Thursday, October 31, 2019

Response to the Movie Sicko In medical sociology terms Essay

Response to the Movie Sicko In medical sociology terms - Essay Example rom the 2006 National Health Interview Survey† highlighted that in 2006, â€Å"there were 43.6 million Americans of all ages who did not have health insurance (at the time of the interview), or 14.8% of the population† (cdc.gov). With this, some people could not help but complain to the somewhat awful situation that they are in. In the same way, SiCKO (directed by Michael Moore), a movie from The Weinstein Company and Dog Eat Dog Productions, documented the alarming health issues that the contemporary Americans are facing nowadays. The movie revealed how health services in the US are made nearly unavailable and mostly unaffordable to its citizenry by its increasing costs and profit maximization by giant insurance companies. Also, SiCKO compared US’ health care to other nations such as Canada, Great Britain, France, and even Cuba, with an astonishing revelation of their free and low-costs health care services to its people. Thus, the following sections of this pape r exemplified my response to the movie in medical sociology terms. As we all know, without even mentioning the exact figures, Americans are now living in the world where there is a significant increase in diseases like cardiovascular disorders and cancers. Of course, this can be attributed to people’s negative health behaviors and lifestyles, which include lack of exercise and dietary conditions that predispose them to these diseases. In an instance, Michael Moore narrated in the movie that in France, people get to enjoy their wine, cigarettes, and fatty foods. These behaviors and lifestyles do have a direct impact on health. But Moore augmented that despite these French indulgences, just like Canadians and Brits, they live much longer than the Americans do. â€Å"Something about that seemed grossly unfair†, said Moore. Moreover, Dr. Jacques Milliez, Head of Obstetrics, St. Antoine Hospital, said in his interview with Moore that in France, â€Å"you pay according to your means and you receive according

Tuesday, October 29, 2019

Facebook vs. Twitter Essay Example | Topics and Well Written Essays - 1000 words

Facebook vs. Twitter - Essay Example As a matter of understanding these similarities and differentials, the following analysis will perform something of an in depth discussion with regards to how such a level of comparison can be made between these two sites. Rather than resorting to a pro and con listing of how one of these sites is necessarily better than the other, the following analysis will engage the reader with a realization for the way in which both Facebook and Twitter differentiate from one another and the means through which the user experience is affected accordingly. The first level of similarity that exists is with regards to the way in which both of these social networking sites allow the users to come in closer contact with hundreds or even thousands of other users. However, the level of intimacy that Facebook allows, as compared to Twitter, is greatly enhanced. For instance, Twitter only allows status updates fewer than 140 characters. By means of comparison, Facebook messages and post can exceed that limit by several hundred times and allow for a great more nuanced expression as compared to Twitter.... and advertisers integrating with their products and utilizing their service as a means of promoting themselves to potential clients, it is difficult to view a single advertisement on television without the encouragement of the advertiser to follow the given product or service on Facebook and Twitter. Another marked level of similarity that exists between these two social networking sites is with regards to the fact that both of them have come to rely heavily upon multimedia as a means of integrating with their client base. Whereas other sites were relatively slow to include multimedia and functions allowing individual users to upload, save, and post various forms of pictures, music, or data of another variety, Facebook and Twitter long ago realized that the user experience of social networking was one that can ultimately be maximized by allowing the user to engage with their own forms of multimedia; while at the same time sharing it with their close friends. As such, it comes as litt le surprise that Facebook and Twitter began to buy up the many different services that allowed for data sharing and multimedia uploads. The acquisition of Instagram for nearly $1 billion is evidence of the way in which this dramatic rush for such platforms exists between the two services. Whereas it may seem that the users of Facebook or Twitter are infinitely diverse and hail from a variety of socioeconomic backgrounds, research into the demographics of Twitter and Facebook users had noted the fact that well over half of these individuals have some form of college education and make between $25,000 $49,000 a year (Matt, 2011). In such a way, even though a broad level of stereotyping cannot be concluded to exist with regards to the typical Facebook or Twitter user, a level of analysis

Sunday, October 27, 2019

Management and Leadership of Walmart

Management and Leadership of Walmart Management can be defined as the process of working with people and resources to accomplish organizational goals (Bateman, 2009). Leadership is the setting up of a new vision for a particular group to follow. When there is leadership without management there will always be a need for a direction to be set. There will also always have to be someone to correct the mistakes that are made within the organization. When there is management without leadership, there will always be a need to have a referee because there is no new leadership or change. The job of a leader is not to just sit behind a desk all day, but to get out and motivate employees to do their best. Therefore, the importance of management and leadership knows that when the two are combined, they set a direction that allows for success within an organization and lifts morale. In an organization such as Wal-Mart, the roles of management and leadership have always gone hand-in-hand. Managers and leaders work close daily to ensure that the store operations and the warehouse operations run smoothly. Although there are named positions within the company, all are known as associates, from senior management to the door greeter. Management versus Leadership According to (McCrimmon, 2007), management is the organization function that gets things done efficiently to gain the best return on all resources. Management is not always about managing a group of people. Management is all about getting the best results on a project for a successful outcome. Wal-Marts management teams strive to ensure that the needs of the customers and associates are met. A strong value that has always held within the company is the Sundown Rule. This rule is the observance that the company will do their best to answer a question or concern before the close of business the day of reception. This is where the teamwork of the entire company comes into play, and efforts are combined to resolve any issues. It has long been debated that there is no difference between management and leadership. However, it is obvious that the two are very different. Even though they work together at times, they still serve different purposes. The job management cannot be seen as the same task every day. Managers jobs change from day to day. Although daily operations must be monitored, at times it takes delegating these jobs to others so that management can dwell on other tasks of greater importance. Leaders, on the other hand, do the majority of the persuasion within the company. They can be seen as the ones to get others to change their direction. According to (McCrimmon, 2007, p. 7), the best way to stimulate innovation is to encourage all employees to show leadership by promoting new products or services. Roles of Managers and Leaders It is the belief of Wal-Marts management that in order to meet the needs of customers and associates, open communication is critical (Wal-Mart Corporation, 2010). This is done through the Open Door policy, which allows associates to voice suggestions and concerns with management without feeling threatened or that they will be retaliated against. This policy has solved many problems, and made way for great ideas within the company. Wal-Marts founder, Sam Walton, believed that effective leaders do not lead from behind their desks (Wal-Mart Corporation, 2010). He believed in the importance of leaders taking the initiative to stand out and motivate and listen to the associates to help create morale. This is why in many stores managers are seen out on the sales floor interacting with customers. Another role that managers and leaders take within the organization is that of the power of teamwork. The ability to work together in such a diverse setting with so many different voices and opinions can sometimes cause conflict. However, Wal-Mart associates, managers, and leaders always seem to pull together as a team to serve the customer and each other. Four Functions of Management Management is the process of working with people and resources to accomplish organizational goals (Bateman, 2009). In order for managers to be effective, they must achieve organizational goals. These goals are traditionally known as the four functions of management. The four functions of management include planning, organizing, leading, and controlling. Wal-Mart uses the four functions of management as well as its own three basic beliefs: (1) strive for excellence, (2) respect for the individual, and (3) service to the customer (Mars, 2004). Planning is defined as the act of making decisions about goals and activities for an organization. Organizations need a plan to set the stage for actions and other achievements. According to (Lewis, Goodman, Fandht, 1998), plans provide a foundation for coordinating and directing the activities of the organization so that goals can be achieved. At Wal-Mart, managers and leaders work on a daily basis to plan for the organizational functions of the business. Organizing means to assemble and coordinate the people, money, physical attributes, and information needed for companies to achieve goals. When companies do not organize properly, plans fall through and success fails. Wal-Mart has attracted associates to its organization and customers to its stores because of its desire to succeed. When referring to the function of leading, it is mainly the act of stimulation. A good leader has to have the ability to motivate and communicate with employees. This ability can be seen within Wal-Marts human resources associates, who are also classified as leaders in the organization. The last function of management is controlling. The purpose of controlling is to monitor the performance and make changes necessary for organizational success. Management of Wal-Mart can be thought of as the controlling function, because their job is to plan, organize, lead, and control the activities of the organization so that goal can be achieved (Lewis, Goodman, Fandht, 1998). Recommended Management and Leadership Strategies It is important for management and leadership to participate in planning at all levels within the company. The levels of planning that Wal-Mart continues to participate in are strategic, tactical, operational, and contingency. Two strategies that organizational managers and leaders can use to create and maintain a healthy organizational culture within the company are to continue with the same three basic beliefs and values that Sam Walton started the company with in 1962 and also to continue to believe in open communication. The three basic beliefs and values- respect for the individual, service to our customers and striving for excellence is what the Wal-Mart culture is based upon. These beliefs and values are what make the company the worlds most admired. This is evident in the tremendous worldwide growth over the past 49 years. The belief in open communication can fall under a few different areas. The first area that will be analyzed is the Open Door Policy. This policy states associates are free to share suggestion, ideas and voice concerns, whether its help with a problem, guidance or a direction, or simply getting an answer to a question (Wal-Mart Corporation, 2010). At no time will managers treat associates with bias during open door and confidentiality will be maintained. Another area that management and leadership can possibly build upon is that of the recent legal issues that have affected the company. By continuing to listen to all associates concerns and voicing those concerns to higher leadership, this can alleviate a lot of the discriminatory issues that many employees experience. It is important for leadership to step up and be the voice in each establishment of the company. By letting the associates know that sexual discrimination will not be tolerated and that all associates will have a fair chance at qualified jobs. Wal-Mart is a dominating factor in the retail industry, which makes determining strategies that will create and maintain a healthy organizational culture difficult. However, it does appear that the company shows room for improvement. Even though the company is at the top place in sustainability, and they have over 7800 Sams club and store locations with over 2 million associates, it is still important to ensure that the organizational culture of the company is maintained. It takes management, leadership, and associates working together in a retail giant such as Wal-Mart for the company to be successful, that is the teamwork and servant leadership that Sam Walton believed in.

