What Dont You Know Essay Example

What Dont You Know? Essay Information is a blessing, a burden, a motive, and a deterrent- all-depending on how it is viewed and who acts as the viewer. As a viewer, I always force myself to take a second glance, to look back over my shoulder, even if I know nothings there. As a visual learner, I have the ability to conceptualize these moments and record them in my brain, down to every reaction. However, my experience volunteering in the American Red Cross Braille department has enabled me to conceptualize to what extent my sight remains a desideratum in my personal learning process. I was required to learn the Braille alphabet and number system. This did not at first seem to be an arduous task because I was used to memorizing, even trained to memorize, but only by sight. When I looked at these numbers I could easily tell is 0 and is 7. However, my curiosity led me to try to do this task with my eyes closed and read the textbook as if I was blind. Although I could feel the mass of compact dots, I could not feel the separations between each number that I previously saw. I realized that knowledge is more than what is set down on paper or orally discussed in a lecture. It takes the human eye to infuse these facts with shades of deeper meanings. As an observer, my personal search for knowledge involves the integration of my new experiences with my previous ones. Sight allows me to look at the world objectively or biasly, but these observations are my own and remain backed by my own life experiences. Frankly, I can never completely understand something, until I can see it and color it with my own perspective. We will write a custom essay sample on What Dont You Know? specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on What Dont You Know? specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on What Dont You Know? specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Through my life, I have learned to believe that the Earth has 7 continents and 5 oceans, but I have never had the experience of counting them beyond the realm of a map. I assume that the moon is 238,857 miles away, but I have yet the opportunity to measure it. Information is so powerful that the assumption of information, even if the information does not actually exist, can have a sobering effect. I have often blindly accepted information as true, but through this acceptance I have only denied myself the ability to ask the right questions and see the truth. As a student, I have often been asked to learn and understand novel ideas by means of textbooks or newspaper articles. But, how do I know this information it true based on words and text alone? Words limit the scope of my understanding because they define certain concepts, by restricting the idea to a definition. The multifaceted aspects of language allow people to explain the source of their knowledge. But consequently, language also inhibits its users, who can be restricted by trying to pinpoint the right word, when there might not be one strong or passionate enough to describe the intended meaning. Sight can turn conventional wisdom on its head because it bothers to challenge explanation for many issues that often go unexamined, unquestioned, and not corrected. For example, I know what love is because I have witnessed it everyday in the warmth of my home and the comforts of my school. Personally, I believe that love is a word that has numerous inaccurate definitions. Regardless, you just cant pin it down with six or seven meanings. Love transcends meaning. This feeling exists beyond the realm of language, but I know it exists because I see it everyday. It is that feeling in the pit of you stomach that occurs when you see someone you truly care about or even when you see a couple holding hands. However, I do not know what love means to you because I have yet to see the world through your eyes.

