Analysis Of The Strategic Management Accounting †Free Samples

Question: Talk about the Strategic Management Accounting. Answer: Presentation The current report plans to introduce an investigation of the key administration elements of the Regis Healthcare Limited. The Regis Healthcare Limited is perceived to be the biggest ASX recorded Residential Aged Care (RACs) having a piece of the overall industry of about 2.5%. The organization intends to turn into an inventive, dynamic and imaginative industry pioneer through giving excellent matured administrations through viable administration (Regis Healthcare Limited, 2017). In this specific circumstance, this report examinations the key administration of the Regis Healthcare Limited in detail on the point of view of a Strategic Management Accountants (SMA). Worth Chain of Regis Healthcare Limited using Strategic Management Tools Regis Healthcare Limited works in social insurance industry and as such the term an incentive for the organization demonstrates its speed, quality, cost and accessibility of human services administrations. The worth chain of the organization can be upgraded through the use of vital administration devices of significant worth chain examination. The worth chain examination (VCA) alludes to the technique received by a firm to recognize its essential and auxiliary exercises that helps in building up the important items and administrations for the clients. The objective of this key administration apparatus is to isolate the most important exercises inside the firm, for example, tasks, coordinations, promoting structure the help exercises that are, framework, innovation and others. The worth chain of the medicinal services organization will comprise of exercises like that of different businesses, for example, makers, wholesalers, merchants, suppliers, experts (attendants, birthing assistan ts) and payers (heath shoppers). These all can be expressed to be the essential exercises of the medicinal services organization that assumes a crucial job for it to accomplish upper hand in the commercial center (Ginter, 2013). The worth chain of Regis Healthcare Limited can be delineated as follows: Assessment and Implementation of procedures for Developing, Implementing and Monitoring Strategies The procedures for creating, executing and observing social insurance techniques can be depicted as follows: Creating Strategies: The procedures for creating medicinal services methodologies are looking at the clinical history of patients that helps in ID of the social insurance administrations to be given to the patients. This is trailed via completing the particular tests for appropriate distinguishing proof of the medicinal services issue and afterward building up a human services methodology for the treatment of a particular issue. Execution: The usage should be possible by playing out the treatment methodology for the patients, for example, directing of patients or giving them explicit kind of clinical assistance as required by the patients. Checking: The observing methodologies incorporate exploring the state of the patients consistently so as to look at the effect of treatment methodology on the patients. This aides in adjusting the treatment methodology according to the patients condition (Swayne et al., 2012). Vital administration cycle and the Leadership Role of Professional Accountants in Strategic Management The vital administration pattern of the Regis Healthcare will comprise of the accompanying advances: Defining of Goals: This is the most fundamental advance as it requires the ID of satisfactory human services objectives that will be accomplished by the organization. This can be improving access to mind, decreasing human services cost pr giving rapid consideration administrations. Creating Strategy for Enhancing Value: This incorporates creating explicit systems for accomplishing the objective decided for increasing the value of the human services administrations, for example, estimating cost and results of every patient, sufficient organizing by creating coordinated practice units, extending the topographical reach of the organization or utilizing high innovation clinical supplies. Execution: This is the last advance that includes creating explicit designs for actualizing the methodologies created (Ginter, 2013). The job of medicinal services proficient bookkeepers is significant in the vital arranging of the social insurance organization, for example, Regis Healthcare Limited. The expert bookkeepers are liable for cost the executives through creating social insurance spending plans that help in keeping up a sufficient harmony between the expense and use. The advancement of money related spending plans helps in taking out the pointless expenses those fundamentally expands the expenses of the medicinal services offices (Swayne et al., 2012). Job of association and Industry Value Chain Analysis The job of medicinal services firms, for example, Regis Healthcare Limited is significant in improving the wellbeing state of the matured populace of the Australia. These medicinal services firms help in advancing the government assistance of the senior residents of the nation through expanding their entrance to social insurance administrations at diminished expense. The worth chain examination of the human services industry comprises of the essential and auxiliary exercises. The essential exercises comprise of the most significant capacities that help it to achieve an upper hand, for example, producers, wholesalers, merchants, suppliers, experts (medical caretakers, maternity specialists) and payers (heath customers). The optional exercises comprise of the administration enactments and advancements that sway the completing of essential exercises. The organization through recognizing the essential exercises can create compelling systems to diminish the expense of medicinal services offices that empowers it to accomplish upper hands. The decrease in the expense of human services offices is significant for the organizations working in Australian social insurance parts as this is the most major issue looked by the business in the current setting. The auxiliary exercises of the companys esteem chain can comprise of government arrangements, innovation and some different ventures, for example, insurance agencies. These all likewise assumes a critical job in keeping up the quality and cost of human services benefits through cooperating with the essential exercises (Huda, 2016). Attributes of viable vital and corporate social duty related execution estimation and control frameworks The vital presentation of the organization can be estimated and controlled through the execution of the Strategic Management System (SMS). The framework will help in adjusting the objectives and destinations of the organization according to the assets accessible. The key estimation framework is an estimation arranged methodology that helps in creating explicit yearly improvement focuses for the organization. The corporate social obligation frameworks are important to be actualized in the medicinal services organizations for guaranteeing the government assistance of the patients. The CSR frameworks would helps in advancing the straightforwardness in the heath care associations for accomplishing the trust of the patients. The CSR framework that can be executed in the human services associations are squander the board framework and compelling administration framework. The medicinal services organizations through lessening the waste end can advance the government assistance of the curren t social orders as they produce squander materials on enormous sum. Likewise, the administration framework will empower improvement of standard rules and methodology for the social insurance experts to complete their activity jobs for guaranteeing the quality administrations to be given to the patients (Lachman, 2005). Vital Management Accounting Techniques The social insurance experts need to build up a legitimate spending plan for evaluating the expenses and costs identified with the medicinal services ventures. The expert bookkeepers have a significant job of creating money related spending plans that helps in ID of the expenses and costs related with an undertaking. The advancement of the financial plans helps in area of the most appropriative cost the board system for lessening the expenses of the social insurance administrations of the organization. The increasing expense of the social insurance administration is the most significant issue looked by the medicinal services industry of the Australia. In this manner, it is generally significant for the expert records to execute the cost administration systems through building up the money related spending plans. It will help in lessening the operational expense through taking out the irrelevant business tasks and accordingly improving the gainfulness of the social insurance organizat ions. Thusly, it very well may be said that cost administration is the most importantstrategic the board bookkeeping method required for determination, arranging, execution, control and checking of tasks (Hankins and Baker, 2004). References Ginter, P. 2013. The Strategic Management of Health Care Organizations. John Wiley Sons. Hankins, R. also, Baker, J. 2004. ManagementAccounting for Health Care Organizations: Tools and Techniques for Decision Support. Jones Bartlett Learning. Huda, F. 2016. The Impact of Strategic Management on the Performance of Health Care Organizations (A Study of Three Selected Tertiary Health Care Center of Karachi, Pakistan). Bedouin J Bus Manag Review. Lachman, M. 2005. Key managementaccounting rehearses in emergency clinics: Empirical proof on their dispersal under serious market conditions. Diary ofAccounting Organizational Change. Regis Healthcare Limited. 2017. What Investors Should Know About Regis Healthcare Limiteds (ASX:REG) Financial Strength? [Online]. Accessible at: https://simplywall.st/news/2017/01/26/what-speculators should-think about-regis-human services limiteds-asxreg-monetary quality/[Accessed on: 13 October 2017]. Swayne, L. et al. 2012. Vital Management of Health Care Organizations. John Wiley Sons.

