Saturday, October 5, 2019

Bradtech Limited Company Essay Example | Topics and Well Written Essays - 1000 words

Bradtech Limited Company - Essay Example Apart from this the balanced scorecard focuses on integrating the output or performance different departments and units of the organisation in order to generate more effective consolidated end result (Lawrie & Cobbold, 2004). In this case analysis, the initial process of balanced scorecard has been utilised i.e. the generation of the important performance measures and indicators for the company. If the organisation will review and monitor these performance indicators on regular basis then there will be better control over the overall output and profits of the organisation. Overview of the Company: Bradtech is a subsidiary of another manufacturing company. It is currently facing a very stiff environment. The company under capital constraint from the parent company needs to expand its current capacity. But to this decision are affecting further conditions also: one of the major products of the company is losing its utility and thereby is facing a shrinking market; the other product alt hough new has its own set of constraints. One major constraint is its ability to be customised which requires prior ordering before manufacturing; this entails a vibrant supply chain which unfortunately the company does not have. All these restraints are not allowing the company to operate or compete effectively. Key Factors which should be Considered by Bradtech: Bradtech should prepare counter measures for the shrinking market share of its flagship product (product A). Whereas for its other product (product B), which needs to be customised as per the buyers demand, the company should adopt a pull based strategy to avoid inventory holding cost (Northcott and Smith, 2011). For this it needs to restructure its supply chain and make it vibrant, sensitive and efficient. Other key factor which should be considered is: relationship build with customers; who demand on time delivery, honest technical advice, good quality and product reliability. The company should come up with some form of competitive advantage at the service level to gain customers and prevent getting engaged in price competition. The company should keep track of its processes and try to minimise cost to raise its profit margins. For product A, it can be assumed that no new competitor will enter the market, looking at the current market crisis, so Bradtech should offer some sort of price benefits to capture more market share. Bradtech also has to utilise its capacity optimally because it is highly unlikely that it would receive additional funds to expand its current capacity. In this endeavour the company needs to undergo stringent capacity and space planning. The company also need to keep its parent company interested in its operations because if the parent company starts to believe that the Strategic Business Unit (SBU) is creating more trouble than it could handle, than the parent company may start thinking about divesture. Other key factor to consider would be the rising buyers’ power and the buyers’ tactics to play one supplier against other. Since the product has no additional offering the company will keep facing this

Friday, October 4, 2019

ADHA with young and adult. discussion 3 Coursework

ADHA with young and adult. discussion 3 - Coursework Example ion, research indicates that children who continue with treatment into adulthood have better outcomes than those who stop intervention measures at childhood. It is difficult to predict long-term outcomes for young children undergoing intervention, and for that reason, there is a need to focus on strategies that are help young children transit into adulthood. For adults, recent reports of misbehavior and transgression are being reported. Adults offer a range of intellectual abilities, which often depends on their social setting (Martin, 2005). The same way that lack of intervention measures affect the education and social relationships of young children, is the same way that adults expose themselves to problems at work and management of families. Adults with ADHD who failed to receive treatment as young children remember similar problems during their childhood. Attention focuses on adults with ADHD because it is extraordinarily challenging to predict the long-term benefits of treatments (Friend, 2004), and for this reason, the need for a long-term perception on treatment. The need for separate intervention measures for adults, concerning changes in social lifestyle, call for the focus on ADHD in adults (Martin, 2005). In my opinion, intervention measures must be mindful of the need to change intervention measures as a young child transits to adolescence, and finally to adulthood. Students at a young age have fewer academic and social demands as compared to adolescents and adults. In the main, this means that although an intervention measure maybe effective for a child, the same intervention may fail to work for an adolescent who encounters a different social environment from that of a child or an adult. If the transition does not happen appropriately, young children and adults may lose the benefits they gained during early childhood intervention measures. This is detrimental to an adult’s development as they may face such challenges as the inability to maintain