Veltri Motors Case Study

Veltri Motors Case Study Free Online Research Papers Veltri Motors is one of the largest automobile manufacturers in Italy. And in this case analysis, I want to focus on some of the problems existed in the outsourcing procession of the firm and discribe my own ideas on them. In view of the usually higher prices charged Veltri by the â€Å"stampers† for supply of component parts, I don’t think Veltri should reduce its level of outsourcing and in-source some parts instead. I think it will better to explain the reason through analyzing the advantages and disadvantages of outsourcing in manufacturing industries. Outsourcing is the process of seeking goods or services from another supplier rather than undertaking the work internally, it is an extension of the purchasing function. Nowadays, more and more firms in manufacturing industry choose outsourcing parts of their components to the third suppliers considering a lot of good points of doing that. The most attractive advantage of outsourcing is that it can result in lower costs of the firm. It can firstly reduce the logistics activity cost and total logistics costs. The firm as the Veltri Motors in our case will not have to purchase the raw materials and organize the production process themselv es, they can save large amounts of money as well as a plenty of time. Secondly, it can reduce the capital and maintenance costs of plant and equipment. The firm needn’t pay much money in order to have the equipment to support the manufacturing process or maintain the equipment. But they can also offer the suppliers of their component parts special tools to have their specialized needs on the components while they still maintain the ownership of the tooling throughout the life of the job, even though the supplier maintains possession. Thirdly, the firm can reduce the cost of re-equipment and operator training costs. They don’t have to pay for the expenditure for re-equipment if the machines are old or running out of order. Since their components are 80% outsourcing, much cost in training the skillful staff can be saved. Outsourcing as a way to reduce costs of the firms and making the various activities in space separatedly. But in time, it can proceed. For example, at the same time when the firm is doing researches and developing the new products, the partners who supply the components are likely to complete parts of the scale of production of components actively. This parallel operation mode raises the speed of reaction. Implementation of outsourcing of the enterprise information networks and the use of different resources, these enterprises have different advantages and the associated electronic components on the operating entity, the business of transmitting information among members parallel distribution and business operations are mainly from information network to provide technical support using network resources in the intangible tangible resources. Outsourcing can reduce costs, this will not be good in the hands of some of our own professional organizations, because there are experienced and professional organizations and external competition, lower prices, the cost-saving growing their core competitiveness, profitability and good growth potential. Therefore, the purpose of outsourcing is to consolidate and expand the enterprises core competitiveness. Another competitive advantage of outsourcing is labour flexibility. Through outsourcing, the employee level of the firm can be reduced efficiently and the firm will have greater flexibility than with permanent staff. There will be less need for extra staff to replace absent employees or those in training and less ‘fill-in’ work for employees in cyclic activities. And also institutionalized and unproductive work practices may be eliminated. These factors are becoming more and more important and attractive to the manufacturers now. Anyway, just as every coin has two sides. There also exist some disadvantages of outsourcing in front of the manufacturers that need to be overcome. First, too much outsourcing may result in the loss of employee skills. There will be re-equipping, re-employing and retraining if reversed. Second, quality of outsourced products/services may be lower. Since the firm will have less control of the outsourced products or services, it’s more difficult for the firm to monitor the process of production and insure the quality. But if the firm can be more serious in choosing the suppliers and set higher criteria, the problem can be effectively prevented. Third, it will bring costs in preparing, letting and administering contracts when the firm choose outsourcing. But I think these costs will be much less than the costs increased by insourcing the components inside the firm. Comparing the advantages and disadvantages of outsourcing, I think Veltri Motors can obtain more benefits and core competence from the advantages than disadvantages, so I recommend Veltri Motors keep outsourcing its component parts to gain their competitive advantages. Although outsourcing is a better choice for Veltri Motors than insourcing in order to reduce cost and gain more profits. We still can find several problems existed in the outsourcing system of the firm. The first key point is the number of the stampers- the suppliers of the component parts of Veltri Motors. In this case, we know that more than 100 stamper companies are currently shipping parts to Veltri Motors. Most are small operations that have less than $40 million in sales each year, and Veltri represents the greatest portion of their business. I think Veltri chose too many stampers for outsourcing and a reduction in the supply base accomplishment may contribute to the reduction of the component parts’ prices. If Veltri Motors reduce the number of its stampers, the chosen stampers will get larger portion, and they’ll rely more heavily on the Veltri Motors, then the bargaining power of Veltri Motors will become stronger than its stampers, this will help Veltri to hav e more control on the price of its outsourced components. Besides this point, we can also find another good result by decreasing the number of stampers. We noticed that all the stampers are small operations, so it’s almost impossible for them to reach the scale economy. But if they can get much bigger portion of Veltri Motors, this also means they can gain more support from Veltri to have the opportunity to realize the scale economy to relatively reduce the manufacturing cost. And if this happens, Veltri can also get benefits from the prices that stampers offer. There is also a big problem Veltre should face. That is Veltri’s second stage suppliers- the raw material suppliers of the stampers. These suppliers fall into two categories, first, are the large, integrated steel and aluminum mills which produce high volumes of steel and aluminium in highly capital-intensive operations. But a buyer must order a minimum of twenty tons per month and accept a sixteen-week minimum lead time. Second, is the Service Center which purchase steel and aluminium from the large mills and process them in accordance with relatively small orders from the customers. They have no minimum tonnage, and lead time are often by the hour but the significantly higher prices. Since the stampers of Veltri are small operations, they do not have the scale economy, it’s hard for them to purchase the raw materials from the steel mills. Then they have to turn to the Service Center and receive the higher prices. And stampers pass this higher cost on to Veltri in the part’s piece price, and Veltri ultimately passes this cost on to the consumer, through higher vehicle prices. But, we know, if the customers think the prices are higher than they have expected and are unwillingly to take the price, they can refuse buying the cars, then Veltri will finally undertake the loss. In order to avoid this situation happening, Veltri had better take backwards integration. This means Veltri could take responsibility for steel and aluminum purchases for its suppliers and consolidate small tonnages in larger orders to take advantage of mill prices. By integrating backwards, the original trade flow will be changed. The purchasing procession of Veltri will be changed. Veltri should first of all purchase the raw materials from the steel mill with much higher volume and cheaper prices, and then distributing the raw materials to every different stampers for their production. After they finish producing the components, Veltri will purchase the finished goods t o do the assembling work. In this procession, there also exist several necessary organizational changes. The first change is that in the purchasing department, in the division of production purchasing, there should be certain persons to take charge of the new jobs of purchasing raw materials from steel mills. This division should have new staff or just let some old staff who once was responsible for the purchasing of 20% insourcing materials and these employees will take the new jobs to connect with the steel mill to buy the raw material for stampers. The second change is that in the division of transportation, there should be some employees being arranged to be in charge of distributing the purchased raw materials to every different stampers. They should be very familiar with the operating conditions of each stamper, and transport correct volume of raw materials to the stampers. This is also a new job existing in the purchasing department. So, Veltri should arrange some certain old staff or employ some new staff to be responsible for the two kinds of new jobs. I think these are the necessary changes in the organization if Veltri take backwards integration. So, the above contents are the analysis I made for this case of Veltri Motors. Research Papers on Veltri Motors Case StudyBionic Assembly System: A New Concept of SelfOpen Architechture a white paperTwilight of the UAWIncorporating Risk and Uncertainty Factor in CapitalNever Been Kicked Out of a Place This NiceDefinition of Export QuotasThe Project Managment Office SystemThe Effects of Illegal ImmigrationMarketing of Lifeboy Soap A Unilever ProductGenetic Engineering

Liberal Democratic Model in the USA Essay Example | Topics and Well Written Essays - 1000 words

Liberal Democratic Model in the USA - Essay Example Liberal Democratic Model - USA There exist different versions of liberal democracy adopted by countries. Using case study, this paper will address the concept of liberal democracy in the United States of America. Freedom of speech, elections, and separation of power, are components of democracy, which will be analyzed using the liberal democratic model to determine how USA embraces liberal democracy. The concept of democracy dates back to Aristotle’s era. He was the first Greek philosopher to explore this concept. Later, Christian thinkers related democracy with the worship of God, that all human beings are equal before God. The American Revolution was first to introduce components of liberal democracy. Slavery and other discriminatory practices were abandoned, as Americans embraced a more popular rule. This marked a new beginning of liberal democracy in America. Today, liberal democracy is associated with the American political philosophy (Vanberg, 2011). Components of libera l democracy are dynamic. For instance, in the 18th Century, liberalism protected citizens from the government. However, in 20th Century people started to consider governments as source of protection from social crimes. In the USA, the human rights activists rely on government authority to develop programs that enhance human rights. The government is no longer a threat to its citizen’s freedom, but a positive force (Neal, Douglas, Simon, and Joseph, 2012). The liberal democratic model encompasses three views, political pluralism, the elitist theory, and the Marxist view of power. As we shall see, political pluralism is deeply rooted in American politics. Pluralism theory holds that multiple groups, and not few individuals, run a country. These groups are; trade unions, environmental groups, and civil rights bodies, among others, which influence a country’s policymaking process. In pluralism, political power is distributed differently among the groups. For example, the C ongress addresses tax issues, the president sends the USA army on missions, the Supreme Court passes the death penalty, and a police officer stops a motorist for over speeding. In the USA, of all the multiple groups, no single elite group dominates. Some of these groups are well funded, organized, and have more influence, while others are not. They also vary in size, are politically autonomous, and exercise their right to participate in the politics. Freedom of speech is an element of democracy, which characterizes a pluralist society. In democratic states, freedom of speech ranks above all liberties. In the US, freedom of speech is provided in the constitution’s First Amendment of the Bills of Rights, and in different state and federal laws. Individuals and organized groups, including the media, are free to air their opinions on political decisions, thus indirectly controlling political leaders. Individuals have the right to gather information and hold meetings. However, in the US, restrictions are put on child pornography, obscenity, and lawless acts, among others. Separation of power is another element of democracy present in a politically pluralist society. In the US, state power is divided into three parts. These are: 1. The legislative power (the Congress) 2. The executive power (the president) 3. The judiciary power (Courts) The US constitution authorizes the legislative to makes law, the executive to enforce law, and the judiciary to interpret law.

