Tuesday, August 25, 2020
Australian Immigration And Its Effects Essay -- Australia Environment
Australian Immigration and Its Effects à à à à à Australia is an island mainland which is geologically secluded from the remainder of the world. This has brought about the development of numerous one of a kind plants what's more, creatures and the improvement of an exceptionally delicate environment. This biological system has been impacted by human movement for a huge number of years. à à à à à The unique outsiders were the Aborigines who are thought to have moved to Australia from Asia somewhere in the range of 50 and 100 thousand years back. These crude individuals figured out how to live in the cold condition of Australia with almost no impact. Their major ecological effect was from the utilization of controlled consuming of the land. Throughout the years they had taken in the advantage of occasional flames to control bothers and to clear flotsam and jetsam before it aggregated and prompted enormous uncontrolled shocking flames. This likewise returned supplements to the soil which assisted with developing back new vegetation. Not at all like the individuals who followed, the Natives had almost no effect on the earth. à à à à à Following the Aborigines, Asian sailors are accepted to have voyage to Australia to exchange on the north shores. Specialists don't know, however they accept that these sailors are the ones who originally brought the dingo into Australia just about 3,500 years prior. The dingo quickly turned into the top predator and is presumably the reason for the vanishing of the Tasmanian wolf and the Tasmanian fallen angel from Australia. They will chase down nearly anything other than they are not known to assault people. They will assault kangaroos, wombats, hares, also, even reptiles. After the pilgrims showed up and the sheep were acquired, the dingo began to chase the sheep. The sheep were a lot simpler for them to get. Because of this the sheep slow eaters manufactured a 3,307 mile long fence to isolate the sheep from the dingo. A $20 US abundance is currently positioned on the pelt of each dingo. à à à à à European workers didn't come to Australia until after April 29, 1770 at the point when commander James Cook arrived in Botany Bay and made the primary case for Britain on the eastern piece of the island. He called it New South Wales. à à à à à In 1787, England began their first province in Australia which was a reformatory state since England's jails were very packed. That year, on May 13, eleven boats conveying just about 1,500 individuals, 800 of them convicts, left Britain for the new settlement. The ... ... to bring forth. à à à à à The European workers had explicit thoughts with respect to the magnificence of nature. The Australian scene didn't fit these guidelines of magnificence. They consequently started to scene by first clearing local plants and supplanting them with imported ones. The rundown of these plants developed quite a long time after year. Some fizzled while others flourished and stuffed the local plants. One of these plants is the Prickly pear. It was initially imported as a fence plant yet in the long run took more than 120,000 square miles of land. à à à à à The impacts of migration on the Australian condition in the course of the last hardly any hundreds of years has been wrecking. The first European settlers proved unable predict the significant effect their transplants and conventions would have on the condition. Regardless of whether they had, vanquishing the land was important for their endurance. In numerous territories the ecological corruption may have past the point where it very well may be reestablished and is presently unrecoverable. Nonetheless, with more noteworthy comprehension and information on the Australian biological system it is trusted that further corruption can be halted or even switched. What is required presently is the responsibility of individuals and assets to get it going.
Saturday, August 22, 2020
Free Essays - Survival in The Adventures of Huckleberry Finn :: Adventures Huckleberry Huck Finn Essays
Free Essay - Survival in The Adventures of Huckleberry Finn à In writing, writers have made characters that have qualities that adds to their endurance in the public arena. The characteristics of shredders, versatility, and fundamental human consideration empowers the character Huckleberry Finn, in Mark Twain's epic The Adventures Of Huckleberry Finn to endure in his environment.â The motivation behind this paper is to delineate the significance of these characteristics or characteristics to his endurance. à à â â â â Huckleberry Finn can go up against complex circumstances since he is smart. Nothing is more normal or more essential than his capacity to lie.â In specific circumstances I will talk about how he should lie in light of the fact that the conditions constrained him to misleading and lies and avoidances are the main weapons he needs to shield himself from the individuals who are truly more grounded than he. The inventiveness, good judgment, and comprehension of individuals of various classes give him the edge he needs to get by in a somewhat unforgiving society. à à â â â â Living with Ms. Watson and Widow Douglas, Huck has balanced his life to that of a cultivated society. Huck represents his wise reasoning at the point when he see signs that shows his dad is back. Fearing his father, he gives the entirety of his cash to Judge Thatcher to abstain from being aggrieved by his dad. Ensuring himself was his main need; he realized that if his dad received the cash he would become inebriated and consequently would mishandle him. His dad intoxication become a danger to his life later on in the story and by preventing him from getting the cash, he halted his father from being an abuser by then and time. à à â â â â Pap, Huck's dad comes back to town to get care of his child since he here of Huck's fortune, at last falling back on the grabbing. Huck is secured in the lodge when Pap isn't anywhere near; when he was bolted up for three days. Now and time Huck was being ignored and misuse; his dad had no clue what his damaging conduct was doing to Huck until he get away. Pap turned out to be so abusive(not acknowledging it as a result of he is consistently tanked), that he nearly slaughters his child in the lodge, thinking he was the holy messenger of death. This episode powers Huck to understand that his dad is an Free Essays - Survival in The Adventures of Huckleberry Finn :: Adventures Huckleberry Huck Finn Essays Free Essay - Survival in The Adventures of Huckleberry Finn à In writing, writers have made characters that have characteristics that adds to their endurance in the public arena. The characteristics of shredders, versatility, and fundamental human consideration empowers the character Huckleberry Finn, in Mark Twain's epic The Adventures Of Huckleberry Finn to endure in his environment.â The motivation behind this paper is to delineate the significance of these characteristics or characteristics to his endurance. à à â â â â Huckleberry Finn can stand up to complex circumstances since he is sagacious. Nothing is more common or more fundamental than his capacity to lie.â In specific circumstances I will talk about how he should lie on the grounds that the conditions constrained him to misdirection and untruths and avoidances are the main weapons he needs to shield himself from the individuals who are genuinely more grounded than he. The innovativeness, good judgment, and comprehension of individuals of various classes give him the edge he needs to make due in a somewhat cruel society. à à â â â â Living with Ms. Watson and Widow Douglas, Huck has balanced his life to that of an edified society. Huck represents his canny reasoning at the point when he see signs that shows his dad is back. Fearing his father, he gives the entirety of his cash to Judge Thatcher to abstain from being abused by his dad. Securing himself was his main need; he realized that if his dad received the cash he would become inebriated and consequently would manhandle him. His dad inebriation become a danger to his life later on in the story and by preventing him from getting the cash, he halted his father from being an abuser by then and time. à à â â â â Pap, Huck's dad comes back to town to get authority of his child since he here of Huck's fortune, at last falling back on the seizing. Huck is secured in the lodge when Pap isn't anywhere near; when he was bolted up for three days. Now and time Huck was being ignored and misuse; his dad had no clue what his damaging conduct was doing to Huck until he get away. Pap turned out to be so abusive(not acknowledging it in view of he is consistently flushed), that he nearly slaughters his child in the lodge, thinking he was the holy messenger of death. This occurrence powers Huck to understand that his dad is an
Saturday, August 8, 2020
A Bunch of Things I Did to Get out of Debt
A Bunch of Things I Did to Get out of Debt Minimalism isnt deprivation, but sometimes temporarily depriving yourself creates a path toward financial freedom. That was certainly true for me: I had six figures in debtâ"nearly half-a-million dollars if you include my mortgageâ"but today Im debt-free. Of course, it took diligent budgeting to get there: Cut cable TV, wrote more. Drove less, walked more. Cut credit cards, spent cash. Stopped eating out, cooked meals at home. Silenced satellite radio, meditated more. Canceled gym membership, exercised at parks. Lived without home Internet, used public Wi-Fi. Sold large home, rented a smaller apartment. Canceled magazine subscriptions, borrowed from library. Ceased upgrading, found a détente with outdated tech. Refrained from purchases, better utilized possessions. Separated needs from wants, developed a comprehensive plan. You see, I didnt simply go withoutâ"I replaced expenses with alternatives, which made my momentary forfeiture feel less like a sacrifice. Interestingly, once I became debt-free, I was able to bring some of these indulgences back into my life, doing so deliberately, discovering which ones I could afford, which ones would add value to my life, and letting go of the rest. P.S. When I was broke, I also delivered pizzas for extra incomeâ"financial freedom was worth the temporary discomfort. Subscribe to The Minimalists via email.
Saturday, May 23, 2020
University of Rochester Acceptance Rate, SAT/ACT Scores, GPA
The University of Rochester is a private research university with an acceptance rate of 29%. Located on the Genesee River on the outskirts of Rochester, New York, the University of Rochester has highly ranked programs ranging from the health sciences to music and optics. For strength in the liberal arts and sciences, the university was awarded a chapter ofà Phi Beta Kappa, and due to its impressive research programs, the school earned membership in theà Association of American Universities. The universitys many strengths earned it a place among the top New York Colleges and the top Middle-Atlantic Colleges. The University of Rochester Yellowjackets compete in NCAA Division III athletics. The school fields ten mens and eleven womens intercollegiate sports. To apply, students can use theà Common Application or the Coalition Application. Applicants to the Eastman School of Music must apply directly to the program on the schools website. University of Rochester has an Early Decision program that can improve admission chances for students who are sure the university is their top choice school. Considering applying to this selective school? Here are the University of Rochester admissions statistics you should know. Acceptance Rate During the 2017-18 admissions cycle, the University of Rochester had an acceptance rate of 29%. This means that for every 100 students who applied, 29 were admitted, making Rochesters admissions process competitive. Admissions Statistics (2017-18) Number of Applicants 21,255 Percent Admitted 29% Percent Admitted Who Enrolled (Yield) 24% SAT Scores and Requirements The University of Rochester has test-flexible admissions, meaning that applicants can choose to submit SAT Subject test scores, Advanced Placement exam scores, International Baccalaureate exam scores, and several international standardized tests in lieu of SAT and ACT scores. During the 2017-18 admissions cycle, 66% of admitted students submitted SAT scores. Note that beginning with application year 2019, University of Rochester will implement a test-optional application policy. SAT Range (Admitted Students) Section 25th Percentile 75th Percentile ERW 640 710 Math 680 790 ERW=Evidence-Based Reading and Writing This admissions data tells us that most of University of Rochesters admitted students fall within the top 20% nationally on the SAT. For the evidence-based reading and writing section, 50% of students admitted to University of Rochester scored between 640 and 710, while 25% scored below 640 and 25% scored above 710. On the math section, 50% of admitted students scored between 680 and 790, while 25% scored below 680 and 25% scored above 790. Applicants with a composite SAT score of 1500 or higher will have particularly competitive chances at the University of Rochester. Requirements The University of Rochester does not require the SAT writing section. Note that University of Rochester participates in the scorechoice program, which means that the admissions office will consider your highest score from each individual section across all SAT test dates. ACT Scores and Requirements The University of Rochester has test-flexible admissions, meaning that applicants can choose to submit SAT Subject test scores, Advanced Placement exam scores, International Baccalaureate exam scores, and several international standardized tests in lieu of SAT and ACT scores. During the 2017-18 admissions cycle, 28% of admitted students submitted ACT scores. Note that beginning with application year 2019, University of Rochester will implement a test-optional application policy. ACT Range (Admitted Students) Section 25th Percentile 75th Percentile English 30 35 Math 28 34 Composite 30 34 This admissions data tells us that most of University of Rochesters admitted students fall within the top 7% nationally on the ACT. The middle 50% of students admitted to University of Rochester received a composite ACT score between 30 and 34, while 25% scored above 34 and 25% scored below 30. Requirements The University of Rochester does not require the ACT writing section. Unlike many universities, University of Rochester superscores ACT results; your highest subscores from multiple ACT sittings will be considered. GPA In 2018, the average high school GPA for incoming University of Rochester freshman was 3.8. These results suggest that most successful applicants to the University of Rochester have primarily A grades. Self-Reported GPA/SAT/ACT Graph University of Rochester Applicants Self-Reported GPA/SAT/ACT Graph. Data courtesy of Cappex. The admissions data in the graph is self-reported by applicants to the University of Rochester. GPAs are unweighted. Find out how you compare to accepted students, see the real-time graph, and calculate your chances of getting inà with a free Cappex account. Admissions Chances The University of Rochester, which accepts fewer than a third of applicants, has a competitive admissions pool with above average GPAs and SAT/ACT scores. However, University of Rochester has aà holistic admissions process involving other factors beyond your grades and test scores. A strong application essay and short answer response and glowingà letters of recommendation can strengthen your application, as can participation in meaningfulà extracurricular activities and a rigorous course schedule. In the graph above, the blue and green dots represent accepted students. You can see that the majority of successful applicants had high school averages of A- or higher, combined SAT scores of 1250 or higher, and ACT composite scores of 27 or better. A significant number of applicants had perfect 4.0 GPAs. All admissions data has been sourced from the National Center for Education Statistics and University of Rochester Undergraduate Admissions Office.
