Saturday, August 31, 2019

English Teacher

Name______________________________________ Date ______________________Block__ Subject-Verb Agreement – Exercise 1 Circle the correct verb in each sentence below. In the line next to the sentence write down the rule# it applies to. 1. Emily and Greg (comes,   come) to my house every Friday for lunch. Rule#_____ 2. There (is,   are) time to watch the movie. Rule#_____ 3. My friends who are in the band (wants,   want) me to play a musical instrument. Rule#_____ 4. My father or my brothers (is,   are) coming with me to the ball game. Rule#_____ 5. Everyone (needs, need) time to relax. Rule#_____ . That bag of oranges (looks, look) fresh. Rule#_____ 7. The lacrosse team (hopes, hope) to win the tournament next week. Rule#_____ 8. Your trousers (needs, need) to be cleaned. Rule#_____ 9. Some of the books on the shelf (is, are) dusty. Rule#_____ 10. Even though the students like the class, a few (thinks, think) that it is too complicated Rule#_____ ———â⠂¬â€Ã¢â‚¬â€Ã¢â‚¬â€Ã¢â‚¬â€Ã¢â‚¬â€Ã¢â‚¬â€Ã¢â‚¬â€Ã¢â‚¬â€Ã¢â‚¬â€Ã¢â‚¬â€Ã¢â‚¬â€Ã¢â‚¬â€Ã¢â‚¬â€- Top of Form Name______________________________________ Date ______________________Block__ Subject-Verb Agreement – Exercise 2 Circle the correct verb in each sentence below.In the line next to the sentence write down the rule# it applies to. 1. Mumps (is, are) not common among adults. Rule#_____ 2. Viruses from third world countries (is, are) a major concern. Rule#_____ 3. Most of the sand (is, are)   wet from the high tide. Rule#_____ 4. Either the two kittens or the puppy (sits, sit) in my lap while I watch television. Rule#_____ 5. A subject of great interest (is, are) rainforests. Rule#_____ 6. Hansel and Gretel (is, are) a famous children's story. Rule#_____ 7. The team members (is, are) arguing over the defense tactics. Rule#_____ 8. The economics of the trip (was, were) pleasing.Rule#_____ 9. Why (is, are) your parents going to Africa for a vacation? Rule#_____ 10. The mayor and the governor (hopes, hope) that the bill will soon become a law Rule#_____ Name______________________________________ Date ______________________Block__ Subject-Verb Agreement – Exercise 3 Circle the correct verb in each sentence below. In the line next to the sentence write down the rule# it applies to. ————————————————- Top of Form 1. The books from the library (need   needs) to be returned by Friday. Rule#_____ 2. The parents and the child often (watch  Ã‚   watches)   Disney movies. Rule#_____ 3.The phone that belongs to the two friends (have   has) finally run out of minutes. Rule#_____ 4. That pair of trousers (look   looks) good on you. Rule#_____ 5. Either Matilda or her brothers (use   uses) the symphony tickets each week. Rule#_____ 6. The crowd (were was) cheering wildly for Tom. Rule#_____ 7. The politics of this campaign (seemà ‚   seems) very complicated. Rule#_____ 8. Everyone at the company's headquarters (know   knows) the code to the safe. Rule#_____ 9. Gulliver's Travels (are   is)   one of my favorite books. Rule#_____ 10. Measles (cause   causes) a good deal of itching. Rule#_____ Bottom of Form Bottom of Form