Thursday, October 3, 2019

Evolution of Theoretical Knowledge of nursing Essay Example for Free

Evolution of Theoretical Knowledge of nursing Essay The ultimate goal of the nurse is to maintain, and restore the health of the patient. Nursing is considered both a science and an art. The application of nursing knowledge and the technical aspects of the practice is considered the science. The establishment of a caring relationship through the application of nursing knowledge and judgment is used in a compassionate manner and is seen as an art. (College of Nurses 1999 June Nursing and You Volume1, number 3 p3) This paper will attempt to explain the four concepts of the nursing metapardigm as it relates to the person environment, health and nursing. A person is seen as an individual possessing their own uniqueness, personalities and having their individual needs. A person should be treated with respect and dignity regardless of their cultural, religious, socio-economic class, marital status or sexual preferences. The individual should not encounter any bias or discrimination in school, employment or when the need arises for medical care. Each person has their basic needs that must be met while progressing through the different stages of development. One should be given choices, and be allowed to have an input in their care or treatment plan. They should be allowed to excel and strive to achieve their goals. Be able to reside and work in their chosen location and field as long as they are qualified for the job. They are usually part of a family belonging to a cultural group, living within a community or region of their choice. The environment can be open or closed. It can contribute to the building or endangering of the persons self esteem. One might adapt to the environment depending on ones personal preference. A person might be seen in the eyes of others as the product of their environment that might be interpreted as a negative or a positive statement. Depending on ones interpretation of the statement. Some environments have sub-cultures within the environment. Each group has different beliefs, such as religion, diet, attire, and dialects. The environment sometimes contributes to some medical problems, for example respiratory problems. Nurses unfamiliar with the laws and customs of the environment might need to familiarize themselves with cultural practices. What is appropriate and inappropriate for that culture for example male  nurses not allowed to give care to female patients in t hat environment and vice versa. Nurses might need to observe the environment for safety precautions and life threatening situations. Which will contribute or cause an illness, or preventing recovery. The environment is considered home and that is were the person resides. It is a familiar surrounding for the individual. Health can be defined as freedom from either a mental or physical condition, which impedes one from performing activities of daily living or preventing the person from functioning at their optimum level, for that individual. The person is considered mentally or physically stable or unstable depending on the diagnosis he/she is assigned. Health is when a person is in a state of well-being. The individual has been free of pain and disease. The patient is always the focus; therefore it is called patient focused care. Health is considered the quality of life, when an individual is independent and able to function without any obstacles of impedement. Nursing can be defined as one being trained in both theory and practice. Virgina Henderson also stated that nursing is an independent unique health profession carrying out activities with or on behalf of the patient that contributes to health or recovery (or to a peaceful death) that the patient would perform unaided given the necessary strength, will or knowledge. (Nursing Foundation (1999) Basic Elements of Selected Conceptual Models p 314). In nursing the nurse should be able to critical think, be caring, competent, compassionate and have a conscience according to Roach. (Roach 1992). Nursing would include, doing a nursing assessment, nursing diagnosis, nursing care plan, and a nursing interventions. Starting with short-term goals, and upon achieving short-term goals for the patient, then proceed to long-term goals. Goals should be realistic. Then evaluate and reassess if the needs arises. Problem solving and treating the patients as human, the same way you would like to be treated. Working in a mental Health hospital, the client is seen as a whole person, a human being. A person who is unable to cope, survive or function at their optimum level in the community, due to mental illness. Patients diagnosed with a mental illness, and are being cared for in the hospital. Their mental  status is monitored, and they are assessed on an ongoing basis. Patients are encouraged by nursing staff to verbalize their concerns, so staff can be aware of their needs, which will promote stabilization of the patient, diagnosed with a mental disorder. The environment in which the patient resides should be non-threatening therapeutic and be conducive to healing. The environment might be seen as open or closed depending on ones perception. Health is interpreted differently, depending on the cultural, religious background of the person and their knowledge base, regarding health. With mental illness, the patients medication might need to be adjusted. Which will modify the behaviour and stabilized the patient at the same time. Assisting the patient to function at their optimum level, giving choices and promoting independence. My thinking represents a combination of worldviews. I looked at the whole person; reflect on the things that I could have done better. I attempt to understand the behaviors and practices of certain cultures. Gaining an understanding of the culture by using the deductionist path of science along with historical views of the person within the environment. As environment shape behaviors at times, I look at a combination of worldviews to determine each metapardigm.