Tuesday, May 12, 2020
Psychological Disorders Proper and Ethical Diagnosis of...
Psychology Diagnosis The author of this report is asked to complete a number of different requires, all relating to the proper and ethical diagnosis of psychological disorders. Two fictitious disorders are to be diagnosed. Within that process, the author is asked to define two different treatment options for the two diagnoses, define the specific techniques that would be used to help the client in question and provide the ethical obligations inherent to this diagnosis, how it should be done and why. The first diagnosis will be for post-traumatic stress disorder and the other will be for generalized anxiety disorder. PTSD Diagnosis Patient A was raised in a tumultuous situation. Her mother was married to her father for the first year or so of her life but her parents then divorced. Custody of Patient A went with the mother. The mother was disengaged as a parent and was allegedly more focused on chasing men rather than a parent. Patient A was the subject of intense and ongoing mental abuse with some physical abuse at times. She was forced to raise her younger brother in many ways and this continued until the mother lost custody when the patient was seven years old. Even with the relatively brief period of her life that she was with the absentee mother, the patient developed PTSD and self-esteem issues based on the diagnosis of prior doctors and other professionals. This diagnosis can be confirmed, of course, using DSM-IV-compliant measurement and verification toolsShow MoreRelatedThe Abuse of Psycho-Stimulants on College Campuses Essay2337 Words à |à 10 PagesThe pill bottle is opened. Three students circle around several lines of a crushed up yellow substance. The occasion is a late night study session, the drug of choice: Adderall. This fictitious story is an unfortunate reality, deeply wired into the circuits of higher education. College campuses house an outbreak of prescription drug abuse. A sturdy foundation of overly prescribed stimulants crossed with the high educational demand classes represent, pose as a major issues for universities. Not onlyRead MoreThe Myth of Mental Illness2711 Words à |à 11 Pagesmental illness is exemplifi ed by the first two results obtained from a quick search of its definitions on www.dictionary.com. The first definition comes from The American Heritage Dictionary of the English Language, and the second from The American Heritage Stedman s Medical Dictionary: Any of various conditions characterized by impairment of an individual s normal cognitive, emotional, or behavioral functioning, and caused by social, psychological, biochemical, genetic, or other factors, suchRead MoreSources of Ethics20199 Words à |à 81 Pagesethics(business of ethics) 75 Code of conduct (employee ethics) 75 Code of practice (professional ethics) 76 General codes of ethics: 76 Examples 77 2.62- Company Operating Policy: 77 I. INTRODUCTION 78 II. COMPLIANCE WITH LAWS AND ETHICAL BUSINESS CONDUCT 80 III. CONTRACT AUTHORITY 81 IV. CONFLICTS OF INTEREST 83 V. FAIR DEALINGS 88 VI. RECEIPT OF GIFTS, LOANS, FAVORS, OR OTHER GRATUITIES 88 VII. USE OF THE COMPANY FUNDS OR OTHER RESOURCES 90 VIII. POLITICAL CONTRIBUTIONSRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words à |à 1573 PagesBalance Workââ¬âLife Conflicts 21 â⬠¢ Creating a Positive Work Environment 22 â⬠¢ Improving Ethical Behavior 22 Coming Attractions: Developing an OB Model 23 An Overview 23 â⬠¢ Inputs 24 â⬠¢ Processes 25 â⬠¢ Outcomes 25 Summary and Implications for Managers 30 S A L Self-Assessment Library How Much Do I Know About Organizational Behavior? 4 Myth or Science? ââ¬Å"Most Acts of Workplace Bullying Are Men Attacking Womenâ⬠12 An Ethical Choice Can You Learn from Failure? 24 glOBalization! Does National Culture AffectRead More_x000C_Introduction to Statistics and Data Analysis355457 Words à |à 1422 PagesActivity 10.2 A Meaningful Paragraph 575 Graphing Calculator Explorations 580 11 Comparing Two Populations or Treatments 583 11.1 Inferences Concerning the Difference Between Two Population or Treatment Means Using Independent Samples 583 11.2 Inferences Concerning the Difference Between Two Population or Treatment Means Using Paired Samples 606 11.3 Large Sample Inferences Concerning a Difference Between Two Population or Treatment Proportions 619 11.4 Interpreting and Communicating the Results
Wednesday, May 6, 2020
Consequences of Chocies Free Essays
In Romeo Juliet, and its modern counterpart West Side Story, the choices the characters made, lead to their pain and suffering. Many of the choices that lead to negative consequences were because of characters in both Romeo Juliet, and West Side Story acting out of love. Their love for someone made them act out in a way that kept their life at risk. We will write a custom essay sample on Consequences of Chocies or any similar topic only for you Order Now Love can force someone to do things they would never even think of to do. In West Side Story, when Tony hears that Marl was murdered by Chino, he runs out In the open, calling out is name and asking Chino to kill him too. Tony knows that Chino can come out with a gun and kill him. But, because of his love for Marl, he risks his life to see If this news was true. HIS choice risked his life, and In the end, he was shot by Chino. In Romeo Juliet, when Romeo hears of Gulletââ¬â¢s death, he rides back to Verona to see it for himself. In the Capletââ¬â¢s grave, he sees Juliet ââ¬Å"deadâ⬠. He does not have anything to live for because of his loveââ¬â¢s death. Due to this, he drinks poison and kills himself. ââ¬Å"Hereââ¬â¢s to my love. [Drinking] O true apothecary, / Thy drugs are quick. Thus with a sis I dieâ⬠(Shakespeare V, 3, 119-120). Because of Gulletââ¬â¢s death, Romeo believes that there is no reason to live anymore. His love for Juliet forced him to drink the poison. It was a choice that he made, but an event that could have made both, Romeo and Juliet alive. The act of love is not the only emotion that can cause someone to make a wrong choice. The emotion of hatred can also cause someone to react In a way they would never do. Hatred can also make someone act In a way they never would. The hatred for someone or a group of people can lead someone to act out. Without thinking. Their hooch will lead to a great consequence. A grudge can also lead to a bad decision. With a bad decision, comes a major consequence. In Romeo Juliet, Shakespeare writes about when Table demands to fight Romeo, even when the Prince warned both houses, if anyone causes a commotion, they will be executed. Tableââ¬â¢s hatred for Romeo and the Montageââ¬â¢s for their appearance at the Capletââ¬â¢s dance caused him to require a fight. ââ¬Å"Boy, this shall not excuse the injuries/ That thou hast done me. Therefore turn and drawâ⬠(Shakespeare Ill, 1, 67-68). Emotions can make someone act in ways that are absurd. The emotion basically takes over them, and makes them make terrible choices without even thinking about It. Generally, people make decisions based what seems the most reasonable or most ethical. A bad choice comes with a negative consequence. If that choice seems reasonable, he/she will pursue that choice, without going over the consequence that their choices will create. In Romeo Juliet, Shakespeare writes about when Table kills Mercuric with his sword. When Romeo finds out that Mercuric was murdered by a Caplet, it greatly angers him and he runs to where Table and the Capsules are. Romeo draws his sword and demands a sword fight with Table to avenge his cousinââ¬â¢s death. ââ¬Å"Alive in triumph, and Mercuric slain! ââ¬Ë Away to heaven, respective lenient,] And fire eyed fury be my conduct now. -/ Now, Table, take the ââ¬Å"villainâ⬠back again/ That late thou agaves me, for Americiumââ¬â¢s soul/ Is but a little way above our heads,] Staying for thing to keep him company. ââ¬Ë Either thou or l, or both, must go with himâ⬠(Shakespeare Ill, 1, 127- 134). Romeo definitely did not think this over, and he did not think about the outcome of his decision. Because of his decision to fight Table, he ended up murdering Table and getting banished from Verona. Ultimately, all bad decisions come from people not thinking the decision through. Because of not thinking decisions through, the main characters of Romeo Juliet, and West Side Story suffered. The characterââ¬â¢s choices led to negative consequences and to their deaths. Emotions of the characters forced them to act in a wrong way and not realizing the consequence of their actions brought them to their deaths. Life is definitely made of the choices people make in their lives. How to cite Consequences of Chocies, Papers
Friday, May 1, 2020
Understand The Significance Of Supply Chain Management in Business
Question: Discuss about the Understand The Significance Of Supply Chain Management in Business. Answer: Introduction: In this assignment, the different aspects related to supply chain management of beef and veal is evaluated with proper precision. At first, thesupply chain management is defined. Then the importance of the same is given. The entire processes of the supply chainmanagement are evaluated. Finally, the effective ways of supply chain management are recommended and the entire assignment is concluded. The primary objectives of this assignment are to understand the significance of supply chain management in business. Supply chainmanagement is an important part of beef and veal business as it deals with the administration of different supply chain related process which is crucial for the business operations as the product beef and veal are perishable(Chopra et al. 2016, p.54). Supply chain management is also comprised of many associated processes such as value chain, distribution management, option chain and supply chain finance. The entire process of supply chain management relies upon the L aw of Supply And Demand (Monczka et al. 2015, p.45). If the process of the supply chain is managed efficiently, it results in increased productivity as well as the profitability of the concerned organisation. Identification of supply chain management: The key objectives of supply chain management are to ensure different supply related activities of beef and veal production so that the customer values, as well as a sustainable competitive advantage, are achieved. It also deals with the smooth running of the business operation by guaranteeing a conscious effort (Fawcett et al. 2013, p.67). This effort ensures the productivity of the firm in most possible effective and efficient way. The process supply chain management comprises sourcing, product development, production as well as logistics. Furthermore, it also deals with the information systems which are important for coordination of the all above stated activities (Mangan and Lalwani, 2016, p.73). The fundamentals of the supply chain management of beef and veal lie on two basic ideas. Firstly, the end product or the final product reaches to the customer through cumulative efforts of several organisations. These organised efforts are collectively called as the supply chain management. Secondly, the entire success of the organisation depends on how efficiently it employs the supply chain activities (Rushton et al. 2014, p.98). Hence, supply management of beef and veal mainly comprised of the activities that ensure the right product in right place. They also have keen attention in the inventory as if the inventories are not well managed it can effect on the production. Poor management in keeping the inventory; results in hammering the production due to lack of raw materials (Coyle et al. 2016, p.85). Now, in order to up to date the inventory, the role of logistics and relation with the suppliers are important. If the relations of the organisation are good with the suppliers there will be a reliance on the quality of the raw materials. Now, logistics is needed to move the raw material to the inventory (Fernie and Sparks, 2014, p.61). The logistics also need to be planned with meticulous efforts to ensure the quality of the goods remains intact as it reaches the inventory. In order to maintain this; the organisation needs to link the physical flow of goods with the flow of information. If these two processes that are physical flow and information flow are synchronised then the entire process of the supply chain can be efficiently managed (Wisner et al. 2014, p.58). Evaluation of supply chain management: As said earlier the entire process of supply chain management of beef and veal lies on the law of supply and demands; hence, in this portion at first, the law of supply and demands are evaluated. Along with the evaluation of the law of supply and demands the different constituents of the supply chain such as value chain, distribution management, option chain and supply chain finance are discussed here. Law of Supply And Demand: The primary objectives of the law of supply and demands are to fabricate an equilibrium price. This is the price in which a producer can trade all the products that are produced in the firm and a customer can purchase all the products that he needs (Monczka et al. 2015, p.45). Value chain: Value chain is an effective model developed by Michael Porter. This model deals with the process by which the production house gets their raw material so that they can finish the product in the due time with acceptable quality (Fawcett et al. 2013, p.67). With the help of the value chain analysis, the organisation can ensure a sustainable competitive advantage over their competitors. Distribution management: Monitoring the movement of raw material from suppliers to the inventory, from inventory to the