The Global Drug Trade Essay Example | Topics and Well Written Essays - 1250 words

The Global Drug Trade - Essay Example The global narcotics traffic once contained to Europe and America, exploded as heroin production shifted to the South-East Asian market. The once straightforward drug route of Marseille-New York shifted to a complex web of global trafficking that â€Å"tied rising First World consumption to spreading Third world production† (McCoy 2003). On the supply end, developing countries were undergoing economic hardship and people were searching for lucrative solutions to supplement their incomes. Organized crime and drug cartels emerged to capitalize on this growing market. Increased production resulted in ``increased trafficking and availability of drugs in developed countries and transit countries, thus contributing to an overall spread and expansion of demand`` (Reichel 2004). By the 1980s, drugs were wreaking havoc on local communities across the globe. In North America, cocaine was the drug of choice, both for South American cartels and global consumers. Panama, Columbia, and Mexi co became huge producers of cocaine with transit routes passing through Central America and into the U.S and Canada. Crack, a cheaper and more addictive version of cocaine emerged and with devastating consequences to poor communities. By 1986, the American â€Å"war on drugs† was in full swing, with the Reagan Administration pouring 1.7 billion into the cause (Frontline 2008). While the U.S struggled to deal with the increasing prevalence of cocaine and crack, Europe was battling against a growing heroin problem. e problem. Switzerland in particular was facing "one of the highest rates of heroin addiction in Europe" (Foulkes 2008) According to McCoy, during the 1980s, Afghanistan became Europe's main opium supplier, due primarily to CIA covert operations that served to transform southern Asia from a self-contained opium zone into a major supplier of heroin for the world market. He states: "CIA intervention provided the political protection and logistic linkages that joined Afghanistan's poppy fields to heroin markets in Europe and America" (McCoy 1991). Although the war on drugs made headway in combating drug use in the North America, by the 1990s, the production and consumption of drugs was on the rise again. This time due, primarily, to the end of the Cold War. TRENDS IN GLOBAL DRUG TRAFFICKING With the collapse of the Soviet Union, the former Soviet countries were in a state of economic collapse. The result was complex but included: "the shipment of

Global Industries essay Example | Topics and Well Written Essays - 2500 words

Global Industries - Essay Example According to his analysis the funds represent a small fraction of the U.S.-managed fund industry, but despite this their net assets grew by 262% from 1998 to 2005, compared to a 10.8% increase in U.S. high-yield bond funds. There was significant public attention but academic research did not give much attention to the emerging market bond funds. So did the Pension Fund Manager who also did not pay proper attention to this fund. I would have gone deeper in my research as Pension Fund Manager and would take correct and patient decision before shifting from the fund. I would also for a diversified fund investment rather than concentrating on single fund and suffering. Similarly if we study carefully the Lazard's Emerging Market Equity Market Returns annually from 1993 to 2008 we can note of certain emerging markets doing very well. In 1997 Turkey, Hungry and Mexico returned more that 50% from the equity market. In 1998 Korea and Greece returned more than 50%; in 1999 Russia and Turkey returned more than 200% % and Indonesia, India and Korea returned more than 75% from this market. 2000 was a poor market but from 2001 the equity market again started looking up. By 2002 the return was very lucrative: Pakistan returning 150% and Check Republic and Indonesia returning about 40% and above. Minimum five important emerging markets continued yielding sound returns till 2007 The main problem concerns about reading the market trends correctly and selecting the target market with the help of proven experts in the market. Perhaps the Pension Manager could not foresee the correct trends in the market and his decision about investment yielded losses. In 2003 the loss incurred was due to wrong reshuffling of his portfolio to US Treasury Bills for two years and Treasury notes yielding only 1% to 3% return. This is period when many of emerging markets Equity funds in Thailand, China, India, Colombia, Egypt, Argentina, Brazil equities funds achieved fabulous results with more than 70% to 140% returns. Wonderfully his decision to go back to equities again was taken in 2007, which was the marginal year for the financial markets. From 2008 the world financial market collapsed and caused losses to each and every one including the emerging markets. Emerging Market Equity Returns 2008 The new Pension fund manager obviously has a great responsibility to earn minimum 7-8% on the investment and satisfy the employee representative on the board who is risk averse and very much concerned that the pension will have enough funds available for retirees. 1. What is your position on future growth of the US over the next 5 years, 10 years and 20 yearsAmerica's Wall Street has been the financial center of the world for decades. "When Wall Street sneezes, the rest of the world catches a cold." In such a financial scenario there is need to examine the American financial market and its future. The current market is already depressed and the depression has been rated by most of experts equal to or more than the depression of the 1930s. 30s depression lasted for about a decade with intermittent recovery for brief period. The recession of 2008 also is likely to extend for a decade at least. US Recession The dollar slumped to a 15 year low against 6 of

