Metric Unit Prefixes - Factors of Ten Quiz

Seminar in Global Supply Chain Management Essay - 2825 Words

Seminar Research Paper By Mars Mellish DDBA 8510 Seminar in Global Supply Chain Management Dr. Moutaz Abou-Robieh Walden University June 30, 2013 Abstract This paper was done to cover the DDBA-8510-1 Seminar Global Supply Chain Management final seminar research paper. Supply chain management, is the active management of supply chain activities to maximize customer value and achieve a sustainable competitive advantage. It represents a conscious effort by the supply chain firms to develop and run supply chains in the most effective efficient ways possible (Handfield, 2011). Global Supply Chain Management involves a business or a company’s worldwide interests and suppliers rather than simply a local or national orientation.†¦show more content†¦These devices are imperative for global supply chains. The farther the goods are from the final endpoint, the riskier its arrival. Before RFID scans, supply chain managers took inventory weekly or monthly to track sales and supplies. Now, many companies like Wal-Mart track their products with RFID technology. The RFID readers’ purpose is to cross-examine RFID. Advantages and Disadvantages of GSCM Some advantages of global supply chain management for businesses are to increase profit and sales, globalization increases sales because various market options are open, reduces the pressure of relying on local business, competitive advantage, enhance speed and efficiency, product cycle time reduction, and lowers supply chain cost. Some disadvantages of going global in regard to supply chain management is investment of money, time and resources, supplier selection and relationships can become very challenge. The norm disadvantage is as companies go global cooperating within groups and organizations could be very challenge. With cultural barriers, foreign tax laws and regulations companies going global should understand it may take years for supply chain to gain rewards and increase sales. 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Founded by Sam Walton (Walton) in 1962, Wal-Mart had grown into a global company with more than 1.3 million associates worldwide and nearly 5,000 stores and wholesale clubs across 10 countries. The most admired retailer according to Fortune magazine had just completed one of the best years in its history. In 2004, Wal-Mart generated revenues of $256.3 billion and a net income of $9 billion. The retail chain had a distinctive culture shaped by

Implications for Marketers Free Essays

Implications for Marketers Marketing strategies (Marketing mix elements – price, product, distribution, and promotions) has to reflect the brand and its image appropriately. Marketers should constantly be up to date with the changes in consumer’s demographic, lifestyles, and trends in order to develop marketing programs that appeals to them, so that they are able to be more adaptive to the marketing programs to the brand to achieve brand awareness. Marketers should always develop marketing programs that fits the image of the brand in order to achieve consumers association with the brand. We will write a custom essay sample on Implications for Marketers or any similar topic only for you Order Now Fast and effective strategies need to be implemented whenever there are negative news and views regarding the brand before it spreads further and tarnishes the brand’s and corporate image. Marketers need to avoid manipulation of the benefits of the product in order to avoid any boycotts, protest and suing by health organisations and various parties, which will generate negative publicity that will tarnish the brand and company. Advertising message and strategies has to reflect the brand’s image in order for consumer to associate better with the brand. The candidate (celebrity) selected as the brand’s ambassador must reflect the image of the brand and connects well with brand in order for consumers to associate well with the product, hence achieving brand association. Marketer s has to ensure that congruence (resemblance) of brand association exists to ensure that consumers (with little knowledge regarding the brand) do not get confused with the meaning of the brand. Furthermore, it is to ensure that brand associations do not get easily changed by competitive actions. Lastly, to ensure that consumers will not overlook or discount some potentially relevant brand associations in making brand decisions. Marketers must ensure the marketing programs are executed in a right manner in order to build long term brand knowledge and to ensure the success of its marketing strategies in the long run, which will then generate repeat business, triggering customer loyalty and sales. 0. Store layout and location has to reflect the brand’s target market in order to enhance brand association. 11. Marketing strategies should be executed extensively in order to ensure consumers are constantly being exposed to the brand to increase brand awareness. 12. Appropriate leveraging strategies should be implemented in order to enhance the brand extension, which then creates a positive brand image. 13. Marketers have to ensure that the right licensors is selected in its licensing strategy. The licensor selected is able to carry the brand without altering the significance of the brand and its image to ensure consistency in the brand’s image so that it does not confuse consumers. 14. Marketers must ensure they are constantly exceeding and satisfying consumers expectations in developing its marketing programs (marketing mix elements) in order to gain favourability and positive reviews from consumers regarding the brand, gaining a sustainable competitive advantage. 5. Marketers must ensure they are constantly exceeding and satisfying consumers’ expectations in order to gain a favourable brand and corporate image. 16. To foster profitable customer relationships. 17. Foster relationship marketing with various firms to get further in the market place and in order to form more strategic alliance with other strong powerful firms out there in order to gain competitive advantage over competitors. How to cite Implications for Marketers, Papers

Lymphoma Essay Example For Students

Lymphoma Essay Controlling Purpose: In this paper you will be informed about the cause, symptoms, and treatment of lymphoma. You will also learn about the lymphatic system and how this cancer affects it. Lymphoma is cancer of the lymphatic system. Any group of cancers in which the cells of lymphoid tissues multiply unchecked. Clayman, 657. This is the system which manufactures and circulates lymph throughout the body. The purpose of the lymphatic system is to help the body fight infection. Lymph is a colorless fluid that contains white blood cells. This system also consists of the spleen, nodes and tonsils. The nodes are small organs found in the neck , under the arms, in the groin and abdomen. The nodes store infection fighting cells. Normally, cells grow, divide, and replace themselves in and orderly way. When lymphoma occurs, cells in the lymphatic system grow out of control. When this happens too much tissue is formed and a tumor is developed. The tumor is usually in the nodes found in the neck, this is one of the symptoms of lymphoma. Since lymph is circulated throughout the body, it spreads easily. Cancerous lymphocytes can be confined to a single lymph node or can be spread throughout the body to almost any organ. Berkow, 770. There are two basic types of lymphomas, Hodgkins and non-Hodgkins lymphomas. There is little difference between the two types of cancers. The main difference is the ages it affects. Hodgkins usually occurs in younger people while Non-Hodgkins usually occurs in older people. Some forms of lymphoma are curable, but other forms are not. Hodgkins lymphoma is more curable than non-Hodgkins lymphoma. Sometimes the cancer will go into remission for a few years then come back. The cure rate of some lymphomas is high, but the cure rate of others is low. For the most part the cause of lymphoma is unknown. In some cases an organ transplant may cause lymphoma because is suppresses the immune system. It is also thought that HIV may allow other viruses to cause lymphoma. In most cases of non-Hodgkins lymphoma, the cause is unknown. Occasionally, the disease is associated with the suppression of the immune system. Clayman, 657. There are only a few types of treatment for lymphomas. The two main types of treatment are radiation and chemotherapy. An anticancer drug is also used to help fight the cancer. When the cancer is very serious a bone marrow transplant is sometimes used. Most patients who are treated survive five years longer than people who are affected by the cancer and are not treated. To diagnose lymphoma a portion of the lymph node is removed and examined for cancerous cells. More tests are run on the tissue to determine what type of lymphoma, grade, and stage the cancer is in. After this the doctor will decide which type of treatment will be best for the patient. The extent of the disease is assessed by a process called staging. Berkow, 773. Lymphoma can be classified into four basic stages. In the first stage there is only one cancer site. In the second stage there are two cancer sites, both are above or below the waist. In the third stage, there are cancer sites both above and below the waist. The bone marrow is not affected. In the fourth and worst stage, The cancer has spread outside of the lymphatic system. The bone marrow has also been infected. Bibliography:Berkow, Robert, ed. The Merk Manual. Whitehouse Station, N.J.: Merk and Co., Inc., 1997. Clayman, Charles, B., ed. Home Medical Encyclopedia. New York: Readers Digest Association. .ue3ffe4eb46a6c88c86c1484e24547a33 , .ue3ffe4eb46a6c88c86c1484e24547a33 .postImageUrl , .ue3ffe4eb46a6c88c86c1484e24547a33 .centered-text-area { min-height: 80px; position: relative; } .ue3ffe4eb46a6c88c86c1484e24547a33 , .ue3ffe4eb46a6c88c86c1484e24547a33:hover , .ue3ffe4eb46a6c88c86c1484e24547a33:visited , .ue3ffe4eb46a6c88c86c1484e24547a33:active { border:0!important; } .ue3ffe4eb46a6c88c86c1484e24547a33 .clearfix:after { content: ""; display: table; clear: both; } .ue3ffe4eb46a6c88c86c1484e24547a33 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ue3ffe4eb46a6c88c86c1484e24547a33:active , .ue3ffe4eb46a6c88c86c1484e24547a33:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ue3ffe4eb46a6c88c86c1484e24547a33 .centered-text-area { width: 100%; position: relative ; } .ue3ffe4eb46a6c88c86c1484e24547a33 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ue3ffe4eb46a6c88c86c1484e24547a33 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ue3ffe4eb46a6c88c86c1484e24547a33 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ue3ffe4eb46a6c88c86c1484e24547a33:hover .ctaButton { background-color: #34495E!important; } .ue3ffe4eb46a6c88c86c1484e24547a33 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ue3ffe4eb46a6c88c86c1484e24547a33 .ue3ffe4eb46a6c88c86c1484e24547a33-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ue3ffe4eb46a6c88c86c1484e24547a33:after { content: ""; display: block; clear: both; } READ: Corals And Adaptations EssayWhat is Lymphoma. 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The Importance Of Correct Pronunciation Essays - Book Of Judges