Friday, August 30, 2019

Drug Utilization Study Of Antidepressants Health And Social Care Essay

There is a demand for prospective drug use surveies to adequately measure patient attention and installation indexs. Ordering wonts among head-shrinkers can be improved by making consciousness about taking drugs from the Essential Medicines List. Inclusion of a drug in the infirmary formulary requires consideration of both prescribers ‘ pick of a drug and its presence in the Essential Medicines List. Prescriber instruction can besides concentrate on decrease in prescription of attendant ataractic soporifics. Prescribers should besides be encouraged to look into for patients ‘ conformity with the prescribed medicines and to enter them in the instance sheets. Such steps will advance the rational usage of medical specialties and finally, the quality of health care. The World Health Organisation ( WHO ) defines Drug use as the selling, distribution, prescription and usage of drugs in a society, with particular accent on the ensuing medical, societal and economic consequences.1 Often, drugs are non used maintaining in head their safety and efficacy.2 Rational drug prescribing is the usage of the least figure of drugs to obtain the best possible consequence in the shortest period and at a sensible cost.3 Irrational prescribing and disparity between prescription and ingestion of medical specialties may countervail the benefits demonstrated by randomized controlled tests on drug efficacy.4-7 Furthermore, optimistic outlooks of a drug, based on consequences of clinical tests may non happen when used outdoors controlled settings.8 The recent proliferation of new drugs, increasing acknowledgment of delayed inauspicious effects and concentrate on pharmacoeconomic considerations has stimulated involvement in ordering forms of physicians.5 Antidepressant prescribing forms have changed globally over the last few old ages, with conventional drugs like tricyclics and MAO inhibitors being bit by bit replaced by selective 5-hydroxytryptamines reuptake inhibitors ( SSRIS ) and fresh antidepressants. Prevalence of antidepressant use in the community is lifting in Western populations, with Iceland, Australia and Sweden holding the highest consumption.9 Therefore, our purpose was to analyze the drug use of antidepressant drugs in the psychiatric unit of a third attention infirmary in Pondicherry. Our aims were: To detect the prescribing form of antidepressants among head-shrinkers in our infirmary To measure the reason of the prescriptions To measure the prevalence of antidepressant use in the community MATERIALS AND METHODS Type of survey: Retrospective and experimental. Time period of survey: 1st January 2006 to 31st December 2006 Topographic point of survey: Psychiatric unit of a third attention infirmary in Pondicherry.Inclusion standards:1. All patients who attended the Psychiatry outpatient ( OP ) clinic of the infirmary from 1st January 2006 to 31st December 2006. 2. All patients diagnosed with depressive or adjustment upset ( diagnosed as per International Classification of Diseases – ICD 10 standards ) 10 or any status where antidepressants are indicated.Exclusion standards:Patients who did non have antidepressant drugs. Patients go oning merely those antidepressant drugs prescribed outside the infirmary. Data aggregation: Case records of Psychiatry outpatient clinic were taken from the medical records subdivision of the infirmary. Datas were entered in a pre-designed proforma ( Fig1 ) . From the multiple prescriptions in the instance record with follow-up visits, we took all prescriptions incorporating at least one antidepressant as one prescription. Therefore, if the initial prescription was continued, it was regarded as the same prescription for the given continuance. Any dose alteration in that prescription was noted for ciphering drug ingestion. Addition of another antidepressant to or alteration of antidepressant from the bing regimen was regarded as a separate prescription. In both instances, the figure of drugs in the prescription included the added or changed antidepressant ( s ) , along with attendant medicines from the earlier prescription. However, prescriptions incorporating drugs for co-morbid conditions ( non-psychiatric ) which were non prescribed in the section of Psychiatry were excluded. Sampling frame: All patients run intoing eligibility standards as given above. Datas analysis: Datas were subjected to analysis for: Demographic inside informations ( Age and gender ) Psychiatric diagnosing Antidepressant drugs prescribed 4. Completeness of prescription, rightness of drug, dosage, frequence and continuance. 5. Rationality of prescription harmonizing to WHO ordering indexs. 