Saturday, October 12, 2019

Mark Twain is a Great American Author :: Biography Biographies Essays

Mark Twain is a Great American Author In the book Huck Finn, Mark Twain not only writes about the adventures of a young boy, he depicts the struggle that people had to go through in that time period. That is just one of the reasons why some people consider Mark Twain to be the greatest American author of all time. As I was reading the book Huck Finn I started to agree more with what Mencken had to say "Put him beside Emerson, or Whitman, or Hawthorne, or even Poe; he was palpably the superior of all of them". I could really relate to lots of the ideas and emotions that sprang into Tom and Huck's heads at the time. In Huck Finn, Tom gets a group of boys together to form a little club. When I was younger I would do the same thing with friends of mine. We would act out our fantasies just like Tom and Huck did in the story. All of Huck's life he was able to live it the way that he wanted, until he had to move in with Miss Watson. But as you read you find out that every minute he is away from her he is up to his old tricks again. From going out to having a smoke with Tom, or messing up his hair so he could feel at home. You can see that he is still a little boy inside who isn't ready to grow up. Tom Sawyer is one of those type of friends that everybody has, crazy enough to get everybody's attention but smart enough to know when to stop. I read some of the things that Tom had done in the book and some of the lies he would tell and I thought "man he is crazy for doing that" but as I thought about it more it seems reasonable to a kid at that age and why wouldnt he act the way he did ? Mark Twain takes a big step to the side when he writes about one of Miss Watsons slaves. Jim is a strong black slave in about his mid-twenties. As you read about Jim and see what he's had to go through you can start to Mark Twain is a Great American Author :: Biography Biographies Essays Mark Twain is a Great American Author In the book Huck Finn, Mark Twain not only writes about the adventures of a young boy, he depicts the struggle that people had to go through in that time period. That is just one of the reasons why some people consider Mark Twain to be the greatest American author of all time. As I was reading the book Huck Finn I started to agree more with what Mencken had to say "Put him beside Emerson, or Whitman, or Hawthorne, or even Poe; he was palpably the superior of all of them". I could really relate to lots of the ideas and emotions that sprang into Tom and Huck's heads at the time. In Huck Finn, Tom gets a group of boys together to form a little club. When I was younger I would do the same thing with friends of mine. We would act out our fantasies just like Tom and Huck did in the story. All of Huck's life he was able to live it the way that he wanted, until he had to move in with Miss Watson. But as you read you find out that every minute he is away from her he is up to his old tricks again. From going out to having a smoke with Tom, or messing up his hair so he could feel at home. You can see that he is still a little boy inside who isn't ready to grow up. Tom Sawyer is one of those type of friends that everybody has, crazy enough to get everybody's attention but smart enough to know when to stop. I read some of the things that Tom had done in the book and some of the lies he would tell and I thought "man he is crazy for doing that" but as I thought about it more it seems reasonable to a kid at that age and why wouldnt he act the way he did ? Mark Twain takes a big step to the side when he writes about one of Miss Watsons slaves. Jim is a strong black slave in about his mid-twenties. As you read about Jim and see what he's had to go through you can start to

