ablactating results However, there remains a rule defect in the RSBI: it can bring forth inordinate false positive anticipations ( that is, patients fail ablactating outcome even when RSBI is ?105 breaths/minute/l ) [ 35-36 ] Besides, the RSBI has less prognostic power in the attention of patients who need ventilatory support for more than 8 yearss and may be less utile in chronic clogging pneumonic disease ( COPD ) and aged patients [ 37-39 ] .The Ratio of Airway Occlusion Pressure to Maximal Inspiratory PressureThe airway occlusion force per unit area ( P0.1 ) is the force per unit area measured at the air passage opening 0.1 s after animating against an occluded air passage [ 42 ] . The P0.1 is attempt independent and correlates good with cardinal respiratory thrust. When combined with PImax, the P0.1/PImax ratio at a value of & A ; lt ; 0.3 has been found to be a good early forecaster of ablactating success [ 11,43 ] and may be more utile than either P0.1 or PImax entirely. Previously, the clinical usage of P0.1/PImax has been limited by the demand of particular instrumentality at the bedside ; nevertheless, new and modern ventilators are integrating respiratory mechanics faculties that provide nu merical and graphical shows of P0.1 and PImax.Air manner ResistanceCropThe CROP index is an integrative index that incorporates several steps of preparedness for release from mechanical airing, such as dynamic respiratory system conformity ( Crs ) , self-generated external respiration frequence ( degree Fahrenheit ) , arterial to alveolar oxygenation ( partial force per unit area of arterial O ( PaO2 ) /partial force per unit area of alveolar O ( PAO2 ) ) , and PImax in the undermentioned relationship: CROP = [ Crs – PImax – ( PaO2/PAO2 ) ] /f where: PAO2 = ( PB-47 ) – FiO2 – PaCO2/0.85 and PB is barometric force per unit area. The CROP index assesses the relationship between the demands placed on the respiratory system and the ability of the respiratory musculuss to manage them [ 18 ] . Yang and Tobin [ 18 ] reported that a CROP value & A ; gt ; 13 ml/breaths/minute offers a moderately accurate forecaster of ablactating mechanical airing result. In 81 COPD patients, Alvisi and co-workers [ 39 ] showed that a CROP index at a threshold value of & A ; gt ; 16 ml/breaths/minute is a good forecaster of ablactating result. However, one disadvantage of the CROP index is that it is slightly cumbrous to utilize in the clinical scene as it requires measurings of many variables with the possible hazard of mistakes in the measuring techniques or the measuring device, which can significantly impact the value of the CROP index.Clinical Treatment ProfilesCONCLUSIONS AND RECOMMENDATIONS

