Thursday, September 3, 2020

How to Live a Successful Life Free Essays

The most effective method to Live a Successful Life As a Student To carry on with a fruitful life as an understudy is to achieve the objectives that we have set to achieve. Numerous understudies needed to exploit school and to be somebody. Every great understudy make a solid effort to the test to find out more and to change themselves consistently. We will compose a custom article test on The most effective method to Live a Successful Life or on the other hand any comparative point just for you Request Now We as a whole encounter a type of training during our lifetime, regardless of whether we succeed or fall flat. To carry on with an effective life as an understudy there are a couple of rules we ought to follow. First be a dependable understudy. Second procure the aptitude we have to prevail in our instruction and third to have a decent report practice. These three rules will assist with guaranteeing an effective and cheerful life as an understudy. The initial step to carry on with an effective life as an understudy is to be dependable understudy. To be a dependable understudy, the understudy must go to class each day that helps accomplishment as an understudy. An understudy ought to be available truly and normally in school. It additionally implies being in a situation to hear and see the educator. They have to sit nearer to the instructor keeps up focus while the class is in meeting and tune in to the material as it is examined in class. Going to class additionally will guarantee that you acquaint yourself with the information you gain and that information will be handily recollected when it is required. Go to class consistently will help in learning the material and furthermore in getting acquainted with the instructor. Realizing the instructor is extremely significant particularly in anticipation of the test. It will enable the understudy to realize what to plan for the test when considering. The talk giving by the educator generally is a synopsis of the course book. When amending for the test, it will be significantly simpler for the understudy to cover the material. The following stage to carry on with an effective life as an understudy is to have a decent report practice. Having a decent report practice begins by know our own great learning styles. These learning styles are essential to turn into an effective understudy, since everybody has distinctive method of learning and comprehension. When we have get our own particular manner of learning technique then we can get effective and do the best as an understudy. Comprehending what our great part and awful part are can likewise make us progressively powerful. Fruitful understudies make a solid effort to accomplish their objectives by putting time and vitality in their examinations. These hard works bring confidence and much close to home fulfillment. Towards accomplishing these objectives, each understudy who needs to be effective ought to consider to shape an examination gathering. At the point when understudies work in gatherings, they have the chance to clarify ideas, talk about thoughts, can't help contradicting each other and reason through why one person’s answer is not quite the same as another. It likewise permits understudies the chance to perceive how different understudies work with course ideas and what systems they use to show the importance of the course material. Moreover, concentrating with different understudies can make learning the material increasingly agreeable and fill in as a pressure discharge, particularly before a test. The other method to carry on with a fruitful life as an understudy is to procure the aptitude we have to prevail in school. Time the board is a basic path for understudy to consider. Compose our time between school, work and our public activity cautiously. To be an effective understudy we should adjust our spare chance to make certain to possess a ton of energy for our training. Having the option to deal with our time well gives us an upper hand over our companions. We complete progressively relegated ourselves to other increasingly significant assignments for future. The most effective method to refer to How to Live a Successful Life, Essay models

Saturday, August 22, 2020

United States Department of Labor Case Study Research Paper

US Department of Labor Case Study - Research Paper Example The information accessible on the site was acquired through the word related Information Network and the National Labor Exchange (U.S. Branch of Labor, 2014). The OINC gives data on the abilities and business necessities for huge occupations in the US. The NLE, then again, includes Direct Employers Association and conveys data hands on necessities of different US companies. In this way, the site gives a dependable documentation of work benefits in the government guidelines. The main component is the way that the site is principally about the United States branch of work. This suggests the data accessible on the site is about work and representative government assistance in the United States (U.S. Division of Labor, 2014). The subsequent element is that the site gives a framework of all the representative advantages comprehensive of their subtleties. It plainly shows what benefits the representatives have and the conditions should have been met for the advantage to suit the specific worker. For instance, the site shows that The Consolidated Omnibus Budget Reconciliation Act (COBRA) requires that the employee’s wellbeing plan ought to watch a gathering wellbeing plan approach. The third component is that the sites gives connects to different sites that give more data identified with the worker government assistance. For instance, a portion of the connections gave in the site offer the peruser data on the COBRA continuation inclusion help under the American recuperation and reinvestment demonstration of 2009 among others. The fourth component is that the site is basic and straightforward and explore its substance. The fifth element is the way that the site gives its data through different procedures, for example, the formation of tabs that permit the peruser to explore the different pages in the site. For instance, the general game plan of the site setting favors all the crowd by