Friday, October 11, 2019

Choledocholithiasis

Choledocholithiasis (which called bile duct stones or gall bladder stones in the bile duct) is the presence of stones from gall bladder in the common bile duct. Stones usually form in gall bladder but they sometimes pass through the cystic duct into common bile duct. There are many symptoms of gallstone in common bile duct. For example; abdominal pain (in the right upper or middle upper abdomen), fever, jaundice (yellowing of the skin and eyes), loss of appetite, nausea and vomiting and clay-colored stools.) Healthline, 2016) So, this condition diagnosed and treated by ERCP. ERCP (Endoscopic retrograde cholangiopancreatography) is a procedure that enables doctor to examine the pancreatic and bile ducts by insert lighted tube which called endoscope (like the thickness of your index finger) is placed through the mouth and into stomach and first part of the small intestine (duodenum) exactly in (ampulla) and passed of cannula (which a small plastic tube) through the endoscope and into this opening with injected contrast material and X-rays are taken to study the common bile duct. (Suissa et al., 2018) (Turk, 2011) Fluoroscopy is a radiographic procedure that provides a dynamic image of the inside of the body frequently after the administration of the contrast media with the use of persistent x-ray beam that passes through the area of interest and later the attenuated beam that come out of the patient is received by a video monitor to view the body part motion in details. The fluoroscopic studies can efficiently detect variety of abnormalities of different body systems such as the skeletal, digestive, cardiovascular, respiratory, reproductive and urinary system. (University of Rochester Medical Center,2018). In this assignment I will discuss about equipment used in ERCP, role of radiographer in ERCP, technical and exposure consideration of ERCP and case study. ?ERCP Equipment ERCP contain endoscopy and fluoroscopy. Fluoroscopy consists of C-arm and monitor. Endoscopy consist of flexible tube which called endoscope with at the end it contain a tiny video camera and light. There is a canal inside components of the scope through which thin instruments are passed and can be poked out the tube's end. These instruments include a catheter, balloon, basket, sphincterotome, biopsy forceps and cytology brush and stents. So, for injecting contrast media into the ducts by used of catheter. Used of balloon is to stretch tight areas of the bile duct or pancreatic duct. Also, for removing and manipulating stones used of basket, and to incise tissue and make the bile duct or pancreatic duct opening larger used of a sphincterotome. Biopsy forceps and cytology brush use to obtain microscopic exam, and use stent to bridge blockages. Other openings allow the doctor to suck out water or air inside digestive system as well as clean the camera lens. Control the movement of the tube by gently pushing and pulling on its outside end is done by the doctor while also steering the inside end with control knobs that the doctor holds in his hand. Video television screen in the procedure room is received images from the endoscope. Also, obtain an x-ray image of the bile duct and pancreatic duct by the fluoroscopy. (ASGA, 2016).Role of Radiographer in ERCP:Before examination: First, asked to remove any clothing or jewelry that may get in the way of the body area to be examined and wear gown. Then, check name and an identification number of the patient. Third, prepare the C-arm machine and the monitor. Fourth, positioned on the x-ray table depending on what the doctor want. Fifth, make sure everyone who stays in ERCP room wear lead apron. (ASGA, 2016). During examination: Regarding on department's equipment, radiographer may have to stay out in the control panel or may be able to stand in the room to x-ray. stand in the room to x-ray In the latter, it is important to pay close attention so as not to miss cue to x-ray.The doctor will ask the radiographer to x-ray when it is required if screen or spot. Also, the radiographer be attention for doctor and patient condition. (ASGA, 2016).After examination:The radiographer save the image and sent it. Make sure the machine is clean. (ASGA, 2016).Technical of ERCP: Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that to diagnose and treat diseases regarding to the pancreatobiliary system by used of endoscopy and fluoroscopic imaging. The endoscopic portion of the examination uses endoscope that is passed through the esophagus and stomach and into the second portion of the duodenum. For obtaining high-quality radiographic images and for the prevention of pulmonary aspiration and considered optimal for cannulation of the papilla, so ERCP is performed with the patient in the prone position. But, patients who can not able for prone position for ERCP are often placed in the left lateral decubitus or supine positions. ( Malas, 2017) Radiation exposure consideration of ERCP: In ERCP the fluoroscopy time is shorter when ERCP is performed by doctor who has many years experience of done ERCP and carried out a large number of ERCPs in the past year. In general, radiation exposure is higher during therapeutic ERCP than during diagnostic ERCP. Radiation dose to patients during ERCP depends on many factors, and the doctor unable to control some variables which are patient size, procedure type, or fluoroscopic equipment used. In a recent prospective study where ERCP instruments used for example, stent insertion, lithotripsy, needle-knife, biopsies, the use of a guide wire or additional wires other than the standard, a balloon and catheter, that will significantly increase fluoroscopy duration. (Boix and Lorenzo-Zà ºÃƒ ±iga, 2011)Patient preparation and care: Before the examination, the stomach should be empty. The patient who does the ERCP must not eat anything after midnight on the evening before the exam. Regarding for examination time, if the procedure is done early in the morning, no drinks must be taken, but if examination is done at noon time, a cup of tea, juice, milk, or coffee can be taken four hours earlier. medications of heart and blood pressure must always be taken with a little amount of water in the early morning. The patient needs to have a companion drive them home after the procedure, since the procedure will require intravenous sedation. (Jay and Marks, 2018) To cause relaxation and sleepiness, the patient will be given medications through a vein. Local anesthetic is given to the patient to decrease the gag reflex. Some doctors prefer to give the patients more intravenous medications for sedation, so