Causes and Treatments of Sepsis

Causes and Treatments of Sepsis Sepsis is a major cause of morbidity and mortality in hospitals today. It has been defined as the bodys response to an infection when organisms invade the body (Baudouin 2008). Its an infection which is caused by micro organisms or bacterias that invade the body. Sepsis can lead to acute organ dysfunction followed by multi-organ failure and death. In the early stages of sepsis the immune response can be characterised as a systemic inflammatory response syndrome (SIRS) (Chamberlain 2008). This is the bodys response to a variety of severe clinical insults. It is characterised by the presence of two or more of the following features: Temperature >38ÂÂ °C or 90/min, Respiratory rate > 20/min or PaCO2 12 x 109/l altered mental status, blood glucose>7.7mmol/l in absence of diabetes (LTHTR Sepsis Care Pathway 2009).Sepsis is defined as SIRS in response to infection (I, Mackenzie 2001). The surviving Sepsis campaign was launched in October (2002) aiming to increase awareness of sepsis, severe sepsis and septic shock among healthcare staff and the general public, develop evidence based guidelines for the management of severe sepsis and ensure that guidelines are put to practice globally. In the Nice Clinical guideline 50- acutely ill patients in Hospital they made key recommendations to ensure early identification of the acutely ill patient and prevent deterioration of condition thus reduce patient mortality, morbidity and length of stay, to reduce ICU admissions and re admission. Initial management of a critically ill patient includes: Immediate assessment of the airway, breathing and circulation Baseline observations HR, RR, BP, O2 sats, capillary refill, EWS and AVPU to assess level of consciousness A brief history A limited examination of the relevant systems of the body. A secondary assessment after stabilisation of the patient including a more thorough history, detailed examination by system and appropriate investigations. The golden hour an early window of opportunity immediate resuscitation with oxygen and fluids prevents secondary injury to organs as a result of hypoxemia and hypovalaemia helping to reduce mortality and morbidity. The timing of clinical intervention is essential to the survival of septic patients (Chamberlain 2008). Respiratory failure is common and may develop at any stage so repeated assessments are necessary. A depressed conscious level is the most common cause of airway obstruction (I, Mackenzie 2001). A clear airway does not indicate effective breathing. Failure of gas exchange may be caused by lung problems (pneumonia, lung collapse, pulmonary oedema), failure of the mechanics of ventilation. Respiratory failure is suggested by signs of respiratory distress including dyspnoea, increased respiratory rate, use of accessory muscles, cyanosis, confusion, tachycardia, sweating. The diagnosis is made clinically but may be confirmed by pulse oximetry and arterial blood gases. Patients with a depressed conscious level may not react normally to hypoxia and signs of respiratory failure may be difficult to detect. Patients with inadequate ventilation, gas exchange or both require ventilatory support. This usually necessitates intubation and mechanical ventilation although in some patients gas exchang e and oxygenation can be improved by the application of continuous positive airway pressure (CPAP) by face mask or non-invasive ventilation. As per LTHTR sepsis care pathway (2009) high flow oxygen to be given to maintain a target of >94% using a non rebreath mask. Oxygen to be reduced when patient stable. In critically ill patients, high concentration oxygen should be administered immediately and this should be recorded afterwards in the patients health record (BTS guideline for emergency oxygen use in adult patients 2008). Tachycardia and hypotension are almost universal findings in the septic patient and result from a number of cardiovascular problems. In early sepsis, and in patients who have been partially or fully fluid resuscitated, the low blood pressure and high heart rate are associated with a high cardiac output and a low peripheral vascular resistance with warm peripheries and bounding pulses. In contrast, patients who have not been significantly resuscitated or have presented late in the course of their illness have a low cardiac output and high systemic vascular resistance. These patients are peripherally cold, sweaty, with weak, thready pulses and they need urgent resuscitation. However resuscitation aims to restore circulating volume, cardiac output and reversal of hypotension (I, Mackenzie 2001). Initially infuse i/v crystalloid or colloid rapidly guided by the clinical response. The optimal resuscitation fluid however, remains the subject of debate. Fluid resuscitation of severe sepsis may consist of natural or artificial colloids or crystalloids. Fluid challenge should be administered and repeated based on response (increase in blood pressure and urine output) and tolerance (V, Jean-louis 2004). Administering large volumes of fluid to patients with known cardiac disease or myocardial dysfunction related to their acute illness is a problem. Ronco, C et al (2004) argued that it is the quantity of fluid given rather than the type of fluid explaining that more crystalloid is needed to achieve the same effect as colloid but colloids are more expensive and carry their own risks. Adequacy of fluid infusion can be facilitated by repeated fluid challenges in which a pre defined amount of fluid e.g. 250 or 500mls is in fused over a set time. Sherman et al (2007) states that aggressiv e volume resuscitation and administering broad spectrum antibiotics should be given early to all septic patients using 2-4litres of normal saline. All patients should be monitored closely to see the response to resuscitation (urine output mental status, BP). If the patients blood pressure is 40mmgh lower than the patients normal BP fluid challenges nacl 0.9% 500ml given over 5-10mins (ALERT 2003). LTHTR Sepsis Care Pathway 2009 states if patient hypotensive give up to 3 boluses of 500ml (0.9% Saline) to maintain MAP>65/systolic 100mmgh. Urinary catheter hourly urine measurements. Perform investigations to confirm or clarify problems that are clinically evident, or to look for complications that are likely. Bloods including FBC, coagulation screen, UE, Liver function, Amylase, cardiac enzymes, Glucose, lactate and ABGs. Other tests may include a blood glucose, ECG and chest x-ray. You may consider sending samples for microbiology to confirm the presence of infection, i.e. blood cultures should be taken, sputum if suspecting chest infection and mid-stream urine (MSU) or catheter specimen of urine f suspecting urine infection. Blood cultures are only to be taken when there is clinical need to do so and not as routine (DOH 2007). Indepth search for the source of sepsis with rapid institution of appropriate antibiotic therapy. Delayed or initially ineffective antibiotic therapy has been shown to be associated with worse prognosis and if it is important that all likely microbial culprits are covered by the empiric antibiotic which can be altered when culture result s are available (Ronco, C et al 2004). Monitoring is not dependent on expensive equipment, but it requires the continuous presence of trained nursing staff. Clear documentation aids the assessment of subtle changes in the patients clinical state. Patients with severe SIRS / sepsis should have observations recorded hourly. Record body temperature, pulse, blood pressure, urine output, CVP, respiratory rate and SpO2 (if available). Accurate fluid balance is essential. An accurate Early Warning Score is essential as per LTHTR trust protocol along with every set of observations taken. EWS used widely throughout the trust it acts as an assessment of recognising deterioration in patients an identifies at risk patients. It requires the charting of observations such as systolic BP, HR, RR on a regular basis each is given a score from 0-3 and then added together to give an EWS. This is then used to trigger further assessment of the patient by senior nursing or medical staff and referral to critical care outreach who support nurses at ward level to tackle early detection and treatment to prevent intensive care admissions. Early detection and recognition of a patient that is deteriorating is vital (DOH 2007). The initial antibiotic prescription is a best guess, and will depend on the clinical picture of the patient, local patterns of antibiotic resistance and the local availability of antibiotics. It should be broad enough to cover the most likely pathogens, but not so broad as to encourage antibiotic resistance. The advice of a local microbiologist or infectious diseases specialist is valuable. Surviving Sepsis Campaign (2008) states the choice of antibiotics should be guided by the susceptibility of likely pathogens in the community and the hospital, as well as any specific knowledge about the patient, including drug intolerance, underlying disease, the clinical syndrome.ÂÂ   The regimen should cover all likely pathogens since there is little margin for error in critically ill patients. There is ample evidence that failure to initiate appropriate therapy promptly (i.e., therapy that is active against the causative pathogen) has adverse consequences on outcome. Although restricting the use of antibiotics, and particularly broad-spectrum antibiotics, is important for limiting super infection and for decreasing the development of antibiotic resistantÂÂ  pathogens, patients with severe sepsis or septic shock warrant broad-spectrum therapy until the causative organism and its antibiotic susceptibilities are defined. Shermon et al (2007) states that early use has been clearly demonstrated to reduce the mortality in sepsis an if no known source of infection is present then give broad spectrum antibiotic therapy to cover aerobic and anaerobic infections. LTHTR Sepsis Care Pathway (2009) states antibiotics to be given in first hour and all antibiotics to be reviewed after 48hours. Medical staff have been implicated in the spread of infectious agents between patients. All staff must wash their hands before and after attending to a patient. Equipment should not be shared between patients if possible, but where this is necessary the equipment should be thoroughly cleaned between patients. Staff should protect themselves and their clothes from becoming contaminated with biological material by wearing disposable aprons and gloves. Visitors should be discouraged from moving between patients. Wounds, including drain sites and intravenous cannulae sites, should be inspected, cleaned and dressed at regular intervals. Intravenous cannulae and central lines should be removed as soon as practical. Ensure correct documentation is filled in i.e. Vascular access device tool, wound charts and care plans as per trust protocol. In conclusion sepsis remains a major cause of morbidity and mortality in hospitals today. Many authors have looked at best practice in the early recognition and treatment of sepsis. It is vital that nurses and clinicians recognise and treat critically ill patients for the best outcome to reduce the risk of deterioration and potential cardiac arrests. NPSA (2007) Recognising and responding appropriately to early signs of deterioration in hospitalised patients. Within LTHTR trust and other trusts there are many policies in ensuring this with the early recognition policy, early warning scores to help assist the staff on recognising the deteriorating patient and sepsis care pathway to assist with the treatment of the deteriorating patient. With the use of these policys and the help of critical care outreach teams within the trust early recognition and treatment within the golden hour reduces the morbidity and mortality thus educing admissions into the intensive care unit. It appears that there remains much discussion into which fluid works best during fluid resuscitation. Trust protocols should be followed. Recognition of at risk patients can only be achieved by appropriate and timely assessment and monitoring. Nice made key recommendations in patients at risk policy, assessment and monitoring, response, critical care and staff competencies the LTHTR policy Procedure for the timely recognition and response for patients at risk of deterioration encompasses these key recommendations. There is no predictive scoring system which gives accurate predictions of outcome for individual patients. Survival from an episode of severe sepsis is dependent the patients age, previous health and the time delay before the onset of medical intervention, as well as the appropriateness and quality of medical care. Few countries have limitless resources, and so difficult decisions face all intensive care doctors when deciding between the potential benefits for one critically ill patient and need for provision of healthcare to several less critically ill patients (I, Mackenzie 2001). Word Count 2008