Lab Report of the Experiment of Conjugation of E. Coli Essays

Lab Report of the Experiment of Conjugation of E. Coli Essays Lab Report of the Experiment of Conjugation of E. Coli Paper Lab Report of the Experiment of Conjugation of E. Coli Paper Using alkaline lysine nipper, a DNA lassie was isolated from the donor and transcontinental strains and FIG electrophoresis was used to determine the size of the plasmid. The conjugation efficiency was found to be 16. 25% and the plasmid DNA was approximately 97 kilobytes long. The results show that the F plasmid was effectively transferred from the donor cells into the recipient cells via conjugation. Introduction:Bacterial conjugation is the unidirectional transfer of either genomic DNA or plasmid DNA from a donor bacterial cell to a recipient bacterial cell by cell-to-cell contact via a sex pills (Sonatas Simmons, 2006). Conjugation was first discovered by Elderberry and Datum in 1946. In their experiment, they grew two strains of bacteria in separate vessels with rich medium and then together in one vessel containing the same medium. Then, they spread the three vessel contents onto medium agar plates and incubated them overnight at ETC. The only plate that showed cell growth was the plate containing the mixture of the two bacterial strains. The other two plates showed no growth. This experiment proved that in order for recombination to occur, the two strains must come in contact with one another (Elderberry, Datum, 1946). In 1950, Bernard Davis discovered that cell-to-cell contact was required to obtain a transcontinental. Using a U tube containing a sintered filter between the two sides of the tube, he added two types of bacteria (donor and recipient) to each side of the tube. Because of the filter, Davis never observed conjugation. This further proved that in order for conjugation to occur, the cells must come into physical contact. In order for cells to undergo conjugation, one cell must contain a fertility factor (F). William Hayes discovered this F factor in 1952. The F factor, which is a small auricular molecule of DNA (plasmid), controls the synthesis of F pill that connect donor and recipient cells during conjugation. These F factors are approximately 105 bagpipers in size. In bacterial conjugation, a donor cell containing the F plasmid is referred to as an F+ cell while a recipient cell that lacks the plasmid is an F- cell. When an F+ cell mates with an F- cell (conjugation), the plasmid is transferred. Both the donor and recipient cells become F+ cells and contain the F plasmid. While transferring the F+ plasmid, sometimes the plasmid is integrated into the recipients chromosome. These cells are referred to as Hoff cells. Sometimes chromosomal DNA is looped out of the F plasmid, and chromosomal genes are transferred into the recipient; the recipient cells are referred to as F strains. When donor F cells mate with recipient F- cells, genomic DNA is transferred from donor to recipient. This transfer is known as seduction and the cell that receives the F plasmid from the donor is referred to as a transcontinental (Sonatas Simmons, 2006). In the experiment performed, conjugation was studied in E. Coli bacterial cells. The donor bacterial cells contained the F plasmid that had the lack+ gene integrated into it, making the cells Flag+stars. The recipient bacterial cells were F- lack-stir. The donor and recipient cells were mixed and plated onto streptomycin indicator plates. Using AGE electrophoresis, plasmid DNA was isolated and its size was determined. The plasmid was present in the donor and transcontinental cells; however, in the recipient cells the plasmid was absent. Materials and Methods:One ml of each of donor (Flag+stars) and recipient (F- lack-stir) the E. Oil bacterial strains, from the American Type Culture Collection in Rockville, Md. , was pipettes with a pitman into a sterile culture tube and incubated, without shaking, at 370 C for 90 minutes. Before plating the strains on agar plates, dilutions of the three strains of cells were prepared with LB broth. 100 Pl of 10-5 and 10-6 dilutions of donor cells were each plated onto McCracken (MAC) agar plates without streptomycin. 100 Pl of 1 0-5 dilution of donor cells and 10-5 and 10-6 recipient were also plated onto MAC plates with streptomycin. 00 Pl of 10-4 and 10-5 dilutions of the conjugation mixture cells were plated onto MAC agar with streptomycin. All seven plates were inverted and placed in a ETC incubator for about 24 hours. The bacterial colonies on each plate were counted the next day (colony counts seen in Table l). Donor colonies were picked with a sterile loop and placed into a sterile test tube containing LB broth. Recipient and transcontinental colonies were also isolated and placed into sterile test tubes containing LB broth and streptomycin. The tubes were then placed in a 37 C shaking incubator at 250 RPM overnight. After the incubation, 1. 5 ml of each of the three cultures were added to offender tubes and centrifuged at 13,200 RPM for 1 minute. An alkaline lysine procedure like that of Bromine and Doll was then performed to extract the lassie DNA with 200 Pl of alkaline SD detergent solution (Bromine Daly, 1979). After the alkaline lysine procedure was complete, the pellets were washed with a 100% ethanol and stored in a -ICC freezer. A 1% agrees gel in 0. 5 X TUBE buffer was prepared for gel electrophoresis in a gel tray. The gel tray was placed into the BIO-RADAR FIG Mapped apparatus. Loading dye was added and each sample (apron. 25 VI) was then loaded into a well. DNA markers were loaded into the first and last wells. The gel was run under program 4 for 16 hours, 180 volts forward and 120 volts reverse. When the program was knishes, the gel was placed into an tedium bromide solution to stain. After staining, the gel was gently rocked in distilled water. Using a Kodak IDEAS 290 imaging system, a picture of the gel was taken (which can be seen in Figure 1. 0). Results:During the experiment, donor (F+lack+stars) and recipient (F-lack-stir) cells were mixed and plated onto streptomycin indicator plates. Plasmid DNA was extracted from the donor and transcontinental cells and FIG electrophoresis was used to determine the plasmids size. After plating and incubating the bacterial dilutions, the cell colonies were counted. It was observed that all of the donor ells were red, all of the recipient cells were white, and the conjugation culture cells were a mix of red and white. There were too many (>300) red colonies to count on the donor 10-5 MAC agar plate and 60 red colonies on the donor 10-6 MAC agar plate. No colonies were seen on the donor 10-5 MAC agar + strep plate. There were 126 white colonies on the recipient 10-5 MAC + strep plate and 32 white colonies seen on the recipient 10-6 MAC + strep agar plate. The transcontinental 10-4 MAC + strep agar plate had 206 red and too many white colonies to count, while the transcontinental 10-5 MAC + strep agar plate had 26 De colonies and 86 white colonies (seen in Table l). Using the cell counts and their dilutions, the culture concentration was calculated. The concentration of donor cells in the 10-6 dilution was xx cells/ ml_. The concentration of recipient cells in the 10-6 dilution was 3. Axis cells/ml. The concentration of transcontinental cells in the 10-5 dilution was 2. Xx cells/ ml (Table II). The conjugation efficiency was calculated to be 16. 25% (Table Ill). Upon completion of a FIG electrophoresis, marker standards were used to determine the plasmid size and the distance traveled. The size and mobility f the bands in Marker II (Figure 1. 0) were measured and a standard curve was generated ( Figure 2. 0). This curve was then used to determine the plasmid size present in the donor and transcontinental cells. The plasmid was not present in the recipient cells. ) The plasmid traveled 14. 5 mm and was approximately 101 kilobytes long. Discussion:After plating the donor cells onto MAC plates that did not contain the streptomycin antibiotic, red colonies grew. This result is plausible because the donor cells contained the lack Oberon, which codes for enzymes that can utilize lactose as food. Cells containing this Oberon can grow on MAC plates because the plates contain lactose sugar. These two plates were then compared to the donor plate that contained the streptomycin antibiotic. No colonies grew on the streptomycin plate. This is because the donor cells did not contain the gene for streptomycin resistance. After plating the recipient cells onto MAC+strep plates, white colonies grew. This result is seen because the recipient cells lack the lack Oberon. These cells cannot utilize lactose as a food source. Also, the recipient cells were able to grow in the presence of streptomycin because they contained gene for resistance to the antibiotic. On the plates containing MAC+strep and 10-5 transcontinental cells, there were 26 red cells present. Ideally, because the cells were too dilute for conjugation to be seen, there should have been no red cells present. On the plates containing MAC+strep and 10-4 transcontinental cells, both red and white colonies were observed. The white colonies were recipient cells and the red were transcontinental. It can be determined that the red cells were the transcontinental because previously, red cells (which indicate donor cells) were not able to grow on plates containing streptomycin. Because they ere present on streptomycin plate, the cells must have undergone conjugation. After isolating the plasmids and running them on a FIG electrophoresis, it was observed that the plasmid was only present in the donor and transcontinental cells. This occurred because only the donor cells contained the plasmid. Because donor cells were not present in the recipient cells, no conjugation could occur; therefore, no plasmid would be seen in the recipient lane on the gel. The size of the F plasmid was determined by measuring the distance the plasmid traveled in the gel, and comparing it to a known marker (Marker II). The size of the F plasmid as determined to be approximately 97 kilobytes long. This was compared to the literature value, of approximately 100 kilobytes (Sealing, Paulson, and Cooper, 1991 Because the plasmid size is very close to the literature value, it can be concluded that the DNA plasmid was successfully isolated from the donor to the transcontinental cells. Genomic DNA was not transferred and no Hoff strains were formed. The conjugation efficiency was calculated and found to be 16. 25% on the transcontinental plates, meaning for every 100 cells on the plate, 16. 5 were transcontinental. A 16. 25% conjugation efficiency is a reasonable value. The value seen could be due to the fact that even though a donor cell contains the F plasmid, the plasmid is not always transferred into every single recipient cell. If this were the case, a conjugation efficiency of 100% would be seen every time. Comparing this value to an efficiency value seen in the literature of 94%, the value is a bit low (Kiang et al. , 2000). To increase the conjugation efficiency, the mixed donor and recipient cells could be left to sit for a longer period of time.