Friday, October 25, 2019

The Modernist Attributes of C.L.R. James’s Minty Alley Essay -- Gender

The Modernist Attributes of C.L.R. James’s Minty Alley Born in Trinidad and later expatriating himself first to London and then the United States, C.L.R. James was a key figure of the West Indian literary scene during the 1930s. Today he is primarily associated with his nonliterary writings in sociology and politics, and his fiction seems to have dropped from critical attention. Part of this shortsightedness stems from the fact that little of his fiction is readily available to a reading public in this country. Although a selection of his shorter work is now available in The C.L.R. James Reader (1992), the only extant edition of James' novel Minty Alley (1936) is published by the small London press New Beacon Books. Because of its relative inaccessibility, this significant piece of Caribbean literature remains absent from the immediate consciousness of American readers and critics. In part, this article is intended as a platform to stage a recovery of this book, opening up a critical dialogue about the novel in order to develop a mo re comprehensive perspective about the genealogy of Caribbean fiction. The literary history of this region is too often thought to begin in the 1960s with the(post)modernist work of such celebrated authors as Wilson Harrisand George Lamming, and Minty Alley provides us with a formidable example of narratival experimentation antedating these more critically acclaimed works. But there is more at stake than extending canon lists and the historical boundaries of post-realist Caribbean fiction. James' formal innovations in Minty Alleyalso allow us to begin to rethink that retrospective categorization of literature which is now loosely termed "modernism." In the process of recovery, then, I would lik... ...e, Joseph Allen. Libidinal Currents: Sexuality and theShaping of Modernism. Chicago: U of Chicago P, 1998. Henry, Paget and Paul Buhle, eds. C.L.R. JamesCaribbean. Durham, NC: Duke UP, 1992. James, C.L.R. Minty Alley (1936). London: New Beacon,1971. Lamming, George. The Pleasure of Exile (1954). AnnArbor: U of Michigan P, 1992. Levenson, Michael H. A Genealogy of Modernism: A Study ofEnglish Literary Doctrine 1908-1922. New York: Cambridge UP,1984. Lukacs, George. The Meaning of Contemporary Realism.London: Merlin, 1963. Nielsen, Aldon Lynn. C.L.R. James: A CriticalIntroduction. Jackson: U of Mississippi P, 1997. Ortega y Gasset, Jose. The Dehumanization of Art and OtherWritings onArt and Culture (1925). Garden City, NY: Doubleday &Company, 1956. Williams, Raymond. The Politics of Modernism: Against theNew Conformists. New York: Verso, 1989.

Thursday, October 24, 2019

Fair Election Process in India Essay

India has an asymmetric federal government, with elected officials at the federal, state and local levels. At the national level, the head of government, Prime Minister, is elected by the members of Lok Sabha, lower house of the parliament of India.[1] All members of Lok Sabha except two, who can be nominated by president of India, are directly elected through general elections which takes place every five years, in normal circumstances, by universal adult suffrage.[2] Members of Rajya Sabha, upper house of Indian parliament, are elected by elected members of the legislative assemblies of states and electoral college for Union Territories of India.[3] In 2009, the elections involved an electorate of 714 million[4] (larger than both EU and US elections combined[5]). Declared expenditure has trebled since 1989 to almost $300 million, using more than one million electronic voting machines.[6] The size of the huge electorate mandates that elections be conducted in a number of phases (there were four phases in 2004 General Elections and five phases in 2009 General Elections). It involves a number of step-by-step processes from announcement of election dates by the Election Commission of India, which brings into force the ‘model code of conduct’ for the political parties, to the announcement of results and submission of the list of successful candidates to the executive head of the state or the centre. The submission of results marks the end of the election process, thereby paving way for the formation of the new government.

Wednesday, October 23, 2019

M2 Compare the Effectiveness of Different Teams

Amy Waldock Amy Waldock M2 compare the effectiveness of different teams Clarifying objects in my team we clarified objectives by listening to the team leader and the man in charge of the activities at Blacklands farm and asking him questions about the activities to make sure that everyone fully understood everything.Compared to my team in the bridge building challenge we listened to the team leader and asked questions a lot more so therefore the work done at Blacklands farm was a lot more successful. Agreeing tasks at Blacklands farm we agreed on the tasks by communicating with each team member to get everyone’s point of view to make sure that everyone got a say in to what they thought, by doing this it meant that everyone in the team agreed on the approach to the task.Sometimes someone would disagree with an idea which could cause conflict in the group, we dealt with this by taking a vote and going with what was voted the most. When doing the bridge building challenge becaus e my group only consisted of three people there was less conflict in the group because it was easier for us to agree on the task, it was also easier because we had a team leader so we just went along with what he said.Valuing people valuing people was very important at Blacklands farm because the tasks set were very full on and physically hard so it was essential that every team member was valued as an individual and involved because with tasks such as the spider’s web every bit of help was needed. Even though the bridge building challenge wasn’t as physical it was still very important that each team member was valued equally because the task involved a lot of concentration and tactical skills.Being receptive to feedback at Blacklands farm we did a task that we failed on a number of times so our team leader stopped us and gave us feedback on what we was doing right and what we was doing wrong and what we could do to complete the task more quickly and easily. Me and my team listened to our team leader and were receptive to his feedback and did as he said and to our advantage completed the task.When doing the bridge building challenge we were given feedback on ways of how to complete the challenge more quickly and successfully, unfortunately me and my group did not pay attention to the feedback and therefore our bridge was not completed in time. Maintaining focus maintaining focus at Blacklands farm was important for a lot of the tasks because if focus was lost it could affect the whole team and make a certain task fail, at times it was hard to maintain a focus because of cold weather and muddy conditions.To maintain a focus we pulled together as a group and were motivated by our team leader and team members. It was hard to maintain a focus when doing the bridge building challenge for my group because at times each team member would get frustrated when things weren’t going as planned, we maintained a focus by thinking of the prize that coul d be won to whoevers bridge could hold the most amount of glue sticks.Encouraging other team members to recommend improvements this was important at Blacklands farm because if there was something in the task that wasn’t going to plan it could be changed and improved for the better of the group. When doing the bridge building challenge it wasn’t as important to encourage a team member to recommend improvements because there was only three people in our group and we voted on who should be team leader so we was confident that who we had chosen knew what was right so we went with what they said.Dealing with conflict at Blacklands farm because my team worked very well together so there was hardly any conflict, but if there was conflict we dealt with this by discussing the problem together as a group and then discussing what would be the best approach to the problem and if necessarily to take a vote. If there was any conflict whilst doing the bridge building challenge we de alt with this by letting the matter fall into the team leaders hand and letting them decide the best option for the group, by doing this it avoided more conflict.Communication methods at Blacklands farm we communicated by asking questions to make sure that everything was covered and so that everyone had a good understanding of the task, we also listened to each team member when they spoke to maintain a good communication within the whole team. At times we used body language to communicate with team members by using expressions as thumbs up and thumbs down to indicate yes or no.We also had to use body language in one task where we were asked to get in a line according to birth date but without talking so in this task we used our hands to indicate numbers. Unlike at Blacklands farm when doing the bridge building challenge we weren’t asked to do anything without talking so body language wasn’t as necessary, we still had to constantly ask questions and listen to team memb ers to maintain a good relationship in the team and to make sure that communication was maintained. M2 Compare the Effectiveness of Different Teams Amy Waldock Amy Waldock M2 compare the effectiveness of different teams Clarifying objects in my team we clarified objectives by listening to the team leader and the man in charge of the activities at Blacklands farm and asking him questions about the activities to make sure that everyone fully understood everything.Compared to my team in the bridge building challenge we listened to the team leader and asked questions a lot more so therefore the work done at Blacklands farm was a lot more successful. Agreeing tasks at Blacklands farm we agreed on the tasks by communicating with each team member to get everyone’s point of view to make sure that everyone got a say in to what they thought, by doing this it meant that everyone in the team agreed on the approach to the task.Sometimes someone would disagree with an idea which could cause conflict in the group, we dealt with this by taking a vote and going with what was voted the most. When doing the bridge building challenge becaus e my group only consisted of three people there was less conflict in the group because it was easier for us to agree on the task, it was also easier because we had a team leader so we just went along with what he said.Valuing people valuing people was very important at Blacklands farm because the tasks set were very full on and physically hard so it was essential that every team member was valued as an individual and involved because with tasks such as the spider’s web every bit of help was needed. Even though the bridge building challenge wasn’t as physical it was still very important that each team member was valued equally because the task involved a lot of concentration and tactical skills.Being receptive to feedback at Blacklands farm we did a task that we failed on a number of times so our team leader stopped us and gave us feedback on what we was doing right and what we was doing wrong and what we could do to complete the task more quickly and easily. Me and my team listened to our team leader and were receptive to his feedback and did as he said and to our advantage completed the task.When doing the bridge building challenge we were given feedback on ways of how to complete the challenge more quickly and successfully, unfortunately me and my group did not pay attention to the feedback and therefore our bridge was not completed in time. Maintaining focus maintaining focus at Blacklands farm was important for a lot of the tasks because if focus was lost it could affect the whole team and make a certain task fail, at times it was hard to maintain a focus because of cold weather and muddy conditions.To maintain a focus we pulled together as a group and were motivated by our team leader and team members. It was hard to maintain a focus when doing the bridge building challenge for my group because at times each team member would get frustrated when things weren’t going as planned, we maintained a focus by thinking of the prize that coul d be won to whoevers bridge could hold the most amount of glue sticks.Encouraging other team members to recommend improvements this was important at Blacklands farm because if there was something in the task that wasn’t going to plan it could be changed and improved for the better of the group. When doing the bridge building challenge it wasn’t as important to encourage a team member to recommend improvements because there was only three people in our group and we voted on who should be team leader so we was confident that who we had chosen knew what was right so we went with what they said.Dealing with conflict at Blacklands farm because my team worked very well together so there was hardly any conflict, but if there was conflict we dealt with this by discussing the problem together as a group and then discussing what would be the best approach to the problem and if necessarily to take a vote. If there was any conflict whilst doing the bridge building challenge we de alt with this by letting the matter fall into the team leaders hand and letting them decide the best option for the group, by doing this it avoided more conflict.Communication methods at Blacklands farm we communicated by asking questions to make sure that everything was covered and so that everyone had a good understanding of the task, we also listened to each team member when they spoke to maintain a good communication within the whole team. At times we used body language to communicate with team members by using expressions as thumbs up and thumbs down to indicate yes or no.We also had to use body language in one task where we were asked to get in a line according to birth date but without talking so in this task we used our hands to indicate numbers. Unlike at Blacklands farm when doing the bridge building challenge we weren’t asked to do anything without talking so body language wasn’t as necessary, we still had to constantly ask questions and listen to team memb ers to maintain a good relationship in the team and to make sure that communication was maintained.