Friday, August 21, 2020

Elderly Depression Example

Older Depression Example Older Depression †Term Paper Example Older Depression is one of the major mental issues found among old individuals. â€Å"It has been evaluated that maybe somewhere close to 10 and 30 percent depressives and hyper depressives execute themselves† (Klein, third version (September 8, 2009) 3. Klein, Donald F.M.D Revised release (May 12, 2005) 4. Mill operator, Mark D M.D 1 version (September 23, 2002)

Monday, June 8, 2020

Identifying a patient, stating the reason for admission/appointment - Free Essay Example

Identify a patient, stating the reason for admission/appointment. Identify a patient, stating the reason for admission/appointment. It must be on diabetes. Describe a specific problem that has been highlighted through the assessment process. Explore factors that may have led to their hospital admission/appointment. This could include physical psychological and social aspects. Case details In this essay we shall discuss the case of Mrs Singh. She is an elderly lady of 76 yrs. old. Who lives in warden assisted accommodation. She has done so for the last ten years since her husband died. She has had Type II diabetes mellitus for the last 17 years, and copes reasonably well considering her age and her comparative infirmity. She has been able to go out and get her shopping from the nearby shops and is otherwise self-caring, clean and tidy. According to the referral letter from her General Practitioner, who arranged this admission to hospital, a number of people had recently commented that she looked ill and was not caring for herself as well as she used to do. Her family live a considerable distance away from her and, although they see her about once or twice a month, they do not stay for long as they have a business to run. When she was admitted she was found to be lucid and coherent but her family told us that she had had a number of episodes of confusion rec ently. She was occasionally very sleepy and had left the gas burning on one occasion. She had a large infected ulcer on her left shin, which had clearly been there for a matter of weeks, but because of her habit of wearing long skirts, no one had noticed it. She had a degree of ankleoedema, but her physical examination was otherwise unremarkable, apart from the fact that she had a BMI in excess of 29. She is a moderate smoker. Discussion Mrs Singh as an individual is clearly unique, but sadly, she also represents a great many elderly diabetic patients who live in similar conditions. The thrust of this particular discussion will be the aetiology and management of her condition with particular relevance to her leg ulcer. Diabetes Mellitus, an overview Diabetes is a comparatively common disease process in the UK. In children it is the commonest major illness (after childhood infections). There are approximately 1.5 million diabetic patients in the UK at present and the number is relentlessly increasing. (Devendra et al 2004). The 1.5 million are not equally spread across all segments of the population. People from the Asian and Afro-Caribbean ethnic backgrounds have a markedly increased risk of developing Diabetes Mellitus (UKPDSG 1998) with one in four of all Afro-Caribbean women over the age of 55 being diabetic. (Nathan 1998). Increasing age and BMI also are both independent risk factors for Diabetes Mellitus (James 1997). Of this number, it is expected that about 10% will develop some form of lower limb ulceration while they are diabetic. (Amos et al 1997). To some extent, it is statistically more likely that those patients who have poor control of their diabetic state will develop ulceration (and other complications) than those patients who have good control. The other factor that is relevant in the aetiology of leg ulceration is the length of time a person is diabetic. Chronicity of the disease process is an independent variable for leg ulceration. (Simon P et al 2004). A number of authorities have estimated the burden of cost of Diabetes Mellitus to the NHS. A recent study by Newrick (et al 2000) considered that 9% of the total NHS budget was spent on diabetes and diabetic related issues. By far the biggest single portion of that amount (over half) was on the treatment of complications and the commonest clinically relevant complication is that of venous ulceratio n (Ellison et al2002) We can start by considering the pathophysiology of Diabetes Mellitus Pathophysiology This is a huge subject in its own right and we shall therefore present a brief overview as far as it is relevant to Mrs Singh. In broad terms Diabetes Mellitus is a condition where the body loses the ability to metabolise carbohydrates in general and glucose in particular. Glucose is absorbed from the gut, transported to the liver where is can be stored as glycogen, and then transported through the bloodstream to the cells in the periphery of the body, where it is one of the main metabolic substrates. It is absorbed from the blood into the cells by a specific molecular carrier system and this is totally insulin dependent. If there is a failure of insulin production, then the circulating level of insulin falls and the glucose is not transported into the cells. This leads, initially to hyperglycaemia and finally to ketosis and metabolic failure. This is the situation of Type I diabetes mellitus. The alternative is Type II diabetes mellitus where the cells lose the abilit y to respond to the circulating insulin levels. This also results in hyperglycaemia and eventual