How to Use the Major French Verb Vouloir

How to Use the Major French Verb Vouloir The French verb  vouloir means to want or to wish. It is one of the  10 most common French verbs  and you will use it just as much as  avoir  and à ªtre. It has several different meanings, depending on the tense and mood, and its the driving element in numerous idiomatic expressions. Vouloir  is also an irregular verb, which means that you will need to memorize the conjugation because it doesnt rely on a common pattern. Dont worry, though, well discuss everything you need to know about  vouloir. Vouloir  and Politeness The French verb vouloir is frequently used to politely ask for something in French. Je voudrais tà ©là ©phoner sil vous plaà ®t. -  I would like to make a phone call, please.Voulez-vous maider, sil vous plaà ®t? -  Will you help me, please?Veux-tu tasseoir, sil te plaà ®t  ? -  Please sit down.Voulez-vous venir avec moi?  - Do you want to come with me? Vouloir is also frequently used to politely extend an offer or invitation. Note that in French, it is used in the present indicative whereas English would use the present conditional. Est-ce que tu veux dà ®ner avec moi ? -  Would you like to have dinner with me?Voulez-vous un peu plus de pain ? -  Would you like a little more bread? When someone invites you to do something saying, Would you like to..., your response should be just as subtle. Answering Non, je ne veux pas (No, I dont want to.) is quite strong and considered too blunt. To accept, we usually say, Oui, je veux bien. (Yes, Id love to.) Here again, we use the present indicative, not the conditional. Or you can just say, Volontiers. (With pleasure.) To refuse, its common to apologize and then explain why you cannot accept, using the irregular verb devoir in the response. For example, Ah, je voudrais bien, mais je ne peux pas. Je dois travailler...  (Ah, Id love to, but I cant. I have to work...). Memorizing Conjugations of  Vouloir We will examine more meanings of  vouloir  in French expressions later in this lesson. First,  lets learn how to conjugate  vouloir. Remember that this is an irregular verb, so you will need to commit each form to memory. This lesson can seem intense and it is a lot to memorize, thats why its best to take it one step at a time. As you begin, concentrate on the most useful tenses, including  the prà ©sent, imparfait, and passà © composà © and practice  using them in context. Once youve mastered those, go ahead and move on to the rest. Its also strongly recommended to train with an audio source.  There are many liaisons, elisions. and modern glidings used  with French verbs, and the written form may mislead you into assuming an incorrect pronunciation.   Vouloir  in the  Infinitive Mood To serve as a foundation for the conjugations of  vouloir, it is important to understand the infinitive forms of the verb. Theyre rather easy and you already know the present infinitive. Present Infinitive (Infinitif Prà ©sent):  vouloir Past Infinitive (Infinitif Passà ©):  avoir voulu Vouloir  Conjugated in the  Indicative Mood The most important conjugations of any French verb are those in the indicative mood. These state the action as a fact and include the present, past, and future tenses. Make these a priority while studying  vouloir . Present (Prsent)je veuxtu veuxil veutnous voulonsvous voulezils veulent Present Perfect (Pass compos)jai voulutu as vouluil a voulunous avons vouluvous avez vouluils ont voulu Imperfect (Imparfait)je voulaistu voulaisil voulaitnous voulionsvous vouliezils voulaient Pluperfect (Plus-que-parfait)javais voulutu avais vouluil avait voulunous avions vouluvous aviez vouluils avaient voulu Future (Futur)je voudraitu voudrasil voudranous voudronsvous voudrezils voudront Future Perfect (Futur antrieur)jaurai voulutu auras vouluil aura voulunous aurons vouluvous aurez vouluils auront voulu Simple Past (Pass simple)je voulustu voulusil voulutnous voulmesvous voultesils voulurent Past Anterior (Pass antrieur)jeus voulutu eus vouluil eut voulunous emes vouluvous etes vouluils eurent voulu Vouloir  Conjugated in the  Conditional Mood The conditional mood is used when the verbs action is uncertain. It implies that the wanting will only happen if certain conditions are met. The politeness associated with  vouloir  appears again when using it in the conditional mood.   For example: Je voudrais du thà ©. -  I would like some tea.Voudriez-vous venir avec nous  ? -  Would you like to come with us?  Je voudrais ceci. -  I would like this one.Je voudrais faire un enfant. -  Id like to have a child. Present Cond. (Cond. Prsent) Past Cond. (Cond. Pass) je voudraistu voudraisil voudraitnous voudrionsvous voudriezils voudraient jaurais voulutu aurais vouluil aurait voulunous aurions vouluvous auriez vouluils auraient voulu Vouloir  Conjugated in the  Subjunctive Mood Similar to the conditional, the subjunctive mood is used when the action is questionable in some way. Present Subjunctive (Subjonctif Prsent)que je veuilleque tu veuillesquil veuilleque nous voulionsque vous vouliezquils veuillent Past Subjunctive (Subjonctif Pass)que jaie vouluque tu aies vouluquil ait vouluque nous ayons vouluque vous ayez vouluquils aient voulu Subj. Imperfect (Subj. Imparfait)que je voulusseque tu voulussesquil voultque nous voulussionsque vous voulussiezquils voulussent Subj. Pluperfect (Subj. Plus-que-parfait)que jeusse vouluque tu eusses vouluquil et vouluque nous eussions vouluque vous eussiez vouluquils eussent voulu Vouloir  Conjugated in the  Imperative Mood The present imperative of  vouloir  is also used to politely say something like, Could you please. This is little weird since in French we dont use can but instead use want. Veuillez  mexcusez. -  Would you please excuse me?  / Could you excuse me?Veuillez  mexcuser. -  Please (be so kind as to) excuse me.Veuillez vous asseoir. -  Please sit down.Veuillez  patienter. -  Please wait. Note that even though it is listed in grammar books, rarely will you hear anyone use the  tu  form in the imperative, as in: Veuille  mexcuser. We would say instead,  Est-ce  que  tu  veux  bien  mexcuser  ? Present Imperative (Impratif Prsent) Past Imperative (Impratif Pass) veux/veuillevoulonsvoulez/veuillez aie vouluayons vouluayez voulu Vouloir in the  Participle Mood As you become more fluent in French, its a good idea to study and understand how to use the particle moods for verbs. Since  vouloir  is such a common verb, youll certainly want to study its usage in these forms. Present Participle (Participe Prà ©sent):  voulant Past Participle (Participe Passà ©):  voulu / ayant voulu Perfect Participle (Participe P.C.): ayant voulu​ Vouloir-isms There are a couple of peculiarities about using  vouloir  that you should be familiar with. When  vouloir  is followed directly by an infinitive, there is no need to add a preposition.  For example: Je veux le faire. -  I want to do it.Nous voulons savoir. -  We want to know. When  vouloir  is used  in  a  main clause  and there is  another verb in a  subordinate clause, that verb should be in the  subjunctive. These are mainly  vouloir que  constructions. For example: Je veux quil le fasse. -  I want him to do it.Nous voulons que tu le saches.   We want you to know (it). The Many Meanings of  Vouloir Vouloir is used to mean many things in many constructions and it is commonly found in French phrases. Some of this derives from its propensity to play a part in versatile  idiomatic expressions. Vouloir, cest pouvoir.  (proverb) - Where theres a will, theres a way.ne pas vouloir blesser quelquun -  to not mean to hurt someonene pas vouloir quon se croie obligà © -  to not want someone to feel obliged Vouloir  may be used as a strong will or command in various contexts. Je veux danser avec toi. -   I want to dance with you.Voulez-vous parler  ? -   Do you wish to speak?Je ne veux pas le faire  ! -   I dont want to / I wont do it!Je ne veux pas de dessert. -   I dont want any dessert.Il ne veut pas venir.  -  He doesnt want to come.vouloir faire  -  to want to dovouloir que quelquun fasse quelque chose  -  to want someone to do somethingQue veux-tu que je te dise?  -  What do you want me to say to you?sans le vouloir -   without meaning to,  unintentionallyJe lai vexà © sans le vouloir. -   I upset him without meaning to. Vouloir bien  means to be willing to, to be glad to, to be good / kind enough to. Tu veux faire la vaisselle ?  -  Do you want to do the dishes?Je veux bien - Thats fine.  Je veux bien le faire.  -   Ill be happy to do it.Elle veut bien lacheter, mais il ne le vend pas.  -   Shes willing to buy it, but hes not selling it.Aidez-moi, si vous voulez bien. -   Help me, if you would be so kind. Vouloir dire  translates as to mean.   Quest-ce que à §a veut dire?  -  What does that mean?Mais enfin, quest-ce que à §a veut dire? -  Whats all this about then?Que veut dire volontiers ? -   What does  volontiers  mean?Volontiers veut dire gladly. -   Volontiers means gladly. En vouloir quelquun  means to be angry at someone, to bear someone  a grudge, to hold it against someone. Il men veut de lavoir fait. -   He holds it against me for doing that.Ne men veux pas  ! -   Dont be angry with me! Careful! When  en vouloir  is by itself with no object of scorn mentioned,  it can simply mean  to want some:   Elle en veux trois.  -  She wants three of them. Depending on the context and, again, without an indirect object pronoun,  en vouloir  can also mean to be ambitious or to want to make something of life.