The Importance Of Correct Pronunciation Throughout history there has been a strong need to express words clearly. Time has shown that even the simplest mistake in pronunciation has led to the loss of life as well as great confusion. If we are to be effective in this world, we must speak clearly and precisely. In chapter 12 of Judges, we see that this was no different for the Ephraimites. This passage of scripture states that 42,000 men of this tribe were put to death by the mispronunciation of the word shibboleth. There were a few factors that precipitated this event. One factor that we encounter is that of the Ephraimites. The Ephraimites shared the same border, the same God, and many of the same customs. They do, however, seem a little bit different from the Gileadites. Their language was the same but their dialect was a bit different. They also appear to be very brash in their mannerisms. Even Gideon had a few problems with this tribe when he went to battle with the Midianites. We see this recorded in Judges, chapter 8, Then the Ephraimites said to him, What have you done to us not to call us when you went to fight against the Midianites? And they upbraided him violently. Not much has changed since the time of Gideon because they are in the same situation again with someone else. It appears that they were only willing to take offense, at not being invited into battle, only if the Israelites were victorious. Jephthah was a person whom his tribe needed desperately even though he had a few character flaws that worked against him. In Judges, chapter 11, we see that he was one that did not easily give in to pressure, and was very stubborn. This is shown in two instances. First, when he was asked to lead the battle against the Ammonites, he quickly questioned the fact that he was sent away because he was the son of a prostitute. Jephthah only continued when they vowed at Mizpah to make him their leader. Secondly, we see though a long explanation, the reason why Israel was allowed to inhabit the land. Only when Jephthah received no reply did he decide to attack. Yet another character trait that Jephthah possessed was that he could be unpredictable. This is clearly shown when he made a foolish vow to sacrifice the first thing that came through his household doors. Jephthah was victorious over the Ammonites and their oppression was stopped. Under normal circumstances there should have been great rejoicing within the land of Israel. This was, however, not the case. When the Ephraimites heard of the victory, they became upset that they were not invited to the battle. Jephthah, however, tells them that they were invited but did not send anyone to the battle. It is clear that there was some bad communication, but regardless of this dilemma, the result is clear. When two groups of people come together, who are strong willed, and have opposing objectives, the result is generally war. Jephthah had no tolerance for excuses and summarily went to war with the Ephraimites and the Ephraimites quickly lost. When they tried to escape across the Jordan river, their escape route was quickly cut off and they were required to pass a simple but an effective test, in order to survive. The Ephraimites were required to say a simple word that would give them away. The word shibboleth was apparently easy for the Gileadites to say, but difficult for the Ephraimites to say. If the word sibboleth was pronounced then the person was an Ephraimite and was summarily executed. This is a very tragic story. The tribes of Israel should have been able to get along much better than this story suggests. When we consider all that they have been through together, we should see great joy, great unity, and a strong dedication to God. Unfortunately this is not always the case. We see these people fall away from God on many occasions, and, have many curses fall upon them. We also see that they did not always work together towards a common goal. Sometimes their differences lead to civil war. Even though a victor

rousseaus state of nature essays

rousseau's state of nature essays Rousseaus State of Nature What was man like in his earliest form? When left to his own devices, how did he comport himself? For centuries scholars have pondered mans true state of nature, which can be defined as the condition of mankind in the absence of any sort of community whatever mankind before the advent of civilization (Plattner, 11). Two theories, those of Thomas Hobbs and Jean-Jacques Rousseau, are among the most widely accepted. Hobbs believed that man was essentially, nasty, brutish, and short, because man is constantly at battle to satisfy his needs. Rousseau however believed that in the original state, mankind was naturally good. In his Discourse on Inequality, Rousseau blames mans degeneration on societal evils such as social hierarchies and property ownership. His claims are centered on his belief that man is a noble savage, a fundamentally solitary and primitive being. Rousseau believed that in the state of nature, man was basically no different from the other animals surrounding him. Man only became human through a series of accidents that allowed him to develop and perfect his reason (Plattner, 51). Early man lived a life characterized by: stupidity, solitude, and independence. He was motivated by self-love, and his chief concerns were preservation and satisfying his simple and basic passions (Plattner, 79). Man was distinguished from animals because of his perfectibility, natural sense of pity, and capacity for freewill (Wikipedia). He also states that man is naturally in a state of peace and goodness. This sense of goodness is sometimes misinterpreted to mean virtuousness and benevolence. His goodness was not due to the restraint of his passions by reason or obedience to laws and ethical codes; conversely, man was wholly lacking in reason and hence whol...

Action research and organizational development Essay

Action research and organizational development - Essay Example It has been realized that the motivation to change is strongly linked to action and is therefore an important aspect in the general organizational development. In any case, change in the organization has to be effective and permanent. People are more likely to adopt new ways when they become active in the decisions affecting them. The initial stage of change is always the unfreezing stage whereby a person in the organization will realize the need for change. In this case, a situation within the organization will basically trigger an individual to find a solution to an existing challenge in the organization. In the next step, the change process is actually done in the most appropriate way. However, considering the need to ensure that the best change process is realized, new models of behavior will always be diagnosed and tested in order to provide the best alternative for the challenge at hand. The third stage is always the refreezing stage where the application of the new behavior is basically evaluated before it is reinforced within the organization. The adoption process follows and the change can subsequently be realized. In this regard, it is seen that action research is certainly a cyclical process of change which is driven by the need to make the organization better at all times.

Philosophy of Ethics Research Paper Example | Topics and Well Written Essays - 1000 words

Philosophy of Ethics - Research Paper Example The case revolves around these issues of integrity and the morality and ethics tied to making accommodations for racism and giving in to the racist biases of clients and their communities when making consulting and business decisions (Chapter 21, n.d., pp. 203-204) The first ethical problem has to do with the ethics of Mr. Wileys insistence that hiring a black consultant for the job at the hotel would not sit well with a backward community as the one that is present in the island. It is backward in the sense that it is unable to tolerate having a Black person doing the work, regardless of the persons qualifications, and regardless of the fact that Mr. Wiley respects Lenore and the consulting team that she has. The ethical problem here can be distilled into a question: Is it ethical to not hire a person because of his color/race, even though he is the most qualified for the work? The second ethical problem emanates from the first one. When Mr. Wiley insisted that hiring a Black consultant will not work, Lenore succumbs and recommends a white consultant instead, even though Dave Maverick, the black person, is the most qualified by her own professional estimation. The ethical problem is is it ethical for Lenore to give in to the demand of Mr. Wil ey and make a recommendation based on skin color rather than on who is best qualified for the work? (Chapter 21, n.d., pp. 203-204) There are two sets of stakeholders here that are relevant for the purposes of the ethical analysis, one set consisting of the hotel employees, guests and the Elura residents surrounding the hotel, as well as the guests; and the other set consisting of the consultants working for Lenore. Taking a step back, the ethical theories to guide the analysis center on Kantian ethics and Kants theory of duty. According to Kant, that which is moral or ethical is that which is dictated by our duties, meaning that an action is deemed right or wrong depending on

Content Analysis Essay Example | Topics and Well Written Essays - 1250 words

Content Analysis - Essay Example The employees who had worked for more than five years were pretty satisfied with the hospital as a workplace. However, the young and ambitious crowd, which had been there for a short period was not very happy with the workplace, and hardly found it exciting. Unanimously, the answer was the cleanliness in the hospital and the professional attitude of everyone around. Some respondents from housekeeping said they liked the work because unlike hotels, where guests could check in and check out at any time of the day, there were not many patients checking out at odd hours in this workplace. Instead, most of them checked out in the late mornings. A few were happy about the pay, while a few part-timers were not so happy with it. The majority felt that there was inflexibility in the job roles and they should be given a chance to rotate and have a stint in other departments too. The distance between the carpark and the building was another grouse. Most of them felt that the parking should have been closer to the place of work. Some felt that the doctors were high handed in their behaviour towards them. Most of them felt that they would have been able to perform better if they had been able to interact with the higher management and not just their immediate seniors. A few new comers (most probably the younger lot) seemed not to be able to fit in their roles and were complaining about their colleagues and superiors. Most of them spoke about the sad atmosphere and the dull environment in the canteen. Q4. If you were the boss, what would you change to make it better Each had a different answer to this question. While one wanted to have better tools and equipment for working, another one wanted to raise the pay for evening shift workers. A few wanted to sack their bosses, while one wanted a four-day week. Another suggestion was of a rotation of jobs. Someone suggested brighter colours for the canteen furniture and also provision for playing music. Another respondent wanted to change the colour of the uniforms. Some wanted to give the employees a choice for the shifts, if they were the boss. One of the respondents wanted to keep training programmes for fresh recruits. Q5. Do you have anything else to say None of them had anything much to say. Only one respondent said that he wished he had a complete day off and not be called on weekends too sometimes. Findings and Conclusions Going through the transcript, one can make out that while each of the employees, past and present, appreciated the cleanliness and professionalism in the hospital, not many of them were actually motivated to continue working there. The attitude of their superiors, the sad atmosphere around the place, the cold furniture in the canteen and the distance from the parking lot put them off. It seems many of them wanted to have more flexibility in their roles and