production house and from the production house to the point of sale is called distribution management (Fernie and Sparks, 2014, p.61). Along with the increase in the size of the organisation the complication in the distribution increases. Hence, in order to maintain the proper distribution management in larger organisation automation and synchronisation of physical flow with information flow is important (Wisner et al. 2014, p.58). Option chain: Option chain is the management of all the options available to the organisation and forms a list of where the information can be taken in an organised form (Rushton et al. 2014, p.98). Supply chain finance: Supply chain finance is the financing process that supports the supply chain management. Any kinds of the business transaction are associated with the financials. Thus, managing finance ensures the effective performance of the linked process (Coyle et al. 2016, p.85). Conclusion and Recommendation100: After evaluation of the entire supply and chain management of beef and veal, it can be recommended that the process of supply chain management is done as fast as possible as the product dealt with is beef and veal which is perishable. It is also important to be mentioned here that this whole process needs to be cost effective or else the final cost of the end product will increase and the equilibrium price cannot be reached. References: Chopra, S., Meindl, P. and Kalra, D.V., 2016.Supply chain management. Pearson Education. Monczka, R.M., Handfield, R.B., Giunipero, L.C. and Patterson, J.L., 2015. Purchasing and supply chain management. Cengage Learning. Fawcett, S.E., Ellram, L.M. and Ogden, J.A., 2013.Supply Chain Management: Pearson New International Edition: From Vision to Implementation. Pearson Higher Ed. Mangan, J. and Lalwani, C., 2016.Global logistics and supply chain management. John Wiley Sons. Rushton, A., Croucher, P. and Baker, P., 2014.The handbook of logistics and distribution management: Understanding the supply chain. Kogan Page Publishers. Coyle, J.J., Langley, C.J., Novack, R.A. and Gibson, B., 2016.Supply chain management: a logistics perspective. Nelson Education. Fernie, J. and Sparks, L., 2014.Logistics and retail management: emerging issues and new challenges in the retail supply chain. Kogan page publishers. Wisner, J.D., Tan, K.C. and Leong, G.K., 2014.Principles of supply chain management: A balanced approach. Cengage Learning.
Sunday, March 22, 2020
The Poetry Of E. E. Cummings Essay Example For Students
The Poetry Of E. E. Cummings Essay E. E. Cummings, who was born in 1894 and died in 1962, wrote many poems with unconventional punctuation and capitalization, and unusual line, word, and even letter placements namely, ideograms. Cummings most difficult form of prose is probably the ideogram; it is extremely terse and it combines both visual and auditory elements. There may be sounds or characters on the page that cannot be verbalized or cannot convey the same message if pronounced and not read. Four of Cummings poems l(a, mortals), !blac, and swi( illustrate the ideogram form quite well. Cummings utilizes unique syntax in these poems in order to convey messages visually as well as verbally. We will write a custom essay on The Poetry Of E. E. Cummings specifically for you for only $16.38 $13.9/page Order now Although one may think of l(a as a poem of sadness and loneliness, Cummings probably did not intend that. This poem is aboutindividuality oneness (Kid 200-1). The theme of oneness can be derived from the numerous inezces and forms of the number 1 throughout the poem. First, l(a contains both the number 1 and the singular indefinite article, a; the second line contains the French singular definite article, le; ll on the fifth line represents two ones; one on the 7th line spells the number out; the 8th line, l, isolates the number; and iness, the last line, can mean the state of being I that is, individuality or oneness, deriving the one from the lowercase roman numeral i (200). Cummings could have simplified this poem drastically (a leaf falls:/loneliness), and still conveyed the same verbal message, but he has altered the normal syntax in order that each line should show a one and highlight the theme of oneness. In fact, the whole poem is shaped like a 1 (200). The shape of the po em can also be seen as the path of a falling leaf; the poem drifts down, flipping and altering pairs of letters like a falling leaf gliding, back and forth, down to the ground. The beginning l(a changes to le, and af flips to fa. ll indicates a quick drop of the leaf, which has slowed by a longer line, one. Finally, the leaf falls into the pile of fallen leaves on the ground, represented by iness. Cummings has written this poem so perfectly that every part of it conveys the message of oneness and individuality (200). In mortals), Cummings vitalizes a trapeze act on paper. Oddly enough, this poem, too, stresses the idea of individualism, oreachness, as it is stated on line four. Lines 2 and 4, climbi and begi, both end leaving the letter i exposed. This is a sign thatCummings is trying to emphasize the concept of self-importance (Tri 36). This poem is an amusing one, as it shows the effects of a trapeze act within the arrangement of the words. On line 10, the space in the word open ing indicates the act beginning, and the empty, static moment before it has fully begun. of speeds of and ;meet;, lines 8 and 12 respectively, show a sort of back-and-forth motion, much like that of the motion of a trapeze swinging. Lines 12 through 15 show the final jump off the trapeze, and a/n/d on lines 17 through 19, represent the deserted trapeze, after the acrobats have dismounted. Finally, (im on the last line should bring the readers eyes back to the top of the poem, where he finds mortals). Placing (im at the end of the poem shows that the performers attain a special type of immortality for risking their lives to create a show of beauty, they attain a special type of immortality (36-7). The circularity of the poem causes a feeling of wholeness or completeness, and may represent the Circle of Life, eternal motion (Fri 26). .u6fe05f48d6fc293c51f4261ad7e4ca84 , .u6fe05f48d6fc293c51f4261ad7e4ca84 .postImageUrl , .u6fe05f48d6fc293c51f4261ad7e4ca84 .centered-text-area { min-height: 80px; position: relative; } .u6fe05f48d6fc293c51f4261ad7e4ca84 , .u6fe05f48d6fc293c51f4261ad7e4ca84:hover , .u6fe05f48d6fc293c51f4261ad7e4ca84:visited , .u6fe05f48d6fc293c51f4261ad7e4ca84:active { border:0!important; } .u6fe05f48d6fc293c51f4261ad7e4ca84 .clearfix:after { content: ""; display: table; clear: both; } .u6fe05f48d6fc293c51f4261ad7e4ca84 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u6fe05f48d6fc293c51f4261ad7e4ca84:active , .u6fe05f48d6fc293c51f4261ad7e4ca84:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u6fe05f48d6fc293c51f4261ad7e4ca84 .centered-text-area { width: 100%; position: relative ; } .u6fe05f48d6fc293c51f4261ad7e4ca84 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u6fe05f48d6fc293c51f4261ad7e4ca84 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u6fe05f48d6fc293c51f4261ad7e4ca84 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u6fe05f48d6fc293c51f4261ad7e4ca84:hover .ctaButton { background-color: #34495E!important; } .u6fe05f48d6fc293c51f4261ad7e4ca84 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u6fe05f48d6fc293c51f4261ad7e4ca84 .u6fe05f48d6fc293c51f4261ad7e4ca84-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u6fe05f48d6fc293c51f4261ad7e4ca84:after { content: ""; display: block; clear: both; } READ: How Many Pages is 800 Words?Cummings first tightly written ideogram was !blac, a very interesting poem. It starts with !, which seems to be saying thatsomething deserving that exclamation point occurred anterior to the poem, and the poem is trying objectively to describe certain feelings resulting from !. black against white is an example of such a description in the poem; the clashing colors create a feeling in sync with !. Also, why (whi) suggests amusement and wonder, another feeling resulting from ! (Weg 145). Cummings had written a letter concerning !blac to Robert Wenger, author of The Poetry and Prose of E. E. Cummings (see Works Cited). In it, he wrote, for me, thi s poem means just what it says . . . and the ! which begins the poem is whatmight be called and emphatic (=very). This poem is also concerns the cycle of birth, life, death, and renewal. This is derived from the . preceding the last letter. This shows that even though the poem is finished, the circle of life is not, and is ever cycling (Weg 144). Through the poems shape, !blac also shows a leaf fluttering to the ground. The lines spacing synchronizes the speed of the reading with that of the leaf at different points in its fall. With its capital Is, IrlI also indicates a leaf falling straight down before it hits the ground (147). Reading this poem, one may realize the lone comma on line 12. The poet writes about the sky and a tree, and then a comma intrudes, which makes the reader pause, and realize the new awareness that the comma indicated that of a falling leaf (145). Lines 1 through 6 are also very important to the poem. Although black against white may be referring to the colo r of the falling leaf in contrast to the bright sky, it is not wrong to assume it means more. As stated above, the poems theme is the cycle of life, and black against white could be indicating life death versus life. It shows that even though a leaf falling may be an indication of death, falling of leaves is an integral part of the whole life cycle of the tree(146). !blac may seem like a simple mess of words, but in reality is much more complex than that. swi( is another poem of Cummings ideogram form. The essence of this poem is seeing a birds swift flight past the sun, and the wonder of this experience. The poem mainly tries to convince the reader of the difference between conception, what one sees, and perception, what one knows he is seeing (Mar 105). The first line, swi( shows that the object the poet sees is moving so rapdly that before he completely utters his first word, he must describe the object, and that it is passing before another object the sun. His use of only primary descriptives, such as speed, direction, color, and shape indicates that he is trying to describe the bird as quickly as possible. The way he speaks, in terse syllables that lack syntactical relationship to each other, imitate one who tries to speak before he knows exactly what he wants to say; it is another indication of how quickly the object is moving (106). a-motion-upo-nmotio-n/Less?, the 6th line, is signifying that although the poet knows that both the objects are moving, ones motion causes the other to seem still (106). The d, at the end of the poem is showing that after the poet has finally namedthe object he saw, he immediately loses interest and stops, as writing more to further organize his thoughts would be superfluous (106). The contrasting words in this poem are very important. against contrasts with across, and signifies a halt. It seems that the poet wants to stop the object in order to describe it. But a stopping of motion would contradict swi/ftly, so Cummings decided to refer to the speed average of the two, Swi/mming (106). swi( contains less symbolism than the other poems being analyzed, but it is similar in that the syntax adds greatly to the poem. .ucf31b12738c1e8c969f9da4833e1564a , .ucf31b12738c1e8c969f9da4833e1564a .postImageUrl , .ucf31b12738c1e8c969f9da4833e1564a .centered-text-area { min-height: 80px; position: relative; } .ucf31b12738c1e8c969f9da4833e1564a , .ucf31b12738c1e8c969f9da4833e1564a:hover , .ucf31b12738c1e8c969f9da4833e1564a:visited , .ucf31b12738c1e8c969f9da4833e1564a:active { border:0!important; } .ucf31b12738c1e8c969f9da4833e1564a .clearfix:after { content: ""; display: table; clear: both; } .ucf31b12738c1e8c969f9da4833e1564a { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ucf31b12738c1e8c969f9da4833e1564a:active , .ucf31b12738c1e8c969f9da4833e1564a:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ucf31b12738c1e8c969f9da4833e1564a .centered-text-area { width: 100%; position: relative ; } .ucf31b12738c1e8c969f9da4833e1564a .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ucf31b12738c1e8c969f9da4833e1564a .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ucf31b12738c1e8c969f9da4833e1564a .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ucf31b12738c1e8c969f9da4833e1564a:hover .ctaButton { background-color: #34495E!important; } .ucf31b12738c1e8c969f9da4833e1564a .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ucf31b12738c1e8c969f9da4833e1564a .ucf31b12738c1e8c969f9da4833e1564a-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ucf31b12738c1e8c969f9da4833e1564a:after { content: ""; display: block; clear: both; } READ: Home Schooling EssayCummings peculiar method of using syntax to convey hidden meaning is extremely effective. The reader does not simply read and forget Cummings ideas; instead, he must figure out the hidden meaning himself. In doing this, he feels contentment, and thus retains the poems idea for a more extended period of time. Cummings ideogram poems are puzzles waiting to be solved. Works CitedFriedman, Norman. E. E. Cummings: A Collection of Critical Essays. New Jersey: Prentice-Hall, Inc., 1972. Kidder, Rushworth M. E. E. Cummings: An Introduction to the Poetry. New York: Columbia UniversityPress, 1979. Marks, Barry A. E. E. Cummings. New York: Twayne Publishers, Inc., 1964. Triem, Eve. E. E. Cummings. Minneapolis: University of Minnesota Press, 1969. Wegner, Robert E. The Poetry and Prose of E. E. Cummings. New York: Harcourt, Brace World, Inc., 1965.