Latent Semantic Indexing What Marketers Need To Know

Latent Semantic Indexing What Marketers Need To Know Whats the first thing you think of when you hear latent semantic indexing? The  answer is probably, uh, what? Its  okay if thats the case. Fortunately, its a simple concept to get a grip of (scary-sounding technical language aside). In fact, youre probably familiar with the concept, even if youve never heard of the term. So, what is  LSI, exactly? In simple terms, it describes the algorithmic process search engines use to identify related words. Understanding how it works is essential to conducting smart keyword research and crafting an effective SEO strategy. The more you get it right, the easier it is to  create content  that  ranks higher for long tail keywords  and drives more traffic to your content. Assuming your  content is good, that could even mean more revenue for your business. Interested in learning more? Then get ready.  Were about to go full-nerd here. How To Improve Your Keyword Research With Latent Semantic Indexing What Is Latent Semantic Indexing? Let's start with the technical explanation first. According to SEMPO, latent semantic indexing "uses word associations to help search engines know more accurately what a page is about." It's essentially an algorithmic principle built into search engines to  process synonyms and understand topical relationships between words. LSI is built into search engines to process synonyms topical relationships between words.That's about as much as we marketers need to know. We could go more in-depth. However, we don't want anyone to feel like this: Why Is LSI Necessary? Say you're talking to a friend about marketing. You start discussing how content calendars work. Throughout the discussion, you also use the term editorial calendar interchangeably. Since you're intelligent human beings, you can understand that when someone says "content calendar," they might also mean "editorial calendar." If one of you had  mentioned , you might understand that's a content calendar solution. The same would apply if someone said they use a "printable calendar template." You know those are all semantically related terms, connected to the same topic. Search engines aren't humans. They can't naturally process language like you and your friend in the example above. Search engines aren’t humans. They can’t naturally process language like humans can.That's where latent semantic indexing comes in. It's what helps them attempt to interpret relationships approximately the same way real people would.  By connecting  related terms and interpreting the search intent behind them, search engines can offer up results that more closely match what people are looking for (even if the search terms they use aren't exactly the same  keywords used on the  web page). What Are LSI Keywords? These are the actual terms and phrases that are semantically related to one another. This means words that refer to the same topic (or drill deeper within a topic). For example, "Tesla Motors" is semantically related to "electric cars," since the company makes electric vehicles. LSI keywords are  actual terms and phrases that are semantically related to one another.It may be easiest to think of LSI keywords  as secondary keyword phrases that relate to your primary keyword. For example, let's say you're writing a piece of content about electric cars. "Electric cars" might be your primary keyword. Then, you might reference different models of electric vehicles (like the Tesla Model S, the Chevy Spark, and so on). Recommended Reading: How To Make An SEO Strategy That Will Improve Your #1-3 Results By 248% Benefits Of LSI-Driven Keyword Research This is where LSI starts to matter for you, the intrepid content marketer. Incorporating LSI keywords can  help your content rank for a wider variety of search terms. This means more visibility in search results, and more traffic back to your blog or website. They can also help you create content that more thoroughly satisfies what searchers are looking for. It's important to remember that LSI keywords aren't just limited to synonyms for your primary keyword. For example, a post targeting "classic Chevy motors" might also rank for "classic Chevrolet engines" because Chevy and Chevrolet are the same, as are motors and engines).  If you were to include sections for engines from specific Chevy models, you might rank for those terms as well.   Not using LSI keywords? You're missing out on ranking higher and getting more traffic.5 Ways To  Find LSI Keywords You need to know how to find LSI keywords before you can use them. Fortunately, this isn't difficult. You can even use a lot of the keyword research tools you're probably already familiar with. 1. Use The LSI Keyword Generator One quick tactic is to use a tool called the LSI Keyword Generator. Just type in a keyword or topic, and it'll instantly generate a list of related terms. Best of all, it's completely free. 2. Look At Related Searches In Google This tactic is great because  it leverages actual search terms. These are also terms Google can clearly see are related. Just try searching a given keyword, then scroll down to the bottom of the page. You now have eight different LSI variations to inspire your keyword research. 3. Use The Google Keyword Planner 1. Access the Keyword Planner and select the first option shown below. 2. Once you've entered a handful of keyword terms, you'll see more related keyword groupings under the Ad Group Ideas tab. 3. Clicking into any of these keyword groupings will show you related keywords. 4. Use The New-And-Improved Ubersuggest Try using Ubersuggest. This classic keyword tool (which pulls in Google autocomplete data) recently received an overhaul. It's now better than ever, and this nifty video will show you how it works. 5. Use the SERPs Keyword Database Formerly known as Keywordini, this free keyword tool is useful for finding keywords related to a given topic and fast. Just enter a keyword, click the button, and you're on your way in seconds. Here's an easy way to supercharge your #keyword #researchRecommended Reading: An SEO Driven Approach To Content Marketing: The Complete Guide How to Select The Right LSI Terms Once you've generated a list of possible phrases, it's time to narrow down best options you'll use. The goal is to find terms that are most directly related and have a decent amount of search volume. It’s important that the LSI terms you use align with the search intent of your primary keyword.Step 1: Understand the Searcher Intent Behind Keywords It's important that the LSI terms you use align with  the search intent of your primary keyword. This requires developing an understanding of what people are looking for when they search the keywords you're targeting. You don't want to guess at this. You want to know, as best you can, what your audience needs from your content. This will give you a good idea of what your own content needs to address the topic. Step 2:  Narrow Your Options Through Process Of Elimination Start by weeding out terms that obviously don't fit. These are terms that aren't quite directly related to the topic of your post. Ideal LSI keywords should essentially fit underneath your primary keyword. They need to help further explain your topic in deeper detail.  