Practices of Lifestyle Modification Regarding T2DM

Practices of Lifestyle Modification Regarding T2DM Chapter 5 Discussion, Recommendation Conclusion 5.1 Introduction Most studies on the KAP on diabetes both in developing and developed countries targeted patients with diabetes. (Ben Abdelaziz, Thabet, Soltane, Gaha K, Gaha R, et al., 2007). Unlike these, this study targeted the general population. Therefore adequate comparative data is lacking for the study and the discussion is based on knowledge, attitudes and practices of the population of Saint Lucia. There is no study concerning KAP regarding T2DM available in Saint Lucia, hence, this study is an attempt to gather the data regarding the same. This chapter discusses a collaboration of major finding of the study, the relevant discussion, recommendation and conclusion. The study was a cross-sectional study in an attempt to collect sufficient information on knowledge, attitudes and practices of lifestyle modification regarding T2DM among the population of Saint Lucia. 5.1.1 Demographic Majority of the participants in this study were in the age group 25-34 years (39.5%). This in general accordance with the national census which conducted in the 2015 (Department of Statistic, 2015) In regard to participants with no formal education was very low 1.3%, and participants with primary , secondary and tertiary level together constituted an overwhelming (98.7%) of the participants in this study. This indicates that most participants are well educated, a finding which is similar to the results of another study conducted by Karir Consultant Limited. A majority of the participants were poverty-stricken (34.1%) earning between $0.00 $1,499.99 eastern Caribbean dollars per household. Poverty could limit accessibility to and affordability of a well-balanced diet and healthy food. And this could explain why a large percentage of the participants had low level of practice towards T2DM regarding regular doctor visits. The finding is in keeping with a survey conducted by KAIRI Consultant Limited where 43.8% of the population was shown to have very low income (KAIRI, 2007). 5.1.2 Knowledge In this study it is found that knowledge is statistically high amongst the respondents. 76.1% of the respondents had good knowledge of T2DM. The results also indicated that the respondents were very knowledgeable on the general awareness of T2DM such as the symptoms, complications and prevention of the specific disease. The result was consistent with a study done by Ambigapathy and colleagues found in their study that majority of respondents (67.0%) were knowledgeable about lifestyle modifications. The respondents scored 50% and above of the total score for all the categories of questions asked (Ambigapathy R. et al, 2006). In contrast R. Malathy and colleague in their study concluded low education amongst majority of their respondents. 83.3% had poor knowledge of the benefits of exercise, weight loss and healthy diet (R. Malathy et al, 2011). 5.1.3 Attitude Majority of the respondents agreed that it is important to engage in regular exercise, to follow a controlled diet and to maintain a healthy lifestyle. Results indicated that 90.5% of the respondents had positively agreed that regular exercise is necessary to help manage T2DM. While 80.9% agreed that diet modification is essential to control the disease by getting correct advice and clarification. These findings imply that the respondents had good attitude towards diabetes prevention and control practices. This finding is similar to that of Mukhopadhyay P et al in which majority of the respondents 82.3% had positive attitude towards lifestyle modifications (Mukhopadhyay P et al, 2010). Similar results were revealed in a study conducted by Upadhyay DK et al 60.3% of the respondents had positive attitude towards lifestyle modifications (Upadhyay DK et al, 2008). 5.1.4 Practice Results indicated that the respondents had poor practices towards regularly exercise and diabetes preventative measure such foot and eye examinations. This was evidenced by results which indicated that the respondents did not exercise regularly while majority of the respondents never visited heath care provider for diet advice, never checked their blood pressure and never checked their blood sugar level. This finding is similar to those of W.M Kiberenge and colleagues in which majority of respondents (75.6%) had bad practices in relation to lifestyle modifications (W.M Kiberenge et al, 2010). 5.1.5 Variables Combined The association between KAP in this study was selectively determined; that is only specific questions were used. These questions comprise of two aspects diet modification and practice question such as regular exercise, maintaining healthy lifestyle and regular doctor visits respectively. There was a significant positive correlation (r= 0.233, p=0.000) and (r=.201, p=0.000) between the knowledge level and the attitude level of respondents in this study. This means that the better respondents were knowledgeable, the better they were willing to observe healthy lifestyle habits. There was a very weak, non-significant positive correlation (r=-0.064, p=0.259) between the knowledge level and practice level of respondents. This means that being knowledgeable did not necessarily translate to healthy lifestyle practices. The results found in this study were similar to those in the study by Ambigapathy R. and colleagues in which a significant positive correlation (r=0.536, p 5.2 Recommendation The government must take a lead in creating awareness about diabetes disease country wide and in the counties that are adversely affected. In addition to developing the Saint Lucia national diabetes center, a community awareness program targeting rural and semi-urban communities should be developed using a multi-sectoral approach in order to address the knowledge gaps and influence behavior towards diabetes prevention. Given the low and uncertain incomes characteristic among the people, free screening for chronic diseases should be availed to the residents by the county government to increase their knowledge level on diabetes status. This can be done in a similar manner to the ante natal care program targeting all government facilities right from level 2 health facilities. In order to ensure that once a community member seeking for health care services is managed well right from the start, there is a need for an increase in the awareness of diabetes management and its complications in the primary healthcare sector especially at level two facilities such as dispensaries and health care centers due to their proximity to members of the public. Thus, continuous education on diabetes mellitus and its complications for primary healthcare providers should be accompanied by regular assessments on the knowledge level. Screening for diabetes is important, but equally crucial is patient education and counseling. The following measures are recommended to address the knowledge and practice deficits uncovered in this study: 1. There is need for the implementation of community or national based lifestyle intervention program to improve the knowledge of patients regarding healthy lifestyle and emphasize the importance of exercise and weight loss in the management of type 2 diabetes mellitus. This should be extended to the primary health care clinics where the majority of patients are seen. 2. Medical nutrition intervention program should be implemented with a multidisciplinary team (Doctor, dietician, social worker, psychologistà ¢Ã¢â€š ¬Ã‚ ¦) 3. Empower Mamelodi healthcare workers with motivational interviewing knowledge and skills to promote behavior change and adoption of healthy lifestyle practices by patients 5.3 Conclusion The knowledge and attitude levels of lifestyle modifications among the population of Saint Lucia was generally high. Nevertheless, majority of these people have poor practices toward healthy lifestyle habits. Majority of the respondents had poor practices such as regularly exercise, checking their blood glucose level, and visiting the doctor for regular check-ups. This implies that there is need to develop community based health promotion programs to bring about paradigm shifts that will promote healthily choices and behavior as well as understand the impact of culture and beliefs to these practices. The low incomes suggest the respondents inability or difficulties in meeting health care costs when they arise, this may explain the poor practice of visiting health facility for regular check-ups. References Ben Abdelaziz A, Thabet H, Soltane I, Gaha K, Gaha R, et al. (2007) Knowledge of patients with type 2 diabetes about their condition in Sousse, Tunisia. East Mediterr Health J May-Jun; 13 (3) 505-14.) Department of Statistics. Unpublished data. Saint Lucia; 2013