do not use local anesthetic. This also applies to those patients who cannot tolerate the bitter taste of the local anesthetic or who have a history of allergy to xylocaine and the numbness sensation in the throat. The intravenous medication is given, while the patient is lying on the left side on the X-ray table, and then the instrument is inserted gently through the mouth into the duodenum. The instrument advances through the food passage and not the air passage. It does not interfere with the breathing and gagging is usually prevented or decreased by the medication. After the examination, patients must be observed in the recovery place until most of the effects from the medications have worn off. This sometimes takes one to two hours. (Jay and Marks, 2018) Case study: This case study is about 77 years old female patient with H/O common bile duct stones. The condition start 8 months ago by right upper abdominal pain and clay colored stools. The patient came to Royal Hospital and the doctor decided to take x-ray first. So, they found 3 large stones in common bile duct. Then the doctor decided to do ERCP. The ERCP was done in 7/5/2018. The doctor saw a perimapullary diverticulum and with injected contrast through common bile duct, the cholangiogram showed 3 large stones proximally back to back, the balloon was used to remove the stones. However, this patient was uncooperative, so stenting done in long time with use 9cm plastic biliary stent with good bile drainage. (Royal, 2018) Conclusion: Overall, ERCP is procedure to examine different diseases regarding to biliary system. One of these conditions is choledocholithiasis which is stone in gallbladder or common bile duct. ERCP can diagnose and treat choledocholithiasis. ERCP used fluoroscopy to examine the endoscope inside the patient, so radiographer is one of most important member in ERCP room. Also, ERCP used endoscope insert through the mouth into stomach with insert some instrument inside its canal. Technique of insertion endoscope with lower radiation dose for the experienced endoscopists, patient and who stay in ERCP room. Nowadays, ERCP is most common done in world, so most of the people know about it. Choledocholithiasis Choledocholithiasis (which called bile duct stones or gall bladder stones in the bile duct) is the presence of stones from gall bladder in the common bile duct. Stones usually form in gall bladder but they sometimes pass through the cystic duct into common bile duct. There are many symptoms of gallstone in common bile duct. For example; abdominal pain (in the right upper or middle upper abdomen), fever, jaundice (yellowing of the skin and eyes), loss of appetite, nausea and vomiting and clay-colored stools.) Healthline, 2016) So, this condition diagnosed and treated by ERCP. ERCP (Endoscopic retrograde cholangiopancreatography) is a procedure that enables doctor to examine the pancreatic and bile ducts by insert lighted tube which called endoscope (like the thickness of your index finger) is placed through the mouth and into stomach and first part of the small intestine (duodenum) exactly in (ampulla) and passed of cannula (which a small plastic tube) through the endoscope and into this opening with injected contrast material and X-rays are taken to study the common bile duct. (SAGES, 2018) Fluoroscopy is a radiographic procedure that provides a dynamic image of the inside of the body frequently after the administration of the contrast media with the use of persistent x-ray beam that passes through the area of interest and later the attenuated beam that come out of the patient is received by a video monitor to view the body part motion in details. The fluoroscopic studies can efficiently detect variety of abnormalities of different body systems such as the skeletal, digestive, cardiovascular, respiratory, reproductive and urinary system. (University of Rochester Medical Center,2018).In this assignment I will discuss about equipment used in ERCP, role of radiographer in ERCP, technical and exposure consideration of ERCP and case study. ? ERCP Equipment ERCP contain endoscopy and fluoroscopy. Fluoroscopy consists of C-arm and monitor. Endoscopy consist of flexible tube which called endoscope with at the end it contain a tiny video camera and light. There is a canal inside components of the scope through which thin instruments are passed and can be poked out the tube's end. These instruments include a catheter, balloon, basket, sphincterotome, biopsy forceps and cytology brush and stents. So, for injecting contrast media into the ducts by used of catheter. Used of balloon is to stretch tight areas of the bile duct or pancreatic duct. Also, for removing and manipulating stones used of basket, and to incise tissue and make the bile duct or pancreatic duct opening larger used of a sphincterotome. Biopsy forceps and cytology brush use to obtain microscopic exam, and use stent to bridge blockages. Other openings allow the doctor to suck out water or air inside digestive system as well as clean the camera lens. Control the movement of the tube by gently pushing and pulling on its outside end is done by the doctor while also steering the inside end with control knobs that the doctor holds in his hand. Video television screen in the procedure room is received images from the endoscope. Also, obtain an x-ray image of the bile duct and pancreatic duct by the fluoroscopy. (University et al., 2018)Role of Radiographer in ERCP:Before examination:First, asked to remove any clothing or jewelry that may get in the way of the body area to be examined and wear gown. Then, check name and an identification number of the patient. Third, prepare the C-arm machine and the monitor. Fourth, positioned on the x-ray table depending on what the doctor want. Fifth, make sure everyone who stays in ERCP room wear lead apron.During examination:Regarding on department's equipment, radiographer may have to stay out in the control panel or may be able to stand in the room to x-ray. stand in the room to x-ray In the latter, it is important to pay close attention so as not to miss cue to x-ray. The doctor will ask the radiographer to x-ray when it is required if screen or spot. Also, the radiographer be attention for doctor and patient condition.After examination:The radiographer save the image and sent it. Make sure the machine is clean. Technical of ERCP:Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that to diagnose and treat diseases regarding to the pancreatobiliary system by used of endoscopy and fluoroscopic imaging. The endoscopic portion of the examination uses endoscope that is passed through the esophagus