They should not be distinctly different topics. For example, if you were writing a post about "Chevy engine maintenance," you wouldn't want to load your post with pictures of "classic Chevy cars".  In this case, keywords that go deeper into the specifics of Chevy engine maintenance would make better choices. In this case, you'd eliminate anything that isn't directly related to some facet of working on Chevrolet engines. Ideal LSI keywords should essentially fit underneath your primary keyword.Step 3: Choose The Best Options From What's Left Next, copy and paste what's left into  the keyword tool of your choice.  Pick terms that have a decent amount of search volume (but not more than your primary keyword).  If you uncover keywords that get searched more than your main topic, that may be a sign you should be targeting that term instead. It's also important to make sure your selected LSI keywords directly fit your topic. Free Template: Keep your keywords organized using this free LSI keyword organization template. Since it's a public Google Sheet you can make a copy of it for your own use. Recommended Reading: How To Write Headlines That Drive Traffics, Shares, And Search Results How To Implement LSI Keywords  Into Your Content Once you've selected your LSI keywords, it's time to determine where they'll go in your post. Start by  identifying your blog post topic and a good primary keyword to focus on. Then, identify other keywords that relate to sub-points beneath that topic. For example, if you were writing a post about the different styles of restaurants (this is really generic, we know, but it's just an example), your main keyword might be something like, "styles of restaurants." Then, each LSI keyword might be a specific style of restaurant. For another example, "pepperoni pizza" and "cheese pizza" are related terms (both are different types of pizza). If a web page were all about pizza, and pizza was the primary keyword, then specific types of pizza could be used as LSI terms. Then, the page could have a sub-section for each type of pizza. Your post might then look something like this: Headline: 10 Styles Of Restaurants You Need To Try Now [Insert Body Text Here] [First Subheading: Italian Restaurants] [Insert Body Text Here] [Second Subheading: Buffets] [Insert More Body Text Here] [Third Subheading: Fast-Food Restaurants] This isn't a great example, but you should get the point. LSI keywords aren’t just important for search engines. #blogging #SEOLSI Keywords Help Google And People Understand Your Content LSI keywords aren't just important for search engines. Readers want to be able to skim and see that your post covers deeper details about the topic they're searching. This makes incorporating LSI terms  particularly effective when included in subheadings, where they're easy for readers to pick out, and are given greater weight to search engines. Pro Tip:  When you're writing your blog post outline, try including LSI keywords to label your subheadings. Ultimately, the goal is to create a post that targets a complete (yet focused) topic, rather than just dumping a keyword essay onto a page and hoping it will rank.  This approach works best if your secondary keywords relate to specific details about your main topic. 3 Keyword Targeting Pitfalls To Avoid Do you know which traps to avoid when picking #LSI #keywords?There are some traps to avoid when picking LSI keywords to target in your content. Here's how to dodge them and swing  your way to victory. Recommended Reading: How To Boost Traffic With 27 Important SEO Tips You Need To Know (+ Free Checklist) Avoid Blending Unrelated Topics Let's say your main keyword is "car maintenance". However, you also notice "motorcycle maintenance" also gets a lot of search volume. You then decide to write a post titled something like, "10 Awesome Car Motorcycle Maintenance Tips." Something like this might work. However,  it's more likely that searchers looking for "car maintenance" and "motorcycle maintenance" are really only looking for one or the other. In this case, you'd better serve your readers by writing one post on each topic. Then, you'd have two super-focused posts on your blog that nail the specific needs of each audience. Pro Tip: It's best to choose LSI keywords that drill down into one topic. Not two keywords that address two different topics. Avoid Diluting Your Keyword Targeting It's important to remember your content should only target one primary keyword. For example, if you're writing a blog post about "easy car maintenance," you probably don't need to add a section about "the history of cars." Even if both terms get a high search traffic, the history of automobiles isn't directly related to car maintenance. It'd be better to focus on keywords related to the different car maintenance tasks your post would cover, like: engine maintenance, tire maintenance, and so forth (note: this is a strictly hypothetical example). The key takeaway here is to make sure your posts stay focused in on one topic (and that you choose LSI keywords that drill deeper into that one topic). Make sure your blog posts stay focused in on one topic.Avoid  Keyword Stuffing Use LSI keywords judiciously. This means incorporating those terms tastefully to make  your content more complete.  Avoid shoehorning terminology into your content  merely for the sake of it. If there isn't an editorial purpose for incorporating a section around a given term, then leave it out. Recommended Reading: The Simple 10-Step Guide To Better Search Engine Ranking For Writers Have Questions About Latent Semantic Indexing? By now, you should understand what LSI means. You also know how it impacts best practices for keyword research.  However, this is a complex topic. We're sure you probably have some questions, and if so, we want to hear them. Drop us a line below and help us get the conversation started.