Financial Plan ABC Pharmaceuticals Essay Example | Topics and Well Written Essays - 3000 words

Money related Plan ABC Pharmaceuticals - Essay Example Moderate Pain-Control Medication Project, named MPMP, is the up and coming venture of ABC Pharmaceuticals. Since its origin in 1997, the organization has exceeded expectations in serious agony prescription market and following quite a long while of quality in the pharmaceuticals business, the organization has obtained a significant offer in the market portion it serves, also the brand name and greatness in the pharmaceuticals industry’s essentials. In light of its involvement with the market, the organization intends to create separated torment control items that give the adaptability and flexibility required to address the constraints of existing remedy torment prescriptions in regulated social insurance settings. Asset Planning for MPMP MPMP is an augmentation venture. The majority of the assets of the current product offering, particularly on the delicate side, for example, HR and specialized assets could bolster the new product offering too. Be that as it may, certain extra assets would likewise be required to help the venture; including, creation plants, HR, for example, creation work and masters in moderate torment control medicine, working capital, office supplies and so forth (see subtleties in segment 2). A brief of the assets required are as per the following: HR: Production authorities in the territory of moderate torment control medicine would be required. In accordance with the past experience, three authorities each at the three creation areas of the organization would get the job done. Aside from that, creation work would be required. In view of the business estimates, as such three groups, each containing 10 laborers (every day bets), directed by a creation incharge and headed by the zone expert, would be set up. The center human asset capacity would stay at the administrative center. Specialized Resources: For the initial five years of the task, three creation plants will be fixed at the present creation locales. Each plant will have the ability to create roughly 15,000 units every year (counting breakdowns, assuming any). Spending Allocation for MPMP The absolute assessed cost of the undertaking comes to $ 10,500 million determined as follows

High School Essay Samples Is Great Resources

High School Essay Samples Is Great ResourcesHigh school essays can be difficult, so much so that many teachers are looking for high school essay samples. They're a great resource for teachers who need a little help in editing.It's common to find out that many high school students are writing their essays on their own. Because of this, it's common for the essays to be lacking in some areas. As a result, the students feel as though they don't really belong at their high school, and as a result, they don't enjoy the course work.Of course, it's not uncommon for a student to ask for help with editing when he or she is working on a high school paper. This is very common, especially with work that is written for an advanced level. The fact that it's advanced material means that the students will want to spend more time than usual on the project, and when they feel like they don't know what they're doing, they end up needing the help of an editor.Many times, high school students may be makin g mistakes in their essays. If a student is using a letterhead or address that's not their own, they might be looking for examples of essays that use those resources. The examples can come from essays that a student has already read and studied before they get started on their project.Another reason that the student may be looking for examples is because they're editing the work for some kind of school. Sometimes, students aren't sure what essay to turn in for their project. When they find a sample for their grade, they might be able to do better.Students can also look online for high school essay samples. Some of the essay samples are made for the high school teacher, and they can't be used by the student. Others, however, are made for the student to edit, and they can be given to the student as a student project for their project.One of the best ways to learn how to edit is to make a list of the problems you'll need to fix with your assignment. Then, search for examples of the pro blem, and how they were solved. You can do this yourself by doing a Google search for the problem, and the first website that pops up might provide you with some examples to help you with your project.When a student needs help in editing their high school paper, they're going to get it in high school essay samples. They're a great resource for any teacher who wants a little help with editing.

America Needs the Space Program - 928 Words

It’s in everyday life, it is seen every day and where it comes from is not appreciated the way it should. Most of the technology that is in the world today is possible because of the space program. Computers used to take up a whole room just for one, but NASA saw that they could not take a computer the size of a room into space, so they invented the laptop, something that probably would not have been invented without NASA. After this people looked at NASAs ideas and made them better. This is how any technology is evolved, someone has to create a raw idea and then other people will just keep improving it. Because the space program has influenced our society so much it has proven time and time again why America needs the space program. After WWII, the US and Soviet Union started to develop a new kind of missile program, not for aiming them at other countries, but aiming them at space, this period of time was known as the Space Race ( A Brief History of Space Exploration).Americ a was launched into space because JFK knew the that America needed to restore its confidence and that America would not only meet with the soviets, but surpass them, and from that he made the goal of landing a man on the moon within the decade (Space Program). There were three main scientists from three different countries who started to design rocket engines for space travel. Those scientists were: Konstantin Tsiolkovsk from Russia, Robert Goddard from the US, and Hermann Oberth from Germany ( AShow MoreRelatedSpace Exploration : The Space Program Essay1659 Words   |  7 Pages The Space Race sparked an era of ingenuity and technological advancement that no one had seen before the Cold War. Once Russia launched Sputnik (â€Å"traveler† in Russian), the world’s first man made satellite, on October 4th, 1957 the race was on. The race also lead to several advancements in technology and education because of increased funding to make sure America got ahead of Russia. Many of these technologies are used today and many don’t know they are a result of the space program. From LEDs toRead MoreThe Importance Of Space Exploration1622 Words   |  7 PagesSpace exploration is declining because funding for it has gone down. Public and government interest has waned as there does not appear to any direction or goal; whereas, other countries have dramatically increased their commitment to space. Examples are China, sending men to space and India, which is sending satellites to Mars. Space exploration drives economies and consequently, these other count ries are becoming industrial powerhouses. America is in danger of losing its place as a leader in everythingRead MoreThe Current State Regarding Theu.s Space Exploration Program1177 Words   |  5 PagesSummary Cognitive Anthropologist Bob Deutsch discusses the current state regarding the U.S’ space exploration program as a whole. He particularly points to the fact that America seems to have lost its zeal to explore due to the fact that they are so caught up in their own â€Å"hunkered down existence†. For example, it was only a little over a decade ago that mars passed close to the earth; relatively a stones throw away and people looked up but even more said â€Å"so what?† and moved on. TheyRead MoreNASAs Changing Problem Essay613 Words   |  3 PagesNASA’s Changing Problems Has anyone ever realized that the National Aeronautics and Space Administration (NASA) is slowly getting shut down for the whole world to see? This is changing NASA very much. It lost its shuttle program, it had budget cuts to missions to earth, and even a cut in education. NASA was founded by Dwight D. Eisenhower. NASA is most known for being the first company to send a person to the moon. It is easy to tell that NASA’s changed and is changing right now. The big questionRead MoreEssay on Frontier of the Future: America ´s Space Exploration629 Words   |  3 PagesIn the early 60s, President John F. Kennedy led America into a space race against the Soviet Union. American men and women across the nation backed this goal, allowing NASA to take great leaps in advancing its space exploration programs. This unified nation fulfilled its goal, and Neil Armstrong became the first man to walk on the moon. However, since then, America’s space exploration has only declined. Fun ding for NASA has been drastically cut, thus greatly limiting the opportunities for exploringRead MoreNasa s The Manned Space Flight Program1240 Words   |  5 Pagesthe manned space flight program is quickly reaching extinction. It marks a sharp contrast with the Apollo space program that at its peak captured the American imagination. David L. Chandler reports of that time, â€Å"With goose bumps and white knuckles, people followed the crackly radio reports of that first lunar footfall, and they lionized its heroes with tickertape parades† (Chandler, 1). Now, there is none of that level of interest in the space program. In a short span of time, space travel becameRead MoreThe Eagle Has Landed Essay913 Words   |  4 Pagesimportant decade during the Space Race, because American perseverance overcame a more advanced Soviet space program and reached the moon. Accordingly, national leaders of the sixties were a huge driving force behind the Space Race as they inspired their p eople to literally shoot for the moon and take the lead in the ‘Space Race’. Likewise, ambitious projects like Apollo and Mercury really took off in the nineteen-sixties and paved the way to the first American in space and eventually to the moon.Read MoreThe Space Race to the Moon Essay1126 Words   |  5 PagesUnion, to win the Cold War. Both nations wanted to be the first on the moon, therefore, the United States strived to win the Space Race and consequently have victory over the Cold War. Given these facts, the Space Race not only helped the Americans have advantage in the Cold War, but has also affected America to this day. It was a difficult moment in the late 1950s in America. The Cold Ward was heating up on a political level. Suddenly, that all ended when the Soviet Union launched Sputnik 1 onRead MoreUp, Up and Away with the Space Race1225 Words   |  5 PagesIn 1965, NASA’s annual budget was $5.2 billion; this money was spent to heat up the Space Race (â€Å"Project Apollo†). The Space Race and its competitive nature is best illustrated in this passage from John F. Kennedy’s Address at Rice University on the nations space effort, â€Å"We choose to go to the moon in this decade and do the other things, not because they are easy, but because they are hard, because that goal will serve to organize and measure the best of our energies and skills, because that challengeRead MoreThe Challenger Disaster And Its Impact On Space Travel1708 Words   |  7 Pagessymbolized that space travel is a challenging endeavor which bears it’s own set of risks, especially when the ent irety of the shuttle program was plagued with issues up until the Challenger incident. Initially, America put a ton of resources into the space program in order to achieve the goal of winning the Space Race. Once that goal was achieved, America’s space program was scaled down to a fraction of the previous budget (space.com article). Out of the small budget, the shuttle program came into existence

Setting a Multi-Line Caption for a TLabel in Delphi

A TLabel Delphi component has a WordWrap property you can set to true in order for the text in the Caption property appear wrapped (multi-lined) when it is too long for the width of the label. Whats more, at run-time, you can use the next assignment to specify multiple lines of text for a Label: Label1.Caption : First line #13#10 SecondLine; However, you *cannot* specify multi-line text for a TLabel at design-time, using Object Inspector. Instructions One trick to add more lines of text for a Caption property of a TLabel, at design time, is to edit the Forms .DFM file directly. Heres how: Drop a TLabel on a FormRight click the Form to activate the popup menuSelect View As TextLocate the object Label1:TLabel sectionChange the line Caption Label1 to:Caption Label1 #13#10 Second lineRight click the code to activate the popup, againSelect View As FormJob done! TLabel with multiple lines of text, at design-time!