and stomach and into the second portion of the duodenum. For obtaining high-quality radiographic images and for the prevention of pulmonary aspiration and considered optimal for cannulation of the papilla, so ERCP is performed with the patient in the prone position. But, patients who can not able for prone position for ERCP are often placed in the left lateral decubitus or supine positions. ( Malas, 2017) Radiation exposure consideration of ERCP:In ERCP the fluoroscopy time is shorter when ERCP is performed by doctor who has many years experience of done ERCP and carried out a large number of ERCPs in the past year. In general, radiation exposure is higher during therapeutic ERCP than during diagnostic ERCP. Radiation dose to patients during ERCP depends on many factors, and the doctor unable to control some variables which are patient size, procedure type, or fluoroscopic equipment used. In a recent prospective study where ERCP instruments used for example, stent insertion, lithotripsy, needle-knife, biopsies, the use of a guide wire or additional wires other than the standard, a balloon and catheter, that will significantly increase fluoroscopy duration. (Boix and Lorenzo-Zà ºÃƒ ±iga, 2011) Patient preparation and care:Before the examination, the stomach should be empty. The patient who does the ERCP must not eat anything after midnight on the evening before the exam. Regarding for examination time, if the procedure is done early in the morning, no drinks must be taken, but if examination is done at noon time, a cup of tea, juice, milk, or coffee can be taken four hours earlier. medications of heart and blood pressure must always be taken with a little amount of water in the early morning. The patient needs to have a companion drive them home after the procedure, since the procedure will require intravenous sedation. (Jay and Marks, 2018)To cause relaxation and sleepiness, the patient will be given medications through a vein. Local anesthetic is given to the patient to decrease the gag reflex. Some doctors prefer to give the patients more intravenous medications for sedation, so do not use local anesthetic. This also applies to those patients who cannot tolerate the bitter taste of the local anesthetic or who have a history of allergy to xylocaine and the numbness sensation in the throat. The intravenous medication is given, while the patient is lying on the left side on the X-ray table, and then the instrument is inserted gently through the mouth into the duodenum. The instrument advances through the food passage and not the air passage. It does not interfere with the breathing and gagging is usually prevented or decreased by the medication. After the examination, patients must be observed in the recovery place until most of the effects from the medications have worn off. This sometimes takes one to two hours. (Jay and Marks, 2018)Case study:This case study is about 77 years old female patient with H/O common bile duct stones. The condition start 8 months ago by right upper abdominal pain and clay colored stools. The patient came to Royal Hospital and the doctor decided to take x-ray first. So, they found 3 large stones in common bile duct. Then the doctor decided to do ERCP. The ERCP was done in 7/5/2018. The doctor saw a perimapullary diverticulum and with injected contrast through common bile duct, the cholangiogram showed 3 large stones proximally back to back, the balloon was used to remove the stones. However, this patient was uncooperative, so stenting done in long time with use 9cm plastic biliary stent with good bile drainage. (Royal, 2018)Conclusion:Overall, ERCP is procedure to examine different diseases regarding to biliary system. One of these conditions is choledocholithiasis which is stone in gallbladder or common bile duct. ERCP can diagnose and treat choledocholithiasis. ERCP used fluoroscopy to examine the endoscope inside the patient, so radiographer is one of most important member in ERCP room. Also, ERCP used endoscope insert through the mouth into stomach with insert some instrument inside its canal. Technique of insertion endoscope with lower radiation dose for the experienced endoscopists, patient and who stay in ERCP room. Nowadays, ERCP is most common done in world, so most of the people know about it. Choledocholithiasis Choledocholithiasis is one common disease in common bile duct. It defined as stones found it in biliary tree by usually formed in gall bladder. The bile drainage from gall bladder through the bile duct to the intestine. The location of gall bladder is under the liver and the shape of it is like a pear. The place of these stones either stay in gall bladder or go to common bile duct. The patient who has this disease, may feel one or some of these symptom like; abdominal pain which exactly felt in middle or right upper abdomen, fever or jaundice (mean yellowish color in eye and skin). Also, loss appetite, nausea, vomiting or clay colored stools. ) Healthline, 2016) So, this condition diagnosed and treated by ERCP. ERCP stands for endoscopic retrograde cholangiopancreatrography. The definition of ERCP is a minor operation done by the doctor to examine biliary tree with insert lighted tube which called endoscope, so it is placed in second part of duodenum exactly in ampulla through the mouth into esophagus and stomach. The size of endoscope is similar to index finger size. At the site of endoscope in ampulla, the cannula passes through the endoscope and into this hollow with injected contrast media and the fluoroscopy taken by the radiographer to study the common bile duct. (Suissa et al., 2018) (Turk, 2011) Fluoroscopy is a radiographic procedure that provides a dynamic image of the inside of the body frequently after the administration of the contrast media with the use of persistent x-ray beam that passes through the area of interest and later the attenuated beam that come out of the patient is received by a video monitor to view the body part motion in details. The fluoroscopic studies can efficiently detect variety of abnormalities of different body systems such as the skeletal, digestive, cardiovascular, respiratory, reproductive and urinary system. (University of Rochester Medical Center,2018). In this assignment I will discuss about equipment used in ERCP, role of radiographer in ERCP, technical and exposure consideration of ERCP and case study. ? ERCP Equipment ERCP contain endoscopy and fluoroscopy. Fluoroscopy consists of C-arm and monitor. Endoscopy consist of flexible tube which called endoscope with at the end it contain a tiny video camera and light. There is a canal inside components of the scope