The Ethernet Essay -- essays research papers

Bob Metcalfe of the Xerox Corporation developed the first experimental Ethernet system in late 1972. The goal of the Ethernet was to interconnect the Xerox Alto Aloha Network. The experimental Ethernet was used to link Altos workstations, servers, and laser printers. Data transmission of the Ethernet was 2.94 Mbps. In 1973, Metcalfe changed the name to "Ethernet," to make it clear that the system could support any computer, and not just Altos, and to point out that his new network mechanisms had evolved well beyond the Aloha system. He chose to base the name on the word "ether" as a way of describing an essential feature of the system. The physical medium (cable) carries bits to all stations, much the same way that the old "luminiferous ether" was once thought to propagate electromagnetic waves through space. The Ethernet is a LAN (Local Area Network) technology that uses a shared bus topology, and Carrier Sense Multiple Access/Collision Detection access. It consists of a single, long cable, named the bus, to which computers, or sometimes referred to as workstations, are attached. Ethernet signals are transmitted serially, one bit at a time, over the bus and are received by every attached station. Data in the Ethernet is transmitted in the form of a frame, or packet. The frame consists of a set of bits organized into several fields. These fields include address fields, a variable size data field that carries from 46 to 1,500 bytes of data, and an error checking field that checks the integrity of the bits in the frame to make sure that the frame has arrived intact. The first two fields in the frame carry 48-bit addresses, called the destination and source addresses. The Destination Address contains the physical address of the station to which the frame is being sent. Any signal sent across the shared network reaches all attached workstations. However, communication doesn’t usually involve all workstations. To allow direct communication between stations the addressing scheme is used. Each workstation is assigned a unique numeric value, called a physical address or media access control address (MAC address). Although sharing allows all workstations to receive a copy of a frame, the hardware of each workstation checks the address of each incoming frame to determine whether it should accept the frame. The Source Address contains... ... its simplest form, only hub devices connect directly to the tree bus, and each hub functions as the "root" of a tree of devices. This bus/star hybrid approach supports future expandability of the network much better than a bus (limited in the number of devices due to the broadcast traffic it generates) or a star (limited by the number of hub ports) alone. In a mesh topology each computer is connected to every other computer by separate cabling. This allows for superior redundancy and reliability, as well as ease of troubleshooting. This type of topology is expensive and difficult to install because of the amount of cabling required. The original Ethernet operated at 10 Mbps, a later version Fast Ethernet operates at 100 Mbps and the newest version Gigabit Ethernet operates at 1 Gbps. The Ethernet is the most popular physical layer LAN technology in use today. It is popular because it strikes a good balance between speed, cost and ease of installation. These benefits combined with wide acceptance in the computer marketplace and the ability to support virtually all-popular network protocols, make the Ethernet an ideal networking technology for most computer users today.