Thursday, March 5, 2020
Effect of I.T on Accounting System in Nigeria Essay Example
Effect of I.T on Accounting System in Nigeria Essay Example Effect of I.T on Accounting System in Nigeria Essay Effect of I.T on Accounting System in Nigeria Essay Effect of I. T on Accounting System in Nigeria 1. 0 Introduction Information Technologies significantly affect human as well as other animal species ability to control and adapt to their natural environments. The human species use of technology began with the conversion of natural resources into simple tools. Information technology (IT) has created significant benefits for various profession as well as deferent aspect of the world economy. The application of the networks system has shortened the lead time needed by accountants to prepare and present financial information to management and stakeholders. Not only has IT shortened the lead time required to present financial information, but has also improved the overall efficiency and accuracy of the information. Advances in Information Technology (IT) have transformed many firms in professional services industries, but perhaps none as much as those in the public accounting industry. Once a slow-paced and conservative industry, public accounting underwent tremendous changes at the turn of the millennium, sparked largely by the rapid changes in its IT environment (Elliott 2000). Audit software and knowledge-sharing applications are two crucial components of these changes. Automation of audit tasks and use of specialized audit software has substituted IT for labor and changed the structure of audit teams. Equally important is the use of advanced systems to share knowledge bases across different parts of the organization that has enabled professional services firms to leverage their human resources more effectively (Gogan et al. 1995). With rapid advances in IT, numerous articles have appeared in practitioner-oriented accounting journals that discuss how to invest in IT to keep up with the current technology (Smith 1997; Zarowin 1998). The pace of change brought by new technologies has had a significant effect on the way people live, work, and play worldwide. Information technology, while an important area of study in its own right, is having a major impact across all curriculum areas. Easy worldwide communication provides access to a vast array of data, challenging assimilation and assessment skills. In keeping with their complex nature and multiple applications, Information and Communication Technologies (ICTs) may be viewed in different ways. The World Bank defines ICTs as ââ¬Å"the set of activities which facilitate by electronic means the processing, transmission and display of informationâ⬠(Rodriguez and Wilson, 2000). ICTs ââ¬Å"refers to technologies people use to share, distribute, gather information and to communicate through computers and computer networksâ⬠(ESCAP, 2000). ICTs can be described as a complex varied set of goods, applications and services used for producing, distributing, processing, transforming information- (including) telecoms, TV and radio broadcasting, hardware and software, computer services and electronic mediaâ⬠(Marcelle, 2000). ICTs represent a cluster of associated technologies defined by their functional usage in information access and communication, of which one embodiment is the Internet. Hargittai (1999) defines the Internet technically and functionally as follows: ââ¬Å"the Internet is a worldwide network of computers, but sociologically it is also important to consider it as a network of people using computers that make vast amounts of information available. Accounting as a broad field that involves several subjects and where several theories and modern technological tools are being applied has experienced several changes from such aspects as theories, principles and conventions as well as in the aspect of technology. The modern world also change as a result of several factors such as education, technology etc. The changes in different aspect of the globe are traceable to the invention and application of technology. The extent to which technology affected organizations, the modern society and individuals has attracted considerable attention. The computer installations are widely distributed in universities, government departments and agencies, banks, commercial establishments, and industries. It must be realized that the private sector has, however, risen to a position of dominance in the use of computers. 1. 1Background to the Study History of I. C. T in Nigeria In Nigeria, the ICT space is still a twin with a clearly fast-paced telecommunication sector and growing Information Technology section with respected reports often citing Nigeriaââ¬â¢s Telecommunication market as one of the fastest growing globally. The Nigeria telecommunication industry is now over 100 years old. But it was only in 1999 that National Policy on Telecommunication was launched. A national Policy on Information Technology followed in 2001. Along with the establishment of the National Information Technology development Agent under the Federal Ministry of Science and Technology (Data and Sesan 2003). Nigeria is also one the countries in Africa that has benefited from support from the United Nations Economic Commission for Africa in the area of National Information and Communication Infrastructure (NICI) policy. Even though, the discussion on the need to harmonized the various aspect of the nationââ¬â¢s ICT space met with initial skepticism and is only now being discussed at the level of National consultative group that it set to deliver and an ICT for development spurred on by Nigeriansââ¬â¢ participation in world summits on the information Society process which helped shed more on the need for Nigeria to benefit from the undeniable convergence that has brought Information Technology. Telecommunication and content together for good. In a bid to establish it seriousness about ICT harmonization, the Federal Government set up a 26 man presidential task force. On the 22nd of August 2006, the task force was saddled with the responsibility of restructuring government institutions and organizations in the Telecommunication and Information Technology sector in Nigeria. It worth of note that till date, the nationââ¬â¢s telecommunication sector has shown leadership in the nationââ¬â¢s overall ICT role. In December 2000, Nigeria had 450,000 connected fixed lines, no connected digital mobile line, one national carrier eight (18) operation Internet service providers, Nine (9) active licensed fixed-line operators, and one licensed mobile operator (Ndukwe 2005). In same period, Nigeria had 200,000 internet users (internet world Statistic, 2005). Even though many expert disagreed with the figures. The reasons for the disagreement is not far from the fact that there always multiple users form the public terminals in the popular cyber cafes that dot the entire landscape, especially in the major cities across the various regions of the country. Private investments in the ICT also rose from an almost zero value to about four billion dollar ($4,000,000,000) between 1999 and 2003 (Ndukwe, 2005). Nigeriaââ¬â¢s ICT space has improved significantly from 400,000 line in 1996 to over 14 million lines in 2005 owing to independent regulation through the Nigeria Communication Commission, private sector participation on broadened competition. 1. 2Statement of the Problem Long ago, Accountants in Nigeria carried out there professional duty of recording and reporting financial statement undergo extraordinary task of paper work and filling of documents that is prone to misplacement, time consuming, human error in computation of figures and several other financial datum to mention but just few. The introduction of computer services has created its own problems which rage from the type of installation, the employment of qualified personnel to operate them, the cost of installation and maintenance and cost of software packages etc. The act of manipulating companyââ¬â¢s account in order to make the company performance appeals more favourable than it is actually are (window dressing or creative accounting) is in practiced. The Nigeria banking sector has recorded numerous numbers of financial irregularities a problem that the Nation in general still hunt for it solution. This research work therefore intends to investigate how and to what extent has information technology contribute to the numerous financial irregularities reported daily? To what extend has technology shift the application of accounting principle and conventions in terms of manual recording of transactions? Is there any significant difference between the pre-era and the era of technology in accounting as a profession? To what extent has the making, usage, and knowledge of tools, machines, techniques, programs, and systems contributed to the growth and development of accounting? 1. 3The Purpose of the Study The main purpose of this research work is to ascertain: i)The effect of the application of Information Technology on accounting profession in Nigeria. ii)The factors influencing changes in accounting system. iii)The likely effect of Information Technology on Accountant roles in the future. 1. Significant of the Study The main purpose of this research work is to contribute to the existing body of knowledge on the impact/ effect of Information Technology on Accounting System and Development in Nigeria. The study/ research work will no doubt benefit the following group i)The users of financial statements ii)The professional accountants iii)The undergraduate accounting students iv)Financi al organizations 1. 5 Scope of the study In this work, among other researches that will be included, attention will be mainly on the following areas a)The traditional role of accounting and accountants )Methods of recording transaction c)Presentation and analysis financial information as well as interpretation. d) The importance and relevancies of the technological tools, machines, techniques, programs (software packages) in performing above functions. 1. 6Research Questions (1)To what extent does Information Technology affect the Accounting principles and conventions? (2)To what extent does application of Information Technology contribute to financial crimes reported on daily basis? 3)To what extent does Information Technology contribute to the reliability of accounting productivity? Operational Definition of Terms Computer: A computer can be defined as an electronic machine that can accept data as input, process it, store and produce result as an output or an information. Informat ion Technology: Computer based information management systems allowing a financial institution to collect information from many different sources and develop a composite picture about its customers, its market position in different financial centres, and its net exposure in those markets. Profession: A profession is a vocation founded upon specialized educational training, the purpose of which is to supply disinterested counsel and service to others, for a direct and definite compensation, wholly apart from expectation of other business gain. Accounting: Accounting is the process of recording; classifying, selecting, measuring, interpreting and commutation of financial data of an organization to enable users make assessments and decision. It is a discipline which comprises a set of theories and concepts for processing financial data. Auditing: Auditing is an independent examination and investigation of the books of account and vouchers of a business with a view of enabling the auditors to report whether the balance sheet and profit and loss account are properly drawn up so as to show a true and fair view of the state of affairs and the profit or loss of the business according to the best of the information and explanation obtained by the auditor(s). Automated Teller Machine: Device used by bank customers to process account transactions. Typically, a user inserts into the ATM a special plastic card that is encoded with information on a magnetic strip. The strip contains an identification code that is transmitted to the banks central computer by modem. Internet: a worldwide network of computers. Hardware: are component devices which are typically installed into or peripheral to a computer case to create a personal computer upon which system software is installed including a firmware interface such as a BIOS and an operating system which supports application software that performs the operators desired functions. Softcopy is the unprinted digital document file. This term is often contrasted with hard copy. It can usually be viewed through an appropriate editing program, such as word processing programs, database programs, or presentation software, depending on the file type Input is the term denoting either an entrance or changes which are inserted into a system and which activate/modify a process. Output: Information obtained from computer e. g. line printer, visual display unit (VDU). Effect: The powerful impact that something (computer or non computer) has on another thing, say Accounting profession. Data: This unprocessed fact from which information is processed. Financial Information: The information stating the amount (N) a transaction existing between a fir and its clients or customer at a given period of time. Sources of financial information are invoice, receipt, debit and credit notes, etc. Financial Statement: This statement showing the assets and liabilities and the financial position of a firm at the end of an accounting period. Window Dressing: The act of manipulating companyââ¬â¢s account in order to make the company performance appeals more favourable than it is actually are. Reference: L. A. Ogunsola and W. A. Aboyade Information and Communication Technology in Nigeria: Revolution or Evolution,Hezekiah Oluwasanmi Library, Obafemi Awolowo University, Ile-Ife, Nigeria infoplease. com Thomas P. Fitch: Banking Dictionary: Dictionary of Banking Terms, 5th Edition, published by Barrons Educational Series, Inc. Sidney Webb and Beatrice Webb: New Statesman, 21 April 1917, article by the UK Competition Commission, dated 8 November 1977, Kaka O. A, Arowolo O. A, Olufowobi, A. J, Longe O. B. (2008): Basic Computer Operations Their Applications, Published by Boskay Computer Services