6. Defined daily dose ( DDD ) of the antidepressants per 1000 dwellers per twenty-four hours ( DID ) 7. Prescribed day-to-day dosage ( PDD ) of the antidepressants 8. PDD to DDD ratio of the antidepressants Anatomical Therapeutic Chemical ( ATC ) categorization and Defined Daily Dose ( DDD ) per 1000 dwellers per twenty-four hours ( DID ) computations were used for gauging antidepressant usage in the community. Following the methodological analysis outlined by WHO,11 we calculated DID as follows: DID =Amount of antidepressant prescribed in 1 twelvemonth ( milligram ) Ten 1000 dwellers DDD ( milligram ) X 365 yearss X Population of Pondicherry and Cuddalore All patients belonged to either Pondicherry or Cuddalore territory of Tamil Nadu. So, for computation of DID, we used the population of Pondicherry every bit good as Cuddalore territory as per available statistics. Entire figure of DIDs is calculated by adding up the DIDs for single antidepressants. PDD was calculated as follows: For each prescription, there were multiple doses of the antidepressants, due to dose titrations and we took the norm of the day-to-day doses for the antidepressant as the PDD. This procedure was repeated for all the indicants of each antidepressant and the concluding value was the norm of the PDDs therefore obtained. PDD to DDD ratio was so calculated. Statistical analysis: Descriptive statistical tools were used. Ethical clearance: As it was a non-interventional survey, the institutional research commission granted waiver on the confidence that capable confidentiality would be maintained. We took the undermentioned stairss in this respect: Designation of patients by the infirmary figure merely and non by name. Case records to be accessed by research workers in the Medical records subdivision merely. Patient inside informations non to be divulged to any party other than co-authors. Proformas to be destroyed after decision of survey. Consequence Demographic inside informations: Out of 222 patients having psychoactive medical specialties during the survey period, 169 ( 76.58 % ) received one or more antidepressants. Among these 169 patients, 82 ( 48.52 % ) were males and 87 ( 51.48 % ) were females. Age distribution of patients having antidepressants is shown in Fig 2. Psychiatric diagnosings: Distribution of primary psychiatric diagnosings of patients having antidepressants is shown in Table 1. Antidepressant drugs prescribed: Entire figure of prescriptions given was 192 and a sum of 446 drugs were prescribed. Of them, 192 were antidepressant medicines of 8 types, as per ATC category. Table 2 and Fig 3 show different antidepressants prescribed. Number of antidepressant prescriptions along with their indicants is shown in Table 3. Substitutions and Adjunctive antidepressants: Change of antidepressant was required on 18 occasions. Duloxetine was substituted on 10 occasions, escitalopram on 4, mirtazapine on 3 and imipramine on 1 juncture. Addition of a 2nd antidepressant was seen on 3 occasions because of hapless response with a individual drug. Of them, duloxetine was the first antidepressant on 2 occasions and mirtazapine on 1. Attendant medicines prescribed in the section of Psychiatry: Table 4 shows attendant medicines prescribed in the section of Psychiatry. Completeness of prescription, rightness of drug, dosage, frequence and continuance: Besides patient inside informations and outpatient designation figure, prescriptions contained the patient ‘s primary diagnosing, drug ( s ) prescribed, dose signifier, dosage, frequence of disposal and continuance of intervention along with the day of the months of followup. There was no incorrect dosage, frequence and continuance of intervention ; in some instances, inappropriate drug was prescribed for a incorrect diagnosing which was corrected when primary diagnosing was revised on follow up. Table 5 shows the figure of drugs per prescription among the 192 prescriptions. More than 5 drugs were non prescribed to any patient. Rationality of prescription harmonizing to WHO ordering indexs: As per WHO Prescribing indexs, we observed: Average figure of drugs per prescription: 2.32 ( 446/192 ) Percentage of antidepressant drugs prescribed by generic name: 88.54 % ( 170/192 X 100 ) Percentage of Fixed dose combinations ( FDCs ) of antidepressants: Nothing Percentage of brushs for ordering injections of antidepressants: Nothing Percentage of antidepressant drugs prescribed from Essential Medicines List ( 16th EML of WHO ) : 1.56 % ( 3/192 X 100 ) Percentage of drugs prescribed from the National List of Essential Medicines ( NLEM, endorsed 2002 ) was 2.60 % ( 5/192 X 100 ) . Percentage of drugs prescribed from the infirmary pharmacopeia was 96.35 % ( 185/192 X 100 ) . Defined daily dose ( DDD ) of the antidepressants per 1000 dwellers per twenty-four hours ( DID ) : ATC cryptography, DDD and computation of DID are summarized in Table 6. Entire figure of DIDs of antidepressants was 0.02. Prescribed day-to-day dosage ( PDD ) of the antidepressants and PDD to DDD ratio of the antidepressants: PDD and PDD to DDD ratios are besides summarized in Table 6. Discussion Demographic inside informations: Antidepressants were prescribed more in females ( 51.48 % ) than in males ( 48.52 % ) . This is consistent with findings in other studies.12,13 This female preponderance might reflect the higher prevalence rate of psychiatric morbidity in adult females, peculiarly, depressive and anxiousness upsets and may besides be due to gender functions played by adult females in society, with more voicing of psychological jobs and seeking of professional help.13 The age distribution shows the bulk of patients, having antidepressants belonging to 21-30 old ages age group ( 36.69 % ) . In fact, 66.27 % were aged between 21 and 40 old ages. This is in contrast to the consequences of a survey of antidepressant usage in East Asia, wherein the average age of patients having antidepressant prescriptions was more than 40 years.14 In another survey in Europe, where antidepressants were the 2nd most normally prescribed psychotropic drugs, bulk of the users were between 35 and 49 old ages, with a average age greater than 40 years.13 Psychiatric diagnosings: Depressive upset was the most common psychiatric diagnosing