Understanding Violent The Breakup Of Yugoslavia Politics Essay

Understanding Violent The Breakup Of Yugoslavia Politics Essay The numerous ethnic groups that comprised Yugoslavia held historical animosities towards each other stretching back in some cases hundreds of years. Yet these animosities were put aside after World War Two and under Titos grip the nation achieved internal peace. They were not however forgotten and when nationalist politicians needed to create a power base, they merely had to promote nationalist symbols and myths, and encourage the discussion and exaggeration of past atrocities. This created a deadly snowball affect that proved unstoppable. Yugoslavia has long been an ethnic melting point where great civilizations and religions have met. The Paris Peace Conference at the end of World War One created the Kingdom of Serbs, Croats and Slovenes out of territory from the Austrian and Turkish empires. The allies hoped the Kingdoms people would forge a new common identity based on their shared status as Southern Slavs. They were however divided in various other ways. Croats and Slovenes were Roman Catholic, used the Latin alphabet and orientated towards western and central Europe. In contrast Serbs, Macedonians and Montenegrins were under the repressive autocratic control of the Ottoman Turks, Eastern Orthodox in religion, used the Cyrillic alphabet and were less economically developed. Bosnians, though much like the Serbs had practiced Bogomilism and converted to Islam only in exchange for autonomy and protection by the Turks. The Serbs regularly rose against the Turks and were subsequently heavily repressed, thus considered the Bosnian Muslims Slavs that had sold out. During World War Two these antagonisms flared into outright slaughter as the Nazi controlled ethnically Croat Ustashe puppet regime murdered innocent Serbs, Jews and others. The regime never had majority Croatian support but this was irrelevant to Serbs in the conflicts of the 1990s even though they themselves did not have clean hands. Josip Tito and his communists suppressed discussion on the wartime genocide and earlier nationalist outrages in the process creating a powerful reservoir of suppressed memories and hatred. Tito re-established Yugoslavia through the skilful use of fear and the credibility of communist ideology. Yugoslavs feared many things including a return to the carnage of wartime massacres, the power of the Soviet Union and some a great Serbian restoration. The League of Communists of Yugoslavia (LCY) as the only substantial pan-Yugoslavian institution was thus the only force capable of allaying these fears. Fear and force did in time give way to compromise that was eventually enshrined in the 1974 Yugoslav constitution. This constitution established a collective presidency, rotating chair and dissolved a great deal of power to the republics thus weakening federal institutions. Tito himself often kept this system going by ordering republics to follow federal laws. Titos death in 1980 combined with the end of Cold War rivalry and the decline of communist ideology in the rest of Europe in the 1980s lead to the severe weakening of Yugoslavias crucial unifying factors. In addition, Yugoslavia in the 1980s increasingly suffered from an unprecedented economic crisis. This crisis was triggered by the oil shocks of the 1970s, the global recession of the 1980s and a $US20 billion foreign debt. This caused Slovenia and other relatively economically prosperous regions to push for economic and political change. Slovenia had significant economic weight as while it comprised only eight percent of the nations population it produced 20 percent of the national GNP. Without a powerful central figure, differences between reformers and conservatives produced a deadlock at the centre during the early and mid 1980s. The economy thus continued its decline allowing conservative groups time to mobilize support. Long significant to the Serb nation, Kosovo became the catalyst for the revival of Serbian nationalism. After a 1981 demonstration in favor of Kosovo gaining republic status the death toll of Albanian youths killed by Serb police varied widely from nine anywhere up to 1000. The Serbs balked at this demand believing they were the oppressed side in this situation. Thirty thousand Serbs and Montenegrins did flee Kosovo in the 1980s though many for economic reasons. The higher Albanian birth rate also contributed to the decline in the relative number of Serbs in Kosovo from 23 percent of the population in 1971 to 10 percent in 1989. Led by the Serbian Academy for Sciences and Arts from 1986 prominent Serbs claimed they had been the victim of consistent discrimination in Yugoslavia. Kosovo was thus raised to the position of most important problem in Serbia and frustration in the League of Communists of Serbia over the issue reached unprecedented levels. Slobodan Milosevic promise of quick and decisive action against Albanian separatists in Kosovo won him widespread support in Serbia. Milosevic moved quickly to promote Serbs to important economic and political roles in Kosovo and by 1989-1990 Serbian control over Kosovo was complete. In his first six months of power, he also purged Serbia of rivals and moderates. Journalists, writers and editors were fired and Milosevic supporters soon controlled almost all public life in Serbia. In order to bully and overthrow the Kosovo and Vojvodina political leaderships Milosevic whipped up pro-Serb demonstrations in the previously autonomous regions. The Montenegrin leadership was also overthrown with all three being replaced by Milosevic loyalists. This gave the Serb nationalists control of four of the eight votes in the Yugoslavian federation. Serbian hardliners used the cloak of nationalism to revoke the autonomy of Kosovo and Vojvodina thus altering the Serbian constitution and the delicate balance of power in Yugoslavia. Slovenia and Croatia reacted angrily to this series of events. Public disagreement was not permitted between communist party members therefore it was intellectuals and the media that articulated this anger. Slovenian intellectuals protested publicly at the treatment given to the Kosovo Albanians. They did so because they feared the consequences of the Serb action had upset Slovenias political and economic role in Yugoslavia, and would prevent movement towards its goals of democratising Yugoslavia and integrating it economically with the west. The last LCY congress in January 1990 confirmed that neither democratic nor hard-line reform could occur at the national level. The Croatian and Slovenian communist parties quickly responded by giving up their power and holding multi-party elections. The multi-party political system that resulted from the 1990 elections was seriously flawed. Political parties of which there were a large number lacked time and resources to develop a wide range of policies. Voters were thus denied the information they needed to make informed decisions. Additionally there was no chance to vote to maintain Yugoslavia even though 62 percent of Yugoslavs claimed Yugoslavian affiliation was very, or quite, important to them in a 1990 survey of 4,232 people. Nationalists claims that other groups would block vote successfully turned it into a self-fulfilling prophecy. Every town experienced the founding of political parties and the divisive nationalist discourse that went with them. Peer pressure to support ones ethnic group in these towns was intense. The nationalist parties did not win majorities in these elections. Because the way the elections were designed they received majorities in their republics. Franjo Tudjmans Croatian Democratic Union and Milo sevics Socialist Party of Serbia won only 41.5% and 47% of the votes respectively but gained 56% and 78% of the seats. These parties purged, often violently, their political opponents from power and made it dangerous to be seen as or in the company of known moderates. The politicians elected in 1990 were far more nationalist than their citizens. Understanding Violent The Breakup Of Yugoslavia The continuing stalemate and increasing tension over Yugoslavias economic and political direction convinced Slovenia and Croatia their futures lay elsewhere, and both declared independence in June 1991. The victory by Slovenian in the resulting war against the Yugoslav Peoples Army (JPA) forced the Serbs to give up their hopes for a centralized Yugoslav state under Serb control. Serb nationalists instead set themselves the goal of creating a greater Serbian state. The result was war in Croatia. The other significant result of the Slovenian and Croatian declarations of independence was that they forced the Bosnian Muslims to do likewise. Bosnian President Alija Izetberovic and many of his people realized all too clearly they would have little protection in a rump Yugoslavia dominated by Milosevic and Serb nationalists. Leaders on all sides constantly exploited the fear of becoming vulnerable to other ethnic groups through inaction during the break up of Yugoslavia. Both Tudjman and Milosevic consciously revived nationalist ideologies tainted by the Second World War. Once a leader of a republic broke the pattern of compromise and instead choose to increase interregional tensions the writing, Yugoslavia was on the wall. The slanting of news coverage by Milosevic appointees forced media in other republics to follow suit least their ethnic group become disadvantaged. Exaggeration became common as Serb and Croat intellectuals successfully transferred their nationalist ideologies to the common people. The Ustasu concentration camp at Jasenovac where 60,000 to 80,000 inmates were slaughtered, not all of them Serbs was inflated into the murder of 700,000 Serbs alone by Serb nationalists and Serbian media. The numbers game was however played by all sides. Repetition is considered the single most important e lement in the changing of opinions. Tudjman and Croat nationalistsà ¢Ã¢â€š ¬Ã¢â€ž ¢ excessive use of Second World War symbols especially the Ustasu flag frightened many Serbs into believing history would repeat itself. Collectively this created a security dilemma where no side could trust the other. Like their Croat neighbors the Bosnian leaders were also guilty of not paying enough attention to the complexity and fears of Serbian societies within their boundaries. By failing to recognize the difference between passive and adaptable urban Serbs and more extremist rural Serbs Tudjman missed an opportunity to build a multi-ethnic coalition. The behavior of political elites was a major source of ethnic hatred in Yugoslavia. Additional causes contributed to the sheer scale of the violence that followed the collapse of Yugoslavia. The JPA took a political role as its officers believed only a federal and socialist Yugoslavia could support their existing corporate and individual privileges. Up to 70 percent of the officer core were Serbian and Montenegrin and it was also a bedrock of Marxism-Leninism. The credibility of the army came from the days of communist resistance in the Second World War and as the communist party fell from favor so to0 did the army. With this loss of credibility, the JPA became in effect the army of the Serbian state. This is important because the scale of violence and acts of destruction such as the shelling of Sarajevo would have been impossible without a powerful military force. The inheritance by Serb forces of the majority of Yugoslavias weapons and especially its heavy weapons gave the Serbs the military power required to carry out their plans. Backed by the JPA Serbian civilian, militias were able to terrorize minorities in Serb controlled areas. The militias were organized from soccer clubs notably the infamous Arkan Tigers, prisons and from volunteers. Merged with the peer pressure, lack of accountability and promised economic gain these militia committed acts of ethnic violence out of all proportion to what could have been deemed acceptable under normal conditions. Croats and to a lesser extent Muslims also formed militias and violently attacked ethnic opponents. These were never on the same scale nor had the same level of organization as the Serbian militias and were largely formed as response to the formation of the Serbian militias. The west intervened in the break up of Yugoslavia relatively early and regularly but never with enough collective will or military force to prevent large-scale warfare. The period of the early Yugoslav wars was a dramatic time internationally with the collapse of communism in Eastern Europe and the Soviet Union and the Iraqi invasion of Kuwait distracting Western powers. A global recession further reduced the wests desire to intervene in a country some saw as a quagmire without strategic significance whilst others considered the area vital due to Yugoslavias geopolitical significance. By January 1992 fifteen ceasefires had been arranged and broken by all sides. Numerous internationally brokered peace plans followed. Serbian and Croatian leaders who consistently acted in ways to that continued the violence certainly did not help western efforts. However, the more pressing problem was Americas and Europes weak and timid initial responses which did nothing to persuade Milosevic and Tudj man to suspend their use of violence. Whether an overwhelming display of western resolve through the commitment of significant combat troops would have altered the course of events is unknown. It is however hard to see how such a display of force could have made things worse. The political will to impose a solution on Yugoslavia was simply not present at the time. Yugoslavia was a nation with suppressed and potentially explosive historical memories. By the 1980s the majority of Yugoslavs lived in peace often side by side with other ethnic groups. It took a culmination of economic decline, a changing international system and most importantly leaders willing and able to exploit these memories and their resulting fears to rip Yugoslavia apart. Political elites insistence on nationalist ideologies, Serbian military superiority and a lack of Western will ensured this break up was both brutal and extremely violent

Progressivism :: The Progressives

The progressive believed that by applying a more uncorrupt form of democracy they could in fact fix the already corrupt democracy especially at the state and city levels. The progressives believed that if given a chance the majority of voters would elect honest respectable officials unlike those elected by the corrupt political machine but to do this they needed people to vote. So they compiled numerous methods for increasing the participation of the average citizen in political decisions. The secret ballot box, by using the method adopted by the Australians the voter would not be manipulated by the political party that would affect a voters decision by standing next to a ballot box and intimidating him or her. This method was first accepted by Massachusetts in 1888 and proved to be really popular by 1910 all voting states adopted this method. The progressive governor of Wisconsin Robert La Follete introduced the method of direct primaries in which the majority vote would elect the p arty candidates for the state and federal offices. This method was used to try to minimize the power of political bosses to try to keep the corrupt officials from gaining office once again. The direct election of state senators was also a plus for the progressives for many years the senators had been selected by the vote of the state legislature. The corrupt state legislature would then of course vote for the corrupt official for senate. After a while the senate begun to look like a club for the rich man. In 1913 the seventeenth amendment required all that all U.S senators be elected by the popular vote. By calling for Initiative, referendum, and recall the Progressives allowed by initiative to take part in the process of having a legislature pass a bill, to allow voters to vote on proposed laws on their ballots by way of referendum, and finally recall which allowed voters to remove an unsatisfactory politician from office by majority vote before the end of his or her term.