Hamlets Admiration of Fortinbras Essays - 617 Words

Shakespeare’s play, Hamlet is about the prince of Denmark, Hamlet, and his quest to gain revenge of his father’s, King Hamlet’s, vicious murder which was committed by his uncle, Claudius, in the name of power and fortune. Hamlet is, at times, indecisive and hesitant thus he admires the passionate and even violent character of Fortinbras. This passage from Hamlet, one of Shakespeare’s play, portrays the theme of the relationship of thought to action by demonstrating how Hamlet’s admiration for Fortinbras’s dedicated character compels him to make rash decisions in order to fulfill his word. This passage is a soliloquy given by Hamlet, in Act 4 Scene 4, which explains why Hamlet was willing to take drastic measures to avenge his father.†¦show more content†¦Hamlet admires Fortinbras’s determination to accomplish what he had said he would do, which is to go to war with Poland. When Hamlet sees Fortinbras, the young prince of Nor way, he is dazzled by his personality and his will to fight for nothing at all except for honor itself. Hamlet speaks with baffled admiration, â€Å"The imminent death of twenty thousand men, / That for a fantasy and trick of fame / Go to their graves like beds, fight for a plot† (30-33), and is astonished by the will of these men and their desire to defend their honor. This scene serves as an awakening for Hamlet and makes him realize that he must act immediately and fulfill his word for the sake of his honor and his love for his father. This passage is relevant to the plot as it fastens the plot and encourages Hamlet to gain his revenge even if it is through violent means. Hamlets decision to act immediately and violently was enforced during this passage. This decision is portrayed when Hamlet figures out Claudius plan to get him killed by the royalty of England and instead sends Rosencrantz and Guildenstern to be killed. Hamlet bitterly tells Horatio that â€Å"They are not near my conscience. Their defeat / Does by their own insinuation grow.† (5.2) This portrays the change in Hamlet’s character; he has become much harsher and immediate in his decisions. Once more, the theme of the relationship of thought to action can be seen in Hamlet’s characterShow MoreRelatedHamlet, By William Shakespeare1492 Words   |  6 Pagesof mind throughout the play. However, it is clear that Hamlet develops more clarity of thought by his final soliloquy. Through the contrast between Hamlet’s thoughts and actions in Act II and IV, Shakespeare effectively establishes Hamlet’s sanity by the end of the play. Furthermore, through this Shak espeare also establishes the catalyst behind Hamlet’s decisions in his third and sixth soliloquies to be his idolization of others. The fact that Hamlet looks at situations with a narrowed perspectiveRead More The Foils of Laertes and Fortinbras in Hamlet Essay1031 Words   |  5 PagesThe Foils of Laertes and Fortinbras in Hamlet  Ã‚        Ã‚  Ã‚   William Shakespeare wrote the classic play, Hamlet in the sixteenth century.   Hamlet would be a very difficult play to understand without the masterful use of foils.   A foil is a minor character in a literary work that compliments the main character through similarities and differences in personality.   The audience can identify similarities and differences between any of the characters and Hamlet, however, there are two characters thatRead MoreCause and Effect Hamlet Essay902 Words   |  4 Pagesand quickly appreciative of language Elizabethans of his time. A particular example out of the many soliloquies present in the tragedy of Hamlet is the beautiful and moving speech in Act IV, Scene IV (IV, iv, 35-70) of Hamlet depicting his admiration of Fortinbras and his disappointment in himself. The poetic loving audience is noticeably the cause while this splendid speech, along with the many others, is the effect. This soliloquy is a mere example of Shakespeareâ₠¬â„¢s disgust for the political manipulationsRead MoreAnalysis Of William Shakespeare s The Of Hamlet 953 Words   |  4 PagesThere is an enormous diversity of speculation on the cause(s) of Hamlet’s delay. The majority of those advancing their disparate theories should nonetheless be able to agree on one common conclusion: whatever the cause or causes may be for delaying the justice that is Denmark’s due, the results of that delay lead to a disastrous failure by Hamlet. He finds himself banished and bewildered on the cold sea shore. (THESIS) This essay will support a proposal by Harley Granville Barker in his â€Å"PrefaceRead MoreCharacters Of William Shakespeare s Hamlet886 Words   |  4 Pagesspecific characteristics of Hamlet’s peers help to show the character of Hamlet to the audience. Horatio supports every bold decision Hamlet makes, and is an authentic loyal friend. Fortinbras is a foil perceived in the play, and he wants to avenge his father s d eath. Laertes, Polonius’s son and Ophelia’s brother, is passionate and impulsive, who is also identified as Hamlet’s foil. As Shakespeare reveal Horatio’s, Laertes’, and Fortinbras’ traits he also shows Hamlet’s admiration and wish to acquire theirRead MoreInvestigating the Function of the Main Soliloquies in Shakespeares Hamlet1614 Words   |  7 Pageswill be focusing on Hamlet’s soliloquies, which are a main feature of the play. A soliloquy is a section of dialogue that is spoken by an actor that is alone on the stage. This not only reveals the characters thoughts and feelings and keeps the audience involved, it also moves the plot on and re-caps on what has happened. Soliloquies also add to the dramatic impact of Hamlet’s character, and are essential to the plot of the play. The first of Hamlet’s soliloquies is placedRead MoreAnalysis Of The Lion King Essay1348 Words   |  6 Pagesmasterpiece is taught in educational institutions, is the juxtaposition between Prince Hamlet and Prince Fortinbras, both essentially a character foil of the other. One explanation of this phenomena is the importance of Fortinbras as a character, as he is only identified scarcely throughout the play, yet is used dexterously to characterize Prince Hamlet, in his flaws and limitations as a character. Fortinbras also frames the story both politically,laying the scene of conflict in the two nations, and plotRead MoreEssay on The Theme of Vengeance in Shakespeares Hamlet1929 Words   |  8 Pagestheme of vengeance is apparent within the tragedy before the tragedy even begins. King Fortinbras is defeated by King Hamlet, leaving Prince Fortinbras orphaned. This naturally brings about bitterness between Prince Fortinbras and King Hamlet. Prince Fortinbras is angry, within reason. His father was just killed, his lands stolen, and now he is the person to whom all of the duty is left. These feelings lead Fortinbras to a state of angered reactions. He prepares an army to march into Poland and DenmarkRead MoreEssay about The Delay in Hamlet’s Reven ge3058 Words   |  13 PagesDelay in Hamlet’s Revenge  Ã‚        Ã‚  Ã‚   Hamlets first thoughts after learning of his fathers murder are of an immediate, violent revenge upon Claudius. However, his subsequent actions do not live up to these resolutions. Over four acts he takes little deliberate action against his uncle, although the ghost explicitly demands a swift revenge. In S. T. Coleridges words, Hamlets central weakness is that he is continually resolving to do, yet doing nothing but resolve. Hamlets first soliloquyRead MorePower Of Heroism In Hamlet1401 Words   |  6 PagesHamlet ascends to the malevolent mantle of heroism his father desires. Hamlet’s supernatural father holds Hamlet up to an unearthly standard of corruption. Nevertheless, despite the instability of his mental states, his obsessive adherence to his father devotes his entirety towards avenging his father’s death. Therefore, considering Hamlet’s supernatural task and the mercurially of even his resentments towards Claudius, Hamlets emotional detachment from the world allows him to be an ever-greater hero