Tuesday, February 18, 2020
United Airline history (from 1990 to 2000) Research Paper
United Airline history (from 1990 to 2000) - Research Paper Example ââ¬Å"And if I did [fly with you], I wouldnââ¬â¢t bring my luggage / ââ¬ËCause youââ¬â¢d just go and break it, / Into a thousand pieces, / Just like you broke my heartâ⬠(Carroll, n.d.). This is not a love song; it is rather a sad song about a passengerââ¬â¢s bad experience when he boarded the plane managed by the United Airlines. The persona in the song criticizes the ââ¬Å"complete indifferenceâ⬠exhibited by the flight attendants towards him. Entitled United Breaks Guitars, the music piece subtly reveals two facets in the narrative: (1) the passengerââ¬â¢s plight; and (2) the United employeeââ¬â¢s lack of professionalism. First, the needs or reasonable complaints of the customers appear to be insignificant to the employees of the United Airlines. This shows the level of treatment in which the United provides its customer-passengers. And second, the United flight attendants apparently fail to behave professionally by reacting to the passengerââ¬â¢s plight with the heartless words ââ¬Å"Donââ¬â¢t ask me.â⬠Communications strategy Smith, Berry, and Pulford (1999), on the other hand, states that the United Airlines has been pondering on the minds of its travellers. For instance, United inquires or explores on the daily activities of its passengers and on the persons whom these customers speak to whenever they book a flight. The underlying principle here is, obviously, the end in which the United Airlines can track and attract numerous costumer-passengers. The problem, however, is that United is more concerned with obtaining and gaining a number of customers rather than in providing satisfactory services towards them. Moreover, the focus on the traveller has a drawback to the personnel who book the flight and other United employees associated to booking and travel policy. Smith et al. (1999) argue that these people (e.g., travel agents) have the capacity to ââ¬Å"influence over the choice of airlineâ⬠made by the cu stomer-travellers. It is empirical for the travel agents, they say, to possess a much more detailed information about ââ¬Å"routes, schedules and pricesâ⬠in order to better serve their customers (Smith et al., 1999). Technology It appears that the United Airlines cares less to the passengerââ¬â¢s plight and more to the companyââ¬â¢s ways of gaining more traveller-customers. Kelly (1999) writes about the Unitedââ¬â¢s parallel processing technology wherein it functions as a machinery in ââ¬Å"forecast[ing] demandâ⬠and thereby increases the companyââ¬â¢s profit. According to a study, the United Airlines dramatically accumulates a large amount of profit from such technology by as much as $100 million per year (Kelly, 1999). Named as IBM RS/6000, the technology operates through an analysis or calculation from the given data in order to determine the passenger-demand forecast. In using this technology, United only looks and focuses on the flight ââ¬Å"pathsâ⬠of a particular travel route in contrast to its flight ââ¬Å"legsâ⬠(Kelly, 1999). That is to say, the path that is to be analyzed or computed, from the Boston-to-Los-Angeles flight route with a stopover in Chicago, is the Boston-to-Los-Angeles path. The signifier ââ¬Å"legsâ⬠signifies the short route (i.e., stopover) from state to state while the term ââ¬Å"pathsâ⬠refers to the ultimate destination of the passenger-traveller from one state to another. On employees Blacks The United Airlines composes employees of different colors; of the many colors, the Black stands high and bright. For one, there are numerous African Americans working in Oââ¬â¢Hare International Airport situated in the state of Chicago. Most of them are Unitedââ¬â¢
Monday, February 3, 2020
Report leadership Coursework Example | Topics and Well Written Essays - 4750 words
Report leadership - Coursework Example g to a visible set of leadership differences prevailing between Apple under the guidance of Jobs and Enron, their respective approaches towards performing various operational functions were also been determined thoroughly in the report. Steve Jobs had been quite an influential leader over the years and during his reign, Apple has experienced maximum success in the global business market. However, on the other hand, owing to the inefficiency in the domain of leadership, Enron has seen a major setback in its business, which ultimately resulted in total demise from the global market. Contextually, certain areas of improvement were highlighted in the report that could have enhanced the leadership approaches of both the companies and their respective leaders up to a certain extent. Business patterns have been transformed immensely over the years due to the progression in the domain of technology along with the emergence of various new and developed means of steering business activities. It will be crucial to depict that companies, which fail to move in parallel with the changing business environment will not be capable or less capable in ensuring the conduct of sustainable operations in the global business world. Contextually, it is worth mentioning that companies have the need to develop effective as well as creative strategies that can strengthen their competitive position both in the domestic and the global market. It is quite obvious to the fact that due to the absence of proper plans and policies, any business will suffer adversely and will not able to create a sustainable position for themselves in this competitive business world. In this regard, it is vital that companies plan their objectives and business prospects in an effective and efficient manner, further enhancing the probability of gaining maximum success. However, the other side of the coin depicts that proper execution of the strategies is equally important to attain several significant benefits for
Sunday, January 26, 2020
Developing An Evidence Based Study Into Postoperative Pain
Developing An Evidence Based Study Into Postoperative Pain In spite of recent advances in pain management, postoperative pain still remains a major clinical problem (Gilmartin and Wright, 2007; Manias et al., 2005; Singer et al., 2010) with about 69% of patients experiencing moderate to severe pain after surgery (Apfelbaum et al., 2003). Postoperative pain, although expected is an undesirable experience after surgery (Good, 1995; Rosenquist and Rosenberg, 2003). When left untreated or inadequately managed, it can negatively affect an individuals physical, psychological and social well being (Vaughn, Wichowski and Bosworth, 2007). Thus, it generates additional responsibilities for the healthcare provider (Wilmore and Kehlet, 2001) as well as creating economic difficulties for ones family, society and the nation at large (Vaughn et al., 2007). Pharmacological interventions have been used as the mainstay in the management of postoperative pain (Dolin, 2002). However, these interventions are not without undesirable effects such as nausea, vomiting, dizziness, drowsiness and allergic reactions (Koch et al., 1998). Analgesic techniques for perioperative pain relief are therefore, being challenged by an ever-increasing demand for complementary and holistic therapies (McCaffrey and Locsin, 2002). Thus, several non-drug techniques can be used as adjuncts in managing postoperative pain (Good et al., 2005). The use of music as a nonpharmacological technique has prompted various research studies in the area of postoperative pain management (Ikonomidou et al., 2004). Resultantly, several studies have been published on this issue; hitherto, these have produced contradictory findings (Anderson et al., 2005; Good et al., 2001, 2002, 2005; Heiser et al., 1997; Heitz et al., 1992; Ikonomidou et al., 2004; Nilsson et al., 2001, 2003; Taylor et al., 1998). In an attempt to find solutions to the efficiency of music as a pain management intervention, an increasing number of systematic reviews (Cepeda et al., 2006; Dunn, 2004; Engwall and Duppils, 2009; Evans, 2002; Nilsson, 2008) have been published during the past years. Nonetheless, the conclusions from these studies may be questionable for various reasons such as poor methodological quality of included studies, limited search strategies, inclusion of studies from only developed countries and being outdated. With the evolvement of recent studies (Allred, Boyers and Sole, 2009; Cooke et al., 2010; Ebneshahidi and Mohseni, 2008; Good and Ahn, 2008; Hook, Sonwathana and Petpichetchian, 2008; Sen et al., 2009) which continuously report conflicting findings and the flaws identified in previous reviews, this issue needs to be addressed in a more rigorous manner. The aim of this dissertation is to ascertain the efficacy of music as a postoperative pain management intervention by systematically reviewing the available literature. With the aid of the evidence from already existing literature, this dissertation will commence with the rationale for the proposed systematic review and justification of the review question. In the subsequent chapter, the systematic review methodology will be explored together with the justification for the main decisions of the review. Following this, the results of the proposed review will be presented in the next section. This will be followed by discussions and conclusions on the review. Finally, I will reflect on the learning achieved through the systematic review process and the implications of the study findings for clinical practice, research and education. Literature Review A review of the literature identifies the trends, strengths and limitations of the methodological approaches of a study (Dunn, 2004). Thus, it provides an orientation to the known and unknown aspects of a subject area (Blaxter et al., 1996; Parahoo, 1997; Polit et al., 2001) and directs future studies (Stevens, 1993). In this section, the rationale and justification of the review question will be provided following the background information and literature on the use of music in managing postoperative pain. Epidemiology of Postoperative Pain It has been estimated that more than 73 million surgeries are perà formed every year in the United States (Apfelbaum et al., 2003). Apparently, the tissue damage and trauma caused during surgery results in acute postoperative pain which may vary in intensity from mild to excruciating pain (Hutchison, 2007). Recent studies indicate that effective pain management remains elusive for a significant proportion of surgical patients (Dolin, Cashman and Bland, 2002; Svensson, Sjostrom and Haljamae, 2000; Werner et al., 2002). Many of them continue to experience unrelieved postoperative pain (Backstrom and Rawal, 2008) despite years of research into pain and its management (Botti, Bucknall and Manias, 2004; Hutchison, 2007). This may be partly due to the insufficient training received by healthcare professionals on pain management (American Medical Association, 2010). In addition, many patients have accepted the notion that acute postoperative pain is to be expected during hospitalisation. Thus, the resultant effect is the widespread poor management of postoperative pain (Warfield and Kahn, 1995). The ineffective management of postoperative pain has been highlighted in the literature (Abbott et al., 1992; Bostrom et al 1997; Donovan et al. 1987). A survey conducted by Oates et al. (1994) revealed that 34% of the 206 patients experienced moderate to severe pain postoperatively. Conclusions from the National Health and Medical Research Councils (1999) report also depicted that about 75% of patients