Captiva Conglomerate Case Study Analysis

Major Facts: ?System specifications not clearly defined ?Contract wording is partial to S. O. Software ?Spares management module is a disaster ?Spares management module currently complicated and un-useable/outdated ? Spares management module behind schedule ?Regional and centralized inventory management system behind schedule ? S. O. Software depleted allotted financing ?The system software specifications were not drafted by S. O. Software personnel Major Problems: The contract was not reviewed by appropriate personnel prior to contract award ? The spares management module is 4 months behind schedule ? The spares management system requirements is a hassle ?The spares management module does not provide relevant data ? The regional and centralized inventory management system is 10 months late ? The contract calls for â€Å"best effort,† â€Å"whenever possible† ? The 1 million called for in the contract is used up ?17 un-priced change orders The specifications looked like they were drafted by SOS, but Jana (IT manager) had initialed each page Solutions: Best Solution: Contract Renegotiation and Restructure Advantages: ?Bring in the SME (Subject Matter experts) to relook the concepts behind the contract. Restructure the contract based on existing monies to provide the type of service required. While leverage the existing contract with the current vendor may cause for some additional funding it provides the current vendor a change to improve on its product.Providing the current vendor is agrees’ with the restructure this avenue is the most preferred in order minimize change and downtime of the current system. ?This approach allows the company to restate or clearly define the specifications, needs and current objectives, necessary to predict future cost and further invest the time, tools, and expertise necessary to ensure they get workable software systems. Disadvantages: ?The current vendor S. O.Software may not be un-able or willing to work wi th the company in order to re-negotiate the existing contract. ?A poorly executed re-negotiation strategy can destroy a valuable relationship which may hinder the company’s ability to move forward with the supplier. The negotiations approach must take on the altitude of a win-win situation in order to provide the company with a incentive to re-negotiation. Alternate Solution: T4C, Termination of Contract Advantages: ?Captiva Conglomerate is able to cut the losses with the S.O. Software Company; accurately re-define the specifications; provide an accurately cost analysis and procure a new company that is able to design a systems in accordance with the requirements within the allotted time while provide a customer service approach to address any issues that might arise. ?The ability to exit transactions with S. O. Software could have significant cost savings to Captiva Conglomerate rather than waiting for the contract to end and paying for poorly performed services. Disadvantag e: Depending on where the contract is currently in its life cycle stage may cause for compensation to S. O. Software that is sufficient to cover any loss of profits over the remaining project term. ?Termination will also damage the company’s reputation with current and future businesses world. ?The company may risk a trial or protest because of the foggy nature of the â€Å"best effort† verbiage generally demands a factual determination as to its meaning. IMPLEMENTATION: The first step would be to completely re-examine the software requirements and request a new specification document based on current needs.Secondly, I would implement an acquisition team to include program officers, contract specialist, IT personnel, finance, legal and any other relevant personnel in order to devise a performance work statement (PWS) conducive to the program. Third, engage the S. O. Software regarding current issues and concerns regarding the existing contract (simply why we have a nee ded to relook the contract: i. e. , the two systems being 4mos and 10mos behind, constant changes to the specs which led to depleted funding), then propose the new contract in a manner and fashion that provides a win-win for all vested parties.

How to Make a Red Cabbage pH Indicator

How to Make a Red Cabbage pH Indicator Make your own pH indicator solution! Red cabbage juice contains a natural pH indicator that changes colors according to the acidity of the solution. Red cabbage juice indicators are easy to make, exhibit a wide range of colors, and can be used to make your own pH paper strips. Introduction to the Cabbage pH Indicator Red cabbage contains a pigment molecule called flavin (an anthocyanin). This water-soluble pigment is also found in apple skin, plums, poppies, cornflowers, and grapes. Very acidic solutions will turn anthocyanin a red color. Neutral solutions result in a purplish color. Basic solutions appear in greenish-yellow. Therefore, it is possible to determine the pH of a solution based on the color it turns the anthocyanin pigments in red cabbage juice. The color of the juice changes in response to changes in its hydrogen ion concentration. pH is the -log[H]. Acids will donate hydrogen ions in an aqueous solution and have a low pH (pH 7). Materials You Will Need Red cabbageBlender or knifeBoiling waterFilter paper (coffee filters work well)One large glass beaker or another glass containerSix 250 mL beakers or other small glass containersHousehold ammonia (NH3)Baking soda (sodium bicarbonate, NaHCO3)Washing soda (sodium carbonate, Na2CO3)Lemon juice (citric acid, C6H8O7)Vinegar (acetic acid, CH3COOH)Cream of tartar (Potassium bitartrate, KHC4H4O6)Antacids (calcium carbonate, calcium hydroxide, magnesium hydroxide)Seltzer water (carbonic acid, H2CO3)Muriatic acid or masonrys cleaner (hydrochloric acid, HCl)Lye (potassium hydroxide, KOH or sodium hydroxide, NaOH) Procedure Chop the cabbage into small pieces until you have about 2 cups of chopped cabbage. Place the cabbage in a large beaker or other glass container and add boiling water to cover the cabbage. Allow at least ten minutes for the color to leach out of the cabbage.Alternatively, you can place about 2 cups of cabbage in a blender, cover it with boiling water, and blend it.Filter out the plant material to obtain a red-purple-bluish colored liquid. This liquid is at about pH 7. The exact color you get depends on the pH of the water.Pour about 50 - 100 mL of your red cabbage indicator into each 250 mL beaker.Add various household solutions to your indicator until a color change is obtained. Use separate containers for each household solution - you dont want to mix chemicals that dont go well together! Red Cabbage pH Indicator Colors pH 2 4 6 8 10 12 Color Red Purple Violet Blue Blue-Green Greenish Yellow Tips and Safety This demo uses acids and bases, so please make certain to use safety goggles and gloves, particularly when handling strong acids (HCl) and strong bases (NaOH or KOH).Chemicals used in this demo may be safely washed down the drain with water.A neutralization experiment could be performed using cabbage juice indicator. First, add an acidic solution such as vinegar or lemon juice until a reddish color is obtained. Then add baking soda or antacids to return the pH towards a neutral 7.You can make your own pH paper strips using red cabbage indicator. Take filter paper (or coffee filter) and soak it in a concentrated red cabbage juice solution. After a few hours, remove the paper and allow it to dry (hang it by a clothespin or string). Cut the filter into strips and use them to test the pH of various solutions. To test a sample, place a drop of liquid on the test strip. Dont dip the strip in the liquid or else youll get cabbage juice in it. An example of a basic solution is laundry soap. E xamples of common acids include lemon juice and vinegar.

Napoleon and Snowball (Animal Farm) Essay Essay Example

Napoleon and Snowball (Animal Farm) Essay Essay Example Napoleon and Snowball (Animal Farm) Essay Paper Napoleon and Snowball (Animal Farm) Essay Paper Essay Topic: Animal Farm George Orwell’s Animal Farm is an allegorical novel that reflects events such as the Bolshevik revolution. the economic reform by Trotsky the Russian dearth in 1921 and during the Stalin epoch before the Second World War. The pigs represent the communist leading. and the remainder of the animate beings on the farm typify the different parts of Russian society and how the communist coup detat of Russia affected them. Two chief characters. Snowball and Napoleon ( who symbolize Trotsky and Stalin ) . engages in a political battle. as both of them wanted to hold the power to take all of the animate beings. Although Napoleon wins the battle in the terminal. Snowball’s political scheme is better than the corrupted leading of Napoleon. Snowball cares more about the living status of the animate beings. Compared to Napoleon. Snowball knows the significance of â€Å"Animalism† . which is animate beings are equal and it should take the animate beings to a better life. Snowball is interested in reading all sorts of books to enrich his range of cognition to do the animate beings work easier. For illustration. he declares the windmill thought from a book of the Jones. Besides Snowball is really courageous ; he has studied the book of Julian Caesar and successfully led through the Battle of the Cowshed while Napoleon was concealing himself in the barn. Snowball has an intelligent and friendly character. Unlike Napoleon. Snowball neer forces person to hold with his thoughts. Alternatively. he is good at explicating how his ideas work and persuades all the animate beings to believe and swear his thoughts. Unlike Napoleon. Snowball does non necessitate Squealer’s aid. he can make the explicating portion all by himself. Bonaparte has his ain ways to command other animate beings such as the Canis familiariss and Squealer but Snowball has different manner which is the commissions. Snowball seems to work better within the political system. Bonaparte goes around it. Napoleon. for case. he understands the function of force in political control and uses his attack Canis familiariss to throw out Snowball from the farm. Napoleon seems to hold a powerful. egoistic desire for control. while Snowball seems to believe of himself as a mastermind who should be the one to steer the farm toward success. Snowball is the lone 1 who knows the existent significance of â€Å"Animalism† . and he is seting out true attempt to do the populating criterion of the animate beings better than earlier. and insists everyone is equal. After the expel of Mr. Jones. the Animal Farm is supposed to be democracy. all of the animate beings should make up ones mind how to make things together. any one animate being to lift to greater power than any other would go against that ideal. and do Animal Farm indistinguishable from a human farm. On the other manus the lone thing that Napoleon thinks approximately is how to derive more power and personal benefit from the farm. Snowball ever comes up with some long-run programs and on the other manus Napoleon can merely come up with some short-run programs. In decision. Snowball’s political scheme is better so the corrupted leading of Napoleon.

Strategic Supply Chain Management in United Arab Emirates Research Paper

Strategic Supply Chain Management in United Arab Emirates - Research Paper Example Strategic supply chain management is a new concept that majority of companies with strategic objectives of growth and future continuity and sustainability cannot ignore or under-value. Likewise, companies in UAE are actively being influenced by forces of globalization and as a result, there is increased attention to operate within frameworks of reduced costs, enhanced customer satisfaction, productive cooperation, and collaboration among suppliers, and short lead-time together with decreased inventories. Adoption and implementation of Collaborative Planning Forecasting and Replenishment (CPFR) as supply chain practice in other parts of the world has proved successful and as a result, it is deemed that such an endeavor in Gulf Extrusions Company Ltd will yield numerous benefits as far as supply chain needs of the company are involved. Major objective of this research report is to assess and elaborate on the most effective way adoption and implementation of Collaborative Planning Forec asting and Replenishment (CPFR) supply practice can be achieved at Gulf Extrusions Company Ltd. As a result, detailed analysis of CPFR will be carried out with regard to Strategic supply chain goals of the company.Overview of Gulf Extrusion Company Ltd  Gulf Extrusion is located in the hub-business center of Dubai, in the United Arab Emirates. It was established in 1978 and remains part of the Al Ghurair Group of Companies (Gulf Extrusion n.d). Over the years, the company has evolved.