Tuesday, October 22, 2019

Europe being controlled

With the rest of Europe being controlled in a complex string of alliances and treaties during the later half of the 19th century, Britain remained uninvolved. Their policy of Splendid Isolation was to keep themselves out of the quarrels and disputes of continental Europe, and allow them to focus on their overseas empire. With the crowing of a new Kaiser in Germany, and the interest of other nations to hold overseas colonies, Britains colonial empire was under attack. Their interest to focus on their vast empire would eventually lead them into disputes with other European nations. It would ultimately be their reason of going into isolation that would end it. In 1888 Kaiser William II ascended unto the German throne. William II was filled with a sense of Germanys destiny as the leading power in Europe.(Kagan, Ozment, Turner, The Western Heritage 2nd Ed.) William longed to achieve recognition from the rest of the world that Germany was as great, if not greater the Great Britain. He believed the only way to achieve a place under the sun (Kagan, Ozment, Turner, The Western Heritage 2nd Ed.) was to build a navy and establish colonies like Britain. Thus began William IIs commitment to colonial and commercial expansion. The German commercial rivalry with Great Britain not only brought direct trouble, but nourished German desire for sea power and a large navy. The Baghdad Railway was a venture from German businessmen to create a railway from Turkey to Baghdad. The British, who feared German influence too close to the Suez Canal and India, opposed greatly to the idea. The Suez Canal was an important waterway to India. If the oncoming Germans disrupted the usage of the canal, then Britains ability to transport to and from India would be disrupted by having to go around the tip of Africa. Even worse, if the Suez Canal were to fall under German hands, then Britain might have...

Monday, October 21, 2019

How to solve your biggest challenges in talent acquisition

How to solve your biggest challenges in talent acquisition As an HR professional, you know that one of the most challenging parts of your job is making sure you have the right talent in the right roles. It’s also one of the most important parts of staffing and talent acquisition. Let’s look at some of the biggest hurdles recruiters face and how to address them.How do you attract the best people?In this market, you’re likely to get tons of applications for every job opening- but does the quantity reflect the quality? If you want to ensure that you’re getting good bites, then it’s crucial to put a lot of care and effort up front into the first steps. That means crafting a specific, dynamic job description, to make sure you’re getting people with a specific pool of qualifications. The more you refine the job description, the less chance you’ll get people who don’t even come close to the position’s needs.It also means making an effort to make sure that your public-facing info is both up-to-date and appealing. That means tuning up your social media presence, as well as making sure your company website is appealing as well. Think of those college brochures that inevitably have stock photo groups of happy, smiling students walking through crisp autumn trees, or gathering on a lush, green quad to study. Those work because they create a welcoming image for potential students, one that says, â€Å"Hmm, I can see myself fitting in there.†Another way to attract top talent is to make the application process friendlier, so the applicant feels like an individual or customer- not just a faceless drone feeding documents into the automated void. A human touch goes a long way in the acquisition of top talent, and a more welcoming approach helps applicants see themselves as part of the team.How do you get a candidate with multiple offers to choose you?For top talent, it’s likely that they’re also seeing other recruiters or are in the process of interviewin g with other companies as well. Or, even more cringeworthy from the recruiter’s standpoint, they’re using your offer as leverage at their current job. Everyone wants to get the rose, Bachelor-style, but more than that, you want the recruiting investment of time and resources to result in a great new hire.hbspt.cta.load(2785852, '9e52c197-5b5b-45e6-af34-d56403f973c5', {});There’s only so much you can do to directly sway someone who’s entertaining multiple opportunities- but you can take steps to sweeten the deal along the way. According to LinkedIn, one of the deciding factors can be the interview, with candidates choosing the one that not only went well, but also felt the most comfortable. That doesn’t necessarily mean going full tech start-up on the process (everyone sits on yoga balls while drinking artisan cappuccinos!), but rather making sure that the candidate feels welcome and valued during the process.Remember what I said before about a huma n touch? That applies here as well. If a candidate sits alone in a lobby for a while, then is hustled through an interview and then back out the door, it’s not the best experience- even if the interview was successful. It’s a customer service mindset. The more you can make an interview a dialogue rather than an interrogation, the more comfort and engagement you’re likely to get from the candidate.Throughout the whole process, make sure you’re communicating with the candidate. If they receive radio silence from your company, then they may think that this job is unlikely to pan out, or feel frustrated by the lack of information.What if you’ll settle for nothing less than The Perfect Candidate?Sometimes the hiring manager has a very specific image in mind for what he or she wants for the position, and nothing else will do. Have you ever seen an issue where refusing to compromise made things better and easier? No? I haven’t, either. If youâ€⠄¢re finding that you’re letting good candidates go because they’re not perfect, or you’re not finding that perfect unicorn candidate in the available talent pool, it may be time to have a heart-to-heart with the hiring manager and see if there’s any wiggle room on the job description or qualifications. It could be that an awesome candidate falls a bit short in one area, while having huge potential for success in the role.Communication with the hiring manager is key here. Before you take the job description and send it out into the wild, talk with the hiring manager to make sure you’re clear on their expectations and priorities, and that they’re clear on yours as well. If you’re skeptical that you can find a Swedish-speaking electrical engineer with expertise in both project management and social media, let the hiring manager know up front. If you have data that shows how few multilingual electrical engineer-project manager-Twitter gu rus there are out there looking for jobs right now, use that to help manage expectations. If you match up the job needs with the realities of the talent pool, you and the hiring manager will increase your chances of finding a great- if not perfect- match.How do you make sure you’re tapping into the right talent pools?This is where data is a very helpful tool in refining your recruitment and attraction strategies. Recruitment marketing software can help you create metrics like the number of resumes received from a particular kind of outreach, costs invested, and the number of hires made from particular sources. With that data, you can start to target your searches to the spots that yield the highest-quality candidates. If you’re getting the best results through a particular outreach method, you can concentrate on that avenue.Also, don’t be afraid to think outside the usual channels. If you think of it as a talent search more so than a â€Å"let’s fill thi s open position fast† search, and reach out to potential candidates on social media or other platforms rather than work with only the people who submit applications, you can help broaden the candidate pool.How do you get hiring managers to provide feedback in a timely way?Hiring managers are usually reviewing resumes, doing interviews, etc., as part of their regular jobs. As a result, things can get lost in the shuffle, get delayed, or get deprioritized as day-to-day work gets in the way. This is not great if you have candidates on the line, waiting for information (or a job offer). What you can do to make this process easier on the hiring managers (and you) is find ways to automate this feedback process a bit. Create an online survey or an email template and send it to the hiring manager as soon as an interview is over. It’s a gentle reminder to get feedback in on a timely basis, and it also encourages the hiring manager to write impressions while the information is st ill fresh. Then they get to move on, you get to keep the process moving, and (ideally!) you’ve found a great candidate for the job.Recruiting challenges will always be there, as long as there are humans filling jobs. But there are things you can do to make your life a little easier, and help ensure that you’re attracting, identifying, and locking down the best people to join your team.