through which thin instruments are passed and can be poked out the tube's end. These instruments include a catheter, balloon, basket, sphincterotome, biopsy forceps and cytology brush and stents. So, for injecting contrast media into the ducts by used of catheter. Used of balloon is to stretch tight areas of the bile duct or pancreatic duct. Also, for removing and manipulating stones used of basket, and to incise tissue and make the bile duct or pancreatic duct opening larger used of a sphincterotome. Biopsy forceps and cytology brush use to obtain microscopic exam, and use stent to bridge blockages. Other openings allow the doctor to suck out water or air inside digestive system as well as clean the camera lens. Control the movement of the tube by gently pushing and pulling on its outside end is done by the doctor while also steering the inside end with control knobs that the doctor holds in his hand. Video television screen in the procedure room is received images from the endoscope. Also, obtain an x-ray image of the bile duct and pancreatic duct by the fluoroscopy. (ASGA, 2016).Role of Radiographer in ERCP:Before examination: First, asked to remove any clothing or jewelry that may get in the way of the body area to be examined and wear gown. Then, check name and an identification number of the patient. Third, prepare the C-arm machine and the monitor. Fourth, positioned on the x-ray table depending on what the doctor want. Fifth, make sure everyone who stays in ERCP room wear lead apron. (ASGA, 2016).During examination: Regarding on department's equipment, radiographer may have to stay out in the control panel or may be able to stand in the room to x-ray. stand in the room to x-ray In the latter, it is important to pay close attention so as not to miss cue to x-ray. The doctor will ask the radiographer to x-ray when it is required if screen or spot. Also, the radiographer be attention for doctor and patient condition. (ASGA, 2016).After examination:The radiographer save the image and sent it. Make sure the machine is clean. (ASGA, 2016). Technical of ERCP: Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that to diagnose and treat diseases regarding to the pancreatobiliary system by used of endoscopy and fluoroscopic imaging. The endoscopic portion of the examination uses endoscope that is passed through the esophagus and stomach and into the second portion of the duodenum. For obtaining high-quality radiographic images and for the prevention of pulmonary aspiration and considered optimal for cannulation of the papilla, so ERCP is performed with the patient in the prone position. But, patients who can not able for prone position for ERCP are often placed in the left lateral decubitus or supine positions. ( Malas, 2017) Radiation exposure consideration of ERCP: In ERCP the fluoroscopy time is shorter when ERCP is performed by doctor who has many years experience of done ERCP and carried out a large number of ERCPs in the past year. In general, radiation exposure is higher during therapeutic ERCP than during diagnostic ERCP. Radiation dose to patients during ERCP depends on many factors, and the doctor unable to control some variables which are patient size, procedure type, or fluoroscopic equipment used. In a recent prospective study where ERCP instruments used for example, stent insertion, lithotripsy, needle-knife, biopsies, the use of a guide wire or additional wires other than the standard, a balloon and catheter, that will significantly increase fluoroscopy duration. (Boix and Lorenzo-Zà ºÃƒ ±iga, 2011) Patient preparation and care: Before the examination, the stomach should be empty. The patient who does the ERCP must not eat anything after midnight on the evening before the exam. Regarding for examination time, if the procedure is done early in the morning, no drinks must be taken, but if examination is done at noon time, a cup of tea, juice, milk, or coffee can be taken four hours earlier. medications of heart and blood pressure must always be taken with a little amount of water in the early morning. The patient needs to have a companion drive them home after the procedure, since the procedure will require intravenous sedation. (Jay and Marks, 2018) To cause relaxation and sleepiness, the patient will be given medications through a vein. Local anesthetic is given to the patient to decrease the gag reflex. Some doctors prefer to give the patients more intravenous medications for sedation, so do not use local anesthetic. This also applies to those patients who cannot tolerate the bitter taste of the local anesthetic or who have a history of allergy to xylocaine and the numbness sensation in the throat. The intravenous medication is given, while the patient is lying on the left side on the X-ray table, and then the instrument is inserted gently through the mouth into the duodenum. The instrument advances through the food passage and not the air passage. It does not interfere with the breathing and gagging is usually prevented or decreased by the medication. After the examination, patients must be observed in the recovery place until most of the effects from the medications have worn off. This sometimes takes one to two hours. (Jay and Marks, 2018)Case study: This case study is about 77 years old female patient with H/O common bile duct stones. The condition start 8 months ago by right upper abdominal pain and clay colored stools. The patient came to Royal Hospital and the doctor decided to take x-ray first. So, they found 3 large stones in common bile duct. Then the doctor decided to do ERCP. The ERCP was done in 7/5/2018. The doctor saw a perimapullary diverticulum and with injected contrast through common bile duct, the cholangiogram showed 3 large stones proximally back to back, the balloon was used to remove the stones. However, this patient was uncooperative, so stenting done in long time with use 9cm plastic biliary stent with good bile drainage. (Royal, 2018) Conclusion: Overall, ERCP is procedure to examine different diseases regarding to biliary system. One of these conditions is choledocholithiasis which is stone in gallbladder or common bile duct. ERCP can diagnose and treat choledocholithiasis. ERCP used fluoroscopy to examine the endoscope inside the patient, so radiographer is one of most important member in ERCP room. Also, ERCP used endoscope insert through the mouth into stomach with insert some instrument inside its canal. Technique of insertion endoscope with lower radiation dose for the experienced endoscopists, patient and who stay in ERCP room. Nowadays, ERCP is most common done in world, so most of the people know about it.