Dance Hall Music Essay Example For Students

Dance Hall Music Essay Danceable music is corrupting Jamaican musical expression and should not be encourage. Do you agree? Ban, stop orders and incarcerations. Is Jamaican music, or more specifically danceable music, under threat? The musical industry in Jamaica is corrupted by the influence and expression of danceable music and should not be endorsed. Danceable music contributes to crime and violence, deviant sexual behaviors and also paints a bad image of the music industry. Jamaican musical expression is being tainted by corruption of lyrics in danceable USIA and thus contributes to crime and violence in society. Some of the influential artistes in danceable music sing a lot of songs that promotes criminal elements to breed in society. The scourge of crime and gun violence that has now invaded and taken control of lives on many young Jamaican is as a result of the lyrics of these songs and is seen as some criminals anthem and as a result they feed upon them before carry out their act. A line from one of Busy Signal popular songs, Real gangster a road no bow mi nun fear. Real batman bus gunshot between boy eye, such mi kill informal and spies. This kind of lyrics only contributes to the rise of criminal elements and acts in society. When a man can take a gun and shoot another man because he claims that the man disc him, then one needs to ask if these songs are not corrupt to the musical expression of Jamaica. The recent shooting of top Danceable artistes Mad Cobra and Online Edwards of Voice Mail have resulted in renewed calls for Jamaica artistes and the nation as a whole to take a stand against the crime and violence that has overtaken the nation as a whole to take a stand against the crime and violence that has overtaken the island. It is definitely now time for all well thinking Jamaican and fans of danceable to withdraw their support from artistes and music and music producers who continue to produce and promote songs with lyrics that glorify guns, violence and gangsters, There is no place in todays Jamaica for songwriters, performers and music producers who dedicate time and resources to making and promoting such songs, and who tell their fans that Informer FL dead. Some lyrics of danceable music also create gangs in communities and schools. The famous Gully and Gaza are a prime example. Many communities in Jamaica, especially Kingston are plagued with graffiti of which side they are associated with, whether one saying Gaza and the other saying Gully and Gully cannot venture on Gaza territory less is war. As a result of community segregation, it filters in the Dance Hall Music By smash influence the children need? Where is this coming from? Two of Jamaican most popular and influential artistes, Webs Karate and Moved are the trend setters of this nonsense. Another pivotal contribution that the corruption of danceable music imposes on Jamaican musical expression is that it exposes youth to deviant sexual behaviors. I it is a fact that some young people listen to most of Jamaican popular artistes songs and also emulates them. They take these artistes as their role model and practice what they preach. The lyrical contents of danceable song Romping Shop by spice and Webs Karate speak abuts :daggering which means hardcore sex is only teaching the young people to adopt deviant sexual behaviors thus spoiling their reputation, character and dignity. Lady Saws songs Stab up the Meat or Back Shot is only exposing the young people to have the urge or the desire for sexual activities. These songs are only feeding the brains of the young people to become worthless and demoralize. Even the skimpy clothes that the young people are wearing and setting up themselves for all sorts of abuse are stemming from the songs being sung by danceable artistes who should be good role models for them to follow. Some danceable songs have blata nt sexual expression. For example, lines from this popular song from Webs Karate, Gal UCM wine up, UCM turn around and wine up. .uc16b02fc3f23ca4fd5564ff937304e44 , .uc16b02fc3f23ca4fd5564ff937304e44 .postImageUrl , .uc16b02fc3f23ca4fd5564ff937304e44 .centered-text-area { min-height: 80px; position: relative; } .uc16b02fc3f23ca4fd5564ff937304e44 , .uc16b02fc3f23ca4fd5564ff937304e44:hover , .uc16b02fc3f23ca4fd5564ff937304e44:visited , .uc16b02fc3f23ca4fd5564ff937304e44:active { border:0!important; } .uc16b02fc3f23ca4fd5564ff937304e44 .clearfix:after { content: ""; display: table; clear: both; } .uc16b02fc3f23ca4fd5564ff937304e44 { 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; } .uc16b02fc3f23ca4fd5564ff937304e44:active , .uc16b02fc3f23ca4fd5564ff937304e44:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .uc16b02fc3f23ca4fd5564ff937304e44 .centered-text-area { width: 100%; position: relative ; } .uc16b02fc3f23ca4fd5564ff937304e44 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .uc16b02fc3f23ca4fd5564ff937304e44 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .uc16b02fc3f23ca4fd5564ff937304e44 .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; } .uc16b02fc3f23ca4fd5564ff937304e44:hover .ctaButton { background-color: #34495E!important; } .uc16b02fc3f23ca4fd5564ff937304e44 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .uc16b02fc3f23ca4fd5564ff937304e44 .uc16b02fc3f23ca4fd5564ff937304e44-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .uc16b02fc3f23ca4fd5564ff937304e44:after { content: ""; display: block; clear: both; } READ: Music Video Overviews EssayPose pond De c**KY and wine up. These recording artistes have had and are still having a significant negative impact on the values of young people. Finally, dance hall music is a corruption of Jamaican musical expression and as a result paints a bad image of the music industry both locally and internationally. The recent announcement of a ban restricting Bounty Killer, Bennie Man and Moved from traveling to the united state is the latest in a series of what must now be worrying developments in the Jamaica music industry. The bans come in the wake of temporary stop order imposed on Elephant Man from leaving the island. Webb Cartels inability to travel to the United States and Bus Baboons present incarceration in Florida Jail, the current ban on these acts paints a most troubling picture of Jamaica music. What is more troublesome is the Europeans are becoming increasingly reluctant to grant visas to Jamaican acts due to what are reporting to be homophobic concerns. United States of America and other countries are making it clear that some things will not be tolerated. Stay in Jamaica and spew your bathtub lyrics. On the news dated Monday, November 8, 2010, SST. Andrew North police are seeking two of dancers most popular artistes, Webs Karate and Moved as persons of interest. This is not the first time these two names and others are sought by the police for questioning. Take for example, Ninja Man who arrested and charged for murder. This brings about a decline in revenue or remittance to the country and also exposes the musical industry to public criticism both locally and internationally. These artiste need to respect another mans country and clean up their lyrics. What mind of message are these artistes sending the youths? Jamaica is in a crisis and we Even the Broadcasting Commission of Jamaica banned many of the danceable songs from air waves due to the lewd lyrical content of most of these songs to preserve the integrity of the musical industry. In closing, Jamaican musical expression is corrupted due to the lyrics of danceable music which contributes to crime and violence exposes youths of society to deviant sexual behaviors and paints a bad image on the musical industry both locally and internationally and therefore it should not be encourage in any way.

Lullaby Review Essay Example

Lullaby Review Paper Essay on Lullaby Yes! Thats exactly! It should be read immediately after the Fight Club, that would be an appetite for this author carousing even more. Chuck Palahniuk put children into the adult fantasy book, but added the brutality that would identify her to the rank of adult literature. At first, when I started to read, I thought that it will be about poltergeists, which appeared in the mansion, but later found out that it will be about magic spells, it did not spoil the desire to read it. Read the book is easy, it can be said in the same breath, vision and handwriting Palahniuk, he inserts and I think again, I think two which are repeated in almost every chapter. At one spell, the whole plot is built. How many events and lives, prejudge a few lines of the poem. Four people traveling in the country and the destinies, past sweeping landscapes and life. Its hard to judge the characters, all of them in some way negative, but, like oysters I have is greater repulsion than Carl, despite the fact that the latter has killed more people. In the last chapter, when Helen and Karl in the hospital, just throws in the heat of the brilliant description of what is happening, so rarely get the author to convey the events that the reader would feel about and saw this picture before my eyes. We will write a custom essay sample on Lullaby Review specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Lullaby Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Lullaby Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The philosophical novel turned out, fine the line between good and evil, is very thin. While reading, a lot thought, I made some conclusions, something stuck in the subconscious. Im afraid to spoil his review impressions of the book, so do not want to write anything, the only thing I want to add is that it is worth reading, and that the film adaptation of the book would have been smart if its done correctly. I think by rating could compete with Fight Club ». Lullaby Review Essay Example Lullaby Review Paper Essay on Lullaby This is my first book in Palahniuk. So do not compare with anything. Besides, Palahniuk has its own style, so more and not with anyone:) The book of prose discharge quality. Here and mysticism, and science fiction, and thriller And all this is written, to the point really, it seems absolutely impossible. Cruel fairy tale for adults. For adults who want to help humanity in general, and in particular, can not even help myself. Horror story, and so it is worse than that described by the human vices as a unit, and human civilization as a set of the same units just disgusting, but sadly we really are power-hungry, selfish, unable to think about the consequences of their actions, etc. etc. After all, even if in general it is a good man by the standards of society, able to kill just because someone stepped on his foot, its scary. The small-volume book Palahniuk short strokes described a lot of problems of human society, and maybe just a man. After all, society -.. Is what we all We will write a custom essay sample on Lullaby Review specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Lullaby Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Lullaby Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Question spells, giving power over life and death, bestowing the ability to fly and manipulate objects, etc., are very busy and, most importantly, today is highly relevant, the author, by the way, only outlined an opinion on the subject, they also play to the reader of fantasy everyone decides for himself what it all might end, and how it can be used, and whether to use all necessary The story is dynamic, bright with. hints of melancholy and sadness, with the prerequisites for reflection and the ability to happy ending. Good book. At the end of a couple of quotes.  « Maybe well go to hell not for those things that have committed. Maybe well go to hell for the things that have not committed. For cases that are not brought to the end  »  « nbsp;.. But if the reality its just a spell, delusion, if in fact you do not want that, how do you think you I want to If you have no free will. If you do not know what you know and what you do not know. If in fact you do not love the one, you only think you love. Then what remains is life worth living? Nothing.  »