Sunday, October 20, 2019

What Are Good SAT Scores for Colleges 101 Schools + Advice

What Are Good SAT Scores for Colleges 101 Schools + Advice SAT / ACT Prep Online Guides and Tips As you apply to college, it's important to understand how high of an SAT score you will need to aim for on test day. This raises the question:what aregood SAT scores for colleges? And notjust any colleges, but your colleges specifically? In this article, we’ll examine the SAT scores needed for college and how these scores can varydue todifferences in factors such as school prestige and competitiveness. We’ll then show you how to look for average SAT scores for colleges and how to set your own SAT goal score. What Are Good SAT Scores for Colleges? First off, what are good SAT scores for colleges? In reality, there's no single answer to this question because good SAT scores for universities vary depending on where you’re applying. For some schools, an SAT score of 1400 will be significantly high, whereas for others (i.e., top-20 colleges) it’ll be fairly low. As you might've guessed, ultra-competitive,top-ranked schools typically look for some of the highest SAT scores in applicants. Below is a chart containing thetop 25 US schools (as ranked by US News) and their ranges of SAT scoresfor incoming students. This data highlights the SAT score you'll need to get in order to give yourself the best shot at securing admissioninto ahighly competitive school.For each school, we give you theaverage SAT score, 25th percentile score, and 75th percentile score of incoming students. A 25th percentile score means that 25% of students scored at or below this threshold, while a 75th percentile score means that 75% of students scored at or below this threshold. Thus, the 25th and 75th percentiles represent the middle 50% SAT scores of admitted applicants- the average SAT score range for a particular school.GoodSAT scores for universities are usually those in the 75th percentile or higher (i.e., anything above the middle 50%). Note:For those curious about what kinds of SAT scores are required for Ivy League schools, I’ve bolded all eight Iviesin the table below. This should make it easier to compare the SAT scores of Ivies with those of non-Ivies. SAT Scores for Top 25 US Schools School US News Ranking 25th %ile SAT Score 75th %ile SAT Score Avg SAT Score Princeton 1 1430 1570 1500 Harvard 2 1460 1590 1520 Columbia 3 (tie) 1450 1580 1515 MIT 3 (tie) 1490 1570 1528 UChicago 3 (tie) 1480 1580 1530 Yale 3 (tie) 1420 1590 1505 Stanford 7 1390 1540 1465 Duke 8 (tie) 1390 1580 1485 Penn 8 (tie) 1420 1560 1490 Johns Hopkins 10 (tie) 1460 1580 1520 Northwestern 10 (tie) 1420 1560 1490 Caltech 12 (tie) 1530 1590 1560 Dartmouth 12 (tie) 1430 1560 1478 Brown 14 (tie) 1405 1570 1488 Vanderbilt 14 (tie) 1400 1550 1475 Cornell 16 (tie) 1390 1550 1470 Rice 16 (tie) 1490 1580 1535 Notre Dame 18 1370 1520 1445 UCLA 19 (tie) 1240 1490 1365 WUSTL 19 (tie) 1470 1570 1505 Emory 21 1350 1520 1435 Georgetown 22 (tie) 1350 1520 1435 UC Berkeley 22 (tie) 1330 1530 1430 USC 22 (tie) 1300 1500 1400 Carnegie Mellon 25 (tie) 1430 1560 1495 UVA 25 (tie) 1290 1470 1365 As you can see from this chart, the SAT scores you’ll need for top 25 schools vary slightly but are overall quite high.Of these schools, UCLA has the lowest SAT scores: the middle 50% of its incoming students scored between 1240 and 1490, or the 80th and 98th percentiles. By contrast,Caltech maintains the highest SAT scores:only 25% of incoming studentsscored at or below 1530- an extremely impressive SAT score in the 99th percentile! Even more impressive, a whopping 75% of Caltech students scored at or below a near-perfect score of 1590. Top schools are like center brownies: lots of people compete for them, but only a few will win access to one. But what if you’re not interested in applying to only top-25 schools? To lend you a hand, we've gathered SAT score information for 76 additional schools.All of the schools selected for this listare relatively well known- some more so in their respective regions- andvary from large public institutions to small liberal arts colleges. Whereas some are extremely competitive, others are more laid-back. But all are definitely worth considering for college! All schools below areorganized alphabetically.To find a specific school, use ctrl + F to type in the name of the school you're searching for. Note that University of California schools are listed using "UC." SAT Scores for 76 Popular Schools School 25th %ile SAT Score 75th %ile SAT Score Avg SAT Score American University 1180 1350 1260 Amherst College 1430 1560 1492 Baylor University 1190 1360 1275 Binghamton University 1290 1431 1361 Boston College 1320 1490 1405 Boston University 1300 1480 1380 Bowdoin College 1290 1510 1390 Brigham Young University (BYU) 1210 1410 1310 California Polytechnic State University (Cal Poly) 1220 1400 1293 Chapman University 1190 1360 1270 Claremont McKenna College 1420 1560 1490 College of William and Mary 1300 1480 1390 Drexel University 1160 1360 1260 George Washington University(GWU) 1280 1440 1355 Georgia Institute of Technology (Georgia Tech) 1090 1520 1295 Harvey Mudd College 1470 1570 1520 Indiana University Bloomington 1140 1350 1246 Lehigh University 1270 1430 1347 Loyola Marymount University 1180 1360 1269 Miami University 1190 1380 1285 Michigan State University(MSU) 1100 1320 1204 Middlebury College 1320 1510 1404 New York University (NYU) 1290 1490 1382 Northeastern University 1370 1520 1445 Ohio State University(OSU) 1260 1450 1344 Pace University 1070 1240 1137 Pennsylvania State University (Penn State) 1160 1340 1247 Pepperdine University 1200 1390 1294 Pitzer College 1310 1490 1394 Pomona College 1370 1530 1450 Rensselaer Polytechnic Institute(RPI) 1320 1500 1399 Rutgers University 1190 1400 1300 Scripps College 1290 1460 1384 Stony Brook University- SUNY 1210 1410 1304 Syracuse University 1160 1350 1255 Temple University 1130 1310 1221 Texas AM University 1140 1360 1252 Texas Christian University (TCU) 1130 1330 1230 Trinity College 1190 1440 1320 Tufts University 1410 1540 1475 Tulane University 1330 1490 1410 UC Davis 1120 1360 1240 UC Irvine 1170 1410 1286 UC Riverside 1090 1300 1179 UC San Diego(UCSD) 1140 1380 1257 UC Santa Barbara(UCSB) 1270 1500 1385 UC Santa Cruz 1160 1370 1263 United States Military Academy(West Point) 1185 1400 1300 United States Naval Academy 1250 1450 1410 University of Alabama 1050 1280 1177 University of Arizona 1100 1340 1182 University of Cincinnati 1120 1340 1233 University of Colorado Boulder(CU Boulder) 1150 1345 1248 University of Connecticut (UConn) 1110 1390 1250 University of Florida 1240 1410 1318 University of Georgia (UGA) 1200 1370 1281 University of Illinois at Urbana-Champaign(UIUC) 1340 1500 1420 University of Iowa 1100 1400 1240 University of Massachusetts Amherst (UMass) 1180 1360 1269 University of Miami 1220 1410 1316 University of Michigan 1330 1500 1415 University of Minnesota, Twin Cities 1270 1480 1358 University of North Carolina at Chapel Hill (UNC) 1260 1440 1347 University of Pittsburgh 1240 1418 1330 University of Rochester 1250 1490 1370 University of Texas at Austin (UT Austin) 1160 1390 1275 University of Texas at Dallas (UT Dallas) 1220 1430 1315 University of Vermont 1180 1350 1259 University of Washington 1190 1420 1310 University of Wisconsin- Madison 1280 1450 1359 Vassar College 1370 1510 1420 Villanova University 1250 1440 1345 Virginia Polytechnic Institute and State University (Virginia Tech) 1180 1360 1268 Wake Forest University 1260 1440 1350 Wellesley College 1360 1530 1437 Williams College 1400 1570 1468 School 25th %ile SAT Score 75th %ile SAT Score Avg SAT Score The list above is only a fraction of the length of Santa's naughty-or-nice list. Want to learn more about the SAT but tired of reading blog articles? Then you'll love our free, SAT prep livestreams. Designed and led by PrepScholar SAT experts, these live video events are a great resource for students and parents looking to learn more about the SAT and SAT prep. Click on the button below to register for one of our livestreams today! How to Find Average SAT Scores for Colleges With these two charts, we've given you- in addition to the 25th and 75th percentile SAT scores for each school- the average SAT scores of admitted applicants. These averages tell us what kinds of SAT scores you shouldaim for in order to match (or even possiblyexceed!) the qualifications of previously admitted students. But where can you findaverage SAT scores for colleges? The two best resources to look for SAT averages are ourPrepScholar database andofficial school websites. Method 1: Use the PrepScholar Database We at PrepScholar maintain a robust databaseyou can use to get more information onthe SAT scores needed for college. Start by typing in "[School Name] PrepScholar"or "[School Name] PrepScholar SAT"on Google. For example, here's the page I got when I searched for "university of oregon prepscholar": Click the link to either your school'sAdmission Requirements page orSAT Scores and GPA page in our database. I decided to look at the University of Oregon's Admission Requirements page(the first link in the screenshot above). Once on your school's PrepScholar page, scroll down to look for a section about its SAT scores. Straight away, you should be able to spot your school'saverage SAT score in a blue banner: If you'd like to see the 25th and 75th percentile SAT scores for your school as well, simply scroll down to look at the percentile chart: This is all you need to do to find the average SAT scores for colleges. However, if you’re having trouble locating a specific school in our PrepScholar database, move on to Method 2. Method 2: Use Official School Websites This method involves lookingfor SAT score information on aschool's official website.The easiest way to do this is to hop on Google, search for "[School Name] average SAT scores," and then click any links to official pages discussing SAT scores for your school. Another (slightly less convenient) method is tobrowseyour school'swebsite and intermittently usectrl + F to look for anymentions of SAT scores. The best pages to searchare those offering information onadmission statistics, the new freshman class, and facts and figures. That said, not allschools report average SAT scores. Whereas some won't release any SAT score information at all,other schools might report SAT scores of admitted applicants in the form of 25th and 75th percentile scores. One example of this is Princeton, whichoffers middle 50% SAT score ranges for both sections on the SAT. According to this Ivy League school, the middle 50% is 730-790 for Math and 700-770 for Evidence-Based Reading and Writing. In other words,25% of students scored1430 or below and 75% of students scored 1560 or below. Although this range isn’tthe same as an average, it does give us the information we ultimately want to know:what kind of SAT scores are considered better than average (and below average) at this particularschool. This freakishly beautiful kitten is anything but average. How to Set an SAT Goal Score We've seen how widely SAT scores for universities can vary; now, it’s time to figure out what score you'll need for your colleges specifically. In other words, what shouldyourSAT goal score be? A goal score is the SAT score most likely to get you into at least one of the colleges you're applying to (excluding safety schools). Ideally, it'll get you into all of them! Because SAT expectations can vary greatly by school and because there's such an enormous array of colleges you can apply to,your SAT goal score will be yours and yours alone.Other students might have higher or lower goal scores than you- but none of that matters. In the end, what does matter is your goal score’s likelihood of getting you into the college of your dreams! To find your SAT goal score, follow these three simple steps. Step 1: Make a Chart First off, make a table for the schools you're applying to and their 25th/75th percentile SAT scores. You may download our worksheet or draw a table similar to the one below. On the left, list all the schools you plan to apply to (excluding any safety schools you’re about90% certain you’ll get into). Here's an example: School 25th Percentile 75th Percentile UT Austin Texas AM Baylor TCU Step 2: Find SAT Score Info Online Your next step is to look for SAT score information for each of the schools in your table.To do this, follow the same steps as outlined in Method 1 for finding average SAT scores for colleges. Once again, here are the steps you'll need to take: Step 1: Search for "[School Name] PrepScholar SAT" on Google and click on the PrepScholar page for your school (either the Admission Requirements page or SAT Scores and GPA page will work). Step 2: Scroll down to the SAT section on this page to find a chart listing the 25th percentile, 75th percentile, and average SAT scores for this school. Step 3: Recordthe 25th and 75th percentile scores in your chart. In addition to using our database, you can search for "[School Name] SAT scores" on Google and look for official web pagesfor your school. Many schools will report either average SAT scores or the middle 50% of SAT scores(which is what you'll want for your chart). As a reminder, the minimum score in a 50% range is the 25th percentile, and the maximum is the 75th percentile. Once you've found SAT score information for all your schools, your chart should look like this: School Name 25th Percentile 75th Percentile UT Austin 1160 1390 Texas AM 1140 1360 Baylor 1190 1360 TCU 1130 1330 Step 3: Find Your Target Score Now, you’ll use the information in your chart to findyour target SAT score. To do this, simply look for the highest 75th percentile score in your chart.This will be your SAT target score. You must hit this (or near this) score in order to give yourself the best chance of admission to all the schools you're applying to. In this case, my goal score would be 1390 (for UT Austin), as this is the highest score in my chart. To figure out your (estimated) goal scores for each section (Evidence-Based Reading and Writing + Math), you candivide your goal score by 2.So a composite 1390 goal score would come out to a 690-700 EBRW goal score and a 690-700 Math goal score. My goal score? 100% completion in Breath of the Wild. (Brett Chalupa/Flickr) Summary: What Are Good SAT Scores for Colleges? Simply put, there is no one definition for good SAT scores for colleges. On the contrary, the SAT scores needed for college can vary significantly depending on schools' SAT expectations and where you’re applying. While some institutions might look for scores in the 99th percentile, others might accept scores closer to the national average. In general, good SAT scores for colleges are those that arein the 75th percentile or higher for your schools.Such a scoreshould elevate you well above the average SAT scores for yourschools, ultimately allowing you tostand apartfrom other applicants. Tofind average SAT scores for colleges, we recommend perusingeither our PrepScholar database or your schools' official websites. Finally, to set an SAT goal score, just follow these three easy steps: Step 1: Make a chart with all of the schools you're applying to(excluding safety schools) and their 25th and 75th percentiles. Step 2: Find SAT score information online by using either our database or your schools' official websites. Record the 25th and 75th percentilesin your chart. Step 3: Locate the highest75th percentile score in your chart.This will be your SAT goal score, as it's the one most likely to get you accepted to all the schools you're applying to. What’s Next? Still curious about good SAT scores for colleges?Read all about average SAT scores to see how they vary for different groups of test takers and learn what great, good, and poor SAT scores look like. Need additional help with setting an SAT goal score? Check out our step-by-step guide on how to seta target score for your schools. Readyto get the best SAT score you can get?With our completely customizable prep program, you can target your weaknesses and hone the skills you'll need most for test day. We also offer a ton ofexpert SAT tips and tricks to help you get the score you need for college! Disappointed with your scores? Want to improve your SAT score by 160 points?We've written a guide about the top 5 strategies you must be using to have a shot at improving your score. Download it for free now:

Saturday, October 19, 2019

Compare and contrast book and film Essay Example | Topics and Well Written Essays - 1750 words

Compare and contrast book and film - Essay Example fting an age, contriving the attendant characters and showcasing an animal protagonist, with the objective of making them have an overall feel of this nonfiction drama through the medium of written word. In contrast, the movie version that is Seabiscuit is both versatile and constrained in many ways. The movie Seabiscuit does afford to extend to the viewers a very rich and all round sensory experience, going by the fact that it could directly stimulate the senses of the viewers. However, cinema being an art form constrained in terms of its time span, the need to retain emotional and factual continuity and the imperative to bring in drama, the movie does drop much in terms of the facts, characters and details, when compared to the book. Thereby, the book Seabiscuit: An American Legend is a well researched, detailed and engrossing nonfictional, biographical narrative, providing much information about and insight into the Great Depression, the sport of horse racing, and how a legendary race horse symbolized the resilient and unflinching spirit of those times. In comparison, the 2003 movie Seabiscuit happens to be a miniaturized human drama involving three shattered humans and an equally reclusive race horse, which somehow helps them come to terms with their hurt and loss. Yet, irrespective of the differences shown by these two works of art, going by the medium they subscribe to, to showcase an era and a sport, the movie Seabiscuit though compromising on facts, characters and details, does manage to retain the quintessential spirit and feel inherent in the book it is based on. When it comes to comparing and contrasting the film and the book it is based on, one does need to mention that they very names of the book and the movie do elaborate on as to how they differ in terms of their focus, appeal and the intended impact. The book Seabiscuit: An American Legend, by its very name does convey that it’s a non-fiction, biographical and historical work that conveys the

Friday, October 18, 2019

Indian banking industry Dissertation Example | Topics and Well Written Essays - 4500 words

Indian banking industry - Dissertation Example The intention of this study is the banking industry of India. The introduction of the banking concept is attributed to the medieval Florence in the year 1937. Medici, a powerful and renowned merchant family, introduced networking system in shops through which people can easily deposit and withdraw their money from different cities. It provided the people with the facilitation of easy transfer of money while avoiding carrying large amount of cash while traveling. Initially banks in India were dealing only with the financing activities. The overall history of the Indian banking industry have seen the ears of Presidency banks, to Imperial Bank of India, and lastly to the State Bank of India. During different time periods the banking sector of India has been facing a volatile environment and because of this there have been shift from majority of private ownership to nationalism and now it is moving towards the greater liberalization. The government knows that there is an important role o f private and foreign players in the banking industry as there is huge competition. During the period of evolution the banking industry of India has witnessed immense development in terms of regulations, new and unique products and services offered which facilitate people and attract them towards itself, ownership structure and the technology deployed. Nowadays Indian banks are continuously focusing on the introduction of new services offered in order to meet their customer expectations. The challenges and opportunities being faced by the Indian banks in this regard, consists of rural market, management of risks, customer expectation, transparency, environmental concerns, social and ethical issues, global banking, growth in banking sector, human factor, customer and employee retentions. The biggest challenge is to reach the mass market of India. First of all, the banks have to focus and understand the customer and then have to design products and services according to their needs (K umbhar, 2011). Nowadays, consumer demands mobile banking, internet banking and ATM services because consumer is very well aware of each and everything and their expectations and demands have increased as compare to previous years. For this reason, banking industry in India is going towards differentiation, product innovation and technology innovation. AIMS AND OBJECTIVES OF THE PROJECT: The following are the aims and objectives of the study To analyze the evolution of IT in the Banking industry of India To analyze how IT has influenced the banking industry of India BRIEF OVERVIEW OF THE LITERATURE REVIEW: Banking is one of the oldest professions of the world and has gone through various transitions with the passage of time and developments. One of the key developments in the recent years, that has changed Indian banking sector tremendously, is the evolution of IT sector in banking industry of India, due to which today banking has become an easy to do

Bernard Lawrence Bernie Madoff Assignment Example | Topics and Well Written Essays - 1250 words

Bernard Lawrence Bernie Madoff - Assignment Example Ultimately, Madoff’s sentence of 150 years in prison demonstrates the gravity of the crimes he committed. Madoff is primarily known for his use of the Ponzi scheme, a strategy that takes money from investors and pays them returns from their own money or from money paid by other investors. By avoiding any actual investment of funds, there is no real profit being made by the investments. Because earnings for the Ponzi scheme operator are usually less than the payments made to investors, the scheme is unlikely to be sustained for long periods of time. In Bernie Madoff’s case, by using consistent and somewhat believable returns to investors he was able to maintain his practice for decades. The first charge levied against Madoff was a criminal charge of securities fraud. This is defined by encouraging investors to make investment decisions with false information that results in losses to the investor. This is the case with Ponzi schemes such as the one operated by Madoff, because investment returns are financed by later investors and estimated return information given to potential investors is fraudulent. This behavior is unethical and illegal because the investor doesn’t gain real returns on their investments; and because it cheats subsequent investors out of the money they invest to pay falsified returns to earlier investors. This can cause bankruptcy and financial ruin to common stock holders. Investment adviser fraud is another crime Madoff pleaded guilty to. This type of fraud involves when investment advisers, such as those in Madoff’s firm, give false information to investors. This practice became illegal in 1940, when all investment advisers were required to register themselves with a federal Securities and Exchange Commission. This practice is unethical and illegal because, like securities fraud, it unfairly impacts investors and undermines the security of the stock market