Discipline by spanking your children is not Abuse Essay

In an ideal world, spanking would never be necessary. However, on rare occasions it may be necessary to smack your child’s bottom. I do not intend to either promote or discourage spanking, but rather to give parents correct instruction on using non-abusive spanking in discipline. Spanking is a much-debated topic. Most child psychologists do not recommend spanking as a discipline method for children. However, other psychologists and many parents will tell you that a spanking given with fairness, love and care is an effective discipline technique. A child’s parent’s best make the decision as to the usefulness of spanking. It is gravely unfortunate that, there are many children who are abused under the guise of spanking, and this essay is an attempt to inform parents in a way that would prevent abuse. Never spank any place other than the child’s clothed bottom and only with your open hand. Spanking should generally be carried out in private. The aim of the punishment is to teach the child that they have done wrong, not to humiliate him/her. Many people believe that while privacy is important, if in a public place, you should not hesitate to take your child to an area where diners or shoppers will not be bothered and carry out the promised discipline. Privacy is secondary to setting clear rules and your child’s understanding that discipline will be sure (and swift). Further, if you are disciplining in loving and fair manner, you should not be concerned about onlookers and what they might think. This is your child, your responsibility and a swat on the bottom, not a public debate. Give your children clear boundaries. Knowing exactly what they can and cannot do is the foundation of happy and successful children that are honest and respectful of their parents, other adul ts and themselves. Learn which behaviors deserve a spanking. This really can be boiled down to one thing, open disobedience. You must be fair with children. Spilling things, toddler tantrums, nose-picking, bed-wetting, arguing, even lying and stealing are normal childhood behaviors that, while they may require action on the part of the  parent to help a child mature, they are not spanking offenses. You must let toddlers, children, teens and young adults make mistakes and have normal childhood behavior that is age appropriate without making them miserable about it. Any spanking should be meant to get their attention and establish your authority. Never spank them hard enough that they are going to feel it later. Always spank the child only on the child’s clothed bottom and only with your open hand. Cool off first. If you are angry, do not attempt to give your child a spanking. Tell them you need to think about this for a while and let yourself cool off and then re-evaluate the situation. Do not hit your child with implements or objects. Using belts, switches, spoons, paddles or worse on your child will never build the kind of respect and love that a properly administered spanking will. Only use your open hand on the child’s clothed bottom. Know when to enforce discipline with spanking. Once children are old enough to understand â€Å"no,† they are old enough for a spanking. This could occur as early as approximately 18 months, but varies by child. Be mindful that the force and amount of spanks should be reduced (i.e. a quick pat on the bottom) for very small children but the framework should be similar. If properly used, once a child has reached the age of 6 or 7, spanking will hopefully never be necessary again. On the other hand, if you have never spanked and a child is already 9 or 10, it is probably too late to begin once the patterns of parenting have been so firmly established. Do not spank too frequently. Again, spanking should be reserved only due to open disobedience, and not used whenever one feels annoyed. If you do it all the time, it will lose any effectiveness that it might have and is just plain mean. Give them one warning. If you think that you were not clear the first time, you might have to clarify, but do not give warning after warning and expect any child to be compliant. They will always know that they can push and push and have their way once you give up. The child must clearly understand that there will be one warning and that’s it. If you do this, they will obey after one warning, if you give them ten warnings, they will probably never take you seriously. But please, you must take great care when disciplining your child, be fair, be clear and make sure that you understand what is going on; you should not turn back once you have declared â€Å"you’ve just earned yourself a spanking†. Earn the respect of your child by being fair; you must also convince your children that if they are openly disobedient, the discipline will be quick and certain. In this way, they will learn the clear boundaries and seek to not overstep them to earn your trust. Do the following once you have decided that you must spank your child. Tell them that they are going to be spanked. Take them to a neutral area. If in the home, it should be out of sight of the other children. If at a restaurant or store, please wait until you get home. Never spank in a public place. You never want to embarrass a child in front of siblings or other people any more than necessary for the moment. Once in the proper location, carefully explain why they are getting a spanking and precisely the behavior that got them in this inevitable situation. Once the decision is made, do not consider turning back unless you become genuinely convinced that you have misjudged the situation. Explain what is going to happen: [i.e. at age 3] â€Å"You are going to get four swats, and then we are going to talk about it for a minute, then it will be over.† If possible have the child lay across your lap with their bottom up. Deliver each swat with an open hand only on their clothed bottom and only hard enough that they feel mild discomfort. Sit them up at eye level, repeat the explanation, and have them agree that they will not repeat the behavior again. Ask them to apologize. Assure them that this is the end of the punishment (however, certain offenses or lack of remorse may require a time of quiet thought) and that you are not going to be angry with them about it. Tell them that you love them. When Does Discipline become Abuse? Vs. Discipline by Spanking does not constitute abuse? Discipline is one of the defining elements of parenting; whether used sparingly or liberally, it’s fundamental to the parent-child dynamic. Most Americans agreed with the necessity of sometimes spanking children, but proportions disagreeing increased 15 percentage point (94% overall) between 1986 (16%) and 2010 (31%). Growing proportions disagreed with spanking in each consecutive decade for all significant generational cohorts, with the greatest increase against spanking for Silent Generation (Menard 18).Through discipline, children are taught to become responsible, honest, kind, sharing people. By following their parents’ guidance, teachings and rules, they ideally grow up to be well-behaved and respectful  individuals. If you, however, punish your child instead of disciplining them, the end result will not be the same. Punishment is an act of anger and impulse. It happens when a parent takes things personally; the punishment is, in fact, retaliation for the child’s poor choice. In contrast, discipline is centered on helping the child, with the goal of correcting their choices and actions. A parent who disciplines is trying to teach their child right from wrong, helping them learn life skills. Ultimately, punishment hurts a child whereas discipline helps a child. The urge to punish comes from within when you feel hurt by a child’s behavior — you’re looking to strike back and inflict this same pain, often overreacting to the situation. For example, in the heat of the moment, Mom or Dad might lash out — even raising a hand to a child instead of taking a deep breath and assessing the situation objectively. The challenge parent’s face is to detach themselves from the situation and control their anger and impulses before responding or reacting to the child. By controlling this anger and emotion, a parent can stop themselves from making the situation worse. And this is important, as punishment — which can lead to abuse â⠂¬â€ is usually both unreasonable and much more physical than discipline. Here’s why it’s so important to resist the urge to react in anger. Most abusive parents never plan on hurting their children, but they impulsively react and strike out of anger, punishing them with physical revenge instead of teaching them right from wrong. Once trapped in this mindset of punishment, it is difficult for parents to think rationally or even compassionately about their child’s actions. And in an instant, on impulse, lives can change dramatically. A loving parent can be convicted of child abuse and land themselves in prison simply because they impulsively did something violent to their child. If you choose to listen to your impulses, you lose your self-control and ability to think clearly. For example, a parent grabs their child by the hand. The parent is upset and twists the tiny arm. Being a â€Å"good parent† they take their child to the hospital to have it looked at. They find a greenstick fracture. The x-ray clearly shows how the arm bone was twisted. This is a red flag for hospital employees who know this is a sympto m of child abuse. In a whirlwind, Child Protective Services is called in, the children may be removed from the home,  the guilty parent can be arrested and even go to jail. One of the biggest problems with an adult punishing a child is that the two are not equals. When calm and rational, no one would argue that children are the same as adults. They are not the same size, nor strength; they have less knowledge and fewer life experiences. Furthermore, when parents punish their child out of anger, they teach kids that it’s okay to treat those who are weaker, smaller, and younger with less respect. The parent is modeling a bullying type of behavior which is obviously not a positive way to interact with others. My father was verbally and physically abusive so I understand on a personal level the negative impact impulsive, erratic behavior can have on a child. To justify their actions parents may say, â€Å"This is what happened to me when I was growing up.† While that might explain why you’re more likely to parent this way, it doesn’t excuse the behavior. So, instead of coming home and taking out your frustrations on your children, resist the urge to overreact and lash out at them. Replacing punishment with discipline, In order to function in our society, adults must have a certain amount of self-control, impulse-control and anger management. I’m suggesting these skills be developed in our homes. Again, it’s a matter of respecting our kids as people. Consider the dozens of interactions you have with others on a daily basis. Surely at one point or another someone has said something that you disagreed with or they’ve done something that annoyed you. Did you react by lashing out or hitting the other person? Is there another situation where we, as adults, would act so recklessly even if we were upset? In place of punishment, let’s look at some effective discipline techniques. When establishing discipline in your household, communicating your expectations and guidelines with your children is the first step. Initially, help your kids understand why these rules and expectations are important to you. Then, explain to them what will happen if these expectations are not met — what the consequence will be. By explaining to your kids the reasoning behind the consequences, you’ll be helping them learn from their poor choices. It’s important that a child understands their parents and believes there is logic to their actions. Otherwise, not only is it impossible for the child to meet these goals, but if they break the rules, they have no way of predicting what the reaction will be. However, if  everyone is upfront about what will happen, then your child will be more accepting of the consequences and parents are less likely to overreact. Works Cited Brodie, Kay L., and Barbara Hoffert. â€Å"The Case Against Spanking: How To Discipline Your Child Without Hitting/Lots Of Love And A Spanking!: A Common Sense Discipline Plan For Children From Birth To Age Twelve–That Works.† Library Journal 122.9 (1997): 95. Literary Reference Center. Web. 26 Sept. 2014. Menard, Lauren A. â€Å"Should Discipline Hurt? Shifting American Spanking Beliefs And Implications For School Corporal Punishment Policies.† Online Submission (2012): ERIC. Web. 26 Sept. 2014. Ramsburg, Dawn, and Urbana, IL. ERIC Clearinghouse on Elementary and Early Childhood Education. The Debate Over Spanking. ERIC Digest. n.p.: 1997. ERIC. Web. 26 Sept.2014.