Thursday, October 10, 2019

Communication In Business

Many f our historic brands such as Johnnie Walker and Guinness were built on the same corporate citizenship that we hold today. We agree to the fact that we cannot change the world on our own. With our participation and continuous support towards the UN Global Compact, we can learn from others and show leadership. Though, here at Adagio Pl, we recognize that there are still many changes and improvements that need to be made among us and also among our supply chains. This submission hopes to continue our commitment to the UN Global Compact policies by proposing recommendations based on our experiences and mistakes to the local network.Our local network region chosen will be India. The recommendations are based on two principles of the UN Global Compact. The principles are 1) Principle 2: â€Å"Businesses should make sure they are not complicit in human rights abuses. † (The Ten Principles/ Principle 2 2012). 2) Principle 8: â€Å"Businesses should undertake initiatives to prom ote greater environmental responsibility' (The Ten Principles/ Principle 8 2012). The recommendations are:- Encourage suppliers to Join the Suppliers Ethical Data Exchange (Sexed). Encourage other corporations to harness employee's power. Recommendation 1Our experience in developing countries has shown how complicity in human right abuses can arise when negligence occurred in the supply chain. We learned from our mistakes and come up with the following recommendation to prevent such thing from happening again in India. We Join the Suppliers Ethical Data Exchange (Sexed) (Adagio 2007). Through Sexed, suppliers will post a self-assessment of their practices and products. These can be accessed by any of their customers. At present we count 300 of our own suppliers in Sexed. The assessment of each supplier is then closely checked against the Ethical Trading Initiative standards of human rights.We encourage all suppliers of Adagio Pl to Join the Sexed. We also Join a group of food and dr ink manufacturers who have strong belief on the fact that their supply chains should operate in the highest standards towards human rights. We are currently working with suppliers assessed as non-compliant and try to make them improve. Incase there is no improvement from our supplier; we retain the possibility of seeking alternative sources of supply. This year, we stopped our business with one of our supplier in Asia because he was not willing to report his performance.Benefits and Implications Consumers: They are given information about the product that they will be using directly from our supplier. Moreover they will know whether or not the supplier is compliant with current human right policies. Suppliers: Getting involved in Sexed will definitely capture the interest of other companies in the product they made. Shareholders: By avoiding human rights controversies, the company will be protected against legislative and financial repercussion and as a result the company's profit w ill not be affected.Recommendation 2 Since we're been creating our 201 5 targets, we have been working hard to minimize our environmental impact. Targeting the obvious things can be straightforward. But to able to address our other impacts, we needed the knowledge and ideas of the people on the ground in our daily operations. We realized that the employee's involvement could be the missing link to achieve our environmental targets. We come up with the Greening as recommendation (Adagio Sustainability & Responsibility Report 2011). Greening is the codename for the strategy implemented to encourage employees to act in an environmental friendly way.The employees from different site will form teams known as the â€Å"GREEN TEAM†. Teams will compete to win Olympic- Tyler medals for completing environmental initiatives. These ranges from bronze medal projects to gold medal achievements. Winning sites will be chosen across the whole world and each winner will be awarded EYE,OHO to i nvest in the new environmental friendly project either on site or locally. Also depending on the success of the program, one idea is to launch a new platinum category to reward gold medal sites that will help another facility start a green team.Our business is about celebration and we try to bring that into everything we do. And also the reason why Greening will work is we tap our people's sense of community and also their nominative spirit. Benefits and Implications Employees: Capture the interests of 20,000 people working on all level of our business in 80 sites across 40 countries and also provide a platform for the employees to share their idea. Consumers: This will create an impact in the mind of our consumers. People are starting to care for their future generation.They want to deal with firms who are environmentally responsible. Greening will definitely create something positive for our company. Environment: The purpose of Greening is the impact it has on the environment whil st the main purpose of the whole program. The award winning project will be implemented throughout all sites in the world. We are expecting achievements like cutting amount of water used by 60% or reducing amount of carbon dioxide emission by 50% on our site. Greening will definitely be beneficial for the environment.Challenges The implementation of the proposed recommendations will be a challenging task. The problem with the first recommendation is that withdrawing from a non- compliant supplier will only displace the problem rather than solving it. Our action could affect the supplier's employees and owners. For small community, the loss in business of the supplier could have big economic implications. Our objective is to balance those risks and help the supplier to improve instead. The challenge faced due to the second recommendation is not all employees will be willing to take part in the program.Creating awareness among the employees is also of great concern for A success story We at Adagio Pl have responsibility towards our stakeholders and the environment. We continue to show our support to the principles of the UN Global Compact. We believe that the proposed recommendation could be used as a guideline by our local network and other corporation to fulfill their social contract towards their stakeholders. By creating innovative and smart CARS approaches, our business and our society will benefit hence continuing our success story.