among the population ( n=222 ) , with a prevalence of 47.75 % . It was besides the most common indicant for utilizing antidepressants ( 62.72 % ) , followed by Mixed Anxiety and Depressive upset and Schizophrenia with station schizophrenic depression among the top three diagnosings. Antidepressant drugs prescribed: Antidepressants were the most common psychotropic drugs prescribed ( 76.58 % ) . Choice of antidepressant was based on ICD diagnosing, badness of disease/disorder, co-morbidity, drug efficaciousness and considerations for patients ‘ tolerability. Most common antidepressant prescribed was the Selective Noradrenaline re-uptake inhibitor ( SNRI ) duloxetine ( 50 % ) . The newer antidepressants – duloxetine, escitalopram, Zoloft and mirtazapine accounted for the majority of prescriptions. ( 96.36 % ) , which follows the planetary tendency towards antidepressant prescribing.14-18 In many surveies, Selective 5-hydroxytryptamine re-uptake inhibitors ( SSRIs ) accounted for the majority of the prescribed antidepressants, with high ordering rates.14-17 In our survey, SSRIs – escitalopram, Zoloft and Prozac were prescribed on 57 out of 192 occasions ( 29.69 % ) . Among the SSRIs, escitalopram was the preferable drug. Again, this is in contra st to findings in the East Asian survey on antidepressant usage, wherein Prozac and Zoloft were prescribed more often than escitalopram and its usage was lower than Desyrel, mirtazapine, impramine hydrochloride and amitryptiline. However, ordering rates of tricyclic antidepressants impramine hydrochloride and amitryptiline were lower than the prevalent norms.14 Doses of antidepressants were prescribed harmonizing to badness of disease/disorder, get downing with low doses and titrated upward or downward harmonizing to clinical response and patients were kept on regular followup. Duloxetine was the most common antidepressant prescribed in Depressive upset ( 56.56 % ) , Mixed Anxiety and Depressive Disorder ( 41.38 % ) and in BPAD ( 62.50 % ) . Most common antidepressant prescribed in Schizophrenia with post-schizophrenic depression was escitalopram ( 44.44 % ) , and in OCD, Zoloft ( 80 % ) . Substitutions and Adjunctive antidepressants: Prescription of a individual antidepressant was common and occurred in 98.44 % of instances. Reasons for altering an antidepressant were hapless curative response or unbearable inauspicious effects. Duloxetine was the most normally substituted antidepressant. It was besides the most common antidepressant to which adjunctive antidepressant drug was prescribed. Attendant medicines prescribed in the section of Psychiatry: Ataractic soporifics were the most common group of drugs prescribed ( 65.10 % ) concomitantly with antidepressants, followed by major tranquilizers, temper stabilizers, trihexiphenidyl, acamprosate, propranolol and vitamin B1. Except for Vitamin B1, which was prescribed in Alcohol Dependence, and propranolol, which was prescribed for intervention of shudders, all others were psychoactive medicines. Trihexiphenidyl was prescribed to counter the extrapyramidal inauspicious effects of attendant major tranquilizers. Completeness of prescription, rightness of drug, dosage, frequence and continuance: Rational prescribing was followed as per the rules of prescription order writing.19 Sing the definitions of polypharmacy which are most normally cited, there was no polypharmacy because there was no prescribing of antidepressant medicine which did non fit diagnosing and there was no prescription with more than 5 drugs.20 68.23 % of the prescriptions ( 131 out of 192 ) had 2 drugs or less, which is recommended. However, there were instances where wrong diagnosing led to ordering of inappropriate drug ab initio ; it was rectified when primary diagnosing was revised on follow up. Clinicians ‘ pick of drug was non based chiefly on affordability for the patient, so the cheapest drug was non ever prescribed. Rationality of prescription harmonizing to WHO ordering indexs: The mean figure of drugs per prescription was more than 2, which is high. But, we had excluded all prescriptions where antidepressants were non prescribed. So, prescriptions where merely guidance was provided were non considered, in which instance the figure of prescriptions with less than 2 drugs would hold risen, thereby conveying down the mean figure of drugs per brush. Ordering by generic names was high ( 88.54 % ) and close to 100 % . There were no fixed dosage combinations ( FDCs ) or injectible readyings prescribed, which indicate rational prescribing patterns. The per centum of drugs prescribed from the 16th WHO Essential Medicines List and the National Essential Medicines List ( endorsed 2002 ) was low. However, per centum of drugs prescribed from the infirmary pharmacopeia was really high ( 96.35 % ) . This indicates the demand to convey about a balance between clinicians ‘ petitions for maintaining a dru g in the infirmary pharmacopeia and the recommendations of WHO and National Essential Medicines Lists. ATC Classification, Defined daily dose ( DDD ) and DDD of the antidepressants per 1000 dwellers per twenty-four hours ( DID ) : The anatomical curative chemical ( ATC ) categorization system divides drugs into different groups harmonizing to the organ or system on which they act and their chemical, pharmacological and curative properties.21,22 Each drug is assigned a peculiar combination of letters and Numberss. The defined day-to-day dosage ( DDD ) is the false mean care dose per twenty-four