experienced moderate to severe postoperative pain. An inquiry made by Watt-Watson and colleagues also showed that 51% of 225 postoperative patients following cardiac surgery reported of severe pain (Watt-Watson et al., 2000). Moreover, a random national study conducted by Apfelbaum and co-workers illustrated that out of the 80% of patients who reported of postoperative pain, 86% of them were experiencing moderate to severe pain (Apfelbaum et al., 2003). All these continuous reports of moderate to severe postoperative pain draw attention to the inadequacies in pain management (McCaffer y Ferrell, 1997). This is because patients often underestimate their pain due to their high expectations regarding postoperative pain experience (Hutchison, 2007). Some clinicians and patients also have misconceptions about the use of opioid analgesics which contribute to the inadequate postoperative pain management (McCaffery and Ferrell, 1991). Other factors also include the type of surgery (Rai, 1993), patients gender, age, preoperative pain and psychological factors (Bisgaard et al., 2001; Edwards et al., 2004; Granot and Ferber, 2005). Potentially, technical difficulties with intravenous (I.V.) access lines and patient-controlled analgesia (PCA) devices also serve as contributory factors (Wickstrom, Nordberg and Johansson, 2005). Pharmacokinetic and pharmacoà dynamic factors may also affect postoperative analgesia (). *A meta-analysis comparing the incidence of pain following three analgesic techniques: I.M. analgesia, PCA, and epidural analà gesia after surgery was conducted by Dolin et al. (2002). Data stratification based on the drug administration route revealed that the proà portion of patients with moderate-to-severe postoperative pain was highest in I.M. opioid administration group while this was lowest in the epidural opioid group. In recent times, pain management is gaining increasing attention among healthcare providers and professional bodies (Hutchison, 2007). Thus, January 1, 2001 was declared during a United States congress as the commencement of a decade of pain control and research (American Academy of Pain Medicine, 2010). Furthermore, the Amerià can Pain Society (APS) presently urges clinicians to consider pain as the fifth vital sign (Loeser, 2003). This initiative has stimulated more interest and attention to the management of pain. As a consequence of that, several professional and regulatory bodies have recently produced guidelines for managing postoperative pain (American Society of Anaesthesiologists, 2004; American Pain Society, 2003; European Asà sociation of Urology, 2003; Veterans Health Administration and Department of Defense, 2002; Joint Commisà sion on Accreditation of Healthcare Organisations, 2001). Definition of Postoperative Pain The concept of pain has been a subject for discussion since antiquity. A universally accepted definition of pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage described in terms of such damage (IASP, 1979: 250). This definition emphasises on the subjective nature of the pain experience which can be influenced by multiple factors (IASP, 2003). As a result of this, McCaffery (1983: 14) defines pain as whatever the experiencing person says it is, existing whenever she says it does. Postoperative pain is thus, defined as an acute form of pain which is experienced after surgery (Fine and Portenoy, 2007). Impact of Inadequate Postoperative Pain Relief Unrelieved postoperative pain can be detrimental to the physiological, psychological and sociological health of patients (Reyes-Gibby, 2002; Strassels, 2000; Vaughn et al., 2007). These negative consequences are derived from various body systems such as the cardiovascular, respiratory, gastrointestinal, renal, neuroendocrine and the autonomic nervous systems (Duggleby and Lander, 2004; Tulay, 2010). Physically, longer periods of unrelieved postoperative pain can result in physiologic alterations which include the stimulation of the pituitary-adrenal system (Yeager et al., 1987), sympathetic nervous system (Pasero, Paice and McCaffery, 1999) and restricted mobility (Yeager et al., 1987; Murray, 1990) which may result in cardiovascular, gastrointestinal and renal changes (Puntillo and Weiss, 1994; McCaffery and Pasero, 1999). All these changes in a postoperative may serve as a risk factor for the development of adverse effects such as deep vein thrombosis, pulà monary embolism, pneuà monia (APMGP, 1992), coronary ischaemia, myocardial infarction (APMGP, 1992; Jacox et al., 1994; Puntillo and Weiss, 1994; Staats, 1998; McCaffery and Pasero, 1999), reduced immunity (Ikonomidou et al., 2004), poor wound healing (Shang and Gan, 2003) and chronic pain. Psychologically, unrelieved postoperative pain may result in stress, anxiety, depression and demoralisaà tion (Murray, 1990). In addition, the undertreatment of postoperative pain has potential negative consequences for health systems (Hutchison, 2007). This includes extended periods of hospitalisation (Heiser et al, 1997; Miaskowski, 1993), readmissions (Ikonomidou et al., 2004) and patient dissatisfaction (Shang, 2003). As a result of this, additional responsibilities are placed on the healthcare provider which may lead to staff exhaustion and its resultant sick leaves (Wilmore and Kehlet, 2001). Subsequently, these may increase the overall costs of hospitalisation and place health systems at a disadvantaged position, especially in todays competià tive healthcare environment (Henry, 1995). Ultimately, these negative consequences have a enormous impact on the patients family, society and the nation at large (Vaughn et al., 2007). Pain Management The importance of addressing the complex issues of pain management cannot be overemphasized (Botti, Bucknall and Manias, 2004). Apart from reducing unnecessary suffering, effective pain control improves patient outcomes (Wasylak et al., 1990; Watwill, 1989; Sydow, 1989) and enhances their quality of life (Goudas, 2001; Reyes-Gibby, Aday and Cleeland, 2002; Rogers et al., 2000a; Rogers et al., 2000b; Strassels, Cynn and Carr, 2000). It is generally accepted that needless suffering from pain in any patient is unethical (Sà ¶derhamn and Idwall, 2003) and illustrates a betrayal of the healthcare professionals commitment to serve humanity (Ikonomidou et al., 2004). This is because patients are entitled to good quality care (Rawal, 1999; Idwall, 2004). Important goals for postoperative pain management are therefore to promote comfort, quicken recovery and avoid complications (Ready and Edwards, 1992). Pharmacological interventions have been used as the mainstay in managing postoperative pain (Dolin, 2002). Nevertheless, these interventions are not without unwanted adverse effects such as nausea, vomiting, dizziness, drowsiness, and allergic reactions (Koch et al., 1998). Thus, nonpharmacological methods have been used as adjuncts in the treatment of postoperative pain (Ready and Edwards, 1992). *Combining pharmacologic and nonpharmacologic methods of pain provides effective pain relief for the patient (McCaffery, 1990). Thus, the nurse may make a significant contribution to postoperative pain management by offering the patient various non-drug techniques that can be used concurrently with analgesics (McCaffery, 1990; McCaffery and Beebe, 1989). Nonpharmacologic interventions have been known to be valuable, simple and inexpensive adjuvants to analgesic techniques (Hyman et al., 1989). As a result, several non-drug techniques can also be used as adjuncts in managing postoperative pain (Good et al., 2005). Specifically, the use of music as a nonpharmacological technique has prompted various research studies in this area (Ikonomidou et al., 2004), leading to the publication of numerous studies (Anderson et al., 2005; Good et al., 2001, 2002, 2005; Heiser et al., 1997; Heitz et al., 1992; Nilsson et al., 2001, 2003; Taylor et al., 1998) and reviews (Cepeda et al., 2006; Dunn, 2004; Engwall and Duppils, 2009; Evans, 2002; Nilsson, 2008). History of Music Therapy Music, as a remedy for sickness is a prehistoric concept (Todres, 2006) that has been used to influence human health (Bunt, 1994; Nilsson, 2003; White 2000). It is the art of listening to sounds that usually have rhythm, pitch (Funk and Wagnall, 1998), melody and harmony (Steckler, 1998). Throughout history, music has been used as an alternative therapy to promote the wellbeing of patients (Guzzetta 1988). Thus, music therapy can be defined as the act of using musical sounds to support the physical, psychological and social needs of an individual during illness or disability (Aluede, 2006; Munro and Mount, 1978). Its main goal is to promote comfort by serving as a diversionary measure from an unpleasant occurrence (Nwokenna, 2006). Archaelogical findings reveal that the sick primitive man used music as a way of pacifying the gods (Henry 1995). Also, the Egyptians of 1500 BC used music to enhance their fruitfulness while the Greeks and Romans strove for human body and soul integration using music (Buckwalter, Hartsock and Gaffney, 1985). Thus, Apollo, the Greek god of mythology, was considered as the giver of medicine and music (Todres, 2006). There is anecdotal evidence from contemporary writings that music was used by Hippocrates to promote wellbeing (Storr, 1994). The sixth century Greek philosopher, Pythagoras, who is considered as the founder of music therapy and geometry, believed that music greatly influenced human health (Olson 1998). As a result, he often prescribed music and diet to reinstate and sustain the integration human body and soul (Bunt, 2001; White 2001). Also, it was demonstrated by the Renaissance movement group that different types of music affected digestion, blood pressure, respiratory and heart rates (Cook, 1986). In a nameless article that appeared in the Columbian Magazine in 1789, a case was made for the use of musical experiences to influence and regulate emotional conditions (White 2000). Subsequently, a book entitled the influence of music on health and life, which describes the use of music in healing, was written by Chomat in 1846 (Biley, 2000). From a nursing perspective, music has been used to promote patients health and well-being (Chlan, 2002). In the early 1800s, Florence Nightingale noticed the power of music as a vital part of the healing process for injured Crimean soldiers (Nightingale, 1992). After observing different types of music, she remarked that wind instruments with continuous sound or air created a positive effect on patients while those that lacked continuous harmony produced negative effects (Nightingale 1992, McCaffrey and Locsin 2002). Nightingale believed that, it was the nurses responsibility to control the environment for healing to take place (Nilsson, 2003; White, 2001; McCaffrey and Locsin, 2002; Nightingale, 1992). After the invention of the phonograph in the late 1800s, recorded music was used in hospitals to promote sleep and relieve perioperative anxiety (Taylor, 1981). An extensive account of this occurred when healthcare professionals concurrently used music with analgesia and anaesthesia (ibid). In 1914, music was used for the first time in the intraoperative environment to distract patients from the horror of surgery (Kane, 1914: p.1829). Afterwards, the National Association for Music in Hospitals was established in 1926 by a nurse named, Isa Maud Ilsen (Ilsen, 1926). After identifying rhythm as the basic therapeutic element, she advocated for the implementation of specific musical prescriptions (Ilsen 1926). An extensive study on music was made by Hunter, in 1892, after playing a piano in the Helensburg Hospital, Scotland. He noticed that there was a reduction in the patients report of pain and temperature following musical exposure (Hunter, 1892). An observation made by Coring (1899) and Tarchanoff (1903) also revealed that different types of music had an effect on the patients heart rate, respiration and bodily secretions (Light et al 1949). Also, a group of surgeons in 1949 studied the use of music together with psychosomatic factors. They discovered that music had a calming effect on those patients who were anxious and unresponsive to routine medication (ibid). With the advent of the technological advancements of the twentieth century, the link between health and music declined (Heitz, Symreng and Scamman, 1992). However, there has been an upsurge interest in music therapy due to its prominence in pain management (McCaffery, 1979) Thus, it is considered as a vital aspect of the nursing discipline (Paterson and Zderad, 1988). The Analgesic Properties of Music The mechanism by which music affects pain responses appears to be as varied as the research paradigms (Pricket and Standley, 1994). Music has been shown to affect the physical, emotional, cognitive and social aspects of the pain experience (Todres, 2006). *Thus, the question is: how does music exert its analgesic properties? In the search for answers to this query, various