Criminal justice and crime problem Essay Example | Topics and Well Written Essays - 1000 words

Criminal justice and crime problem - Essay Example A special report of the Bureau of Justice Statistics released in 2000 showed the number of violent women offenders as being 14% of the total, while they formed 22% of all arrestees. (Special report 2000). But this gap is closing and experts estimate that in about ten or 20 years, the statistics on crime for men and women will be equal, largely due to the fact that women are now more involved in what is going on in the world than they were a generation ago. According to behavioral experts, contrary to the popular conception of women as nurturers, they have as great a tendency as men to be violent. The only difference between the two sexes is that they need greater incentives before they take to violence. (Yeoman, 1999). However, present rates for women offenders are still considerably lower than males and many reasons have been put forward to explain this differential rate of offending. While some rest their theories on the gender profiling of society, others point to the fact that wo men resort to crime only when they are forced into it because of poverty, drug addiction or other compelling factors rather than any natural inclination to be violent. Albert Bandura (1973) examined the tendency to violence in both male and female children, in order to study the effect of violent TV programs upon young children. In his experiment, both girls and boys were given dolls and asked to play with them. While boys demonstrated more violent behavior and girls tended to play peacefully with the dolls, Bandura found that the scenario changed when incentive was offered for being violent and destructive to the dolls. In such a case, the girls turned out to be as violent as the boys. This led Bandura to speculate that it was the gender conditioning of girls that led them to gravitate away from violence, since aggression was frowned upon in girls. The females in society were expected to be docile and submissive, nurturing and caring rather than aggressive and

Identify the various forms of plagiarism Research Paper

Identify the various forms of plagiarism - Research Paper Example n a student takes another student’s work and presents them as his/her own, and when a student downloads from the internet work that had been done and presenting it as his/her own. It also involves having someone do an assignment for you and presenting their findings or work as if you are the one who did the assignment (Gaines, 2007). Other students and authors will however not present works taken from the other sources in its original written form – they will rephrase other people’s ideas, research, opinion and information to come up with new works. Though the work seems on the face value to be original, only the wordings have changed from the original author’s work but the ideas are borrowed. This is commonly referred to as manipulated plagiarism (Neville, 2007). Students and authors wanting to make their work juicy or more presentable may take parts of other people’s work and incorporate them with theirs to enrich their ideas. The additional pieces of work may be quotes, phrases from a paragraph or entire paragraphs. The use of these parts without acknowledging the source constitutes to partial or juice plagiarism (Gaines, 2007). People also have a tendency of presenting their works either as a whole or in parts in more than one occasion or for different assignments. When this is done without letting the people using the work for the subsequent times know when the original work was done, one is considered to be involved in self plagiarism. This is most common when one is required to handle an assignment with similar requirements as the one he/she had previously handled (Neville, 2007). It is important for people to avoid plagiarism as much as possible. The most important thing is for writers to know what constitutes plagiarism and the implications that one is likely to face if found guilty of plagiarism. Writers ought to know how to acknowledge sources of their work. They should know how to do referencing and citations properly using the different

Boston Chicken Case Essay Example for Free

Boston Chicken Case Essay Boston Chicken implemented a franchising strategy that differed from most other franchising companies at the time. Boston Chicken focused its expansion through franchising the company through large regional developers rather than selling store franchises to a large number of small franchisees. In that, an established network of 22 regional franchises that targeted their operations in the 60 largest U.S. metropolitan markets and in order to do so, the franchisee would have been an independent experienced businessman with vast financial resources and would be responsible for opening 50 – 100 stored in the region. Boston Chicken focused on widespread continuous expansion of its operations to become to developed across the board food chain. Scouting for real estate assured the highest standards for developing properties and was critical to the company’s future success. To assist in future growth of the franchises, Boston Chicken implemented a communications infrastructure, which provided a supporting link for communication between its networks of stores. In addition in efforts to improve operating efficiency, the company locked in low rates from its suppliers and developed flagship stores, which did most of the initial food preparation which inadvertently reduced employee training costs. Many of these regional developers were given a revolving credit line to help support expansion. This type of financing came with credit risk while the franchises average revenue from operations were not sufficient enough to cover the expenses which raises doubt for the repayment of such loans. 2. The accounting policy of reporting the franchise fees from Boston Chicken’s area developers as revenue seemed most controversial. These franchise fees, which accounted for more than 50% of total revenue, did not represent revenues from operations. Also, the source of most of the ranchise fees came from the financing provided by Boston Chicken, the franchiser, where the money coming in was the same money that was going out. This overstated earnings of the company. Since the debentures can be converted into shares of common stock, most of the revenue from franchise fees should have been deferred. Reporting revenues that included these franchise fees his the fact the most of the franchised stores were operating at a loss, which provided a false impression to investors. While Boston Chicken, the franchiser reported a net income from operations of $24,611 in 1994, if they excluded the income provided by franchise fees, they company-operated stores would have been operating at a loss, which would have been a more accurate picture for the company’s operations and its question of having a profitable future. 3. Boston Chicken, the franchiser, reports revenue based on franchise fees (includes royalties, initial franchise development costs, interest income from area developer financing, lease income, software fees, and other related franchise fees), and company operated stores. The revenue reported on the income statement does not reflect the operating income or losses generated by the area developers, with most of these area developers operating at a loss. Since the franchiser provides financing to the area developers, it seems that consolidation of the financial statements would provide vital information to the users of the financial statements especially since the repayment of loans relies heavily on the profitability of the franchisees. Basically, Boston Chicken was not reporting the results of operations from its area developers because Boston Chicken did not have an equity position in these firms; rather their stake in these franchises was reported as debt financing. In doing so, Boston Chicken did not have to report the losses that were incurred in these operations. By manipulating the financial statements, the company gave a false impression on its future prospects of the company, allowing them to more freely raise capital through the issuance of common stock, and inadvertently inflating tock prices.

American Graffiti Essay -- essays research papers

American Graffiti (1973) This classic move focuses on a single night in the early Sixties, the hopeful future of the main characters is followed by the events which occur. Steve (Ron Howard), and Curt (Richard Dreyfuss) will be leaving for college the very next day, the build up of years of hard work. Finally they'll be able to leave their small hometown and "spread their wings", experiencing life in ways they never have. Curt is unattached to anyone, but Steve will be leaving behind his longtime girlfriend Laurie (Cindy Williams), who happens to be Curt's sister. Also remaining at home are Terry (Charles Martin Smith), a fumbling nerd, and John (Paul Le Mat), an older kid with "the fastest car in the valley". The two main things that kid's focused on in 1962, it was cars and music. Everyone who's anyone cruises the strip in their shiny automobiles and while they're doing that they're listening to Wolfman Jack on the radio. Music is an integral part of this group, defining its moods, fears, desires and feeding from the same emotions. Curt, a scholarship winner, is filled with doubt regarding his future. Everything that he's ever done has been aimed at college, yet now the moment is upon him Curt wonders if instead he should take time off. Symbolic of this uncertainty is a blonde in a white T-bird; elusive and enchanting she always slips away from Curt when he nears. In contrast, Steve is (if a...

Thomas Edison Essay -- biographies bio biography

Term Paper   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Thomas Alva Edison is one of the most influential people of his time. This native born Ohioan is credited with many invention that we use today and that many of us take for granted. Countless hours of hard work went into everything he accomplished. That drive is what made him the man he was and defined him as an individual. Thomas Edison was born February 11, 1847 in Milan, Ohio. He was the seventh and last child of Samuel Edison, Jr. and Nancy Elliot Edison. His parents had no special mechanical background. His mother was a former schoolteacher; his father was a jack-of-all-trades - from running a grocery store to real estate. When Thomas was seven years old, his family moved to Port Huron, Michigan. He was a very curious child who asked a lot of questions.   Ã‚  Ã‚  Ã‚  Ã‚  Edison began school in Port Huron, Michigan when he was seven. His teacher, the Reverend G. B. Engle considered Thomas to be a dull student. Thomas especially did not like math. And he asked too many questions. The story goes that the teacher whipped students who asked questions. After three months of school, the teacher called Thomas, "addled," which means confused or mixed up. Thomas stormed home. The next day, Nancy Edison brought Thomas back to school to talk with Reverend Engle. The teacher told his mother that Thomas couldn't learn. Nancy also became angry at the teacher's strict ways. She took Thomas out of school and decided to home-school him. It appears he briefly attended two more schools. However, his school attendance was not very good. So nearly all his childhood learning took place at home.   Ã‚  Ã‚  Ã‚  Ã‚   Some of his inventions he deliberately tried to invent, like the light bulb and the movie projector. But some inventions he stumbled upon, like the phonograph. Of all his inventions, Edison was most proud of the phonograph. Edison invented and improved upon things that transformed our world. Some things he invented by himself. Some things he invented with other people. Just about all his inventions are things we still use in some form today. Throughout his life, Edison tried to invent things that everyone could use.   Ã‚  Ã‚  Ã‚  Ã‚  Edison created the world's first "invention factory". He and his partners invented, built and shipped the product - all in the same complex. This was a new way to do business. Today many businesses have copied Edison'... ...ing off ideas and doing experiments as fast as they came to mind. Once the invention had been started, he left the details to others.   Ã‚  Ã‚  Ã‚  Ã‚  Edison was known to be stubborn. When he was a senior citizen, he became protective of his inventions. One historian found an irate letter from Edison to his manufacturing department. Edison had learned that teenagers were turning up the speed of his cylinder phonograph to make the music faster. Edison complained, "I don't want it and won't have it. " To make sure this would not happen again, he ordered his workers to make a control for the record speed.   Ã‚  Ã‚  Ã‚  Ã‚  Thomas Alva Edison died when he was 84 years old, on Sunday, October 18, 1931. He was still experimenting up until the time he died. Three days later, on October 21, 1931, electric lights were dimmed for one minute throughout the United States. Edison and his wife, Mina, are buried on their home estate grounds.   Ã‚  Ã‚  Ã‚  Ã‚   Bibliography Smith, John – â€Å"Don’t Follow This† American Publishing Company, Washington D.C., 1969 Dilion, Bob – â€Å"This is wrong† Forever Young Inc. Omaha, NB, 1988 Durst, Fred – â€Å"If you can read this you are too close† Nookie for Life  Ã‚  Ã‚  Ã‚  Ã‚  Orlando, FL, 1999

Acute Care: Care Implementation and Evaluation.