Nationality Immigration and Asylum Law Case Study

Nationality Immigration and Asylum Law - Case Study Example There are two possible avenues that Joshua can take, which is to apply for a straightforward work visa or apply through the Highly Skilled Immigrant Programme. The advantages and disadvantages of both programmes will be explored; as well as the eligibility of Joshua. 1) The position that is sought must be at an NVQ level or higher, i.e. a skilled work position. Also if the person is applying for a professional position the individual must be registered with the applicable governing body of that profession. 2) The educational level that the individual holds must meet the required skills of the job at a NVQ level 3 or higher OR the individual must hold the relevant experience that the UK educational bodies would apply to the individual's work experience. The work permit approvable educational experience are as follows: 3) In addition to the work permit if Joshua wants to remain more than six months he must apply for UK Entry Clearance, as he is looking for a possible change and move towards the UK this may be a requirement. If Joshua wants to make an informed decision in whether he wants to remain to work in the UK he probably will want to apply for UK Entry Clearance, especially when most work visas are between 1 and 5 years. UK Entry Clearance is just indication on the individual's passport the reason for staying in the UK 4) The position that is being applied for has to be advertised, unless it is a designated shortage occupation by the UK government and a work visa is easily approved as long as all other criteria are complied with. On the other hand, if it is a non-shortage area then the employer prior to hiring Joshua has to illustrate an attempt to employ from within the EEA workforce. This means it is a lot easier for Joshua to apply for a work visa within the UK after being accepted by a company here that has complied with the Immigration Directorate's guidelines if it is in an area where there are no shortages in the UK. 5) Finally, Joshua will be able to have his wife and child enter the UK with him as long as he can prove that they are still co-habiting together. The main problem with taking this approach is that Joshua will have to extend his visa every time that it expires and will the have to take the avenue of further leave to remain; however as EU law states this applicable continuously after a one year's continuous employment has occurred1. Therefore these provisions will have to be explored if Joshua and his family decide to reside in the UK. This means that Joshua will have to apply for indefinite leave to remain after 5 continuous years of work permits, after this time he can apply for indefinite leave. In this time Joshua has to ensure that he stays in good standing with the British Government and does not commit an imprisonable offence otherwise he can be deported effective immediately2. The second avenue that Joshua can take is as a highly skilled migrant, which means this sets him for living in the UK indefinitely. This will make the transition if he

Individual observation program Essay Example | Topics and Well Written Essays - 2000 words

Individual observation program - Essay Example My main aim was to stimulate his interest, his ability to experience the world around him, and to motivate him to initiate movements outside his comfort zone. Through the assignment, I developed my knowledge and understanding on the movement displayed by the pupil in relation to his sensory impairments. I also gained a greater insight into the relationship between his physical experience and his cognitive abilities. In the course of my study and observations, I was able to uncover the reason why the pupil lacked the motivation to learn. All in all, I feel I am more able to incorporate the immediate environment as well as the activities which can overcome difficulties for pupils in accessing stimuli more effectively. Pupil Z individual observation programme – week 1 I completed a one-week individual observation programme on Pupil Z. In this programme, I decided to take a close look at Pupil Z’s movements. I wanted to find out about his natural movements and the ways in w hich any intentional actions were made. I wanted to gather information on the range of proper actions which can be made in order to ensure that I was making informed judgments about what I was seeing. I also wanted to use such informed judgments before I could develop a plan and implement a more meaningful movement experience for him. I decided I should use my observations and the standardised assessment format. This led me to explore a range of texts relating to the cognitive versus physical development of children, including studies on how pupils with multiple disabilities often suffer developmental delays. This led me to the use of Lillie Neilsen’s â€Å"Function Skills Assessment,† which is a formalised assessment tool highlighting significant milestones in the physical development of young children (Neilsen, 2000). I initially made some observations of Pupil Z while there were no stimuli or objects around him, first, while he was in a supported sitting position, a nd second, while he was on a supine position on the floor. Then I observed him when he explored different objects around him in these positions. I felt that this experience would enable me to compare his natural movements to his other movements when presented with objects and when given support by an adult. I was unable to observe his movement behaviours in the prone position as he did not tolerate being in this position too long and he communicated his discomfort by becoming increasingly distressed and by crying. Observation of Pupil Z’s movements without stimuli Due to his dystonic athetoid cerebral palsy, Pupil Z displayed abnormal involuntary movements that varied in intensity from mild to severe, and which often placed him in abnormal positions. For instance, his fists would often abruptly clench, his arms / hands would twist, and then his legs would stiffen and straighten. In his chair, his feet would straighten and extend for a few seconds and then relax, causing him t o fall back onto his chair. His facial expressions were often quite tense. These events usually appeared in cycles of action and rest, action and rest. These overactive muscle responses often have a negative impact on his energy level, causing exhaustion and decreased energy soon after. Oftentimes, he would sleep after said incidents. When in a supine position (lying on his back), and on the floor where his limbs are free, he also displayed lots of leg movements (e.g. kicking) with his arms straightening out to his sides or moving about from