A Chronology of the Stone Age

A Chronology of the Stone Age The Stone Age in human prehistory also referred to as the Paleolithic Period, is the period between about 2.7 million and 10,000 years ago. Youll see different dates for the starting and ending dates of the Paleolithic periods, in part because were still learning about these ancient occurrences. The Paleolithic is the time when our species Homo sapiens,  developed into the human beings of today. The people who study the past of humans are called archaeologists. Archaeologists study the recent past of our planet and the evolution of physical human beings and their behaviors. Those archaeologists who study the very earliest human beings specialize in the Paleolithic; scientists who study the periods prior to the Paleolithic are paleontologists. The Paleolithic period begins in Africa with the earliest human-like behaviors of crude stone tool manufacture about 2.7 million years ago  and ends with the development of fully modern human hunting and gathering societies. Domestication of plants and animals marks the beginning of modern human society. Leaving Africa After decades of debate, the majority of scientists are now convinced that our earliest human ancestors evolved in Africa. In Europe, where humans finally arrived after about a million years in Africa, the Paleolithic was marked by a cycle of glacial and interglacial periods, during which time glaciers grew and shrank, covering massive portions of land and forcing a cycle of human depopulation and recolonization. Today scholars divide the Paleolithic into three categories, called Lower Paleolithic, Middle Paleolithic, and Upper Paleolithic in Europe and Asia; and Early Stone Age, Middle Stone Age and Later Stone Age in Africa. Lower Paleolithic (or Early Stone Age) about 2.7 million-300,000 years ago In Africa, where the earliest humans arose, the Early Stone Age begins some 2.7 million years ago, with the earliest stone tools recognized to date in the Olduvai Gorge of East Africa. These tools were simple fist-sized cores and whole flakes created by two ancient hominids (human ancestors), Paranthropus boisei and Homo habilis. The earliest hominids left Africa about 1.7 million years ago, arriving at sites such as Dmanisi in Georgia, where hominids (probably Homo erectus)  made stone tools suggestive of those from Africa. Human ancestors, as a group, are called  hominids. The species that evolved in the Lower Paleolithic include  Australopithecus,   Homo habilis,   Homo erectus,   and  Homo ergaster, among others.   Middle Paleolithic/Middle Stone Age (about 300,000-45,000 Years Ago) The Middle Paleolithic period (ca 300,000 to 45,000 years ago) witnessed the evolution of Neanderthals and the first anatomically and eventually behaviorally modern Homo sapiens. All of the living members of our species, Homo sapiens, are descended from a single population in Africa. During the Middle Paleolithic, H. sapiens first left from northern Africa to colonize the Levant between about 100,000-90,000 years ago, but those colonies failed. The earliest successful and permanent Homo sapiens occupations outside of Africa date to about 60,000 years ago. Achieving what scholars call behavioral modernity was a long, slow process, but some of the first glimmers arose in the Middle Paleolithic, such as the development of sophisticated stone tools, caring for the elderly, hunting and gathering, and some amount of symbolic or ritual behavior. Upper Paleolithic (Late Stone Age) 45,000-10,000 Years Ago By the Upper Paleolithic (45,000-10,000 years ago), the Neanderthals were in decline, and by 30,000 years ago, they were gone. Modern humans spread all over the planet, reaching the Sahul (Australia) about 50,000 years ago, mainland Asia about 28,000 years ago, and finally the Americas, about 16,000 years ago. The Upper Paleolithic is characterized by fully modern behaviors such as cave art, hunting a range of techniques including bows and arrows, and making a wide range of tools in stone, bone, ivory, and antler. Sources: Bar-Yosef O. 2008. ASIA, WEST - Palaeolithic Cultures. In: Pearsall DM, editor. Encyclopedia of Archaeology. New York: Academic Press. p 865-875. Close AE, and Minichillo T. 2007. ARCHAEOLOGICAL RECORDS - Global Expansion 300,000-8000 years ago, Africa. In: Elias SA, editor. Encyclopedia of Quaternary Science. Oxford: Elsevier. p 99-107. Harris JWK, Braun DR, and Pante M. 2007. ARCHAEOLOGICAL RECORDS - 2.7 MYR-300,000 years ago in Africa In: Elias SA, editor. Encyclopedia of Quaternary Science. Oxford: Elsevier. p 63-72. Marciniak A. 2008. EUROPE, CENTRAL AND EASTERN. In: Pearsall DM, editor. Encyclopedia of Archaeology. New York: Academic Press. p 1199-1210. McNabb J. 2007. ARCHAEOLOGICAL RECORDS - 1.9 MYR-300,000 years ago in Europe In: Elias SA, editor. Encyclopedia of Quaternary Science. Oxford: Elsevier. p 89-98. Petraglia MD, and Dennell R. 2007. ARCHAEOLOGICAL RECORDS - Global Expansion 300,000-8000 years ago, Asia In: Elias SA, editor. Encyclopedia of Quaternary Science. Oxford: Elsevier. p 107-118. Shen C. 2008. ASIA, EAST - China, Paleolithic Cultures. In: Pearsall DM, editor. Encyclopedia of Archaeology. New York: Academic Press. p 570-597.