Acute Care: Care Implementation and Evaluation. This assignment will be based around the care that is implemented and evaluated, within a National Health Service (NHS) Foundation Trust (FT). The focus of the assignment will be to discuss two health problems that a selected patient has and has been admitted to the FT with. The selected patient had been admitted into FT with breathing difficulties and also suffering from dehydration. The assignment will focus upon the goals that are set for the patient whilst in FT and the reasons why the goals are set. The patho-physiology of the two problems will also be discussed and also the care that had been implemented to achieve the goals. Throughout the assignment, the patient will be known as Terry with the permission from the patients parents, according to the Nursing and Midwifery Council (NMC, 2008) confidentiality guidelines. The assignment will also aim to discuss the role of the Health Care Professional (HCP) in planning appropriate care for the patient, in particular, using the assessment technique of goal setting by using Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T) target planning technique (Roper et al, 1996). The reasons for planning care can involve the HCP assisting in preventing potential health problems, for example, breathing difficulties for the patient becoming worse and to also assist in solving problems where possible. Care planning can also assist in alleviating possible health problems that cannot be solved by HCP’ s and so will need the assistance of Multi Disciplinary Team (MDT) , for example, consultant, physiotherapists to further improve an develop the care plan. Terry is a 42 year old single man, who lives with his parents, and has suffered from a number of illnesses throughout his life, for example, optical glyoma, Deep Vein Thrombosis (DVT), epilepsy, and also learning difficulties. Terry has difficulty with breathing, and this appears to have been caused by respiratory rhythmicity centre in the medulla and the pons (areas of the brain which can control breathing) and these appeared to not be working in the correct way (MacKenzie, 1996; Waugh et al 2006). Terry’s reduced neurological status was due to trauma that had been suffered in the motor pathways, and the peripheral nerves, in the brain (Iggulden, 2006). Terry was admitted to the Intensive Care Unit (ICU), within the NHS FT, suffering from numerous problems that were mainly neurological. Terry's admission to ICU was due to the increased breathing difficulties that he was experiencing. Due to the breathing difficulties, the nursing team, and Terry's consultant, agreed that it would be best for Terry to have a percutaneous tracheostomy inserted. Due to Terry suffering from a probable cerebellar lesion, severe learning difficulties and poor communication skills; it did appear that Terry could not understand what the nursing team were informing him of, the medication that he needed and the care that was being delivered (NMC, 2008). Due to the fact that Terry appeared not to be able to understand or communicate with the nursing team, and that his parents and family members were with him, the nursing team, and myself, ensured that the parents, and family members, were informed of what was happening regarding the care that had given to Terry. The fact that Terry could not understand the instructions given to him, due to learning difficulties, consent to insert a percutaneous tracheostomy had to be given from Terry’s parents, to the Consultant (NMC, 2008). The tracheostomy that had been inserted into Terry helped the nursing team in the ICU and on the ward, to oxygenate Terry to the optimum level of 98%. The tracheostomy, also ensured that Terry was able to maintain a breathing rate of between 35 and 50 breathes per minute (Bailey, 2008). Although Terry was able to maintain a respiration rate, the normal respiration rate for an adult is normally between 14 and 18 breathes per minute (Bailey, 2008). The nursing care that had been implemented included ensuring that oxygen was flowing through the tracheostomy and this ensured that Terry had enough oxygen in his body for his heart and lungs to function, and that the heart pumped the oxygenated blood around the body (Machin et al 1996; Roper et al, 1996; Bailey et al 2008). Due to Terry’s respiration centre not working properly, and suffering from breathing problems, this meant that gaseous exchange was impaired, and led to a risk of respiratory acidosis. Gaseous exchange is where the oxygen goes into the alveoli capillaries, and the carbon dioxide is moved out of these capillaries (Bailey, 2008). The respiration centre is made up of a group of nerve cells, which are in the reticular endothelial system of the medulla oblongata. These cells send impulses to the motor neurones, via the spinal cord, and are then sent to the intercostal muscles (Bailey, 2008). The trauma that Terry had suffered with, was a possible cerebella lesion when he was a child. When Terry was admitted, his oxygen level was 82% (Bailey, 2008). The goal for this problem was to keep Terry's respiration and oxygenation at a level that was suitable. A suitable level of respiration for an adult is between 14 and 18 breaths per minute, and an oxygen level of around 97 to 98% (Bailey, 2008). The patho-physiology of breathing difficulties includes a lack of oxygen to the tissues of the body, including the brain, and even death (MacKenzie, 1996; Waugh et al 2006). Due to Terry haiving an oxygen saturation level of 82%, we set the goal that we would aim for and set this goal with his parents. The goal that the nurses had set with Terry's parents, due to the fact that Terry had learning difficulties and could not set the goal with the nurses. The goal was set as the nurses aimed to have his oxygen saturation level between 95% and 98% within two hours. The goal had to fit in with the Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T) target planning technique (Roper et al, 1996; Faulkner, 2000). Terry's sitting and lying position had to be carefully planned around him, this ensured that we as a nursing team where able to ensure that his lungs would expand to their optimum and to maintain a satisfactory oxygen saturation levels within his body (Roper et al 1996; Machin et al 1996; Hackman, 2008). The normal oxygen saturation level is between 95% and 98% (Woodrow, 1999). The fact that Terry had an oxygen saturation level of just 82%, the Consultant had to prescribe oxygen for Terry. The oxygen that had been prescribed for Terry, had been increased from 24% to 40% (NMC, 2002). The consultant advised us to ensure that the oxygen was to be humidified. Due to Terry having the tracheostomy, we were able to deliver the oxygen with the use of a tracheostomy mask and what is called a T-piece circuit (Machin et al 1996; Dolan, 2008; Soady, 2008). The consultant also advised the nursing team to ensure that neurological observation's were undertaken, especially the oxygen saturation levels, every 15 minutes until Terry's oxygen saturation levels had risen to 96% (Machin et al 1996; Dolan, 2008; Soady, 2008) The neurological observations with regards to the goal, meant that the nurses were able to deliver oxygen, which would enable the oxygen saturation level to be maintained (Machin et al 1996; Dolan, 2008; Soady, 2008). Once the nursing team had ensured that the oxygen had been delivered to Terry at 40% and was humidified, they then ensured that 15 minute observations were maintained. The Consultant had to ensure that the 40% oxygen that he had verbally prescribed, was documented and written clearly in Terry's medical notes and on his prescription sheet (NMC, 2002; NMC, 2004). The fact that Terry had been prescribed the higher rate of oxygen, this needed to be clearly documented within Terry’s nursing notes (NMC, 2004). The documentation was needed, so that the other nurses were aware of the change. Although the observations had been maintained every 15 minutes, with regards to Terry's oxygen saturation levels, this ensured that the nursing team maintained Terry's neurological observation's (Machin et al 1996; Dolan, 2008; Soady, 2008). The goal that had been set by the nursing team and Terry's parent's, for his oxygenation levels did fit into the Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T) target planning technique. The goal was specific, measurable and realistic for Terry and the nursing team caring for him, as well as being achievable in the time frame that had been set by Terry's Consultant (Faulkner, 2000). Due to the fact that the nursing team had achieved this goal for Terry, proved that the nursing care and interventions made by the nursing team, were effective. The nursing care and interventions were effective enough, for this goal to have been met (Roper et al 1996). The goal that had been set for Terry with regards to his oxygen saturation level, had to be documented. The goal had to be documented within the nursing notes, which the nursing team had to document clearly. The nursing team were able to hand over the information about Terry, to the nursing staff that would have been caring for him on the next shift. (NMC, 2004) The second of Terry's problem's is that he was at risk of dehydration, this was due to the fact that Terry could not swallow as he had a reduced neurological status. The fact that Terry could not swallow was due to the motor area of cerebral cortex of his brain, did not work in the way that it should (Waugh et al 2006). The motor area of the cerebral cortex of Terry's brain, was damaged due to the increase in epileptic seizures. Dehydration can cause the cells to deplete, due to not having enough fluids for them to replenish. The cells replenish in the sense that the fluids help the cells to regenerate, regulate the body temperature, to dilute the waste products within the body, and to maintain the level of fluids within the tissue fluid and blood (Waugh et al 2006). The patho-physiology of dehydration includes thirst, the mouth being dry, the tongue would look leathery, and fluid from within the tissues and skin would be withdrawn (Roper et al 1996; Brown, 1997; Day, 1997). Due to Terry not being able to drink fluids, he was not able to regulate his own body temperature, nor was his body able to dilute the poisonous substances in his body (Waugh et al 2006). Due to fluid being withdrawn from the body, this would mean that the body would not be able to maintain its own volume in blood (Roper et al 1996). The patho-physiology of not having enough fluids also includes the kidneys would excrete less than they normally would; a person would be lethargic; the skin would lose its elasticity and would appear to be more wrinkled (Roper et al 1996; Brown, 1997; Day, 1997). If Terry had been suffering from dehydration, his would have looked sunken and his urine output would be reduced as well as being more concentrated. If Terry had been suffering from a severe case of dehydration, his blood volume would be reduced. If the blood volume was to cause a circulation deficiency, this would cause his kidneys to fail to excrete the waste products that they normally excrete (Roper et al 1996; Brown, 1997; Day, 1997). Due to Terry not drinking the recommended two litres of fluids per day, we had to set a goal. The goal that had to be set, had to be set with Terry's parents (Roper et al 1996). The goal for the second problem, was to prevent dehydration during Terry's stay in hospital, through ensuring that Intravenous Saline was delivered through venous access (Dougherty et al 2008). The Intravenous Saline had to be delivered through venous access, due to the fact that this was the most effective way in which to infuse fluids. The fluids had to be infused over a period of 24 hours, due to the volume of the fluids. The Consultant prescribed two litres of Intravenous Saline, and the nursing team ensured that it was delivered (NMC, 2002; NMC, 2004; Dougherty et al 2008). Due to the fact that the fluids needed to be infused, the nursing team ensured that the fluids were delivered through the venous access, by using an infusion pump. The pump that was used by the nursing team, was the volumetric pump. The volumetric pumps allow health care professionals