theories and hypotheses have been proposed (Gagner-Tjellesen et al., 2001). The auditory stimulation of music produces a biological effect on human behaviour by engaging specific brain functions (Thaut 1990). The effect of music is perceived in the right hemisphere of the brain (Thaut 1990, Lià ©geois-Chauvel et al., 1998, Myskaja and Lindbaeck, 2000), whereas a greater portion of interpretation occurs in the left hemisphere (Thaut 1990, Myskaja and Lindbaeck, 2000). Music stimuli serve as a distraction (Good et al., 2000; McCaffery and Good, 2000) and cause the prefrontal cortex to be conditioned to the music, which is more pleasant, (Nilsson, 2008), familiar, relaxing (Mok and Wong, 2003) and preferred (Siegele, 1974; McCaffery, 1992; Mok and Wong, 2003). Patients can thus, focus their awareness from the noxious input unto the music (Fernandes and Turk, 1989; Good et al., 1999; Willis, 1985) to aid relaxation (Beck, 1991; White, 2000; White, 2001; Thorgaard, 2005). Although patients are often in a transitional zone between consciousness and sleep during the perioperative period, the sense of hearing still persists amidst the impairment of other senses (Nilsson, 2003). As a result, music may be of immense benefit to this population. The inhibition of the afferent noxious impulses causes the activation of *endogenous opiates, descending nerve impulses, and neuropeptides in the in the central nervous system (Andy, 1983; Yezierski et al., 1983). Subsequently, excitatory neurotransmitters such as substance P, prostaglandins, bradykinins are inhibited leading to reduced muscle and mental tension (Good, 1995; OCallaghan, 1996; Taylor et al., 1998). On the contrary, it has also been demonstrated that music, which is inappropriately used, can aggravate pain sensation and thus can increasing pain perception and experience (OCallaghan, 1996). The Ghanaian Context Despite the fact that 3.5% of the worlds surgical operations are performed in developing countries (Weiser, Regenbogen, Thompson et al., 2008), the management of postoperative pain is poor in Ghana (Clegg-Lamptey and Hodasi, 2005; Murthy, Antwi-Kusi, Jabir et al., 2010). This may be due to factors such as inadequate knowledge, negative attitudes (Hall-Lord and Larsson, 2006), discrepancies between healthcare professionals and patients assessment of postoperative pain and the lack of relatively efficient analgesic techniques such as PCAs and epidural analgesia (Murthy et al., 2010). Moreover, the use of non-invasive, safe and cheap nonpharmacological interventions such as music is also underutilised. Music plays a vital role in the life of an African; however, the origin of music therapy in African societies remains a puzzle due to the lack of indigenous written records (Aluede, 2006). Although, many Ghanaians love music (FGMSA, 2010), music therapy in Ghana is currently at its embryonic stage (Kofie, 2004). Music, as the *stock-in-trade of traditional healers is used in the Ghanaian society. It accompanies their set of dances until they reach the semi-conscious state whereby they begin their communication with ancestral spirits. During this enterprise, music stimulates their ecstasy and they are being offered concoctions that may be used in healing the sick (Kofie, 2004). Music is also an effective form of therapy for patients who believe their ailments is a form of misdemeanour towards others and for that manner receiving punishment from the ancestral spirits (ibid). Rationale for the Proposed Review The use of music as a postoperative pain intervention has prompted various research studies (Ikonomidou et al., 2004), leading to the publication of numerous articles (Anderson et al., 2005; Good et al., 2001, 2002, 2005; Heiser et al., 1997; Heitz et al., 1992; Ikonomidou et al., 2004; Nilsson et al., 2001, 2003; Taylor et al., 1998). Nevertheless, these studies have reported mixed/ contradictory/ conflicting findings. While some show improved pain relief (Anderson et al., 2005; Good, 1999; Good et al., 2001; Good et al., 2002; Good et al., 2005; Heitz et al., 1992; Laurion and Fetzer, 2003; Masuda, Miyamoto, and Shimizu, 2005; McCraty et al., 1998; Mullooly et al., 1988; Nilsson et al., 2001; Nilsson et al., 2003), others showed no difference in pain management among study participants (Blankfield et al., 1995; Good, 1995; Heiser et al., 1997; Ikonomidou et al., 2004; Taylor et al., 1998). The approaches used in these studies have mainly been experimental, however, most of them lac k strict control with various outcome measures ranging from psychological (pain, anxiety), physical (sleep) to physiological parameters (heart rate, respiratiory rate, blood pressure). In an attempt to find solutions to the efficiency of music as a pain management intervention, an increasing number of systematic reviews (Cepeda et al., 2006; Dunn, 2004; Engwall and Duppils, 2009; Evans, 2002; Nilsson, 2008) have been published during the past years. Nonetheless, the conclusions from these studies may not be fully supported for various reasons such as poor methodological quality of included studies, limited search strategies, inclusion of studies from only developed countries and being outdated. Evans (2002) conducted a systematic review on the efficacy of music as an intervention for hospitalised patients. This review included postoperative pain as well as pain occurring after certain procedures. Of the four eligible studies, three of them found no difference in pain scores and analgesic consumption (Blankfield et al., 1995; Good, 1995; Taylor et al., 1998) while the remaining study (Koch et al., 1998) reported a reduction in analgesic consumption among the music intervention group. On this basis, he concluded that music may be an effective diversion in treating pain. This assumption may be obstructive due to limited evidence as at that time and its resultant myopic inference. A systematic review conducted on the efficiency of music in reducing postoperative pain (Dunn, 2004) was also inconclusive due to the poor methodological quality of the included studies. Moreover, it was also restricted to developed countries such as the United Kingdom and the United States of America. For this reason, such findings may not be applicable to other developing countries such as Ghana, where the clinical settings and management may be different. Cepeda et al. (2006) systematically reviewed the literature on the use of music for relieving pain. This review included all types of pain ranging from acute, procedural, cancer and chronic pain. It was concluded that music listening reduces pain and analgesic consumption, but the magnitude of these effects is small and thus, had vague clinical significance. Based on this premise, it was recommended that music should not be used as a first line management option for pain. Although the conclusions are quiet reasonable, this review is outdated (Kaveh et al., 2007) due to the publication of new studies that specifically report on the use of music in patients experiencing postoperative pain. Another systematic review (Nilsson, 2008) was also conducted on the efficacy of music in relieving postoperative pain and other parameters such as anxiety and stress. This review limited the inclusion criteria to studies conducted between 1995 and 2007. The review concluded that: approximately half of the reviewed randomised controlled trials favoured the pain reducing effects of music while the rest were not in support of this. In the light of this, the author recommended some additional studies to be conducted in this area [ibid]. A recently published article in 2009 concluded that music can be used as an adjuvant for pain relief (Engwall and Duppils, 2009). This conclusion may not be fully supported considering the fact that the review included other non-randomised controlled trials (which are subject to biases). Moreover, the review included the combined use of music with other nonpharmacological interventions (such as jaw relaxation, therapeutic suggestion, guided imagery and so on) which creates difficulties in determining whether the outcomes is solely due to music or the other interventions. The review also used few databases (Blackwell Synergy, CINAHL, PubMed and Elsevier/ Science Direct) and restricted the review to studies conducted between 1998 and 2007. Considering the publication of new randomised controlled trials that have reported conflicting findings (Allred, Boyers and Sole, 2009; Cooke et al., 2010; Ebneshahidi and Mohseni, 2008; Good and Ahn, 2008; Hook, Sonwathana and Petpichetchian, 2008; Sen et al., 2009) and the limitations identified in previous reviews, an updated version of a systematic review conducted on this topic will be of immense benefit. My review, therefore intends to include randomised controlled trials irrespective of the location, and will include only music as the nonpharmacological pain intervention. I will also expand my search strategy to include other databases and will not limit it to any year range since music is not an intervention that becomes outmoded with time and largely depends on an individuals preferences. Summary In this section the background information and literature on the use of music in relieving postoperative pain has been provided. Moreover, the rationale for the systematic has been thoroughly explained as well as the justification for the review question. Chapter Two Methodology Once a research question has been shaped, it is useful to think about its type, as this will have an effect on what kind of research would provide us with the greatest quality evidence. The review question concentrates on music as a postoperative epain management intervention for patients after all kinds of surgery. In providing the best evidence of effectiveness of an intervention, a systematic review is considered the most suitable way. This is because it summarises or draw conclusions from primary research on a specific subject, therefore increasing the number of subjects and enhancing the power to detect an intervention effect (Dickson, 2003). This chapter will discuss the systematic review approach and evaluate its role in evidence-based practice. It then outlines the strengths and limitations of systematic reviews. Following this, a description of the procedural steps is given. Finally, the method used to conduct this review is discussed. l Definition of Systematic Reviews Types of Systematic Reviews Systematic Reviews Process The Role of Systematic Reviews in Evidence-based Practice In an era of evidence-based nursing, care providers need to base their clinical decisions on the preferences of patients, their clinical expertise, as well as the current best available research evidence relevant for practice (Beaven and McHugh, 2003; Mulhall, 1998; Sackett and Rosenberg, 1995). Implications from the ever expanding volumes of healthcare literature (Beaven and McHugh, 2003) means that, it is impossible for a clinician to access, let alone understand, the primary evidence that informs practice (Glasziou, Irwig and Colditz, 2001; Handoll et al., 2008). As a result of this, useful research studies and valuable findings are concealed and abandoned as a whole (Beaven and McHugh, 2003). Systematic reviews of primary studies are therefore an essential aspect of evidence-based healthcare for practitioners who want to keep up to date with evidence in making informed clinical decisions (Lipp, 2005; Glasziou et al., 2001; Handoll et al., 2008; Schlosser/ FOCUS, 2010). Commencing with a well-defined research question, such reviews utilise explicit methods to systematically identify, select, critically appraise, extract, analyse and synthesise data from relevant studies on a particular topic (Handoll et al., 2008; Petticrew and Roberts, 2006; Wright et al., 2007; Sackett et al., 2000). This process helps to minimise bias (Cook, Mulrow and Haynes, 1997), eliminate poorly conducted studies, confers power to the results that may not be given to individual studies (Lipp, 2005) and thus provide practitioners with reliable, valid and condensed evidence (Glasziou et al., 2001) in a considerably shorter period of time (Mulrow, Langhorne, and Grimshaw, 1997). Systematic reviews may involve the use of statistical methods (meta-analysis) (Handoll et al., 2008) in estimating the precision of treatment effects (Egger, Smith and ORourke, 2001). Unlike traditional narrative reviews, systematic reviews allow for a more objective appraisal of the evidence and may thus contribute to resolving uncertainty when original research, and reviews disagree (Egger et al., 2001). By using an efficient scientific technique, systematic reviews also can counteract the need for further research studies and stimulate the timelier implementation of findings into practice (Lipp, 2005). They can also inform the research agenda by identifying gaps in the evidence and generating research questions that will shape future research (Eagly and Wood, 1994; Handoll et al., 2008; Lipp, 2005).