metabolic failure but is characterised by high levels of circulating insulin. In general terms, Type I diabetes mellitus is a comparatively acute illness whereas Type 1 diabetes mellitus tends to be far more chronic, sometimes taking many months or even years to become clinically apparent. (after Donnelly et al 2000)/ The complications of Diabetes Mellitus are many. The largest group are the micro- and macro vascular group of the cardiovascular complications. (Stratton I et al 2000). The macro vascular group are usually related to the process of atherosclerosis and present with either degrees of myocardial is chaemia or as peripheral impairment such as intermittent claudication or ulceration. In general terms the incidence of this type of complication is directly associated with the average levels of HbA1 (which is a long term indicator of diabetic control) (HSG 1997). Nursing interventions The major nursing intervention to discuss here is the management of the leg ulcer. In any medical intervention its important to establish a sound evidence base (Sackett, 1996). We shall therefore quote the literature relevant to each point. The first, and arguably most important consideration is whether the ulcer is primarily venous, arterial or (more rarely) neuropathic in origin. This is comparatively easily determined by an assessment of the ankle/brachial pressure ratio. This is measured by means of a Doppler measure and the ratio is easily calculated. If it is less than the critical level of 0.8 it is likely that an significant arterial element is present.(Partsch H. 2003). Mrs Singh was treated with a 4 layer bandage. Her ratio was significantly above the 0.8 threshold and the main aetiology of her ulcer was therefore judged to be venous. The composition and construction of a 4-layer bandage is very specific but it can be individually modified to suit the demands of the individual patient. The first layer is a cotton wool based bandage with the primary purpose of absorbing the copious amounts of exudates that are common with this type of ulcer. It also has the secondary purpose of spreading the pressure evenly across the underlying tissues the second layer is a crepe bandage which has the prime function of holding the lower layer in place. The third layer is a compressive layer, usually an elastic type of bandage is then applied and this is covered by a final binding layer. (Nelsonet al. 2004). The rationale behind the bandage is that in the typical diabetic venous ulcer there is an increased pressure at the venous end of the capillary bed which translates into stagnation in the capillary blood flow which renders the tissues less viable because of poor oxygenation. By exerting physical pressure of about 40 mm Hg on the tissues, this increase of venous pressure is negated and the circulation improved.(Thomas S. 2003). Clearly it follows that in an arterial ulcer, as there is a reduction in the arterial pressure at the arterial end of the capillary bed, any increase in physical pressure could further reduce the blood flow across the capillary bed, which is why it is vital to differentiate between the two types before applying the bandage.(Marston W et al. 2003). The second main nursing intervention, and possibly more beneficial in the longer term, would be the Health Promotion aspects of the nursing relationship. Mrs Singh is overweight. Her BMI is about 29 which means that her weight is not only contributing to the reduction in venous return, and thereby contributing to both the aetiology and the persistence of her ulcer, but the obesity is also a major factor in the aetiology of her Type II diabetes mellitus. If Mrs Singh can be persuaded to reduce her weight, her need for hypoglycaemic medication may well lessen. It is possible that it may reduce to the point that she could manage her condition o n diet alone. (Terry T-K et al 2003). Smoking is not only an independent risk factor for Type II diabetes mellitus, but it is also a risk factor for cardiovascular disease. A major health promotion measure would therefore be to help Mrs Singh to give up smoking. This is not a short term measure, so is not particularly suited for hospital intervention, although the nursing staff spent a considerable amount of time with Mrs Singh to explain the problems associated with smoking. (Marks-Moran Rose 1996). On discharge she was referred to, and seen by, the smoking cessation nurse at the local primary healthcare team. The whole concept of patient empowerment and education is most important in this field. If a patient understands why they are being asked to do something, they are much more likely to comply with the request from the healthcare professional (Marinker M.1997). The weight reduction needs to be carefully managed if it is to be successful. She was referred to the d ietician who prescribed a low fat, carbohydrate regulated, 1,200 cal. per day diet. Because this is clearly going to be a long term intervention, arrangements were made for Mrs Singh to be followed up in the community dietetic clinic. Mrs Singh was in hospital for seven days when the multidisciplinary discharge team were able to arrange her discharge. This involved the assistance of an occupational therapist to assist with minor home modifications and the community nurses who continued the treatment with the 4 layer bandage. (Harrison, I. D et al 2005) The diabetic specialist nurse was also involved. As Mrs Singhs weight slowly reduced she was able to reduce and finally come off her hypoglycaemic medication.