to administer large amounts of infusions, and this is why were used this type of pump to deliver the fluids that Terry needed over a 24 hour period (Sarpal, 2008). Due to the fact that the nursing team were delivering Intravenous Saline to Terry, it was important that this was documented by the nursing team within his nursing notes. The fact that this was documented in Terry's notes, ensured that the information was handed over to the nursing team on the next shift (NMC, 2004). It was important hat a fluid balance chart was also documented, as this would help the nursing team to ensure that the amount of input from fluids, was similar to Terry's urine output. The fact that the nursing team were able to monitor Terry's fluid input and output, ensured that his body was not retaining any of those fluids within a 24 hour period (Hunt et al 2008). The goal for dehydrat ion by providing two litres of Intravenous Saline over a 24 hour period, did fit into the Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T) target planning technique. This was due to the fact that the goal was specific, measurable and time set. The goal was achievable and realistic, but only while Terry's venous access was as good as it was. When Terry's venous access for the Intravenous Saline to be delivered was poor, this meant that the nursing team had to find another route to deliver these fluids. The nursing team had to re-set the goal for delivering the Intravenous Saline. (Faulkner, 2000) Due to the fact that the nursing team could not deliver the Intravenous Saline through the venous route, had to be documented. The nursing team had to document the fact that Terry had poor venous access, and that they had asked his Consultant to review Terry (NMC, 2004). When Terry's Consultant had been to review him, the Consultant advised the nursing team to deliver the Saline through Terry's PEG tube. Terry's Consultant had to document the fact, that he had advised the nursing team to deliver the Saline through Terry's PEG tube. The Consultant also had to document that his advice was due to Terry's poor venous access in Terry's medical notes, and he had to document this on the prescription chart (NMC, 2004). Due to Terry having a Percutaneous Endoscopic Gastrostomy (PEG), the nursing team and Terry's parents re-set the goal to deliver the fluids that Terry needed (Faulkner, 2000). The new goal that had been set, was to deliver one litre of Intravenous Saline through Terry's PEG tube. The litre of Saline was delivered to Terry through his PEG tube, over an 8 hour period rather than a 24 hour period. Even though the nursing team had to deliver the fluids through the PEG tube, they had to ensure that the goal did fit into the Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T. ) target planning technique. This goal was specific, measurable, achievable, realistic and time set for Terry and the nursing team (Faulkner, 2000). Before the nursing team could deliver the Saline through Terry's Percutaneous Endoscopic Gastrostomy, the Saline had to be prescribed by his Consultant. The Consultant had to document the Saline on Terry's prescription chart, and also had to document the route that the nursing team were to deliver the Saline (NMC, 2004). The Saline that had been prescribed by Terry's Consultant, also had to document in Terry's medical notes, that he had prescribed this and also document the route that he had advised to the nursing team (NMC, 2002; NMC, 2004). When the nursing staff had commenced the delivery of the Saline through the Percutaneous Endoscopic Gastrostomy (PEG) tube, they themselves had to document this. The nursing team had to document the Saline running through the PEG tube, to enable the nursing notes for Terry to be up-to-date. The nursing team to document the amount of Saline that was to run through Terry's PEG tube, and what time the Saline infusion began. The nursing team also had to document how much of the Saline was to be infused in any one hour, when the Saline was due to finish, as well as document the lot number and expiry date that were on the bag of Saline. NMC, 2002; NMC, 2004) The documentation of the infusion of the Saline running through Terry's Percutaneous Endoscopic Gastrostomy (PEG) tube, ensured that the nursing team could hand over the information to the nursing team that were due to care for Terry on the next shift (NMC, 2004). The goal that had been re-set by the nursing team, and Terry's parents, fitted in with the Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T. ) target planning technique (Faulkner, 2000). The fact that the goal had to be re-set, ensured that the nursing team had been able to deliver the Saline through the Percutaneous Endoscopic Grastrostomy (PEG) tube. The goal to deliver the Saline through the PEG tube, had been specific, measurable, realistic and time set for Terry and the nursing team. This goal had been achieved, due to the fact that the care that the nursing team had been able to deliver the Saline in the time that they had set with Terry's parents (Faulkner, 2000). Due to the goal being achieved in the time frame that had been set by the nursing team, and Terry's parents, meant that the nursing team had been able to deliver the care that had been needed to achieve this goal (Faulkner, 2000). I am now at the point in this assignment when I can reflect. For my reflection, I will be using the Gibb's Reflective Cycle to reflect upon this assignment, which is documented within his book that was published in 1988 and entitled Learning by Doing: A Guide To Teaching and Learning Methods (Gibb's, 1998). Due to the fact that Terry ad a number of health problems, I had a hard task of choosing which two that I would use. I did have to think long and hard about which two health problems that I would use, but I was given permission from his parents to enable me to write this assignment (NMC, 2008). The two health problems that I had chosen, were breathing difficulties and dehydration. Due to the breathing difficulties that Terry suffered with, meant that his oxygen saturation levels were low. Due to Terry's breathing difficulties, this is why the nursing team, and his Consultant, had to gain consent from Terry's parents, to insert a percutaneous tracheostomy. The fact that the tracheostomy was inserted soon after Terry's admission, enabled the nursing staff within the ITU and the ward of the NHS FT, to ensure that Terry's oxygen saturation levels were maintained. Therefore, this is the reason why a goal was set. Due to a goal being set for Terry's oxygen saturation levels to be maintained, provides evidence to show that the nursing interventions were effective. The effectiveness of these nursing interventions, proves that goals that are set for an individual patient can also be met. The second goal that had been set for Terry by the nursing team, and his parents, had fitted in with the Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T. ) target planning technique. Due to the fact that this goal was only partially met, did not necessarily mean that the care that had been delivered to Terry, had been ineffective. The care that had been delivered to Terry had been effective, but the goal could no longer be achieved through the venous route, due to the fact that Terry's venous access was poor. Due to Terry's poor venous access, this is why the nursing team had to re-set the goal with his parents. The goal that had to be re-set, fitted in with the Specific, Measurable, Achievable, Realistic and Time Set (S. M. A. R. T. ) target planning technique. The goal had been re-set, and had also been achieved in the time frame that had been set with Terry's parents. The goal that had been re-set, had been achieved in the time frame that had been set. The goal had been achieved due to the fact that, the nursing team were able to deliver the Intravenous Saline through the Percutaneous Endoscopic Gastrostomy (PEG) that Terry had in place. The fact that the nursing team could not achieve this goal when it had first been set, was not an issue that could have been anticipated. Even though nursing teams can not anticipate why the goals are not met, they can re-set the goal and in time, meet the new goal. Therefore, the nursing care and interventions that are delivered, do make nursing care effective. Documentation of all care from the nursing team was important, due to the fact that the nursing team on one shift, were able to inform the nursing team of the next shift. Documentation also ensures that if the nursing team were unsure of any test results, that they were able to look over the nursing notes to ensure they knew where we were up to with the patient. The Consultants documentation in the patients medical notes, ensured that other doctors or Consultants were also aware of the patients condition and any tests that may have been ordered. Bibliography. Bailey, M. , Crossen, S. , Holland, J. , & Hollis, V. (2008) Observation's in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 25, Pages 496-544. Oxford: Wiley-Blackwell Publishing. Brown, A. (1997) Caring for the Patient Undergoing Surgery in Walsh, M. (ed) (1997) Watson's Clinical Nursing and Related Sciences. 5th ed. Chapter 10, Pages 232-259. Edinburgh, Bailliere Tindall. Day, S. (1997) Caring for the Patient with a Nutritional Disorder in Walsh, M. (ed) (1997) Watson's Clinical Nursing and Related Sciences. 5th ed. Chapter 16, Pages 552-570. Edinburgh, Bailliere Tindall. Dolan, S. (2008) Respiratory Therapy in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 38, Pages 749-765. Oxford: Wiley-Blackwell Publishing. Dougherty, L. , Farley, A. , Hopwood, L. & Sarpal, N. (2008) Drug Administration: General Principles in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 11, Pages 202-251. Oxford: Wiley-Blackwell Publishing. Faulkner, A. (2000) Nursing: The Reflective Approach to Adult Nursing Practice. 2nd ed. Gloucestershire: Stanley Thornes Publishers Limited. Gibb's, G (1988) Learning by Doing: A Guide To Teaching and Learning Methods. Oxford: Further Education Unit, Oxford Polytechnic. Hackman, D. 2008) Positioning in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 34, Pages 668-689. Oxford: Wiley-Blackwell Publishing. Hunt, P. , Kelynack, J. & Stevens, A. M. (2008) The Unconscious Patient in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 44, Pages 849-853. Oxford: Wiley-Blackwell Publishing. Iggulden, H. (2006) Care Of The Neurological Patient. Oxford: Blackwell Publishing Limited. Local NHS Trust (2004) NHS Trust – Recommended Protocol for Care of the Patient with a PEG. Liverpool: Local NHS Trust. Machin, J. , Rhys-Evans, F. (1996) Tracheostomy Care and Laryngectomy Voice Rehabilitation in Mallet, J. , Bailey, C. (eds) (1996) The Royal Marsden NHS Trust – Manual of Clinical Nursing Procedures. Chapter 41, Pages 550-565. London: Blackwell Science Limited. MacKenzie, E. (1996) Respiratory Therapy in Mallet, J. , Bailey, C. (eds) (1996) The Royal Marsden NHS Trust – Manual of Clinical Nursing Procedures. Chapter 35, Pages 474-480. London: Blackwell Science Limited. Nursing and Midwifery Council (2002) Guidelines for the Administration of Medicines. London: NMC. Nursing and Midwifery Council (2004) Guidelines for Records and Record Keeping. London: NMC. Nursing and Midwifery Council (2008) The Code – Standards of Conduct, Performance and Ethics for Nurses and Midwives. London: Nursing and Midwifery Council. Roper, N. , Logan, W. W. , Tierney, A. J. (1996) The Elements of Nursing. 4th ed. America: Churchill Livingstone. Sarpal, N. (2008) Drug Administration: Delivery (Infusion Devices) in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 13, Pages 290-309. Oxford: Wiley-Blackwell Publishing. Soady, C. (2008) Tracheostomy Care and Laryngectomy Care in Dougherty, L & Lister, S. (eds) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 7th ed. Chapter 42, Pages 809-829. Oxford: Wiley-Blackwell Publishing. Waugh, A. , Grant, A. (2006) Ross and Wilson Anatomy and Physiology in Health and Illness. 10th ed. Philadelphia: Churchill Livingstone. Woodrow, P. (1999) Pulse Oximetry. Nursing Standard. Volume 13, Number 42. Pages 42-46. Woodrow, P. (2006) Intensive Care Nursing – A Framework for Practice. 2nd ed. Oxon: Rouledge.