POL2000 AMERICAN GOVERNMENT WK 3 ASSIGNMENT Coursework

POL2000 AMERICAN GOVERNMENT WK 3 ASSIGNMENT - Coursework Example Liberals advocate equivalent access to medical care, housing, as well as education for every resident. In short, noninterventionists seek to expand opportunities to everybody, in spite of how underprivileged they might be. If needed, they support raising duty to attain these goals. Within the recent medical care reform discussion, liberals supported a public alternative insurance plan offering something similar to Medicare for each citizen. Belief in clandestine property civil liberties and free venture are cardinal features of modern-day conservatism. Conservatives desire to enhance entity liberty by maintaining government small, particularly the national administration, although they prop up a strong countrywide defense. They retain that people require strong headship, firm regulations, and strict ethical regulations. Conservatives are categorically pro-business. They support levy cuts and defend against all but the least antitrust, trade, as well as environmental laws on corporati ons. A number of Conservatives concentrate less on finances and more on ethics and standard of living. Conservatives for years have emphasized dissimilarities with liberals on societal and ethical matters. The thought that the USA ought to be a continental country getting to the Pacific Ocean from the Atlantic was known as marked destiny. What is more, plentiful and available land assisted in the fostering of the point of view that the USA had an evident destiny to turn into a continental state that reaches the Pacific deep-sea from the Atlantic. Early settlers utilized this idea to rationalize taking property from indigenous Americans, Canadians, as well as Mexicans, in particular the huge land acquired subsequent to victory within the Mexican-American Warfare (Magleby, Light, & Nemachek, 2010). The gender, race, as well as age roles, have an effect on participation within ballot casting. Concerning gender, women have characteristically divided their ballot between the two major pa rties. Nevertheless, in current elections, women have been more probable compared to men to cast their votes for egalitarian presidential aspirants. Al Gore’s voting share amongst women was 12 percent more elevated than amongst men. In the year 2004, women favored Kerry to Bush by 51 percent to 48 percent. The sexual category break was even more extensive in 2008, where 56 percent of women voted for Obama and 43 percent for McCain. Men additionally gave Obama extra votes compared to McCain, with 49 percent of men casting their ballot for Obama and 48 percent for McCain. Native Americans, who are the original residents of what turned out to be the USA, have played a significant function in its account and persist to be imperative to states politics, for instance, Oklahoma, South Dakota, as well as New Mexico. One-third of indigenous Americans, along with Alaskan inhabitants have incomes lower than the level of national poverty. African Americans, along with Hispanics, have har dly any resources to utilize in tough times and are not as much apt to have the funds to help a youngster pay for university. The African American populace is greatly younger compared to the white inhabitants. After World WarII, African drew closer to observe the Democrat like the civil liberties party. African Ameri

Thursday, October 17, 2019

Product strategy Case Study Example | Topics and Well Written Essays - 750 words

Product strategy - Case Study Example The following discussion seeks to implement the beverage, grocery, and baking industry pricing practices. The industry firms embark on a process of innovating and producing products that will achieve the desired responses. The IBIS World research report indicates that the companies present in the industry embark on customer-value oriented strategies in order to acquire their long-term goals and objectives (Stark, 2007). For example, Coca-Cola and Pepsi companies engage in the production of soft drinks in flavors best favored by different consumer groups. However, the companies embark on the use of credible pricing strategies in reflection to the market’s consumer needs. Notably, soft drinks manufacturers and grocery wholesalers engage in price-penetration strategy to ensure that their market segments grow competitively. The research study indicates that Coca Cola’s growth rate is overwhelming compared to its competitor, Pepsi that currently stands at a -1.7% (Ibis World Reports, 2014). On the other hand, retail and wholesale chains that grow, produce, and sale groceries an d baked products reveal similar pricing practices. For instance, Wal-Mart and ASDA retail stores have acquired profitable market segments and subsequent growth rates from the market due to the use of price-penetration strategies (Levin, & Kalal, 2003). The companies present in the food industry seems to implement similar objectives. For example, the companies realize that growth and diversification of investments remain a beneficial strategy since it enables businesses to enjoy economies of scale (Ibis World Reports, 2014). Asda Retail chains engage in market-penetration strategies and the use of low prices to increase their consumer-value responses. It is evident that the companies practice the use of high quality production practices to sell at medium prices to the customers (Levin, & Kalal, 2003). The

English Only Debate Paper Assignment Example | Topics and Well Written Essays - 750 words

English Only Debate Paper - Assignment Example Schools should provide the language classes our immigrants and their families need, as long as their purpose is the teaching of EnglishBut we must stop the practice of multilingual education as a means of instilling ethnic pride or as therapy for low self-esteem or out of elitist guilt over a culture built on the traditions of the West." Those who support English Only tend to be United States citizens interested in preserving our long-held common language, those who want to avoid ethnic strife, those fighting civil rights improvements for minorities, those who long for national unity and civic responsibility, those who fear assimilation will be discouraged by bilingual education and voting, those with animosity towards immigrants, those who believe Hispanics and Asians already enjoy unfair advantages, those in political leadership attempting to set a tone of isolation, racists, and those who are threatened by the concept of diversity (Crawford, 1997). According to the National Education Association (2001, pg. ... My Personal Opinion I tend to take the neutral stance on highly controversial debates because I am not one to willingly face strong confrontation. However, if I had to choose a side, I would support the English only initiatives. The reasoning that opponents to the issue give actually supports the very reason why the initiative should go through. They say it is important to preserve native culture and language, and that's one of the main reasons why they are opposed to it. Well, what about the people that were raised in the United States Do they not deserve to have their culture and language preserved as well Conclusion The purpose of this assignment has been to compare and contrast both sides of the controversial issue and explain the writer's opinion on the English Only debate. Whereas both sides make convincing arguments, it still seems only natural that a country would get to keep its native language as its own. If too many cultures and languages are supported, the United States will become something its not and may very well come apart. References Crawford, J.W. (1997). The English Only movement. Issues in U.S. Language Policy. Retrieved March 16, 2008, from http://ourworld.compuserve.com/homepages/jWCRAWFORD/engonly.htm English Only. (2001). National Education

Wednesday, October 16, 2019

Product strategy Case Study Example | Topics and Well Written Essays - 750 words

Product strategy - Case Study Example The following discussion seeks to implement the beverage, grocery, and baking industry pricing practices. The industry firms embark on a process of innovating and producing products that will achieve the desired responses. The IBIS World research report indicates that the companies present in the industry embark on customer-value oriented strategies in order to acquire their long-term goals and objectives (Stark, 2007). For example, Coca-Cola and Pepsi companies engage in the production of soft drinks in flavors best favored by different consumer groups. However, the companies embark on the use of credible pricing strategies in reflection to the market’s consumer needs. Notably, soft drinks manufacturers and grocery wholesalers engage in price-penetration strategy to ensure that their market segments grow competitively. The research study indicates that Coca Cola’s growth rate is overwhelming compared to its competitor, Pepsi that currently stands at a -1.7% (Ibis World Reports, 2014). On the other hand, retail and wholesale chains that grow, produce, and sale groceries an d baked products reveal similar pricing practices. For instance, Wal-Mart and ASDA retail stores have acquired profitable market segments and subsequent growth rates from the market due to the use of price-penetration strategies (Levin, & Kalal, 2003). The companies present in the food industry seems to implement similar objectives. For example, the companies realize that growth and diversification of investments remain a beneficial strategy since it enables businesses to enjoy economies of scale (Ibis World Reports, 2014). Asda Retail chains engage in market-penetration strategies and the use of low prices to increase their consumer-value responses. It is evident that the companies practice the use of high quality production practices to sell at medium prices to the customers (Levin, & Kalal, 2003). The