Drugs for heart failure Essays

Drugs for heart failure Essays Drugs for heart failure Paper Drugs for heart failure Paper Heart failure is the inability of the heart to pump enough blood to meet the body demand, which can be as a result of aging; the process can be stimulated by myocardial infarction, coronary artery disease, mitral, chronic hypertension and sometimes diabetes mellitus, pharmacological invention is geared to prevention and alleviating the primary cause because heart failure is as a result of secondary consequence. Therefore it is important to control lipid level, blood pressure and blood glucose. Cardiovascular changes occur as result of the heart being unable to eject all blood from the left ventricle because of this deficit the heart respond by increasing the out put pressure which ultimately lead to increased pulse wave on the entire systemic circulation, which increases the mean arterial pressure with each subsequence heart beat, because of this after load the myocardial muscle of the left ventricle adapt by hypertrophying for the short run, however in the long run the heart is unable to compensate hence cough and shortness of breath are registered in chronic hypertension. The pathophysiology of heart failure result from decreased myocardial contraction which lead to reduced blood pressure characterized by decreased supply in the kidney which respond by secreting rennin-Angiotensin, a system responsible for the activation of the already secreted aldosterone by the which primarily causes retention of sodium ions and water retention, increased peripheral resistance, but causes edema of the limbs, increased blood volume and after load as a secondary event. finally leading to myocardial workload, simultaneously heart failure may occur both the right and left ventricles, it may predominantly affect the right side from increased preload resulting in pulmonary edema,on the peripheral and impaired blood supply to body organs for instance the liver, however cardiac decompensation may occur and present itself as dyspnea, fatigue, pulmonary congestions which causes cough and orthopnea and pulmonary edema where the patient feels like suffocating and sometimes extreme anxiety which may become worse at night. Appropriate medication is aimed at alleviating the symptoms by decreasing the heart rate, myocardial workload and increased contractibility; overtime the heart may lose it responsiveness compensate for increased workload . whereby it is advisable to restrict sodium and water to such patients; however other factors such as myocardial ischemia may aggravate the situation of acute heart failure. Treatment with ACT (Angiotensin covering enzyme) inhibits which mode of action involve lowering the peripheral resistance and prevent secretion of aldosterone, which ultimately lead to reduced arterial blood pressure hence removing the after load, and the dilation of the veins which lead to substantial reduced work load. An example of these drugs include lisinopril which is used for several weeks or months for the condition to return to normality, dosage recommended for an adult is 10mg/day, however several precaution measures should be observed before administration of the drug which include determination of the blood pressure range, patients with condition related to renal failure and also for physiological condition such as pregnancy which make it advisable to terminate treatment during the second and the third trimester, but the safety and efficacy of these drug to patients over 6 years and above have been determined. This drug work best when the treatment is started immediately at the onset of the signs of heart failure, because of the side effects of the ACT inhibits which include headache, dizziness, orthostatic, hypotension and cough, with the adverse effect at the long run which include severe hypotension, syncope, angioedema and blood dysrcasis. a reservation was made to such patient who may not tolerate this, hence an alternative was adopted . which have an action of blocking the ARBs (angiotensin receptors blocker) inhibitors which has the same mode of action as ACT inhibitors, with the approval of Valsartan and Candersarton in 2005, with a maximum recommendation dosage of 320mg/day and32mg/day respectively. Treatments of heart failure with diuretics have being used because of the less adverse effect and their effectiveness in alleviating the symptoms of heart failure by reducing fluid volume, normal diuretics are prescribed together with the ACE inhibitors with patients presenting symptoms such as pulmonary congestion a clear indicator of water retention. An example is loop diuretic called furosemide which work even with renal malfunction, the drug function best when administered intravenously in acute heart failure in span of minutes. Furosemide mode of action involves prevention of reabsorption in the loop of henle region for the sodium and chloride ions, however precaution should be observed before administering, by looking at potassium level, lower dose is recommended for geriatric patients, patients with pregnancy category C, neonates and developing infants should not be treated with the drug, dosage recommended for an adult is a maximum 600mg/day, furosemide have several side effect which in electrolyte imbalance and orthostatic hypotension, with the adverse effect at the long run which include; Severe hypotension, dehydrations, hypokalemia, hyponatremia and ototoxicity. Thiazide diuretics are less efficient than loop a diuretic which is reserve for patients with moderate or mild condition. However it can be efficient when used together with loop diuretics in acute heart failure, potassium sparing diuretics have low efficacy with limited use, with the exception of aldosterone antagonist called spironolactone which have displayed reduced mortality and slow progression of advanced heart failure, the dosage is given in part but a maximum of 200mg/day is recommended, which could have the following side effect such as hyperkalemia, gynecomastia in male fatigue and dysrhythmias as an adverse effect due to hyperkalemia. References Jack . G and Sternberg . S (2010) Analysis: hospital heart attack death rate drop. Merck manual (2008) Retrieved on 8 July 2010 from merck. com/mmhe/sec03/ch025/ch025a. html. Williamson (2010) anxious heart disease patients at high risk Retrieved on 8 July 2010 from, thetherapylounge. com/hypnotherapy-news/c-4408/anxious-heart-disease-patients-at-higher-risk/.

Margret thatcher other people bring problems , but he brings me Essay

Margret thatcher other people bring problems , but he brings me solutions - Essay Example In 1992, Margaret Thatcher was appointed as a peeres in the House of Lords effectively relinquishing her post in the House of Commons. There she assumed the title of Baroness Thatcher of Kesteven which in this capacity she gave the quote Other ministers bring me problems, David brings me solutions.† She however did not mean the Prime Minister David Cameron but the other David who was appointed as a the â€Å"enterprise czar†. In 1974, Thatcher challenged Heath for the leadership of their party and won. In 1979 national election, Thatcher became the Prime Minister of England where she was known as the â€Å"iron butterfly† due to her steadfastness in making difficult decisions. This moniker came about when Margaret Thatcher assumed as the Prime Minister of UK in 1979 where UK had been experiencing high unemployment rate under a series of trade union strikes which the media dubbed the â€Å"Winter of Discontent† because the Labour led government implemented a freeze on the pay increase of the workers to control the lingering inflation of 20% (Hall and Jacques 1983). Upon assumption of office, Margaret Thatcher implemented her policy programs which are popularly known as â€Å"The Thatcherite Agenda†. The Thatcherite Agenda was characterised by neo-liberal policy of a market oriented economy and neoconservative policy which emphasises the traditional Tory values of One Nation Conservati sm, national interest, law and order. Consistent with her market oriented economic policy; she curbed the traditional prerogatives of trade union to hold strikes (by holding them accountable of the loss during labour disruption) and prevented the artificial rise of wages which contributed to the lingering inflation and inefficiency of UK industries (Gamble 1994). Thatcher once quoted saying â€Å"Other ministers bring me problems, David brings me solutions.†

In James Joyce's The Dead discuss the themes of loss and involuntary Research Paper