Major General George McClellan in the Civil War

Major General George McClellan in the Civil War George Brinton McClellan was born December 23, 1826 in Philadelphia, PA. The third child of Dr. George McClellan and Elizabeth Brinton, McClellan briefly attended the University of Pennsylvania in 1840 before leaving to pursue legal studies. Bored with the law, McClellan elected to seek a military career two years later. With the aid of President John Tyler, McClellan received an appointment to West Point in 1842 despite being a year younger than the typical entry age of sixteen. In school, many of McClellans close friends, including A.P. Hill and Cadmus Wilcox, were from the South and would later become his adversaries during the Civil War. His classmates included future notable generals in Jesse L. Reno, Darius N. Couch, Thomas Stonewall Jackson, George Stoneman, and George Pickett. An ambitious student while at the academy, he developed a great interest in the military theories of Antoine-Henri Jomini and Dennis Hart Mahan. Graduating second in his class in 1846, he was assigned to the Corps of Engineers and ordered to remain at West Point. Mexican-American War This duty was brief as he was soon dispatched to the Rio Grande for service in the Mexican-American War. Arriving off the Rio Grande too late to take part in Major General Zachary Taylors campaign against Monterrey, he fell ill for a month with dysentery and malaria. Recovering, he shifted south to join General Winfield Scott for the advance on Mexico City. Preforming reconnaissance missions for Scott, McClellan gained invaluable experience and earned a brevet promotion to first lieutenant for his performance at Contreras and Churubusco. This was followed by a brevet to captain for his actions at the Battle of Chapultepec. As the war was brought to a successful conclusion, McClellan also learned the value of balancing political and military affairs as well as maintaining relations with civilian populations. Interwar Years McClellan returned to a training role at West Point after the war and oversaw a company of engineers. Settling into a series of peacetime assignments, he wrote several training manuals, aided in the construction of Fort Delaware, and took part in an expedition up the Red River led by his future father-in-law Captain Randolph B. Marcy. A skilled engineer, McClellan was later assigned to survey routes for the transcontinental railroad by Secretary of War Jefferson Davis. Becoming a favorite of Davis, he conducted an intelligence mission to Santo Domingo in 1854, before being promoted to captain the following year and posted to the 1st Cavalry Regiment. Due to his language skills and political connections, this assignment was brief and later that year he was dispatched as an observer to the Crimean War. Returning in 1856, he wrote of his experiences and developed training manuals based on European practices. Also during this time, he designed the McClellan Saddle for use by the US Army. Electing to capitalize on his railroad knowledge, he resigned his commission on January 16, 1857 and became the chief engineer and vice president of the Illinois Central Railroad. In 1860, he also became the president of the Ohio and Mississippi Railroad. Tensions Rise Though a gifted railroad man, McClellans primary interest remained the military and he considered returning the US Army and becoming a mercenary in support of Benito Jurez. Marrying Mary Ellen Marcy on May 22, 1860 in New York City, McClellan was an avid supporter of Democrat Stephen Douglas in the 1860 presidential election. With the election of Abraham Lincoln and the resulting Secession Crisis, McClellan was eagerly sought by several states, including Pennsylvania, New York, and Ohio, to lead their militia. An opponent of federal interference with slavery, he was also quietly approached by the South but refused citing his rejection of the concept of secession. Building an Army Accepting Ohios offer, McClellan was commissioned a major general of volunteers on April 23, 1861. In place four days, he wrote a detailed letter to Scott, now general-in-chief, outlining two plans for winning the war. Both were dismissed by Scott as unfeasible which led to tensions between the two men. McClellan re-entered federal service on May 3 and was named commander of the Department of the Ohio. On May 14, he received a commission as a major general in the regular army making him second in seniority to Scott. Moving to occupy western Virginia to protect the Baltimore Ohio Railroad, he courted controversy by announcing that he would not interfere with slavery in the area. Pushing through Grafton, McClellan won a series of small battles, including Philippi, but began to display the cautious nature and unwillingness to fully commit his command to battle that would dog him later in the war. The only Union successes to date, McClellan was ordered to Washington by President Lincoln after Brigadier General Irvin McDowells defeat at First Bull Run. Reaching the city on July 26, he was made commander of the Military District of the Potomac and immediately began assembling an army out of the units in the area. An adept organizer, he worked tirelessly to create the Army of the Potomac and cared deeply for the welfare of his men. In addition, McClellan ordered an extensive series of fortifications constructed to protect the city from Confederate attack. Frequently butting heads with Scott regarding strategy, McClellans favored fighting a grand battle rather than implementing Scotts Anaconda Plan. Also, he insistence on not interfering with slavery drew ire from Congress and the White House. As the army grew, he became increasingly convinced that the Confederate forces opposing him in northern Virginia badly outnumbered him. By mid-August, he believed that enemy strength numbered around 150,000 when in fact it seldom exceeded 60,000. Additionally, McClellan became highly secretive and refused to share strategy or basic army information with Scott and Lincolns cabinet. To the Peninsula In late October, the conflict between Scott and McClellan came to a head and the elderly general retired. As a result, McClellan was made general-in-chief, despite some misgivings from Lincoln. Increasingly more secretive regarding his plans, McClellan openly disdained the president, referring to him as a well-mannered baboon, and weakened his position through frequent insubordination. Facing growing anger over his inaction, McClellan was called to the White House on January 12, 1862 to explain his campaign plans. At the meeting, he outlined a plan calling for the army to move down the Chesapeake to Urbanna on the Rappahannock River before marching to Richmond. After several additional clashes with Lincoln over strategy, McClellan was forced to revise his plans when Confederate forces withdrew to a new line along the Rappahannock. His new plan called for landing at Fortress Monroe and advancing up the Peninsula to Richmond. Following the Confederate withdraw, he came under heavy criticism for allowing their escape and was removed as general-in-chief on March 11, 1862. Embarking six days later, the army began a slow movement to the Peninsula. Failure on the Peninsula Advancing west, McClellan moved slowly and again was convinced that he faced a larger opponent. Stalled at Yorktown by Confederate earthworks, he paused to bring up siege guns. These proved unnecessary as the enemy fell back. Crawling forward, he reached a point four miles from Richmond when he was attacked by General Joseph Johnston at Seven Pines on May 31. Though his line held, the high casualties shook his confidence. Pausing for three weeks to await reinforcements, McClellan was again attacked on June 25 by forces under General Robert E. Lee. Quickly losing his nerve, McClellan began falling back during a series of engagements known as the Seven Days Battles. This saw inconclusive fighting at Oak Grove on June 25 and a tactical Union victory at Beaver Dam Creek the next day. On June 27, Lee resumed his attacks and won a victory at Gaines Mill. Subsequent fighting saw Union forces driven back at Savages Station and Glendale before finally making at stand at Malvern Hill on July 1. Concentrating his army at Harrisons Landing on the James River, McClellan remained in place protected by the guns of the US Navy. The Maryland Campaign While McClellan remained on the Peninsula calling for reinforcements and blaming Lincoln for his failure, the president appointed Major General Henry Halleck as general-in-chief and ordered Major General John Pope to form the Army of Virginia. Lincoln also offered command of the Army of the Potomac to Major General Ambrose Burnside, but he declined. Convinced that the timid McClellan would not make another attempt on Richmond, Lee moved north and crushed Pope at the Second Battle of Manassas on August 28-30. With Popes force shattered, Lincoln, against the wishes of many Cabinet members, returned McClellan to overall command around Washington on September 2. Joining Popes men to the Army of the Potomac, McClellan moved west with his reorganized army in pursuit of Lee who had invaded Maryland. Reaching Frederick, MD, McClellan was presented with a copy of Lees movement orders which had been found by a Union soldier. Despite a boastful telegram to Lincoln, McClellan continued to move slowly allowing Lee to occupy the passes over South Mountain. Attacking on September 14, McClellans cleared the Confederates away at the Battle of South Mountain. While Lee fell back to Sharpsburg, McClellan advanced to Antietam Creek east of the town. An intended attack on the 16th was called off allowing Lee to dig in. Beginning the Battle of Antietam early on the 17th, McClellan established his headquarters far to the rear and was unable to exert personal control over his men. As a result, the Union attacks were not coordinated, allowing the outnumbered Lee to shift men to meet each in turn. Again believing that it was he who was badly outnumbered, McClellan refused to commit two of his corps and held them in reserve when their presence on the field would have been decisive. Though Lee retreated after the battle, McClellan had missed a key opportunity to crush a smaller, weaker army and perhaps end the war in the East. Relief 1864 Campaign In the wake of the battle, McClellan failed to pursue Lees wounded army. Remaining around Sharpsburg, he was visited by Lincoln. Again angered by McClellans lack of activity, Lincoln relieved McClellan on November 5, replacing him with Burnside. Though a poor field commander, his departure was mourned by the men who felt that Little Mac had always worked to care for them and their morale. Ordered to report to Trenton, NJ to await orders by Secretary of War Edwin Stanton, McClellan was effectively sidelined. Though public calls for his return were issued after the defeats at Fredericksburg and Chancellorsville, McClellan was left to write an account of his campaigns. Nominated as the Democratic candidate for the presidency in 1864, McClellan was hamstrung by his personal view that the war should be continued and the Union restored and the partys platform which called for an end to the fighting and a negotiated peace. Facing Lincoln, McClellan was undone by the deep divide in the party and numerous Union battlefield successes which bolstered the National Union (Republican) ticket. On election day, he was defeated by Lincoln who won with 212 electoral votes and 55% of the popular vote. McClellan only garnered 21 electoral votes. Later Life In the decade after the war, McClellan enjoyed two long trips to Europe and returned to the world of engineering and railroads. In 1877, he was nominated as the Democratic candidate for governor of New Jersey. He won the election and served a single term, leaving office in 1881. An avid supporter of Grover Cleveland, he had hoped to be named secretary of war, but political rivals blocked his appointment. McClellan suddenly died on October 29, 1885, after suffering from chest pains for several weeks. He was buried at Riverview Cemetery in Trenton, NJ.