Sunday, May 17, 2020

Replacing Damaged and Torn US Currency

Every year the United States Treasury redeems over $30 million worth of damaged and mutilated paper money — currency. Here is how to get damaged or mutilated U.S. money replaced. Replacing US Currency Damaged U.S. currency—paper bills—that have merely been damaged can typically be replaced at a bank, while bills that have been mutilated must be mailed to the U.S. Bureau of Engraving and Printing for replacement.To be considered damaged but not mutilated, at least one-half of the damaged bill must be clearly identifiable. Bills that are dirty, defaced, or torn can typically be replaced at a bank.Bills that have deteriorated from being buried in soil or have been damaged by fire, flooding, chemicals, explosions, animals or insects are more likely to be considered mutilated.The Bureau of Engraving and Printing (BEP) does not charge for inspecting or replacing mutilated currency, however, the BEP must be able to identify the mutilated bills as being valid U.S. currency. The correct procedure for replacing US currency depends on how and how badly the money has been damaged. According to the Bureau of Engraving and Printing (BEP), U.S. currency that has been damaged, but not mutilated, can usually be redeemed at a bank, while truly mutilated bills require special handling. What is Damaged, but Not Mutilated Money? Damaged but not mutilated currency includes any bill that is CLEARLY more than one-half of the original bill and does not require any special examination or investigation to determine its value. Examples of non-mutilated bills include those that are badly soiled, dirty, defaced, disintegrated, limp, torn or otherwise worn out.These damaged-but-not-mutilated bills can be exchanged through your local bank. Replacing Mutilated Currency The Bureau of Engraving and Printing considers mutilated money to be less than about 51% of the original bill or any bill so badly damaged that its value cannot be determined without special handling and examination. The mutilated currency has most often been damaged by fire, flooding, chemicals, explosions, animals or insects. Another very common source of damage to currency is fossilization or deterioration from being directly buried in soil for long periods of time. The BEP redeems mutilated currency as a free public service. Mutilated currency must be mailed or personally delivered to the Bureau of Engraving and Printing. Here, according to the U.S. Treasury is how to do it: When mutilated currency is submitted, a letter should be included stating the estimated value of the currency and an explanation of how the currency became mutilated. Each case is carefully examined by an experienced mutilated currency examiner. The amount of time needed to process each case varies with its complexity and the case workload of the examiner. However, the BEP warns that heavy volume and the precise nature of the work may result in longer wait times. The Director of the Bureau of Engraving and Printing has the final authority for the settlement of mutilated currency claims. Although Treasury examiners are usually able to determine the amount and value of the mutilated currency, carefully packaging the currency is essential to prevent additional damage. In general, the BEP will replace mutilated currency if: More than 50% of a bill that can be identified as United States currency is present, along with sufficient remnants of any relevant security features; or,Less than 50% of a bill identifiable as United States currency is present and the method of mutilation and supporting evidence demonstrate to the satisfaction of the Treasury that the missing portions have been totally destroyed. Every year, the Treasury Department handles approximately 30,000 claims and redeems mutilated currency valued at over $30 million. Procedure for Mailing Mutilated Currency The following procedures should be used when packing mutilated currency for examination and possible replacement by the Bureau of Engraving and Printing: Regardless of the condition of the currency, do not disturb the fragments any more than is absolutely necessary.If the currency is brittle or inclined to fall apart, pack it carefully in plastic and cotton without disturbing the fragments and place the package in a secure container.If the currency was mutilated in a purse, box, or another container, it should be left in the container to protect the fragments from further damage.If it is absolutely necessary to remove the fragments from the container, send the container along with the currency and any other contents that may have currency fragments attached.If the currency was flat when mutilated, do not roll or fold the notes.If the currency was rolled up when mutilated, do not attempt to unroll or straighten it out.If coins or any other metal is mixed with the currency, carefully remove it. Any fused, melted, or otherwise mutilated coins should be sent to, Superintendent U. S. Mint, Post Office Box 400 Philadelphia, PA. 19105. Mailing Address for Mutilated Currency Mutilated currency, packed according to the above instructions, should be mailed to: Department of the TreasuryBureau of Engraving and PrintingOffice of Currency StandardsP. O. Box 37048 Washington, D. C. 20013 All mutilated currency should be sent by Registered Mail, Return Receipt Requested.  Purchasing postal insurance on the shipment is the responsibility of the sender. For cases that are expected to take longer than four weeks to process, the Bureau of Engraving and Printing will issue a written confirmation of receipt. To obtain information about your mutilated currency shipment, contact the Mutilated Currency Division at 1-866-575-2361 or 202-874-8897. Personal deliveries of mutilated currency to the Bureau of Engraving and Printing are accepted between the hours of 8:00 A.M. and 2:00 P.M., Monday through Friday, except holidays. The Office of Currency Standards is located at 14th and C Streets, S. W., Washington, D. C. What About Damaged Coins? The United States Mint will replace uncurrent (badly worn) coins with new coins of the same denomination and will redeem mutilated coins for their current scrap metal value. Uncurrent coins are whole coins but are worn or reduced in weight by natural abrasion. They are easily recognizable as to genuineness and denomination and are in such condition that coin sorting and counting machines will accept them. Undercut coins that are too badly worn to be redeemed by commercial banks may be redeemed only at  Federal Reserve Banks and branches. Uncurrent coins are replaced with new coins of the same denomination by the Federal Reserve Banks and then forwarded to the United States Mint. Mutilated coins, on the other hand, are coins that are bent, broken, not whole, or fused or melted together.