hours for a drug used for its chief indicant in adults.21 DDD was developed to get the better of expostulations against traditional units of measuring of drug ingestion and to guarantee comparison between drug use surveies carried out at different locations and different clip periods. Entire DID of the antidepressants show low ingestion, in crisp contrast to the tendency of Western European states and the USA, particularly during the last decennary, with high rates of antidepressant prescribing and consumption.9,22,23 DID for duloxetine can be interpreted as 0.0025 out of 1000 patients or 0.025 % would hold used a dosage of 60mg. Similarly, DIDs of escitalopram, mirtazapine, Zoloft, impramine hydrochloride, Desyrel, amitryptiline and Prozac can be interpreted as ingestion of their several DDDs by a population of 0.019 % , 0.004 % , 1.007 % , 0.003 % , 0.019 % , 0.12 % and 0.00007 % . Prescribed day-to-day dosage ( PDD ) of the antidepressants: The prescribed day-to-day dosage ( PDD ) is defined as the norm dosage prescribed harmonizing to a representative sample of prescriptions. It is of import to associate the PDD to the diagnosing on which the dose is based. The PDD will give the mean day-to-day sum of a drug that is really prescribed. PDD is particularly of import for drugs where the recommended dose differs from one indicant to another ( e.g. psychotropic drugs ) . When there is a significant disagreement between the PDD and the DDD, it is of import to take this into consideration when evaluating and construing drug use figures, peculiarly in footings of morbidity.24 PDD to DDD ratio of the antidepressants: Ratio of PDD to DDD is frequently used as an indicant of the adequateness of dosing. A ratio less than 1 as seen in instance of duloxetine and mirtazapine indicates under-dosing. A ratio greater than 1 was seen for Zoloft and amitryptiline. All other antidepressants showed a PDD to DDD ratio equal to 1, reflecting the adequateness of dosing in these cases.25 Restrictions of the survey: Our consequences should, nevertheless, be seen in the visible radiation of the little sample size, compared to the surveies with which they have been compared. Restrictions of the survey were the deficiency of patient attention indexs and some of the installation indexs like handiness of drugs and impact of cost on drug intervention, which increase the public-service corporation of the survey, but which can be derived prospectively merely. As with any drug use survey, existent usage or conformity with prescribed antidepressant was non possible to supervise, more so with a retrospective survey of instance records, where notes on conformity are missing. Furthermore, we could non quantify informations on comparative clinical effectivity of the antidepressants. Strengths of the survey: Strengths of the survey are the usage of a structured proforma for informations aggregation with inside informations of drug prescriptions on follow up visits, and a comprehensive application of drug use tools like ATC/DDD categorization and computation of DID and PDD/DDD ratios to measure prevalence of antidepressant usage in the community of the survey population. Documentation of longitudinal follow-up informations gives a better thought of drug ingestion than transverse sectional informations. Data on drug permutations and augmentations every bit good as attendant psychotropic medicines are besides provided. Decision: Our survey shows that depressive upset was the most common psychiatric diagnosing in the population and antidepressants were the most normally prescribed psychotropic medical specialties. There was a higher prevalence of antidepressant prescribing for adult females. Majority of antidepressants were prescribed to immature and older grownups between 21and 40 old ages. The SNRI Duloxetine, the SSRIs escitalopram and Zoloft and the untypical antidepressant mirtazapine were the most normally prescribed antidepressants, with or without other attendant psychotropic medical specialties. Most patients were treated by a individual antidepressant. However, hapless response and/or tolerability considerations made the prescribers change the antidepressant or add a 2nd antidepressant. Antidepressants were prescribed for many indicants other than depressive upset and head-shrinkers ‘ pick of drug was influenced by diagnosing, badness of disease/disorder, co-morbidity, drug efficacio usness, and considerations for patients ‘ tolerability, but non chiefly on the cost of medicine. Prescriptions were complete and polypharmacy was non seen. Favorable and unfavorable results were seen for 3 and 2 WHO ordering indexs severally. Consumption of antidepressants in the community was low. Adequate dosing was seen for all antidepressants, except for duloxetine and mirtazapine, for which under-dosing was prevailing. Recommendations: There is a demand for prospective drug use surveies to get the better of some of the restrictions of our survey. Ordering wonts among head-shrinkers can be improved farther by making consciousness about taking drugs from the Essential Medicines List and cut down prescription of ataractic soporifics. Such steps can diminish the figure of drugs per prescription and besides the cost of therapy. Prescribers should besides be encouraged to look into for patients ‘ conformity with the prescribed medicines and to enter them in the instance sheets. Such steps will advance the rational usage of medical specialties and finally, the quality of health care.