In James Joyce's The Dead discuss the themes of loss and involuntary memory in relation to Freud's Mourning and Melancholia - Research Paper Example The moment of epiphany at Gretta’s revelation has a serious effect on Gabriel’s mind and he, in a state of mourning, loses interest in his life and develops a feeling a disregard for his own â€Å"self†. The hero of the story â€Å"The Dead† apparently seems to be a star of the show at his aunts’ party. He has been given the honor of delivering after-dinner speech. But when we see this man in the company of people we find that this man lacks self confidence and is not sure what impact his speech would make on the people. Perhaps he is aware of the hollowness of his words. The bubble of his self confidence bursts when he comes to know that his wife compares him with her past lover who is dead. Gabriel felt ashamed that he was being compared with a dead person and in this comparison the dead person was regarded superior to him. The consciousness about his diminutive self made him melancholic and â€Å"he saw himself as a ludicrous figure, acting as a penny-boy for his aunts, a nervous, well-meaning sentimentalist, orating to vulgarians and idealizing his own clownish lusts, the pitiable fatuous fellow he had caught a glimpse of in the mirror† (Joyce 150). This feeling of disillusionment and loss experienced by Gabriel is not the expression of individual rather it is going to be an elegy of a country or a nation. Joyce himself was writing his collection Dubliners in a broader context. Explaining his authorial intent for writing Dubliners, he states, â€Å"My intention was to write a chapter of the moral history of my country and I chose Dublin for the scene because that city seemed to me the centre of paralysis† ( qtd. in Friedrich 421). The story â€Å" The sisters† acted as the prologue of this elegiac epic while â€Å" The dead† was its inevitable â€Å"coda†(421). Gabriel seems to be a mouthpiece of Joyce and Noon traces some autobiographical implications of Joyce’s personality in the character of Gabriel and finds that it is difficult for the reader to â€Å" separate the ‘moral history’ of the city from the self-portrait of the artist†(254). Gabriel here is mourning the loss of the city (Dublin) which is the center of paralysis and like his writer shows anger and sorrow towards Ireland (Noon 255). Gabriel is reminded by Miss Ivors that he has lost his link with Irish identity and he has become a â€Å" West Briton†. She suggests that he should feel ashamed of himself for that. He also likes to spend vacations in Europe instead of Ireland. His talk about Ireland offends nationalist in Miss Ivor and she leaves of party early in an indignant mood. Gabriel in his speech Gabriel’s constant resort to his past through his memory is actually the cause of his emotional distrust and his neurotic cynicism with his present situation. We try to recollect our past through an attempt to access our sub-conscious memory. This we do voluntarily . But sometimes our unconscious invades our consciousness through recurring bouts of involuntary memory. Joyce’s technique of â€Å" stream of consciousness† works in this paradigm of voluntary and involuntary memory. Gabriel’s sense of loss is strengthened by these sudden infiltrations of involuntary memory which make him compare his present with his past. This comparison ultimately leads him to a situation where he develops a feeling of disillusionment with his present. This stylistic technique is the hallmark of James Joyce through which his characters come to recollect their past. This activity

Imperialism in the late 19th century Essay Example for Free

Imperialism in the late 19th century Essay In the late 19th century Americans fully embraced the concept of American exceptionalism, believing the â€Å"United States had a destiny unique among nations to foster democracy and civilization.† With this ideology, Social Darwinism, Anglo-Saxon, naval expansion, and the need for market promoted the rise to imperialism in the United States. When the Americans moved west and defeated the Native Americans they felt matchless because of all the technological and social developments they had over the Native Americans. Americans were able to trade and exchange guns, agriculture, and animals with Europe and Asia. The Americans thought God was making room for them but Social Darwinism is what vindicated the Whites ruling over weaker races. The wealthy used a scientific theory as a comparison to validate their greedy behavior and avoid paying taxes. There were 14 hour days for employees, no annuities, healthcare, or education. They believed the poor should work their way out of poverty. Darwinists assumed some races were inherently determined and that nature should be allowed to eliminate the unfortunate. Their way of thinking is what initiated the Holocaust. They believed that the assassinations of the Jews in World War ll meant they were cleaning out mediocre heredities. Darwinism, not to be addressed so much to Charles Darwin, but Herbert Spencer, came up with the expression â€Å"survival of the fittest.† Darwinism was a feuded rivalry between social groups creating a dog-eat-dog world. The Anglo-Saxon race felt different and that they were the superior and higher ones that were pre destined to rule the world. Josiah Strong, a Congregationalist minister, believed â€Å"The Essence of Christianity is Love.† In order to even consider yourself an Anglo-Saxon, you had to love civil liberty. You had to be a strong spiritual Christian and have a brain for colonizing. You also had to possess a great liveliness toward your own kind. Strong insisted that the Anglo-Saxons spread Christianity and share their material godsends throughout the world. The group was predestined by God. Strong believed that in order to spread out, there needed to be form of connection between the United States and the Philippines. The United States would bring the gospel of Jesus to the unfortunate races. To gain supremacy in the Pacific, they needed to build a  canal across Central America. The Anglo-Saxons needed to obtain power over the Pacific to complete the works of God and the United States needed the islands because Russia’s effect on Korea was growing rapidly. In 1901, expansion became a certainty. Mahan believed the United States economy would be incapable of receiving the vast amounts of industrial and commercial goods being manufactured locally. He then guaranteed the United States an assured access to international markets. Securing access would cause for a stronger navy, a navy that could carry out American commodities across the great highway and high seas. They needed a battleship navy to extinguish opposing navies and a system of naval bases proficient enough to provide fuel and supplies for the expanded navy. Mahan suggested the idea that the countries with the largest navy would attain the world. He was very adamant about the importance of the navy and trying to overcome the world. This was believed to be even truer once Hawaii, Cuba, and the Philippines were acquired. William Seward then strived to endorse an agreement with the Colombian Government to allow the United States to build a waterway through the Panama territory. After the Spanish-American War, the United States attained power over territories that could function as coaling stations and naval bases. The foreign market for American redundant products caused economic expansion to those nations. America was manufacturing way more than they could use. The markets of oil, steel, and agriculture were in major favor of the American expansion. Most demands for expansion were met by large commercial farmers. Vast amounts of raw materials were needed to properly preserve a strong industrial economy. Machinery became a large industry and all kinds of machines were established. Businesses were able to maneuver over wide areas creating chain stores everywhere. The invention of the steamship cut the travel time for shipping goods. The faster shipments arrived, the faster they could take advantage of supplies and sell manufactured goods. Oil was discovered in western Pennsylvania and used as lubricants and kerosene for lamps. Steel mills flourished in places where coal and iron elements could be brought together to produce steel. The American labor movement began to create unions. The unions began negotiating with possessors for higher earnings and  better working environments. The wi de-ranging knowledge of industrial development and scientific development helped enable perception for the creation of new businesses and technologies. Advanced technology strengthened the power and control of industrialized countries. The convenience of prosperity, progression by the unrestricted market of controllable canals, and coastal waterways, the large quantity of natural resources aided cheap withdrawal of goods. This strengthened the power and influence of industrial countries and allowed them higher advantage in war and economic growth. Contribution in the war overwhelmingly reformed the economy, governments, and society of the nation. This created a lucrative report creating work places for large immigrations. The United States had taken its place as the leading world supremacy. Works Cited Henretta, A. James, https://spider.georgetown.college.edu/htalent/border/bs1/berge.htm

What is Leadership? :: Management

Depending on who you ask, you will receive get replies as to what leadership is all about. Is a leader: †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  someone who gets the job done? †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  someone who get other people to follow them? †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  someone who has great management skills? †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  someone who inspires people? The list could be longer, and the responses, as we mentioned, even more diverse, depending on whom you ask. Someone once said: â€Å"If you want to know if you are a leader, look around and see if anyone is following you†. Whilst this may be a good test in one sense, it is probably a too simplistic answer to the question. It is more likely to cause problems than provide an answer or a solution. To stop and look around when you have been going in a particular direction is fine if there are people following you; the problem arises when you look around and see that no one is following you! Kouzes and Posner mention in their book that there are five practices of exemplary leadership: †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Model the Way †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Inspired a Shared Vision †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Challenge the Process †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Enable Others to Act †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Encourage the Heart They have also conducted a survey across six continents to identify the characteristics of admired leaders, and it is interesting that the top four characteristics are: 1.  Ã‚  Ã‚  Ã‚  Ã‚  honest  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  88%  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  A93% 2.  Ã‚  Ã‚  Ã‚  Ã‚  forward-looking  Ã‚  Ã‚  Ã‚  Ã‚  71%  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  A83% 3.  Ã‚  Ã‚  Ã‚  Ã‚  competent  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  66%  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  A59% 4.  Ã‚  Ã‚  Ã‚  Ã‚  inspiring  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  65%  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  A73% In the area of honesty, integrity and character were often linked together in people’s minds. Forward-looking was to do with a sense of direction, awareness of the future.