Wednesday, May 6, 2020

Subcultures and Subcultural Marketing - 1424 Words

Subcultures and Subcultural Marketing Introduction We are brought up to follow the beliefs, values, and customs of our society and to avoid behavior that is judged â€Å"unacceptable† or considered to be taboo. In addition to segmenting in terms of cultural factors, marketers also segment overall societies into smaller subgroups or subcultures that consist of people who are similar in terms of their ethnic origin, their customs, and the ways they behave. These subcultures provide important marketing opportunities for astute marketing strategists. So, now our discussion in this chapter on subcultures will be more focused compared to the other chapters. Instead of examining the dominant beliefs, values, and customs that exist within an†¦show more content†¦In spite of its diversity, marketing strategies can be developed for this group. Many marketers are now becoming multicultural in their marketing activities by trying to appeal to a variety of cultures at the same time. Although the diversity of the Indian melting pot may be unique, there are many important ethnic groups in other areas of the world. Finally, religious beliefs and values can influence consumer. 2. Age, Gender, and Household Influences on Consumer Behavior I. How Age Affects Consumer Behavior A. Generation X Market, B. Generation Y Market, C. Seniors, D. Baby Boomers Market. II. How Gender Affects Consumer Behavior A. Sex Roles Have Changed, B. Differences in Acquisition and Consumption Behaviors. III. How the Household Influences Consumer Behavior A. Types of Households, B. Changing Trends in Household Structure. IV. Roles That Household Members Play A. Roles of Spouses, B. The Roles of Children, C. 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Distributive Bargaining and Integrative Negotiation