Particle De in Japanese

Particle De in Japanese Particles are probably one of the most difficult and confusing aspects of Japanese sentences. A particle (joshi) is a word that shows the relationship of a word, a phrase, or a clause to the rest of the sentence. Some particles have English equivalents. Others have functions similar to English prepositions, but since they always follow the word or words they mark, they are post-positions. There are also particles that have a peculiar usage which is not found in English. Most particles are multi-functional. The Particle De Place of Action It indicates the place where an action takes place. It translates into in, at, on, and so on.   Depaato de kutsu o katta. I bought shoes at the department store. Umi de oyoida. I swam in the ocean. Means It indicates means, method, or instruments. It translates into by, with, in by means of, etc.  Ã‚   Basu de gakkou ni ikimasu. I go to school by bus. Nihongo de hanashite kudasai. Please speak in Japanese. Totalizing It is placed after a quantity, time or amount of money, and indicates an extent.  Ã‚  Ã‚   San-nin de kore o tsukutta. Three of us made this. Zenbu de sen-en desu. They cost 1,000 yen altogether. Scope It translates into in, among, within, etc.   Kore wa sekai de ichiban ookii desu. This is the biggest in the world. Nihon de doko ni ikitai desu ka. Where do you want to go in Japan? Time Limit   It indicates time consumed for a certain action or occurrence. It translates into in, within, etc.   Ichijikan de ikemasu. We can get there in an hour. Isshuukan de dekimasu. I can do it in a week. Material It indicates the composition of an object.   Toufu wa daizu de tsukurimasu. Tofu is made from soybeans. Kore wa nendo de tsukutta hachi desu. This is a bowl made of clay. Required Cost   It translates into for, at, etc.  Ã‚   Kono hon o juu-doru de katta. I bought this book for ten dollars. Kore wa ikura de okuremasu ka. How much would it cost to send this? Cause It indicates a casual reason or motive for an action or occurrence. It translates into due to, because of, owing to, etc.   Kaze de gakkou o yasunda. I was absent from school due to a cold. Fuchuui de kaidan kara ochita. I fell down the stairs due to carelessness.

The middle East countries Assignment Example | Topics and Well Written Essays - 1500 words

The middle East countries - Assignment Example The infrastructural developments in these countries especially in UAE and Saudi Arabia have been commendable. This paper aims to critically analyze one of the projects that has been successfully executed and completed, and in this process, the world famous project, Burj?Khalifa of Dubai has been selected. Burj?Khalifa is the tallest building in the word (828m/2716.5ft) architected by Skidmore, Owings and Merrill. The world’s tallest building was inaugurated on January 4, 2010. The primary aim of UAE behind construct9ing such giant building was to position itself as major tourist and business hub center in the world (Smith and Architects, n.d.). The project for building the tallest tower of the world was constructed by the largest Dubai based real estate company, Emaar Properties. However, during the development if this giant towers, there were a number of challenges including technical was faced and the management efficiently coped up with all the constraints for the successfu l competition of this project (Tata Steel UK Limited, 2011). A project stakeholder analysis Burj Khalifa is one the best mega projects in the world and the government of UAE has offered its full support as this tower was about to become one of the most popular landmark for the country’s tourism and business center. Therefore, it can be claimed that the government itself was the major stakeholders of this project. It is quite notable that the name of this tower was named after the President of UEA, Khalifa Bin Zayed and was inaugurated by Mohammed Bin Rashid, the ruler of Dubai indicating the instrumental role played by UAE government. However, the major stakeholder of this project was its constructor group, Emaar Properties who spent more than US$1.5  billion. This project was one of major part of flagship project in Dubai by Emaar Properties, called Downtown  Dubai. The project Downtown Dubai is meant to reposition the tourism of UEA in a new avatar and Burj Khalifa is t he most vital attraction (Emaar PJSC, 2009). Emaar Properties PJSC is the largest and multinational property developer was found in 1997. This property developer has better technical expertise and financial strength and also has been awarded for its high quality services. The Downtown  Dubai is one the best work done by Emaar Properties (Emaar PJSC-a, 2009). A brief description of how the project was managed The imagination of building the tallest tower in the world is itself a big challenge and Emaar Properties has been able to execute their plan successfully. As it has been already discussed that primary aim of UEA was to reposition itself as major tourist destination, the Burj Khalifa have fulfilled this aim to a large extent. Basically, the building with 208 floors includes commercial and residential spaces where hotels, restaurants, offices, residents and a mosque are present. Therefore, this building is for multi-purpose usages. On the other hand, beautification, and safety were major factors and in all these respect, Burj Khalifa has scored efficiently (Merritt, n.d.). The planning of constructing the tallest building in the world started prior to 2004 and by the January 2004, the excavation started. Developing such skyscraper building was a challenging task and for the Emaar Properties, it became more challenging as it was

Financing A Healthcare Organization Essay Example | Topics and Well Written Essays - 1250 words

Financing A Healthcare Organization - Essay Example If a firm has sufficient net working capital it is assumed to have enough liquidity (ICFAI Center for Management Research ICMR, 2004). In the operating cycle of the firm current assets are converted into cash to provide funds for the payment of current liabilities. Hence, if the current ratio is higher it means that the short-term liquidity of the firm is also higher. Long-term Solvency Ratio - This is one of the leverage ratios. When the analysis of a firm is extended to the long-term solvency, we come into the category of leverage ratios. The leverage ratios are structural ratios and coverage ratios. Structural ratios are based on the proportions are derived from the relationships between debt servicing commitments and sources of funds for meeting these obligations. This ratio measures the extent to which borrowed funds support the firm’s assets. The denominator in the ratio is total of all assets as indicated in the balance sheet. The type of assets an organization employs in its operations should determine to some extent the sources of funds used to finance them. Management/Expense Ratio - An expense ratio is determined through an annual  calculation,  where  a funds operating expenses  are divided by the average dollar value of its assets under management. Operating expenses are taken out of a funds assets and lower the return to a funds investors (Investopedia). Line-item Budget: Line item budgets are used in private industry for the comparison and budgeting of selected object groups and their previous and future estimated expenditure levels within an organization. The line-item budget should include all income and expense associated with the proposed project. The major advantages of the line-item budget are that is easy to prepare, understand and justify. The big disadvantage is that there is no relationship between the budget request and objectives and priorities, and it is different to transfer