Tuesday, October 15, 2019

Was Alexander II more successful than Alexander III Essay Example for Free

Was Alexander II more successful than Alexander III Essay Was Alexander II more successful than Alexander III in coping with the problems he inherited? During the reigns of both Alexander II and Alexander III both faced significant problems. Both rulers inherited some similar problems when they ascended to the throne for example both faced significant opposition, albeit in different forms. For example, at the time of Alexander II’s ascension to the throne opposition was disparate and far away from what it was by the time he was succeeded in 1881 by Alexander III. Problems regarding domestic policy were also inherited by both Tsars as well as problems on the international stage posing difficulties. It would seem that the more successful of the two leaders in dealing with these problems would be Alexander III as he managed to crush the opposition he faced surviving his reign unlike his father as well as being adept at dealing with international issues. The opposition faced was a serious problem that was faced by both Alexander’s. Opposition to Alexander II was largely based on discontent from the serfs and peasantry that had been festering before he came to power. For example there were 1468 serf uprisings since the turn of the century. This group of the population were seen as potentially dangerous to the regime within Russia and as a result Alexander II recognised there was need for change. As a result he set about with the drafting of the Emancipation Act using the nobility to do it. While he did sympathise with the serfs the reason behind the eventual introduction of this act was to uphold the fundamental principles of Tsarism, these being autocracy, orthodoxy and nationalism. Though this reform was meant to drastically improve the position of the serfs, it instead made their situation worse in many cases. This undoubtedly created more grievances on behalf of the, now, ex serfs. This growing discontent coincided with the emergence of an intelligentsia from the middle class. The intelligentsia were starting to become more organised forming early groups such as the Nihilists and then Populists. These groups were beginning to actively show their discontent at the limited reforms Alexander II had introduced would eventually result in the formation of the People’s Will, the group responsible for the assassination of Alexander II himself on 1st March 1881. It can thus be seen that Alexander II did not successful cope with the opposition he faced. In contrast it can be argued that Alexander III was successful in coping with the problem of opposition. The situation he had inherited in this regard was much worse than that of his father. Opposition had become much more dangerous to the regime in the years between 1855 and 1881 clearly highlighted as they ended Alexander II’s reign. The assassination of the Tsar generated a mass of insecurity and a determination to crush the opposition on behalf of the new Tsar. The creation of the Okhrana was almost immediate; this was essentially a police force that aimed at data collection on political offenders and infiltration of terrorist organisation. This came alongside the policy of Russification which forced the Russian on language onto those of foreign nationality and made the principle of Russian nationality fundamental to life within the country. The Okhrana were dedicated to enforcing religious, racial and national orthodoxy as well as restricting various parts of the population i.e. writers, teachers, Jews etc. As a result any opposition to Alexander III’s reign was suppressed. It would appear that the measures he introduced allowed him to successful cope with this opposition unlike Alexander II whose reforms caused opposition to develop further. Alexander II came to the power with the backdrop of the Crimean War in 1855. This war had highlighted the various incompetency’s of Russia as a nation, making them appear weak and backward in comparison to the Western European nations. As a result Alexander II saw the need for the introduction of reforms to bring Russia up to date with the West. Aside from the aforementioned Emancipation Act there were various other reforms. He decided that the country needed to develop on an industrial level. In order to do this Alexander II drew up plans for a massive investment in railways. The emancipation, he hoped, would lead to greater agricultural output, in order to finance the railways, and the beginnings of Russias industrialisation. He also invested in new iron and steel works for armaments and new manufacturing industries. However these plans never came to fruition during his rule with the dissatisfaction amongst the serfs playing a key part to this. Though he may have not been successful in this area the creation of Zemstvos as well as changes to the legal system and education on the surface appeared to bring Russia up to date with Western Democracies. The Zemstovs allowed people to have more representation at a local level, they were places where people could go to express opinions. The development of education and legal reforms also appeared as though the regime was becoming more liberal and to a certain extent this was true as people enjoyed greater freedom in society and thus showed distinct improvement in modernising Russia. On the other hand the rule of Alexander III can be seen to not offer such modernisation. Though he was successful he in introducing a large system of railways across Russia, most notably the Tran Siberian system these were largely following the plans of his father. On a more social level the repression experienced under Alexander III was somewhat archaic and was a step in the completely wrong direction. The persecution of the Jews was most horrific, they were forced to live in restricted areas and only a limited number were allowed in education. There were even Jewish Pogroms which occurred when gangs of people violently attacked Jewish people. This added to the state interference through the Okhrana mean that Russia had moved away from modernising rather than towards it under Alexander III. In this way Alexander II was more successful in coping with the problem of modernising Russia through domestic policy. A final problem both leaders faced were the issues taking place on the international stage. While the Crimean war had resulted in a need for domestic change it to had required Alexander II make changes to the army after being humiliated. Universal conscription was eventually introduced in 1874. This pointed the way to a large scale armed force with six year service and a long length of time in reserve this replaced the outdated old-fashioned system which had basically seen a serf army. Russia now looked to be on the path to developing a modern army on the Prussian model. However the Russo-Turkish 1877-1888 war saw the limitations of the army with the diminishing Ottoman Empire not being overrun by the new Russian army. Although they made gains in several areas they took a huge financial hit and had been isolated from the other European superpowers as they allied together. When Alexander II came to power he thus inherited these problems. He however was much more adept at dealing with international affairs than his father and predecessor was. Alexander III proved to be quite the negotiator gaining the title of â€Å"Alexander the Peacemaker†. He aimed at avoiding war at all costs and was tolerant of Otto von Bismarck, a conservative German statesman who dominated European affairs from the 1860s to his dismissal in 1890. Bismarck had a quite belligerent attitude towards Russia, and Alexander II was able to revive the ancient league of 3 emperors in 1884. During his reign as Tsar Alexander had managed to avoid war and create some kind of international security whereas under Alexander II Russia still seemed vulnerable as a result the problems inherited on the international stage were handled more successfully by Tsar Alexander III. In conclusion, it can be seen that Alexander III was more successful than Alexander II in coping with the problems he inherited. Although Alexander II’s handling of domestic policy and modernisation was superior, Alexander III’s ability to successfully get rid of opposition, through things methods such as the Okhrana, and his handling of the international situation make it clear that he was the more successful Tsar in coping with the problems he inherited.