Question: Discuss about theDistributive Bargaining and Integrative Negotiation. Answer: Introduction The interaction between two or more than two persons which is aimed at achieving a beneficial outcome is known as negotiation process (Pruitt, 2013). The negotiation process is carried out in such a way that there is mutual advantage of both the parties. This process comes to a suitable conclusion after discussion with both the parties. The aim of negotiation process is to resolve a conflict and gain the desired outcomes (Rubin Brown, 2013). It is a common process in both personal as well as professional life of an individual. This paper would analyze the difference between the key concepts of negotiation such as integrative negotiation and distributive bargaining (Lewicki et al., 2002). The two concepts are critically evaluated with the help of conflict experiences. Discussion The distributive bargaining power comes into play when there are involvements of people who are interacting for the first time and they are not likely to do so in the future (Zahariadis, 2016). It implies that there is finite amount in the distribution of the materials. The approach takes place when the associated parties are making an effort to divide something. The disputant in this type of bargaining are strangers to each other (Zahariadis, 2016). It is one time interaction with each other and there are least possibilities of forming a relationship between the key entities involved in this type of bargaining (Nupia, 2013). They interact only for the purpose of effectively carrying out the deal in question. The parties are least concerned about how the other parties perceiving themselves as there are least possibilities of them meeting in the future (Lewicki et al., 2002). They are more focused with their individual gains and give least priority to group dynamics. The distributive bargaining strategy is often compared with the fixed pie strategy (Jeong, 2016). This is because this strategy is involved with the allocation of finite resources within the negotiators. There are a limited number of resources and there is subsequent debate regarding the allocation of the resources (Jeong, 2016). This type of bargaining strategy initiates an environment of intense competition in which every party tries to secure a bigger portion of the available resources. This strategy makes the participants assess the competitive position of the other parties (Jeong, 2016). Every parties act against each other and there is an increase in the competition level, which can be unhealthy competition at times (Acheson, 2016). The distributive bargaining strategy fosters a reserved as well as defensive approach. There can be increased probability of conflicts in the distributive bargaining approach (Snyder Diesing, 2015). This strategy is similar to a win-lose argument (Lewicki et al., 2002). This is because the distributive bargaining strategy involves the distribution of a fixed resource such as financial resources. There is no possibility of expansion of the resources and every party has their own demands to do so (Snyder Diesing, 2015). For example, if a fixed financial resourceof 2000 $ needs to be distributed among 5 people, then it is obvious that every individual would be entitled to receive 400$ each. However, the conflict arises when one party is eager to receive $500 and no one else is eager to give away their shares or receive less than $400. The integrative negotiation, on the other hand, is similar to a situation in which there is a win-win approach in order to resolve a dispute (Moore, 2014). It is contrast to the distributive bargaining strategy and it is concerned with equal benefit to all the negotiating parties involved in the dispute (Lewicki et al., 2002). It is opposite to the distributive bargaining approach in which the concerned parties aimed at increasing total share with the help of mutual cooperation (Illes, Ellemers Harinck, 2014). Each party of the dispute perceives the other party as collaborators or friends since this strategy is based on the joint efforts as well as common interests (Illes, Ellemers Harinck, 2014). This is in contrast to the distributive bargaining strategy in which the parties conceive each other as competitors. There can be cooperation with all the concerning parties and this strategy involves a high degree of trust as well as the helps in the formation of a relationship between t he parties (Carneiro et al., 2013). As the concerned parties are working towards a common goal, this approach fosters team building capabilities among the disputed parties (Illes, Ellemers Harinck, 2014). There are multiple issues that are addressed by integrative negotiation unlike distributive negotiation that involve a single issue (Nolan-Haley, 2013). In integrative negotiation, the concerned parties receive something concerned with value in the process of trading something that has a less value (Liu, 2014). This strategy requires the sharing of information between the parties in the dispute and this helps in the understanding of each others interest (Nolan-Haley, 2013). This strategy is helpful in seeking solutions to specific problems when understanding all the parameters. An example that illustrates the integrative negotiation is that when two girls want the same orange, there would be a dispute, which can be solved by their mother, if she acts as a moderator. If the mother interacts with the girls and tries to know their interests, then this issue would be solved without compromising the individual interests of the task. The integrative bargaining would let the mother know that one girl may be interested in the orange while the other may be interested in the peel only to make some cookies. This would ensure that the girls would receive everything that they would have wished to. Conclusion The distributive bargaining as well as integrative negotiation is a common phenomenon in both personal as well as professional life. These are the most common forms of negotiations that are used by almost all individuals. There are instances when these two categories of negotiation coincide. This paper gives a better understanding of the two types of negotiations so that the individuals can use them in different suitable situations. It would also help in enhancing the interpersonal relations as the individuals gain an increased awareness regarding the process of negotiation. References Acheson, D. (2016). 6 Negotiation dynamics.International Negotiation: Process and Strategies, 107. 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