Polycystic Ovary Syndrome

Introduction: Polycystic ovary syndrome (PCOS) is a common endocrinology disorder affecting 15–20% of women in reproductive age worldwide (1).   PCOS characterized by hyperandrogenism and high level of insulin resistance which leads to the dysfunction of the hypothalamic-pituitary-ovary axis, resulting in anovulation and menstrual irregularity (2-6). PCOS is considered the most common cause of anovulatory infertility. Around 90%–95% of an-ovulatory women visiting infertility clinics have PCOS (7). The current first-line infertility treatment in women with polycystic ovary syndrome is Clomiphene Citrate. However, it has drawbacks, including its overall poor efficacy (only a 22% rate of live birth with up to six cycles of clomiphene (8)), ovulation rate of only 46% (9) and an undesirable side-effect profile, including mood changes and hot flushes. Failure either to ovulate (clomiphene resistance), or to conceive with ovulation (clomiphene failure) often leads to the use of more expensive treatment options for infertility that associated with higher multiple pregnancy rates and an increased risk of the ovarian hyperstimulation syndrome (10). Insulin-sensitizing agents, such as metformin, have been used successfully to treat women with PCOS (11). However, metformin also has multiple undesirable gastrointestinal side effects such as nausea (61%), vomiting (30%), and diarrhea (65%). (12,13) Furthermore, many women who have PCOS are not satisfied with pharmaceutical treatment. In a survey done on women with PCOS, 99% expressed their desire for effective treatment alternatives to fertility drugs, (14) and as many as 70% of women with PCOS use complementary medicines (15-16). Herbal Medicine is still widely used from world population for approximately 75-80%; this is because that herbal medicine is considered more culturally acceptable, less dangerous and more natural form of treatment (17). In Saudi Arabia, approximately 80% of the population use herbal medicine, and one of the main reasons is the ease of use of herbs that could be taken orally without painful procedure or invasive methods (18). Cinnamon, a commonly used spice, has become a natural product of interest because it has been considered to have health benefits, such as reducing blood glucose, total cholesterol, LDL cholesterol and decreasing insulin resistance (19). Cinnamon increases insulin sensitivity likely because of its effect on intermediate metabolites acting at the cellular level (20). Several studies stated that polyphenol polymers isolated from cinnamon could increase insulin-dependent glucose metabolism. (21-23) Cinnamon usually causes no serious side effects. The reported adverse events of cinnamon include headache, heartburn and menstrual cramps (24). In general, herbal medicines are better tolerated than pharmaceutical medications as shown in a systematic review for critical evaluation of clinical efficacy and adverse events of herbal remedies (25). Cinnamon extract may offer a low cost, readily available and relatively easily implemented means of reducing insulin resistance and thereby improving ovulation in women with PCOS.2. Literature Review: A randomized, double-blinded, controlled trial investigating the effect of cinnamon on menstrual cyclicity in women with PCOS, women receiving daily 1.5 g of cinnamon treatment showed significant improvements in menstrual cyclicity, whereas patients receiving placebo did not. Sampling from different patients in the study showed the luteal phase serum progesterone (progesterone level >3 ng/mL), sonographic visualization of corpora lutea, and pregnancy which all support that the bleeding has resulted from ovulatory cycles, rather than merely changes in menstrual flow (24). That suggests that cinnamon supplement may have an effect on ovulation induction in women with PCOS. Regarding the effect of cinnamon on insulin resistance, a study conducted in 2017 involving 66 women with PCOS in a randomized, double?blind placebo?controlled clinical trial. The women in the first group treated by cinnamon capsules 1.5 g/day for three months and the second group by placebo capsules. The homeostatic model assessment for insulin resistance (p = .014) reduced after the three months in the cinnamon group compared with the placebo (26). Another randomized control study concluded that oral administration of 1g of cinnamon extract daily for eight weeks was well tolerated and improved insulin sensitivity in nondiabetic women with PCOS (27). A double-blind randomized control study, comparing the effect of cinnamon and metformin on insulin resistance in 112 women with PCOS taking 1g of cinnamon versus 1g of metformin daily, shows that both significantly decreasing the insulin resistance (28). A study in non-PCOS patients with elevated serum glucose, 173 patients were enrolled and given 500mg of cinnamon daily for two months, showed a significant reduction on fasting insulin, glucose, total cholesterol, and LDL cholesterol and enhanced insulin sensitivity (29). There are many studies conducted on metformin as insulin-sensitizing agent on ovulation in PCOS women. In a systematic review, forty-four trials (3992 women) were included for analysis, 38 of them using metformin and involving 3495 women, clinical pregnancy rates were improved for metformin versus placebo (pooled OR 2.31, 95% CI 1.52 to 3.51, 8 trials, 707 women) and for metformin and clomiphene versus clomiphene alone (pooled OR 1.51, 95% CI 1.17 to 1.96, 11 trials, 1208 women) (30). Since the cinnamon have been suggested to improve the insulin resistance in previous studies and taking into account the side effects of metformin, a cinnamon supplement may offer a good and natural alternative to metformin as an insulin-sensitizing agent and thereby improve the ovulation in women with PCOS.3. Rational:The rarely and non-serious reported side effects of cinnamon along with the cost-effectiveness and availability lead to the need of exploring the effectiveness of cinnamon supplement as a complementary medicine for ovulation induction in women with PCOS.4.1 Aim:To determine the effectiveness of cinnamon supplement and clomiphene citrate (CC) combination on ovulation in women with PCOS.4.2 Objectives:Primary Objective:To compare the effectiveness of cinnamon supplement in combination with clomiphene citrate versus clomiphene citrate alone on ovulation in women with PCOS, in King Abdulaziz University Hospital in Jeddah 2018.Secondary Objectives:To measure the difference in insulin resistance after three months of cinnamon supplementation in women with PCOS in King Abdulaziz University Hospital in Jeddah 2018.To determine the effect of cinnamon and CC combination on menstrual cyclicity, approximated by menstrual frequency, during the study period, in women with PCOS in King Abdulaziz University Hospital in Jeddah 2018.To measure the pregnancy rate in women with PCOS in King Abdulaziz University Hospital in Jeddah 2018.To evaluate the quality of life in women with PCOS in King Abdulaziz University Hospital in Jeddah 2018.Materials and Methods Place of study:The study will be carried out in King Abdulaziz University Hospital, Obstetrics and gynecology clinics, in Jeddah 2018. Exclusion criteria:Current pregnancy or lactation.Current use of treatment of infertility.Established diagnosis of diabetes mellitus.Use of Insulin-sensitizing treatment within the past three monthsHormonal treatment involving estrogen or progesterone within the past three months.Known hypersensitivity to cinnamon.Use of statin medication.Any other supplements that contain cinnamon within the past month.BMI 35.Sample Size:To detect a clinically significant difference of 30% between the previously reported systematic review of ovulation rate (~46%) (9) with a one-sided 5% significance level and power of 80%, a sample size of 82 participants (41 per arm) is required. (Fleiss, Statistical Methods for Rates and Proportions, formulas 3.18 &3.19). Randomization:The participants will be randomized in 1:1 fashion using a computer program by trained assistance. Allocation concealment will be ensured using similar bottles labeled by letters A and B to receive either the combination of cinnamon supplement and clomiphene citrate or clomiphene citrate with placebo. The intervention allocation will be blind for both investigators and participants.5.6 Intervention:The Cinnamomum cassia  (C. aromaticum) capsules will be purchase from Spring Valley company (distributed by Wal-Mart Stores, Inc. USA) by the investigator. Placebo capsules will be prepared by Batterjee Pharma Company and will contain 450 mg of starch and 50 mg of cinnamon powder (to improve blindness regarding taste and odor). Shape, size, and color of placebo capsules will be completely similar to the cinnamon capsules.Cinnamon and placebo capsules will be provided to both groups monthly for 12 weeks. Participants will be required to consume two capsules twice per day after meals (2g/day). The last packages of capsules will be checked at the end of the month, and the number of remaining capsules will be counted; after that, new packages will be delivered to patients. All capsules will be given simultaneously with the clomiphene citrate medication. Participants will be asked to keep their normal lifestyle including daily food and physical activity level.The 2g dose of cinnamon is chosen based on published clinical trials in patients with PCOS (8,15,16,17). All participants in both groups will be followed for three months or until pregnancy confirmed. The three month-period has chosen based on a systematic review that showed the effect of cinnamon could be as early as 4 weeks and up to 18 weeks (31).5.7 Adherence:Compliance with diet and medications and interval progress will be monitored with monthly visits with the investigator or his trained assistances along with SMS reminder or WhatsApp messages. Also, participants will be asked to return all study packs (including empty bottles) at every monthly visit.5.8 Patient safety:Patients will be monitored monthly during the study period, and any occurrence of adverse events will be recorded.5.9 Study Outcomes:Primary outcome: Progesterone level > 3ng/mL (ovulation confirmation) or pregnancy confirmed.Secondary outcomes: Changes in insulin resistance, menstrual cyclicity, pregnancy rate and fertility quality of life at the end of the study in comparison with the baseline values. Procedure:The study will be initiated after obtaining approval from the Unit of Biomedical Ethics in King Abdulaziz University and approval from Saudi Food and Drug Authority. All patients will be explained the procedure and risks involved in common, understandable languages and a written informed consent will be obtained. First visit: Patients meeting inclusion and exclusion criteria will be evaluated during the early follicular phase (day 3-7) after a spontaneous or induced menses (medroxyprogesterone acetate 10 mg twice?daily for 5 days) for: Baseline blood work:o (Hormone profile: FSH, LH and testosterone levels).o In day 21 (luteal phase) patients will be tested for progesterone level.o Insulin resistance using homeostasis model of insulin resistance [HOMA-IR] and Quantitative Insulin Sensitivity Check Index [QUICK-I].? QUICK= 1 / (log(fasting insulin  µU/mL) + log(fasting glucose mg/dl))? HOMA-IR= (FPI(mU/l) Ãâ€" FPG (mmol/l))/22.5 Height and weight will be measured and recorded for body mass index (BMI). Diagnosis of oligo-/anovulation will be based on a menstrual pattern of oligo/amenorrhoea (cycle >35 days) and/or a low mid-luteal serum progesterone concentration. Hyperandrogenaemia will be diagnosed either clinically (acne/hirsutism) or biochemically (testosterone ?2.5 nmol/l).Last Visit: At the end of three months, all subjects will be re-evaluated during the early follicular phase (day 3-7) after a spontaneous or induced menses for: Baseline blood work:(Hormone profile: FSH, LH, testosterone levels).o In day 21 patients will be tested for progesterone level.Insulin resistance using homeostasis model of insulin resistance [HOMA-IR] and Quantitative Insulin Sensitivity Check Index [QUICK-I].Height and weight for body mass index (BMI).Menstrual cyclicity, approximated by menstrual frequency, (number menses/number months observed).Pregnancy rate using positive urinary hCG and ultrasound detection of the gestational sac.Assessment of dietary intake: To assess participants' dietary intake, a 24-h food recall will be collected three times during the study (at baseline, middle and end of study). Patients will complete food descriptions including food and drinks (brand names), food preparation (ingredients) in detail as much as possible in the last day. Pictures of food commonly consumed in Saudi Arabia, together with a set of common household measurement tools (glass, cup, soup bowls, plates, teaspoon and tablespoon) will be provided to assist subjects in estimating the portion sizes of the food. Assessment of physical activity levels: IPAQ will be applied to assess the physical activity level of participants. The IPAQ form comprises walking, moderate- intensity and vigorous-intensity activity and will be expressed as metabolic equivalents per minute (MET-min) per week. The levels of physical activity will be categorized into low, moderate and high, based on the IPAQ criteria. Statistical Analysis:Statistical analysis will be performed using SPSS 25. Data will be expressed as mean  ± SD for continuous variables and percentage for non-continuous variables. Normality tests will be assessed through Shapiro-Wilk tests carried out on each parameter before analysis. Intention-to-treat (ITT) analysis will include all randomized subjects, regardless of whether or not they received the study treatments. Per protocol (PP) analysis will include all randomized subjects who received the study drug and were not lost to follow-up. Participants who lost to follow-up will be assumed neither to be pregnant nor to have ovulation in the ITT analysis.Relative risk, relative risk reduction, Number Needed to Treat and Number Needed to Harm will be calculated at 95% confidence interval. Study variables:VariableOperational definitioni.e., indicatorScale of measurementOvulationProgesterone level in capillary bloodContinuous:Progesterone level ;3ng/mLInsulin resistanceHOMA-IR and QUICK-IOrdinal:HOMA-IR Healthy Range: 1.0 (0.5–1.4)?Less than 1.0 means insulin-sensitive which is optimal.?Above 1.9 indicates early insulin resistance.?Above 2.9 indicates significant insulin resistance.QUICK-I range between 0.45 in healthy individuals and 0.30 in diabetics.Lower values reflect greater resistance with values below 0.339 indicating insulin resistance. Menstrual cyclicityMenstrual frequencyContinuous:(No. of menses/ No. of month)Pregnancy rateNo. of pregnancies including live births, induced abortions, and fetal deaths per 1,000Continuous:(Number of pregnancies including live births, induced abortions, and fetal deaths / Number of women aged 15 – 44 years) Ãâ€" 1,000Quality of lifeInfertility quality of life questionnaire Ordinal Ethical considerations:Approval from the Unit of Biomedical Ethics in King Abdulaziz University will be obtained before the start of the study.Informed consent of the participants will be considered an essential prerequisite for enrollment in the study.This study will be registered in Saudi Food and Drug Administration (SFDA) and at Clinicaltrial.gov website.Confidentiality of the response of the participants will be ensured by keeping the collected data secured and used only for the study purpose.Study duration:The recruitment period will be three months; each arm group will be followed for three months, the total study duration with data analysis and writing the thesis will be ten months.Table1: study time frame