Wednesday, October 9, 2019

A Property of the Clan Essay

Page 28, Jared confesses to Ricko that he had witnessed the raping of Tracy that night at Black Rock. But Jared had not said anything to anyone as those who committed the felony, were in fact his friends. Jared tells Ricko â€Å"It’s a madhouse. Davo and them running round saying don’t be a dobber, and then the posters on telegraph poles. Shame Black Rock Shame. † This cleary portrays peer pressure as he feels as though he needs to refrain from telling the truth, to not be labelled a snitch. And he is put under more pressure considering the fact that they are his friends, and he believes that he cannot go against them, even if it is the right thing to do. After Jared tells Ricko what he had saw, Ricko gets defensive and tells Jared to keep his mouth shut. â€Å"Forget you even saw it. Nobody knows you were there. It’s just the way things happen. †. Jared respons with â€Å"All right! † This represents peer pressure as Jared is put on the spot and being hassled not to tell anyone what he had seen. Jared’s response with â€Å"All right! † shows him giving into peer pressure and is listening to what they are telling him to do. Powerlessness is shown in this scene by the main character Jared, as he is the vitim in the situation. This is shown mainly with the use of language techniques. For instance, page 31, â€Å"Not a word. Not a name. Not a single fucking name. Get it? † says Ricko. The use of slang and cursive lauguage by Ricko portrays aggressiveness toward Jared, putting Jared in a powerless state as he listens and just goes with it, not saying one word. Also, this use of launguage portrays Ricko’s assertivness and puts Jared in a state where he cannot do anything about it, and that he has to listen to him. He is powerless in the situation. My poster promotes peer pressure through visual techniques such as juxaposition. This is evident as in the background, the people are positioned close together as a group, to show isolation and power over the main image of the girl. Also the use of colour is simple but eye-catching as it creates the focal point (girl) due to the contrast in colour (black and white). This layout portrays how in the play, Jared is left to decide for himself, whether he should do the right thing, or stick by his peers. Peer pressure also plays a huge role in the film â€Å"Thirteen†. Tracy (7th grader) becomes friends with the most popular girl in school, Evie, and is introduced to drugs, alcohol and sex. But Peer pressure was first and most evident when Tracy first hung out with Evie at a popular clothing store. Tracy shockingly witnesses Evie and her friend stealing clothing and accessories but steps outside the store as she knew it was wrong, and was laughed at and looked down by them. She had a moment to herself and thought about what had just happened. Ironically, a woman then sat next to her, and put her purse down. Tracy had a thought to herself. And only moments later, reunites with Evie, showing the wallet she had stolen and all the money that was inside. Evie’s attitude toward Tracy was flipped and was then happily welcomed by her. This shows a form of peer power as Tracy is felt unwelcomed and as if she weren’t fitting in, leading her to feel pressured into stealing aswell. Both power and powerlessness is shown by the main character Tracy in this scene. Powerlessness is shown through the technique juxtaposition, as Evie and her friend are always positioned close together, where as Tracy is always by herself ; portraying power over Tracy. But at the end of this scene, when Tracy decided to steal the purse, she was welcomed by Evie and the use of up-beat music showed power as they walked happily together; ending the scene. Again, my poster promotes the theme of peer pressure through visual techniques such as colour. The colour of the people in the background are coloured in a shade of black, to contrast with the main image of the person in the foreground, to represent isolation and power over her. Also, the gestures made by the main image, (e. g. er stance and facials) show the feel of uneasiness in the situation, as she is under pressure by her peers. This contrasting image reflects how in the film, Tracy felt powerless and also uneasy about the situation she was in, but eventually gave in due to her peers. To conclude, peer pressure is clearly present in both the related texts â€Å"A Porperty of the Clan† and the film† thirteen†. Peer pressure is an inevitable part of life, which everyone will eve tually encounter; And these both these texts show the consequences of such. A Property of the Clan Essay Page 28, Jared confesses to Ricko that he had witnessed the raping of Tracy that night at Black Rock. But Jared had not said anything to anyone as those who committed the felony, were in fact his friends. Jared tells Ricko â€Å"It’s a madhouse. Davo and them running round saying don’t be a dobber, and then the posters on telegraph poles. Shame Black Rock Shame. † This cleary portrays peer pressure as he feels as though he needs to refrain from telling the truth, to not be labelled a snitch. And he is put under more pressure considering the fact that they are his friends, and he believes that he cannot go against them, even if it is the right thing to do. After Jared tells Ricko what he had saw, Ricko gets defensive and tells Jared to keep his mouth shut. â€Å"Forget you even saw it. Nobody knows you were there. It’s just the way things happen. †. Jared respons with â€Å"All right! † This represents peer pressure as Jared is put on the spot and being hassled not to tell anyone what he had seen. Jared’s response with â€Å"All right! † shows him giving into peer pressure and is listening to what they are telling him to do. Powerlessness is shown in this scene by the main character Jared, as he is the vitim in the situation. This is shown mainly with the use of language techniques. For instance, page 31, â€Å"Not a word. Not a name. Not a single fucking name. Get it? † says Ricko. The use of slang and cursive lauguage by Ricko portrays aggressiveness toward Jared, putting Jared in a powerless state as he listens and just goes with it, not saying one word. Also, this use of launguage portrays Ricko’s assertivness and puts Jared in a state where he cannot do anything about it, and that he has to listen to him. He is powerless in the situation. My poster promotes peer pressure through visual techniques such as juxaposition. This is evident as in the background, the people are positioned close together as a group, to show isolation and power over the main image of the girl. Also the use of colour is simple but eye-catching as it creates the focal point (girl) due to the contrast in colour (black and white). This layout portrays how in the play, Jared is left to decide for himself, whether he should do the right thing, or stick by his peers. Peer pressure also plays a huge role in the film â€Å"Thirteen†. Tracy (7th grader) becomes friends with the most popular girl in school, Evie, and is introduced to drugs, alcohol and sex. But Peer pressure was first and most evident when Tracy first hung out with Evie at a popular clothing store. Tracy shockingly witnesses Evie and her friend stealing clothing and accessories but steps outside the store as she knew it was wrong, and was laughed at and looked down by them. She had a moment to herself and thought about what had just happened. Ironically, a woman then sat next to her, and put her purse down. Tracy had a thought to herself. And only moments later, reunites with Evie, showing the wallet she had stolen and all the money that was inside. Evie’s attitude toward Tracy was flipped and was then happily welcomed by her. This shows a form of peer power as Tracy is felt unwelcomed and as if she weren’t fitting in, leading her to feel pressured into stealing aswell. Both power and powerlessness is shown by the main character Tracy in this scene. Powerlessness is shown through the technique juxtaposition, as Evie and her friend are always positioned close together, where as Tracy is always by herself ; portraying power over Tracy. But at the end of this scene, when Tracy decided to steal the purse, she was welcomed by Evie and the use of up-beat music showed power as they walked happily together; ending the scene. Again, my poster promotes the theme of peer pressure through visual techniques such as colour. The colour of the people in the background are coloured in a shade of black, to contrast with the main image of the person in the foreground, to represent isolation and power over her. Also, the gestures made by the main image, (e. g. er stance and facials) show the feel of uneasiness in the situation, as she is under pressure by her peers. This contrasting image reflects how in the film, Tracy felt powerless and also uneasy about the situation she was in, but eventually gave in due to her peers. To conclude, peer pressure is clearly present in both the related texts â€Å"A Porperty of the Clan† and the film† thirteen†. Peer pressure is an inevitable part of life, which everyone will eve tually encounter; And these both these texts show the consequences of such.