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

Autobiography - Essay Example I have always loved food but, one thing I was never allowed to do being the youngest was to cook. My mother was a brilliant cook and every one who tasted her exceptional delicacy loved it. I was sure that in all the meals I ever got to take, none tasted better than hers. There are times when my mother would go away for some days leaving me under the care of my elder brothers and, it is during such times that I realised that her food was irreplaceable. Her absence, regardless of the duration, always brought with it a feeling of nostalgia. It is during such a time that I vowed to make sure that one day I would be able to make meals as tasty as, or even better than, those of my mother. I yearned for the day that I would get the opportunity to enjoy a meal made by myself and that was like that of my mother. The opportunity to make a meal for myself did not come until when I was ten years old. I still remember it was on a Saturday, and I had spent half of the day in the fields playing with my friends. I got the right opportunity to practice my skill after finding no one at home. Having watched my mother prepare and cook her meals over and over for about a decade, I believed that I could also perfectly do it. Trying to remember every step that I had always seen my mother take in preparing her stew, I was able to prepare a spectacular stew which according to my elder brothers, tasted better than that of my mother. This was a life changing experience. My first attempt at cooking was an eye opener that brought a great deal of change in my life. It is through it that I believe I am better in making decisions today. Though this might seem like a normal undertaking for a child but me, it was a life changing experience and a discovery of my potential. It is from experience that I no longer have doubts or fears of what I can and cannot do. Since then, I have always believed that nothing is impossible for me until I try. Additionally, my passion for

Media and Cultural Landscapes Essay Example | Topics and Well Written Essays - 1000 words

Media and Cultural Landscapes - Essay Example Most of my medium consumption happened using telecommunication gadgets such as mobile phones. Other activities that are part of media consumption entail playing online games, reading newspapers and charting over the social network sites. Lastly, I read posters and other forms of public advertisement. This paper discusses on the effects that media consumption has on the â€Å"Corporations, Social & Environmental Responsibility† and theories of the consumer to the society. 1. Corporations, social & environmental responsibility and reading magazines This involves the communities’ activities towards promoting their general welfare. It is evident that reading magazines promotes CRS among population globally through encouraging enlightenment in populations. Using media organizations and individuals can initiate development projects while being guided by information from magazines (Aggarwal, & Gupta 2001). In addition, persons make ethically accepted choices in terms of behavi our within communities through reading about moral practices. However, reading magazines has not influenced peoples habits compared to watching television. Through reading magazines, I get information on the current happenings in both political and fiscal events within the country. Straubhaar, Larose & Davenport (2012) asserts that newspapers apart from educating the masses, they are a massive literature source for entertainment to the public. The foremost part of this study will discuss reading magazines as the first act of consumption thereafter, reading magazines by different audiences. Magazine in this case applies to informative written materials such as newspapers and trade journals (Sparks 2012). Through reading publications, I was able to get an insight on the happenings that promoted CSR within the country. Media enhanced my knowledge for understanding the use of technology and other forms of improvements such as the innovation of electronic commerce activities. It happened after reading manuals and other writings about the use of electronic equipments. According to Aggarwal, & Gupta, (2001), media acts as a source of revenue for practitioners in the reporting field such as journalists. Media can act as a tool for promoting nationalism among populations. Through media, institutions have been able to conduct research in various fields of practice such as science and art. Media use is for the public good like promoting ethics within populations (Sparks 2012). Ideas from magazine articles help in creating awareness for urgent CSR issues requiring critical attention. Likewise, authorities use media to develop nationalism by encouraging citizens to read. It increases literacy levels of individuals, and it is the best mode communicating at speed within communities. Public relations are an integral part of mass media, which greatly contribute towards effective communication by individuals. In the current technologically advanced era, organizations strongly f ocus towards providing superior cooperate assistance to various communities (Straubhaar, & Larose 2006). Ideally, journalists have the requisite capacity to investigate communal needs and expectations regarding specific projects that would improve their social and environmental setting. CSR is vital for institutions to give back realized fortunes to locals through identified projects to strengthen the existing bond between the corporation and community members. According

Management of Innovation and Change Essay Example | Topics and Well Written Essays - 1500 words

Management of Innovation and Change - Essay Example Yes, CHANGE is the primary asset that the company upholds giving it the kind of reputation that it deserves from all the efforts that its administrators prefer to apply in the process of giving the organization a boost to continuously grow in the industry. How do they deal with the change Like others, they need to consider several points of change management that surely gives them a chance to handle the challenges successfully. To be able to successfully apply change, there are at least ten (10) major ways that should be considered by the administrators collectively. Deriving these particular procedures from the method pattern created by several experts on the organizational management field of industries, the discussion of the methodologies that follow are expected to more meaningful change of organizational structures. It is very important that the organization's vision towards the changes to be applied are strongly identified as it will certainly describe whether the changes to be done are of great importance for the sake of the organization's progress or not. 2. Planning the Procedures to be Taken The plans are to be clarified as they are the ones that would set the path that the adjustments on the organization would actually take. Moreover, the plans shall serve as the guidelines to everyone involved in the adjustments, hence, they should be modified so as to meet the needs of the company and its employees as well. 3. Collaborating with involved Higher Management Authorities After the plans have been made, asking the approval of higher managerial departments should be searched for further suggestions that they may still imply on the program. 4. Deciding on the plan's further scheduled application The plan's application is to be decided by the higher level of management. Hence, the schedule of all the activities pertaining to the change shall be well taken into consideration by the said personnel. 5. Communicating to the people (stakeholders of the company including employees of the rank and file positions) Once everything has been fixed, letting the members of the organization know of the changes and the procedures by which the adjustments are to take place is at an utmost importance to consider. 6. Empowering the People Communicating is not enough, it is strongly suggested that the people be empowered further so as to gear them with the preparation that they need for the adjustments to be further applied in the organization. 7. Applying the Action Application of the plan is then to commence once everything has been set. 8. Appointing Personnel Appointing the people who are to be stationed as supervisors of the results of the change,