My Philosophy of a Constructivist Mathematics Education

At what point does a student, in all intents and purposes, experience something mathematical? Does it symbolise a student that can remember a formula, write down symbols, see a pattern or solve a problem? I believe in enriching and empowering students’ mathematical experiences that fundamentally stems from a Piagetian genetic epistemological constructivist model that allow students to scaffold their learning through cognitive processes that are facilitated by teaching in a resource rich and collaborative environment (Thompson, 1994, p.69). The student Constructivist learning in mathematics should endeavour to encourage students to â€Å"construct their own mathematical knowledge through social interaction and meaningful activities†¦show more content†¦A skilled teacher will also construct an appropriate classroom environment where students openly discuss, reflect on and make sense of tasks set before them (Clements et al, 1990). Through pedagogical constructivism (Noddings, 1990, p.14) I believe that in order to teach well, â€Å"we need to know what our students are thinking, how they produce the chain of little marks we see on their papers, and what they can do (or want to do) with the material we present to them (Noddings, 1990, p.15).† Through pedagogical constructivism, teacher should warrant the use of more effective diagnostic tools, such as understanding ways of thinking, methodical errors and misconceptions (Noddings, 1990, p.15). This is achieved by using an array of effective teaching strategies. Justified Learning teaching strategies to develop understanding It is important to note that a student’s view of a subject is founded upon the experiences in which he/she is immersed in and this subsequently forms their expectations of mathematics (Knowles, 2009, p.29). The strategies that teachera employ should be both challenging but achievable and furthermore within Vygotsky’s zone of proximal development (ZPD). â€Å"Realting is the most powerful contextual teaching strategy and is at the heart of constructivism (Crawford et al, 1999, p. 34).† This is where students draw on their own life experiences and use their prior knowledge to address a problem or question at hand. It isShow MoreRelated My Philosophy of a Constructivist Mathematics Education Essay1285 Words   |  6 Pagesunderstanding (Van de Walle, 2007, p.27).† My philosophy of a constructivist mathematics education At what point does a student, in all intents and purposes, experience something mathematical? Does it symbolise a student that can remember a formula, write down symbols, see a pattern or solve a problem? I believe in enriching and empowering a student’s mathematical experience that fundamentally stems from a Piagetian genetic epistemological constructivist model. 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