Thursday, August 29, 2019

Public Law Essay Example | Topics and Well Written Essays - 7500 words

Public Law - Essay Example Therefore, the Constitutional status quo that exists in the country has produced a very flexible system wherein governance is dependant upon political and democratic principles rather than a rigid system that relies upon written rules3. Parliament is sovereign, as articulated by Oxford Professor A.V. Dicey who stated that â€Å"in theory, Parliament has total power, it is sovereign† thereby it is the source of all valid authority.4 There is no formal separation of powers between the three branches of Government – the executive, the legislature and the judiciary. The functions of the executive and legislature are often mingled with that of the judiciary, since ministers who implement new acts are also involved in legislation, similarly judges in the House of Lords are also entitled to participate in the legislative business of the Upper House.5 Moreover, judicial independence under the UK Constitution is not exclusive of political interests. Judges are appointed by the Lord Chancellor, thus their functions cannot be judicially impartial, while Based upon the features of the U.K. Constitution as spelt out above, it may be noted that it is different from the Constitutions of other countries. One of the most important differences is that the UK Constitution is uncodified, while most other countries such as the United States, European and Asian countries have a formal Written Constitution that clearly lays out the principles upon which the nation is founded. In the United States and the Commonwealth of Independent States, the Constitutions clearly spell out a Federal, decentralized system of Government and the exact division of powers between the Centre and the States, as for example the tenth amendment to the U.S. Constitution.7 In Australia, the Australian Commonwealth Act of 19008 has handed over Constitutional control of the Privy Council to the Federal Government9, while retaining the independence of the States in other

Wednesday, August 28, 2019

Follow up to S6W4Dq Assignment Example | Topics and Well Written Essays - 250 words

Follow up to S6W4Dq - Assignment Example However, critical analysis reveals that its implications may not augur well especially in view of the vast interest United States has in the global arena. Taking this into consideration, it is worth noting that the suggestion of intensifying economic and political negotiations, while moderating U.S.’s military presence in foreign countries is the most feasible alternative. In the debate leading up to the 2012 U.S. presidential elections, Mr. Mitt Romney acknowledged the need of â€Å"strong allies† to serve as a deterrent to would-be aggressors. In addition, he was quick to warn that U.S. must be more prescriptive in the manner it deploys its military force on foreign missions. Echoing the same sentiments was President Obama. Obama insisted on the need of U.S. to concentrate â€Å"on alliances and relationships† in order to assist the foreign partners to improve their ability to defend themselves. In this, President Obama suggested initiating security training programs as well as equipping them to contain regional conflicts (Robert, 2012). In conclusion, I find it feasible for U.S. to increase its economic, political and diplomatic ties with other nations. However, its military presence should be moderated to only advisory and training purposes. Also, by working in conjunction with international bodies such the United Nations and African Union, U.S. can save itself from shouldering the financial burdens as the sole promoter of global democratization. Bremmer, I. (2008, summer). Supposing the United States becomes isolationist. Retrieved 3 29, 2013, from europesworld:

Tuesday, August 27, 2019

Cooperative Learning Research Paper Example | Topics and Well Written Essays - 250 words

Cooperative Learning - Research Paper Example ceptions towards school environment, engagement and academic performance was collected through face to face interviews and self-administered questionnaires. These data collection process took place in the comfort of the participant’s home where there was no pressure from school. The findings of the study indicated that the student’s perceptions of their school environment affected their school engagement (this was especially so for the seventh graders and it affected their eighth grade engagement in school) and also that perceptions towards different types of school engagement affected their academic performance directly and indirectly. If nothing is done to boost the morale of these students when it comes to school and especially by their teachers, then most adolescents will either leave school or end up as academic failures. Strategies to engage the students more in the classroom and school activities and ensure that their cognitive, emotional and behavioral dimensions concerning the school are addressed should be out in place. This way the adolescents will feel confident about their school engagement and this will lead to an improvement in their academic performance and change of perception of their school environment. The article findings and the implications it mentions are relevant for the education of most adolescents whose perceptions and attitudes towards the school are often mistaken as truant behavior and a reaction towards the adolescence period. The findings will ensure that closer attention is paid to the real reason for adolescents having perceptions about school and their academic performance. Wang, M. and Holcombe, R. (April, 2010). â€Å"Adolescents’ Perceptions of School Environment, Engagement, and Academic Achievement in Middle School.† American Educational Research Journal. Retrieved from:

Monday, August 26, 2019

Impact of Corporate Social Responsibility on Brand Value Dissertation

Impact of Corporate Social Responsibility on Brand Value - Dissertation Example Dr. Brundtland had claimed that, besides factors relating to the medical world, health conditions of individuals significantly depend on issues relating to human development and environment. Based on this vision; in 1987, the Brundtland Commission was introduced and its first report had launched the concept of sustainable development in the public domain. Since then, public and private authorities of most countries have been trying to attain sustainable development. This process of development aims to satisfy and enhance utilities of present generations, without altering resources that would serve the future generations in a similar manner. Considering norms and practices of a sustainable developing world, nearly all private and public profit making organizations follow the norms of â€Å"Triple Bottom Line† (3BL) in business. By following the 3BL perspective, companies try to enhance â€Å"people, profit and planet† related factors through their commercial activities ( Smith, 2010). Moreover, degree of rivalry among modern corporate firms has increased over time. This is the era of â€Å"consumerism†, where commercial organizations try to augment their brand value in the market by enhancing utilities of consumers. Since individuals are increasingly becoming conscious about protecting and preserving the environment, firms have increased their corporate social activities in business now. . Presently, economic prosperity and brand value of a business organization substantially depends on its corporate social responsibility.

Sunday, August 25, 2019

Support to SMEs in the UK Essay Example | Topics and Well Written Essays - 1750 words

Support to SMEs in the UK - Essay Example This importance of the sector can therefore not be overlooked. Moreover, with the increased shift towards government and private sector alliances in most nations, it is impediment upon the government of the day to closely monitor and support the activities of the small businesses in the country. It is through the recognition of this fact that the government has the obligation of providing support to the various SMEs in the country. Another important factor about SMEs is through the characteristic growth that they have exhibited in major economies of the world including the United Kingdom. To harness this growth to the national economic growth, there is a need for a good operational environment for such enterprises. The government, private sector and other parties have therefore taken measures to ensure that the businesses are supported for an enhanced growth that will translate into an economic improvement. This paper will critically analyze the support and resources that have been a vailed to the SMEs in the country in terms of linguistic and cultural support. ... First, there are two major national wide financial assistance programs. They include the enterprise finance guarantee (EFG) and the enterprise capital funds (ECF). Secondly, there are other separate programs that are concerned with supporting the enterprises within England, Scotland, Ireland and Wales (BBC, 2011). The EFG is a nationwide financial assistance program to SMEs that was established to encourage and enhance lending to the various enterprises from the various commercial banks. Since lending tradition in the country has always followed strict requirement criteria, the government has been able to use this program to assist the enterprises meet these standards. This is through providing a guarantee of 75% to their loans on commercial banks. The enterprises also need to show that they have an annual income or turnover of about 25 million pounds (BBC, 2011). This program is flexible to all enterprises except in the coal industry. The EFG program is therefore a resourceful finan cial guarantee program that helps enterprises overcome the cultural barriers imposed by commercial banks that traditionally prefer to deal with established organizations because of the strict requirements of lending in the country. Through this program, the enterprises are able to acquire loans, repay their existing loans among other financial undertakings for the support of business growth and expansion. As a result, it is estimated that about 6000 enterprises benefit from this resourceful program annually in the country with enterprises required to access the program through their banks. Likewise, the ECFs are another move by the national government aimed at supporting the growth of SMEs. The program is a capital oriented initiative that involves

Saturday, August 24, 2019

Writing an open MEMO Term Paper Example | Topics and Well Written Essays - 750 words