Tuesday, October 8, 2019

Summary Assignment Example | Topics and Well Written Essays - 500 words - 10

Summary - Assignment Example Resultantly, the author concluded that the ICT can be incorporated in the Etsako to optimize profits and to increase business efficiency. Three recommendations were proposed in this study. First, hospitality stakeholders should create awareness on the need for organizations to deploy ICT in their operations as a strategy to achieve effectiveness. Also, Hospitality organizations need to equip their employees with ICT skills through the launch of effective training programs. Finally, the ICT related workshops and seminars should be organized for hospitality proprietors and managers to get them acquainted with the significance of ICT in hospital operations. Dana (2013) conducted a statistical research with the primary objective of establishing the role of information technology in the hospitality industry. His research focused on the grouping manner of hotels in Mures County according to the use of ICT technology and the typological analysis of hotels in line with the IT. Interviews were conducted to collect data for the purpose of the research. The following hypotheses were generated and tested for the purpose of this research: After testing the research analysis, all the hypotheses of the study were reaffirmed. The main conclusion of the research was that in Mures County, the hotel industry has integrated little IT technology within their business framework. For those organizations that have incorporated ICT in the business framework, it is clear that this technology goes way far in contributing to the organizational profits. In this view, the author recommends that the hotel managers integrate IT into their business framework. For large organizations, Dana suggests that they adopt the use of professional software to improve their data management system. Lastly, the research recommends that more information technology awareness be created to facilitate its integration in the hospitality industry as a strategy to optimize organizational

Monday, October 7, 2019

Differing perceptions of new venture failure Essay

Differing perceptions of new venture failure - Essay Example note that the introduction of the venture capitalist brings in new dimensions in the survival of new ventures since within the first 7 years of establishment; only 18 percent of the new ventures fail as compared to 75 percent of non VC funded new ventures. The authors note that research on the factors that cause failures of new ventures is limited due to factors such as difficulty in conducting financial analysis on failed ventures and the reluctance of entrepreneurs to discuss their venture failures. The authors also discuss the factors leading to new venture failures in the perspective of the venture capitalists and the entrepreneurs. Venture capitalists cite factors such as poor management and unfavourable market conditions while the entrepreneurs cite factors such as product factors, financial limitations and managerial problems. All these are discussed in relation to the attribution theory. The argument that the ventures examined represented all the new ventures and that the factors leading to failure as ranked in order of importance by the authors is misleading due to the fact that new ventures and entrepreneurs from other locations may be faced with other factors of failure. It is therefore important to note that applying the results of the study should be done with that fact in mind. The factors may depend on the location and may also be time determined as well as depend on the individual characteristics. An alternative conclusion could therefore be that the success of the new venture will depend on the internal characteristics of the venture. Zacharkis, Andrew Meyer, Dale G. and DeCastro, J. â€Å"Differing perceptions of new venture failure: A matched exploratory study of venture capitalists and entrepreneurs.† Journal of Small Business Management 7.1 (1999):

Sunday, October 6, 2019

Humanities Essay Example | Topics and Well Written Essays - 1000 words

Humanities - Essay Example It was an age of migrations, missionaries and raiders, in which ideas as well as many different trade goods were exchanged across huge territories. One important consequence of the ransacking of Rome by the Germanic tribe called the Vandals in CE in 455 was that Germanic laws, based on local strong leaders rather than a centralized state apparatus, now became the norm ( Fiero, 2010, p. 251). These were enhanced also by a new social order which came to be known as feudalism, based on the majority of the people being tied in to service of these same chiefs and lords. The nomadic and shifting nature of these up and coming tribal encouraged the perfection of a number of portable art forms, such as engraved weapons, fine jewelry and practical utensils, all of which were found, for example in the Sutton Hoo burial in East Anglia, England, dating from ca. 630. (Fiero, 2010, pp. 253-254). The technique known as cloisonne allowed Viking craftsmen to embed semi-precious stones and colorful ena mel into their objects, and thus vividly represent their lifestyle based on hunting and adventure, with many zoomorphic motifs. The Christian religion advanced across the continent under the protection of Charlemage. New techniques of manuscript production spread from Irish and British monasteries in the north west and instead of the rather clumsy and plain Roman style, a new elegant Celtic writing style became popular. It was known as the â€Å"Carolingian minuscule† and it was a rather small, but neat and legible script, with helpful punctuation and occasional elaboration through patterns and imagery drawn from the Celtic and Viking cultures. The world famous â€Å"Book of Kells† which is an eighth century Latin gospel, finely adorned with elaborate capital letters and celtic patterns, represents the finest example of this literary innovation. The influence of this script can still be seen in modern typefaces used in printing and on computers. Christianity influenced also the creation of liturgical objects of great value such as cups and plates used for the Eucharist, and magnificently carved ivory objects. Metalwork was adapted to the Church in the form of richly adorned clasps to hold the heavy pages. The copying of texts in the scriptorium of each monastery, was a key feature of the monastery culture that grew up in this period. It resembles the modern inter library loan system with the only difference, that of course production and transport of books took much longer in those days. More practical inventions such as the stirrup for horseriding (brought in from China via the nomadic tribes sweeping across Europe), rigging gear for sails (developed by the Vikings, and iron horseshoes revolutionized transport in the Dark Ages, paving the way for the expansion which then blossomed after CE 1000. Far from being a dark and ignorant age, this period was filled with new ideas and a passion for learning. Category B. Question B2. The Epic of Gilgamesh , as the title suggests, represents the ancient literary form of the epic. This implies a sweeping historical narrative, with heroic human figures seeking out their destiny against a background of worldly conflict. There is a strong divine element in this tale, and the notion of a quest for meaning and identity is key to the narrative. The hero of the Epic of Gilgames