Wednesday, October 2, 2019

The Life And Great Works Of John Updike :: essays research papers

The Life and Great works of John Updike   Ã‚  Ã‚  Ã‚  Ã‚  An American novelist, short story writer and a poet, John Updike was a country boy with a great talent that needed to be unleashed. He wrote many novels and won many awards; his best works did involve the novels that told the story of a man’s life. The best-known and most widely analyzed work, John Updike wrote a great series of novels depicting a reoccurring theme of the life of a man, and his dream to have his high school wonders once again.   Ã‚  Ã‚  Ã‚  Ã‚  Updike was born on March 18, 1932 in Pennsylvania, outside of the big city and into the countryside. His parents were Wesley Russell Updike, his father, and Linda Grace (Hoyer) Updike, his mother. They raised John with great care and with great ambition to succeed in the harsh world. During his young life many things were taking place that would bring the American Society to a great fall; it was hard for a young American writer in the 1940’s and 50’s. Updike’s schooling was like any typical family, not any kind of high-class private school, just a normal kid. He attended public schools in Shillington in 1936, and he graduates all his schooling, of the public school system, in 1950. Updike was class president, and graduated as co-valedictorian. After grade school he attended one of the greatest colleges in the United States, Harvard University. His   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Plemons 2 writing was weak during grade school, but his great pieces came his senior year at Harvard. He became editor for the Harvard Lampoon, which is the school’s newspaper. With this under his belt for experience, Updike graduates from Harvard as the â€Å"Summa Cum Laude,† that which is a great honor for him. Now entering the working world, Updike starts a new job in New York; he is employed at The New Yorker, as an article writer/reporter in 1955. During his time at the news-printing place, he writes many short stories and some novels. Soon after, two years later to be exact, he starts to become a full-time writer.   Ã‚  Ã‚  Ã‚  Ã‚  Updike and his wife, Mary E. Pennington daughter of Rev. Leslie T. Pennington and Elizabeth Daniels Pennington, decide to have a family. Their first child came in the year of 1955, it was a girl and Mary named her after her late mother, Elizabeth. Updike, being a man wanted a boy to carry the father’s name so, two years later, January 19, 1957, they have a baby boy; they named him, David.