Writing an open MEMO - Term Paper Example Having been dismissed three times, De La Campa still insists that she was discriminated against and her supervisors said words that were against her gender. Yes she has a case since the words spoken to her by her supervisor and employer are sexually discriminating and she therefore needs justice Answer No in these cases, first De La Campa appeals against her case with her employer and supervisors about her sexual arrestment. Having gone to three courts both dismissing her cases against her supervisors as containing no intentional inflictions of any emotional distress on De La Campa based on her sexual orientation. In this case, De La Campa alleges that Garcia and Teixeira subjected her to a pervasive and severe pattern of sexual harassment. This included and not limited to comments that were derogatory that were homosexually related, unwelcoming abusive conducts and acts that were directed to her due to her sexual orientation, and since she asked for her right to work freely without discrimination, all these were given to her. She claims that Teixeira advised her that Grifols was not very pleased by the way that she was sexually oriented and that this could lead to her termination. She also claims that she was excluded from social functions and corporate sponsored functions due to her sexual orientation.... CREAC [Contention] De La Campa has a case against her employer and her supervisors due to the harassment that she got from her sexual orientation and the exclusion that she got from her sexual orientation. It is also evident from the actions of the employers that threatened the termination of De La Campa that she was going to be terminated due to her sexual orientation. . Aguilera also has a case due to the injury that she got from the machines that were operated by the company. Mrs. McCarson is also entitled to sue the insurance company for failing to pay for her medication yet she had been insured. [Rule] The only element of the Intentional Infliction of Emotional Distress tort that is in dispute is the â€Å"outrageous† element. The Florida Supreme Court defines an outrageous conduct as a conduct that is â€Å"so outrageous in character, and so extreme in degree, as to go beyond all possible bounds of decency.† Metropolitan Life Ins. Co. v. McCarron, 467 So.2d 277, 2 79 (Fla.1985) (adopting standard set forth in the Restatement (Second) of Torts, section 46 cmt. d (1965) for evaluating claim for intentional infliction of emotional distress). What constitutes outrageous conduct is a question for the trial court to determine as a matter of law. Johnson v. Thigpen, 788 So.2d 410, 413 (Fla. 1st DCA 2001). [Explanation] from this it is clear that a person is guilty of sexual discrimination only if he/she does anything that s considered outrageous and that goes beyond any possible bounds of decency. It is very important to consider an act as outrageous since this will be the factor to make the employer guilty or not. Due to the distress that De La Campa experienced, it is evident that she has a case here

Energy Sources of the Future Essay Example | Topics and Well Written Essays - 750 words

Energy Sources of the Future - Essay Example Biomass Biomass is energy from organic matter and is usually in the form of â€Å"clean† carbo-hydrogen gas or COH2 (Valone). Biomass is also known as biofuel and is produced from organic material such as woodchips, animal wastes and seaweed (â€Å"Biomass†). These organic components are made into oil, natural gas or methanol. The COH2 gas derived from biomass â€Å"burns cleanly, [produces] water vapor† and a limited amount of CO2, which is the one the biomass consumed while it was still growing as a plant (Valone). David Wallman patented the process of producing COH2 from any biomass solution, and this is currently used as â€Å"municipal sewage treatment† and perhaps a replacement for foreign oil in the future (Valone). The biomass power station, which operates using David Wallman’s patented process, involves the burning of the animal or plant wastes. The heat that is produced from the burning is converted into steam and this steam powers the tur bines that convert mechanical energy into electricity (â€Å"Biomass†). When it comes to availability and renewability, the availability of biomass depends on the supply of organic wastes, which are actually relatively cheap to use (â€Å"Biomass†). ... Perhaps the only environmental issue associated with biomass is the greenhouse gas, which results from the combustion of organic fuel or biomass (â€Å"Biomass†). This would naturally bring about pollution. Other harmful effects of biomass production include destruction of the ecosystem, loss of biodiversity, competition for land and food, and excessive demand of the organic matter for water (Langeveld & Corre). Wind Power Wind power is obviously another very good alternative to fossil fuel use, and one that is becoming a more popular option in the United States (Walker). At the speed of around 25 km per hour, wind power can be used to produce electricity from towers with wind-blown propellers. The mechanical energy from the movement of the propellers is then converted into electricity (â€Å"Wind Power†). Wind power is both available and renewable because it needs no fuel; therefore, it is produced for free by the wind, except in some places which are not naturally win dy (â€Å"Wind Power†). Coastal areas, as well as open plains and the tops of rounded hills are the perfect places for the construction of wind farms because of the high availability of wind in these areas (â€Å"Wind Power†). Wind power is relatively practical and cheap at the cost of around â€Å"4 cents per kilowatt-hour† and is usually put up as â€Å"offshore wind farms† in open-water areas (Walker). In fact, Ireland’s eight-mile Arklow Bank Offshore Wind Park is made up of wind towers that can provide electrical power for 16,000 homes (Walker). As to environmental impact, wind power does not produce any greenhouse gases or other toxic waste products (â€Å"Wind Power†). Nevertheless, the propellers can occasionally kill birds that