Media and Cultural Landscapes Essay Example | Topics and Well Written Essays - 1000 words

Media and Cultural Landscapes - Essay Example Most of my medium consumption happened using telecommunication gadgets such as mobile phones. Other activities that are part of media consumption entail playing online games, reading newspapers and charting over the social network sites. Lastly, I read posters and other forms of public advertisement. This paper discusses on the effects that media consumption has on the â€Å"Corporations, Social & Environmental Responsibility† and theories of the consumer to the society. 1. Corporations, social & environmental responsibility and reading magazines This involves the communities’ activities towards promoting their general welfare. It is evident that reading magazines promotes CRS among population globally through encouraging enlightenment in populations. Using media organizations and individuals can initiate development projects while being guided by information from magazines (Aggarwal, & Gupta 2001). In addition, persons make ethically accepted choices in terms of behavi our within communities through reading about moral practices. However, reading magazines has not influenced peoples habits compared to watching television. Through reading magazines, I get information on the current happenings in both political and fiscal events within the country. Straubhaar, Larose & Davenport (2012) asserts that newspapers apart from educating the masses, they are a massive literature source for entertainment to the public. The foremost part of this study will discuss reading magazines as the first act of consumption thereafter, reading magazines by different audiences. Magazine in this case applies to informative written materials such as newspapers and trade journals (Sparks 2012). Through reading publications, I was able to get an insight on the happenings that promoted CSR within the country. Media enhanced my knowledge for understanding the use of technology and other forms of improvements such as the innovation of electronic commerce activities. It happened after reading manuals and other writings about the use of electronic equipments. According to Aggarwal, & Gupta, (2001), media acts as a source of revenue for practitioners in the reporting field such as journalists. Media can act as a tool for promoting nationalism among populations. Through media, institutions have been able to conduct research in various fields of practice such as science and art. Media use is for the public good like promoting ethics within populations (Sparks 2012). Ideas from magazine articles help in creating awareness for urgent CSR issues requiring critical attention. Likewise, authorities use media to develop nationalism by encouraging citizens to read. It increases literacy levels of individuals, and it is the best mode communicating at speed within communities. Public relations are an integral part of mass media, which greatly contribute towards effective communication by individuals. In the current technologically advanced era, organizations strongly f ocus towards providing superior cooperate assistance to various communities (Straubhaar, & Larose 2006). Ideally, journalists have the requisite capacity to investigate communal needs and expectations regarding specific projects that would improve their social and environmental setting. CSR is vital for institutions to give back realized fortunes to locals through identified projects to strengthen the existing bond between the corporation and community members. According

Introduction to accounting Essay Example | Topics and Well Written Essays - 1750 words

Introduction to accounting - Essay Example Break even analysis is used in showing the relationship between selling prices, sales volume, variable costs, fixed costs and profits at various levels of activity. It is also referred to as cost-volume profit analysis. It used in determining the break-even point. BEP is the level of activity where the total revenue equals the total costs. Therefore, no profits are realized at the BEP. Appendix 2 shows the workings for the break-even point of the energy drink. At the level of production of 4,286 all fixed and variable costs will have been covered by sales revenue.However break even analysis has its limitations. To begin with, breakeven analysis assumes that fixed cost, variable costs and sales revenue behaves are linear. However, this is not the case since some overhead costs may be stepped in nature. As a result, the straight sales revenue line and total cost line tend to curve beyond certain level of productionAnother limitation of break even analysis is that it assumes that all th e stock produced is sold. Therefore, changes in stock levels are not taken into account in the breakeven chart. Finally, breakeven analysis is only suitable in providing information to relatively small companies that produce one type of products. Thus it’s not suitable for companies producing different product.Margin of safetyMargin of safety measures the amount by which sales may decrease before a company incurs a loss. Forecasting is used in estimating future performance of the business.... budgeted sales –break even sales Assume budgeted sales is 20,000 then margin of safety is 9,285 Appendix 3 Forecast Income Statement Pro forma income statement                   2012 2013 2014 2015 2016 sales 20,000 21,600 23,328 25,194 27,210 cost of goods sold 10,000 10,800 11,664 12,597 13,605 Gross profit 10,000 10,800 11,664 12,597 13,605 Expenses (2,000) (2,160) (2,333) (2,519) (2,721) Profit 8,000 8,640 9,331 10,078 10,884 Interest expense (1,500) (1,500) (1,500) (1,500) (1,500)    6,500 7,140 7,831 8,578 9,384 Tax @30% 1,950 2,142 2,349 2,573 2,815 Appendix 4 Forecast Balance Sheet BALANCE SHEET FORECAST                Fixed Assets 2012 2013 2014 2015 2016 Property, plant & Equipment 50,000 50,000 50,000 50,000 50,000                   Current Assets                Inventories 2,500 2,625 2,756 2,894 3,039 Cash 61,196 63,766 66,505 69,425 72,538 Accounts receivables 1,304 1,369 1,438 1,510 1,585 Total Assets 115,000 117,760 120,699 123,829 127,162 Current Liabilities                Accruals 8,000 8,400 8,820 9,261 9,724 Payables 20,000 21,000 22,050 23,153 24,310                                     Equity 40,000 40,000 40,000 40,000 40,000 Debt 30,000 30,000 30,000 30,000 30,000 Retained earnings 8,000 8,640 9,331 10,078 10,884 Dividends 9,000 9,720 10,498 11,337 12,244 Total Equity and liabilities 115,000 117,760 120,699 123,829 127,162 Cash budget Appendix 4    CASH BUDGET                                     January February March April May June July August September October November December Balance brought forward 0 3,400 7,056 10,982 15,193 19,705 24,534 29,697 35,212 41,099 47,378 54,070 Cash inflow 6,000 6,300 6,615 6,946 7,293 7,658 8,041 8,443 8,865 9,308 9,773 10,262 Total inflow 6,000 9,700 13,671 17,928 22,486 27,363 32,574 38,139 44,077 50,407