Saturday, January 18, 2020
Employee Law
Project Summary Employment Law The employment relationship Is a contractual one between an employer and a worker. The worker may be either an employee or an Independent contractor. Distinguishing between the two is very important. It has an effect on compensation, benefits, harassment, family leave, workers' compensation, unemployment insurance, and discrimination, (Moran, 2008, p. 3). In an employment relationship, authority is conveyed by an employer to an employee. Deciding what kinds of authority and how much authority to grant are important issues for employers to resolve, (Moran, 2008, . ). Inherent in every employment relationship is the employee's duties of loyalty and good faith and the employer's duties to compensate and maintain a safe working environment. Violations of these duties give rise to contractual and tort liability. A contract Is a legally enforceable agreement. A tort Is a private civil wrong. Tort liability encompasses assault and battery, defamation, Invasion of privacy, and negligence. The key to an employers responsibility Is whether the tort was committed within the scope of employment?in other words, ââ¬Å"on the Job,â⬠(Moran, 2008, p. 3)Employers may attempt to employ restrictive covenants, also known as nincompoop or nondisclosure agreements. These agreements are used to protect the employer's business against theft of trade secrets, stealing clients, and competing against the former employer. Courts generally do not like to restrict people from working, but the courts will enforce these agreements where they are voluntarily signed and designed to protect the business from unfair competition, (Moran, 2008, p. 3). The purpose of recruitment and selection is to obtain the best possible workers for a business.Discrimination is permissible with respect to selecting candidates based on interpersonal relations, communication skills, training, and education. It Is not permissible with respect to suspect classification such as race , religion, gender, age, disability, and national origin,â⬠(Moran, 2008, p. 37). Because employees are valuable assets to a business, employers must be able to choose those employees who will perform the best work for the business. Education, training, communication skills, and interpersonal relations are key qualities that employees must possess to help a business be more successful, (Moran, 2008, p. ). The easiest way to discriminate against individuals is to do so in the recruitment and selection process. Employers may use a myriad of methods to evaluate an individual and his or her particular traits. Testing, interviews, writing samples, demonstrations, and role-playing are a few examples, (Moran, 2008, p. 37). If these methods are job-related, then the employer has every right to use them. ââ¬Å"What an employer may not do is discourage potential candidates who belong to a particular suspect classification as defined by Title VII of the Call Rights Act, the Age Delimitat ion In Employment Act, and theAmericans with Deliverables Act,â⬠(Moran, 2008, p. 37). The selection process has become a complicated procedure for employers, (Moran, 2008, p. 67). They must inappropriate questions that can be inferred as being discriminatory. Employers must recruit from a diverse pool of candidates. Employers must keep accurate records of these candidates, such as who applied and who was hired. Employers must establish Job-related criteria necessary for promotions. Employers must perform background checks on employees to guard themselves against negligent hiring, but these checks are limited to activities or criminal convictions that are Job elated,â⬠(Moran, 2008, p. 67). Policies with regard to nepotism and promoting from within should also be drafted by the employer. The selection process is a daunting but necessary undertaking for the employer. As most of us know, it is an equally stressful experience for workers. Arbitration is a form of alternative dispute resolution where two sides look outside the court system to resolve a conflict, (Moran, 2008, p. 157).In arbitration, an impartial arbitrator listens to claims, facts, and testimony from both sides, then issues a decision. By signing arbitration agreements, employees typically waive their right to file lawsuits when they have a dispute with their employers. However, the obligation to arbitrate can vary. Some employers require all disputes to go to arbitration, while others designate arbitration for only certain issues. ââ¬Å"Bindingâ⬠arbitration is most frequently used in employment agreements, where both sides agree ahead of time that the arbitrator's decision will be final, with very limited basis to appeal, (Moran, 2008, p. 58). However, an arbitration agreement alone does not mean that employers can never be sued over an employment issue. State and federal regulators can still sue employers when employees file complaints against companies for violating discriminat ion, pay, or other laws. Once employees or former employees decide to enter into arbitration, there are three basic steps in the proceedings: preheating briefs, the hearing, and the arbitrator's decision. Preheating briefs allow the company and employees to present their views and describe their evidence to the arbitrator.During the hearing, both sides present their case to the arbitrator, which can include calling witnesses. Then the arbitrator makes a decision. Generally, employers do not take termination as personally as do employees. However, it can be a difficult process for both sides, especially if the employee believes that the discharge is wrongful. ââ¬Å"At-will termination protects the rights of employers to terminate employees,â⬠(Moran, 2008, p. 153). Therefore, employees must evaluate the evidence to discern whether it meets one of the public policy exceptions to the at-will doctrine.Employers must guard against compromising their protection under the at-will emp loyment doctrine and should not stipulate that employees will be discharged only for cause or list explicit seasons for discharge in an employment handbook or in conversation with an applicant or an employee, (Moran, 2008, p. 153). Rather employers should state that employees may be discharged at any time for any reason. Shortly after the conclusion of the Civil War in 1865, the Thirteenth, Fourteenth, and Fifteenth Amendments to the U. S.Constitution were adopted, (Moran, 2008, p. 171). The Thirteenth Amendment abolished slavery. The Fifteenth Amendment gave black men the right to vote. But, it was the Equal Protection Clause of the Fourteenth Amendment that laid the basis for equal rights in employment, (Moran, 2008, p. 71). The Equal Protection Clause basically states that ââ¬Å"all people are entitled to equal United States, in Please v. Ferguson, interpreted this to mean that separate but equal facilities would satisfy the Fourteenth Amendment requirement, (Moran, 2008, p. 171 ).Segregation persisted into the sass, but inroads began to be made in the mid-sass with the Brown v. Board of Education decision, which mandated integration in public schools, (Moran, 2008, p. 171). This decision had a reverberating effect throughout society. In 1964, Congress passed the Civil Rights Act to legislate integration in schools, housing, restaurants, transportation, shopping, and employment. Title VII of the Civil Rights Act speaks to employment, (Moran, 2008, p. 171). It prohibits discrimination because of religion, race, color, sex, and national origin, (Moran, 2008, p. 171).There are two main types of discrimination: disparate impact, which is discrimination against a class of people, and disparate treatment, which is discrimination against an individual, (Moran, 2008, p. 171). The key to establishing an affirmative action plan is to obtain the commitment of management, Moran, 2008, p. 199). Once committed, management can emphasize its importance and lead by example. An assessment must be made of the number of women and minorities and their current status within the organization. This data will prove invaluable as a benchmark against which the program's progress can be measured, (Moran, 2008, p. 99). Once the problem areas are identified, then recruitment and promotion issues must be addressed. A critical look at the current methods utilized must be taken, and a plan must be instituted to remedy its deficiencies. To bolster acquirement, notification should be sent to the placement office of schools with significant or exclusive women or minority populations. Women and minority organizations can also be advised of the need for prospective candidates. Advertisements in newspapers, magazines, radio, and television designed for women and minorities will enable a company to tap into that particular circle, (Moran, 2008, p. 99). Company tours for students and community groups are also beneficial. ââ¬Å"Relying solely on referrals and traditional rec ruitment techniques will only reinforce discrimination,â⬠(Moran, 2008, p. 199). Career counseling to direct women and minorities toward career paths and training programs to help them realize these accomplishments must be created or embellished. The fact that counseling and training programs exist is not sufficient. They must be made available or specifically developed with women and minorities in mind.Job descriptions must also be perused for possible barriers against women and minorities, (Moran, 2008, p. 199). If found, the descriptive narration must be rethought. All requirements must be Job- related. Any that are not should be eliminated, especially unnecessary education or experience; otherwise, discrimination will continue. Testing should also be restricted to when it is absolutely necessary and its reality and Job-relatedness can be proved, (Moran, 2008, p. 199). The assignment of grade levels to Jobs must also be reviewed for bias in favor of men, (Moran, 2008, p. 199 ).If discovered, such bias must be readjusted. Interviewers must be indoctrinated to no longer believe that women and minorities can perform only certain Jobs ââ¬â those involving routine ministerial tasks, (Moran, 2008, p. 199). They must avoid asking women and minorities personal questions about marital status, other sources of income, number of children, criminal record, and other issues that are not Job-related and are not routinely asked of white and in-house rules and regulations must be redrafted to be gender-neutral, both in written communications and pictorials,â⬠(Moran, 2008, p. 199). Sexual harassment is defined as (1) a sexual advance or request for sexual favor made by one employee to another that is unwelcome and not consented to; and (2) touching, Joking, commenting, or distributing material of a sexual nature that an employee has not consented to and finds offensive,â⬠(Moran, 2008, p. 89). Although the court- appointed test for determining what consti tutes sexual harassment is a reasonable person standard and what is reasonable may vary depending on the work environment, it is the purpose of this policy on sexual harassment to avoid litigation, not to win lawsuits.Therefore, employees are forewarned that the use of certain terms may give rise to a woman's filing a sexual harassment complaint and are therefore prohibited, (Moran, 2008, p. 289). If a complaint is filed with the company's human resources department on any of these allegations, it will be investigated immediately, (Moran, 2008, p. 289). The investigation shall consist of questioning the complainant, alleged perpetrator, coworkers, superiors, and subordinates, (Moran, 2008, p. 89). If a determination is made that a valid complaint had been issued against an employee, that employee will be entitled to a hearing to which he or she may be assisted by outside counsel. If a conclusion is reached that the conduct complained of meets one of the aforementioned criteria, then the employee shall be dismissed forthwith, (Moran, 2008, p. 289). Furthermore, the victim will be afforded counseling services, if needed.Every effort will be made by the company to aid the victimized employee in overcoming the emotional trauma of the unfortunate ordeal, (Moran, 2008, p. 289). Finally, the company will sponsor in-house workshops explaining this policy on sexual harassment, warning employees against engaging in it, and encouraging those affected by sexual harassment to come forward with the details of their encounter with it in order for the company to investigate and resolve the dilemma and service the needs of the victimized employee, (Moran, 2008, p. 289).The Americans with Disabilities Act requires employers having 1 5 or more employees to refrain from administrating against any individual who has an impairment that limits major life activities, such as impairment to sight, speech, hearing, walking, and learning, (Moran, 2008, p. 389). Also included are people w ith cancer, heart conditions, AIDS, and disfigurement, as well as people recovering from substance abuse. The forerunner of the DAD was the Rehabilitation Act of 1 973. It prohibited disability discrimination in federal employment and with federal contractors.The percentage of disabled workers who are unemployed is much greater than that of the general population, (Moran, 2008, p. 08). Public access and specific Job accommodations have gone a long way to aid the gainful employment of many of the disabled. Encouraging a change in the mind-set of employers remains a formidable task. Many employers view disabled applicants as inferior to others. They represent an additional worry employers do not need. However, with reasonable accommodation, many disabled employees have proven to work as effectively as other workers because their disability has been alleviated, (Moran, 2008, p. 08). They are operating on a level playing surface with the rest of the work population. Collective bargainin g is the negotiation process undertaken by a union on behalf of a contract after the resolution of labor issues,â⬠(Moran, 2008, p. 420). The contract, known as the collective bargaining agreement, is binding on all union members. The advantage of collective bargaining is that the union has greater bargaining strength than an individual employee would have in attempting to negotiate the best possible deal, (Moran, 2008, p. 420).The Occupational Safety and Health Act of 1 970 (OSHA) was designed to set forth a standard that would provide for the safety and health of employees while on the Job, (Moran, 2008, p. 450). Employers are required to provide a place of employment free from occupational hazards. Employees are required to follow rules and regulations established to promote their safety and to use equipment designed to ensure their safety, (Moran, 2008, p. 450). Permanent standards are the standards originally introduced when OSHA was created as well as standards promulgate d thereafter, (Moran, 2008, p. 452).The latter are referred to as National Consensus Standards. When OSHA develops a new standard, it is published in the Federal Register, (Moran, 2008, p. 452). The public, especially employees, has 30 days to request a hearing. If requested, notice of a public hearing will be made. After the hearing, OSHA must publish the standard incorporating the changes, if any, and the date of its commencement, within 60 days. The Secretary of Labor must explain the need for the new standard, or else it will be null and void. He or she may delay the date of its commencement. In one case, a delay of 4 years was imposed.
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