Monday, October 14, 2019

Care, rationale and outcome in Coronary Care Unit

Care, rationale and outcome in Coronary Care Unit Nurses are required to continue education and upgrading of skills to ensure their patients receive the best possible nursing care. Cardiac nursing is a dedicated nursing practice that gives focused and precise nursing interventions, that are governed by the best practice nursing standards using latest research based facts. Nurses need to have good technique and skill when performing health history and physical assessments to enable them to look after the person as a whole. When nursing patients, nurses need to understand the care they give and reasoning of why they deliver the cares in a certain way. A sound knowledge of assessment and observations help nurses plan, initiate and deliver health care. Without knowledge and rationales the nurse may not deliver cares in the correct manner or have the ability to know when to initiate them. Myocardial infarction is a common cause for admission into the Coronary Care Unit and this case study follows cares, rationales and outcomes in this se tting. Mr Smith (synonym for confidentiality) is a retired 58 year old man that was admitted to a Coronary Care Unit (CCU) via the Emergency Department (ED) of the Atherton Hospital. His admission diagnosis was an Anterior ST Elevated Myocardial Infarction (STEMI), which had already been treated with thrombolytic therapy. On the morning of his admission, he drove himself to the ED with chest pain. He presented with left sided chest pain that radiated to his left jaw and left arm which he scored 10/10 and described as crushing. He was diaphoretic and hypertensive with nausea and vomiting. An ECG showed sinus bradycardia, rate of 60 bpm with hyperacute T waves in V2-V4, that progressed to ST Elevation. Thrombolytic therapy was administered 1 hour of his presenting to ED and within 2 hours of the initial chest pain that commenced at home. His ST segment was elevated approximately 8mm and continued to increase until 70 minutes post thrombolytic when he had 50% resolution of the ST elevation. When he presented to the ED he was given oxygen, morphine, anginine, aspirin, clopidigrel and enoxaparin as first line pharmaceutical treatments. He was transferred that afternoon to Townsville. Mr Smith was not managed in Atherton due to the lack of cardiac catheter services and was transferred for a Percutaneous Coronary Intervention (PCI) the next day where he had a stent placed in his proximal area of his Left Anterior Descending Coronary Artery (LAD). Anterior MIs affect a large surface of the heart, thrombolytic therapy and PCI are the most effective way to treat them (Evans-Murray, 2008 ). His medical history includes a previous STEMI and PCI in 1997, hypercholesterolemia, depression, a ruptured bowel and neck injury from a Motor Vehicle Accident in 1977. Upon further questioning Mr Smith admitted to recently becoming very short of breath whilst mowing the lawn. His risk factors include ex-smoker ceasing in 1993, hypercholesteremia, and stress of brother dying 3 weeks previous. His current medications were aspirin 100mg daily, atorvastatin 20 mg daily and zoloft 200mg daily. Upon arrival to a Townsville Coronary Care Unit (CCU), Mr Smith was pain free. He was connected to continuous cardiac monitoring and admission workup was attended, this includes admission paperwork, ECG, vital signs, mobile Chest x-ray and pathology tests. He was ordered and given stat doses of aspirin, clopidigrel and IV lasix. Mr Smith had an IVT running in his Left hand and an IVC in his Right hand. During the next few days Mr Smith remained febrile 37.6 ° with only a small elevation in white cell count (Huszar, 2007). Four days post infarction, Mr Smith became short of breath (SOB) in the shower and felt light headed; he was monitored in Sinus Rhythm with SaO2 of 95% on 3lpm via nasal cannula. On auscultation, crackles were heard in his lower bases. He was commenced on lasix 20mg daily. This was an indication that his Left Ventricle may not have been functioning adequately. An Echocardiogram was performed to see if the heart wall motion and valves were performing to their best ability (Kern, 2003). The report showed extensive akinesis of the septal, anterior and apex left ventricle wall. His Left Ventricle Ejection Fraction (LEVF) was 35%. Normal values for (LVEF) are 60-65% (Moser Riegel, 2008). He was commenced on a Beta Blocker Cavedilol 6.25mg and Ramipril, which was commenced post PCI and decreased from 2.5mg to 1.25 mg. Use of these medications follow the criteria of the Reducing Risk in Heart Disease (Heart Foundation, 2007). He was sent to the cardiothoracic unit on day 5 with telemetry, to monitor for any changes in his cardiac condition (Jayasekara, 2009) and discharged two days later. A systematic approach should be taken when attending to health history and physical assessment. Throughout the assessment, skin temperature, body odour, mood and appearance are observed. Patients need to feel comfortable with nurses so Mr Smith had the physical assessment explained to him and the reasons for performing it. (Brown, 2007) Mr Smiths physical assessment was completed in the morning prior to his PCI. He seemed relaxed with a jovial manner but at times did appear nervous. He was of a clean well kept appearance and looked younger than his 58 years. Neuro intact. Orientated to time, person and place, GCS 15 and PEARLA. He had a good memory of the event. Cardiovascular monitored in sinus rhythm with frequent PVCs and runs of bigeminy. ECG attached. Febrile- low grade 37.4  °, Pulse 70 bpm, blood pressure 102/69, no peripheral oedema. Jugular venous pressure was approximately 4 cms. Initially I could not palpate the apical pulse but when patient positioned onto his left side it was felt 5th ICS MCL. The reason it is felt is due to the apex of the heart comes into contact with the chest wall (Marieb Hoehn, 2010) No thrills or heaves heard. Mr Smith was warm to touch but not diaphoretic. Upon auscultation of the carotid arteries no bruits were heard. Normal S1 and S2 heart sounds were heard upon auscultation. Good radial, carotid and femoral pulses, Normal 2+ according to pulse volume scale (Lewis, 2007). Mr Smith did look pale and his haemoglobin was 121g/L. Respiratory rate of 18 per minute. Sao2 94% on 2lpm via Nasal cannula. Inspection of the thorax area revealed equal shape, size and symmetry of chest with nil use of accessory muscles. Trachea was midline. Lips and nail beds showed no signs of cyanosis. Diaphragmatic excursion was equal at 4 cms. Anterior, lateral and posterior areas revealed equal air entry, bilaterally in high and mid thoracic zones. Basal zones of thorax areas were bilaterally dull. No adventious sounds heard. Chest X-ray noted that some consolidation in bilateral bases which corresponds to the decreased air entry heard in the bases (Wang, Baumann, Slutsky, Gruber, Jean, 2010). Gastrointestinal revealed an old scar midline under the umbilicus from previous MVA. Bowel sounds heard in all 4 quadrants. Abdomen was soft with no distension. Mr Smiths upper and lower limbs and nail beds showed no signs of cyanosis or clubbing, ulceration or varicose veins. Capillary refill was normal less than 3 seconds in all limbs. Range of motions and strength were bilaterally equal and normal in all 4 limbs. Dorsalis pedis and posterior tibial veins were felt on palpation and scored 2+ bilaterally (Lewis, 2007). Acute coronary syndrome is a common cause of death. Myocardial infarction can have a good mortality rate if treated early. Treatment can be as basic as oxygen, ECG, observations, nitroglycerine through to thrombolytic therapy or a rescue angiogram/angioplasty (Overbaugh, 2009). One is not more important than the other and the patients prognosis is the main concern. Patients complain of chest pain due to myocardial oxygen demand and supply mismatching. The coronary arteries supply the myocardium with blood supply, if the supply is interrupted by a clot, spasm or atherosclerotic plaque the myocardial oxygen requirement (demand) is not met which causes myocardial cells to starve for oxygen supply. This causes the depolarization of the cells to be interrupted and changes will occur on the ECG. (Woods, 1995) Ischemia is shown on the ECG by ST segment elevation. This is primarily an emergency situation as the first 6 hours post infarction is when myocardial damage becomes irreversible (Thelan, 1994). In this time many interventions can be attended to resupply the myocardium with oxygen enriched blood supply. Oxygen is administered for at least the first 48 hours post MI so that tissue hypoxia does not become evident. At times chest pain can be relieved by applying oxygen.(Swearingen Keen, 2001) Vital signs are attended to frequently in CCU, usually hourly, which enables nurses to see any changes in hemodynamic monitoring. Complications of infarctions are heart failure and arrhythmias, due to the large area of heart wall damaged. When Mr Smith suddenly became SOB and adventious breath sounds were heard on auscultation, it alerted medical staff that his left side of the heart was congested and not efficiently pumping. Early indications of Left ventricular failure are shortness of breath (SOB) and intolerance of beta blockers, nitrates, or ACE inhibitors. Mr Smith showed signs of SOB and lightheadedness, which may be due to Ramipril ( ACE inhibitor) that was then decreased in dose (Schell Puntillo, 2006). Continuous cardiac monitoring enables nurses to keep constant checks on heart rates and rhythms, it gives nurses the ability to act on any life threatening rhythms immediately or enables them with the knowledge of impending problems that could arise (Drew, 2004). Premature Ventricular Contractions (PVC), Ventricular Tachycardia (VT) or Ventricular Fibrillation(VF) are the most likely rythyms to be noted due to the scarring or necrotic myocardial tissue (Aehlert eInstruction Corp., 2011). Mr Smith was noted to have occasional PVCs that became more frequent until he was monitored in bigeminy, which can lead to runs of VT (Huszar, 2007). Monitored patients can be observed in pulseless VT/ VF via the central monitor at the nurses station and can be immediately defibrillated, whereas if a ward patient collapses a monitor needs to be attached before the heart rhythm can be established and treatment given (McDonough, 2009). ST Segment monitoring shows significant changes in monitoring that can indicate ischemia or infarction. Central monitors should have regular nurse surveillance, will alarm if there is a significant change to the ST segment. Changes occur with or without complaints of chest pain or shortness of breath, indicating myocardial oxygen mismatch (Smith, 2008). Patients need to advised to tell staff of chest pain whilst being monitored. Some patients assume nursing staff know from the monitor when they are experiencing chest pain. (Swearingen Keen, 2001) An ECG can be performed to show any significant changes of the heart. Mr Smith showed ST segment changes in his anterior /septal (V3 V4 position) aspect of his left ventricle. This area is supplied by the Left Anterior Descending Coronary Artery. Treatment does not differ depending on which area of the heart is affected. All areas require oxygen supply. While in hospital Mr Smith was ordered serial ECGs, these are taken daily to show any changes. Expected changes expected post MI are the development of a pathological Q wave. Q waves indicate the necrosis of myocardial tissue and specifically in V1 to V4 indicates anteroseptal infarction (Dubin, 2000) Mr Smith was initially given morphine, an opioid that relieves pain by decreasing myocardial oxygen demand by decreasing the Autonomic Nervous System and decreasing anxiety (Lewis, 2007). Nitro-glycerine, was ordered as a smooth muscle relaxant that vasodilates the vessels to restore blood supply if the mismatch is due to a coronary spasm(Yassin, 2007). Aspirin is given daily indefinitely as it is a antiplatelet aggregation inhibitor that Hung, 2008 states is proven for secondary prevention of myocardial infarction, stroke and cardiovascular death in both men and women. He also discusses the combined use of clopidigrel and aspirin to reduce subacute stent thrombosis after PCIs (Hung, 2008). Thrombolytic therapy is given within the first 6 hours of chest pain.(Levin, 2008) Tenecteplase 90mg was given. Thrombolytic Therapy is given to dispel the clot and allow blood flow to the affected area. It can take up to 90 minutes for full resolution to occur (Goldberger,2010). There are certain considerations that medical staff must ensure prior to administration of this therapy, these include an absence of CVA/TIAs or surgery in the last 12 weeks (Gibson, 2009). Once administered ECGs are taken in 15-30 min intervals to see changes of ST segment, showing that myocardial blood supply and depolarization being restored. Cardiac markers are Pathology tests that also give evidence of myocardial damage. When cardiac cells are damaged the membrane walls leak these substances into the blood stream (Aehlert eInstruction Corp., 2011). Myoglobin, Creatine kinase (CK), Troponin T and Troponin I are myocardial specific and along with ST elevation can be evident of a STEMI. Ëarly in ischaemia the ST segment may lose the ST-T wave slope and appear straight. Then as the T wave broadens and the ST segment rises, the segment loses its concave form and becomes upwardly convex with elevations (Moser Riegel, 2008). Non STEMI do not have a significant change on the ECG only cardiac markers alter. These markers usually peak between 15-24 hours post infarction and remain elevated for 2-3days (Huszar, 2007) Creatine Kinase has normal value of 45-250 U/L and Mr Smiths on admission was 4290 U/L decreasing to 800 U/L, 2 days post. Troponin T normal values are à ¢Ã¢â‚¬ °Ã‚ ¤0.03ug/L but Mr Smiths ranged from 14.20ug/L at 2200hours on the day of MI, to 4.39ug/L 2 days later. Serial pathology tests are taken usually every 6 hours for the first 24 hours. Mr Smith was taken for a PCI the day after his MI. He had a stent put in his proximal area of his Left anterior descending coronary artery (LAD) in the Cardiac Catheter Lab. Mr Smiths had a PCI even though his blood supply looked like it had been reinstated, the stent will prevent clot formation again and reocclussion (Cannon, 2010). He was then transferred back to CCU and remained RIB overnight. He had a femoseal deployed into his groin to occlude the opening of the femoral vessel used for this procedure. Nurses need to do regular neurovascular and pedal pulse observations to check for bleeding or vessel occlusion (Shoulders-Odom, 2008). Mr Smith needed to be educated on his procedure pre and post operative. He has previously been for this procedure but needed re-education. It must be a daunting experience to be given twilight sedation whist having the PCI. Mr Smiths last procedure was 13 years ago which would see many new techniques being practiced that he was not familiar with. His post op education included the importance of keeping his affected leg still and care of his affected groin.(Moser Riegel, 2008) Myocardial Infarction education can be given to him at the same time but this is information that needs to be reiterated continually during his hospitalization(Lewis, 2007). He and his family need to be aware of the risk of reinfarction especially in the next 2 weeks post MI as the heart muscle is still weak and irritable and increase in activity can cause another MI. This is the time that patients start to resume their normal daily activities after hospitalization and are at the most risk. (Douglas, 2010) Documentation is very important and needs to be filled out correctly as it is a legal document (Lewis, 2007). The CCUs clinical pathway for infarction indicated strict rest in bed with commode privileges for the first 48 hours, this decreases the need for myocardial oxygen. This is difficult for active patients but it needs to be strictly followed. Due to immobility other medical complications can arise, pneumonia and decreased gas exchange, deep vein thrombosis or emboli are common. To prevent these patients are encouraged to attend to hourly Deep Breathing Exercises (DBE), leg exercises and triflow. Patients can also be sat in an upright position which increases venous return (Thelan, 1994). Anticoagulants prevent clot formation therefore Mr Smith was administered daily Clexane 90mg post PCI until discharge and administered Abciximab (Reopro) for 12 hours post PCI. To test the adequacy of anticoagulants, INR and APPT are taken to check patients dose is therapeutic. Problems with ad ministering the anticoagulant after thrombolytic therapy is bleeding (Yassin, 2007). Mr Smith was noted to have large traces of blood in his urinalysis and was sent for a Pelvic Ultrasound to be sure there was no other complications, the ultrasound was NAD. Prior to discharge Mr Smith was educated on his new regime of medications and the importance of medication compliance to decrease his risks of further cardiac complications (Albert, 2008). Nurses if experienced and up to date with current research and practices can work alongside medical staff and initiate nursing cares that are in the best interest of patients. Coronary Care Units must have confident and competent nurses to run the ward as most times they make significant decisions on implementation of nursing care. When Doctors have confidence in the nurse looking after their patients they will respect and listen to nurses opinions because they know they are educated and empowered with knowledge.