Essays --

Accounting is used as a tools to inform investors and other stakeholders about management’s performance. However, accounting standards permits management to use judgment in financial reporting methods for some accounts as they have best knowledge of its business so it can choose accounting alternatives that suit their business. With ability to choose its preferable reporting methods, estimates and disclosure, this flexibility creates opportunity for managers to distort earnings in which they adopt accounting methods that do not truly reflect firms’ financial status (Healy and Wahlen, 1999). In addition, due to the fact that management has better access to firms’ business transactions and operations than stakeholders do and auditing and monitoring system are not always effective, these lead to an information asymmetry problem which increases earnings management opportunity. For example, they can alter some information and do not disclose all the information to the stakeholders. This essay will first describe the definition of earnings management and its evolution. Then, the proxies used to detect earnings management will be illustrated. Next, the motives for earnings management and its effect on financial reporting process will be discussed. Subsequently, it will turn to the impact of debt financing on earnings management. Finally, this paper will examine the factors that may constrain the degree of earnings management. Definition of earnings management and its evolution Many researchers has given different earnings management definitions. For instance, Healy and Wahlen (1999,p.368) states that ‘Earnings management occurs when managers use judgment in financial reporting and in structuring transactions to alter financial repor... ...orts (Houqe et al., 2012) Also, the adaptation of widely-used accounting standards, for example, IFRS, may help prevent management from manipulating financial information and, therefore, improve the quality of earnings because such standards require managers to provide a true and fair view of its report and may help reduce the earnings management activities. Houqe et al. (2012) conclude that the adoption of mandatory IFRS increases the quality of earnings in the countries that provide strong protection for investors. However, there is some controversy if accounting standards would reduce earnings management. Tendeloo and Vanstraelen (2005, cited in Houqe et al., 2012) and Lin and Paananen (2009, cited in Houqe et al., 2012) find that after adopting IFRS, firms in Germany recorded more discretionary accruals and those accruals are lowly-correlated with cash flows.

Tuesday, October 1, 2019

Construction industry

In construction industry, professionals must be able to follow different rules, policies for designing and building any infrastructure. One of these is the adherence of construction professionals for sustainable design. Accordingly, the practice of enhancing the efficiency of the buildings and their use of water, materials, and energy as well as reduction of building impact on the health of the people and the environment is called sustainable designing or also known as sustainable building.In doing so, the authorities responsible for green building adhere to this needs by conducting an effective and efficient complete building life cycle which include better sitting, designing, constructing, operation, maintenance and removal (Hopkins, 2002). Sustainable design brings together an immense array of approaches and practices to decrease or completely eliminate the negative effects of buildings on the environment.Accordingly, sustainable design can be defined as structures or buildings wh ich have minimum or low adverse effects on both natural and build environment as well as the immediate surroundings and the wider regional and global setting. The adherence of sustainable design can affect my career in many ways. First, sustainable design trends in terms of methods and materials may have a great influence on how I consider the materials and methods that I can use for sustainable designing.being a professional who adheres to the trends of sustainable or green building I can say that this concept affects me in thinking about how the construction materials and methods will affect the occupants. Herein, I am able to determine quality and the conditions of the materials and anticipate its impacts on the health of the occupants.Secondly, this context affects my career in a way that I can be able to be more competitive I using materials which has natural benefit to the design, In this regard, I can be able to be more resourceful and environmental friendly by fitting the co nstruction and its design procedures into the natural environment (Jones, 1998) in order to take advantage of existing free benefits like heat and light from the sun, the shading from the trees as well as the insulation from hillside topography in order to decrease the land impact and the need for non-renewable resources or wasteful use of resources.Lastly, my career can be affected by sustainable design in a way that it will help me broaden my knowledge in identifying the most appropriate and environmental-friendly technological and technical equipments. Some scholars believed that even if technology can enable people to gain sustainability, it also have the capacity to harm the environment if it will not be used cautiously.Hence, being a professional, I can be able to determine which can be used in the sustainable designing. Reference Jones, DL 1998. Architecture and the Environment, Woodstock and New York: The Overlook Press Hopkins, R. 2002. A Natural Way of Building. Transition Culture.