Managerial complexity in project based operation Essay

Managerial complexity in project based operation - Essay Example The decision to undertake any meaningful project comes with a lot of challenging complexities that the project manger has to overcome to achieve success.Attempts to get a single concise definition for the term managerial complexity have virtually failed because there are no specific tools to measure levels of complexity of individual project. The Rational Rhapsody observes that â€Å"Levels of complexity can be measured in all kinds of ways, including the number of team members or components, complexity of the design, integration of legacy code, type of content management used, and geographical distribution of the team.† The complexity of projects varies in demand and input. However, an attempt to give a concise measure of complexity has been done by Carver et al (2008). In doing this, Kailash (2008) observes that the writers â€Å"present a qualitative empirical model which captures both structural (static) and dynamic elements of   managerial complexity in projects.† The major themes introduced in the model are structural complexity and dynamic complexity. Structural complexity The Carvers model tries to make the understanding of the structural complexity of project management look easier by introducing a model that serves as the benchmark for determining the complexity of the structure of every project. In determining the structural complexity of a project, the writers put forth five (5) major dimensions from which the structural complexity of a project would be measured. The five dimensions, Mission, Organisation, Delivery, Stakeholders and Team. These are dimensions that help in determining the structural complexity of managing a project. Since the model helps in determining the structural complexity of a project, it is referred to as structural complexity model. To make it easier to remember the dimensions upon which the structural complexity is determined, an acronym, MODeST was developed to represent the first letter of each of the dimen sions and the first two letters of ‘delivery’ in the dimension. The model represents an empirical basis for measuring the complexity of projects globally. This is because typical challenges faced by complexity in project and programme environments in the management of all major projects around the world can be measured on the basis the dimensions of MODeST. Project managers are putting behind traditional project management strategies to get adapted to the realities of the structural complexity as proposed by Carvers et al (2008). â€Å"Until now, project management has lagged behind other corporate processes in its quest for simplicity while global entities have embraced complexity, even chaos† (Management Concepts, 2011). A typical real life example can be given with the setting up of an iPhone industry. With the establishment of an iPhone industry as a case study, such an industry follows the structure of MODeST as discussed above. To with, the company starts w ith a mission, starting their aims and objectives for venturing into business. These aims and objectives lays bare their vision and what they want to get out of the establishment of the business. As part of their mission, there is scale of operation which includes long timescale. Stating a mission would of course not be complete or valid without stating what possible uncertainties and constraints are there to be face. Some of these constraints include legal acquisition of licence. Such as business are would also put an organisational structure in place. As part of their organisation, the company would specify time frame of operation, trade or market space, and possible restructuring that would have to take place in the company either immediately or in the nearest future. Next, the industry will consider their delivery mode after production starts. To do this, they get an administration and management in place to take care of all duties that has to do with major decision making. Ther e would also be a mapping strategy to determine the project

The arch Deceiver and Spiv in love Essay Example for Free

The arch Deceiver and Spiv in love Essay In Tony Kytes Tony uses a horse-drawn carriage, so it is expected that he and his family were not poor, but do not own a vast amount of wealth. In Spiv the main character deals on the Black Market, and also appears to be a classy dresser so he owns some amount of money. The way the characters and presented in each story is radically different. Tony Kytes is presented as someone who is looking for a wife and is engaged to Milly, so we expect to find Tony settling down with Milly. The Spiv is presented as someone who takes a small amount of liking to himself. He opens with She was a bit of a drip was old Myra, but absolutely gone on me. Immediately we may think that hes popular with women. He cares a lot about his appearance, and the womens appearance aswell, saying, I cant turn my back on a woman who looks up to me even if I cant bear the sight of her otherwise. He also enjoys a bit of the old flannel, which is flattery, and likes being complimented on his dress sense. Tony Kytes appearance isnt described in as much detail, but he was quite the womens favourite, so we understand he is popular with women. The female characters arent described in as much detail as the main characters, but the females in both stories appear to be lead on by the main characters. In Spiv, Myra is described as someone who he had no intention of sticking with. On one occasion when the spiv is explaining this to Myra, after acknowledging what he says, she goes back to talking about clothes, which is one of his favourite discussion topics, believing she can win him over with it, and it works for so long. In Tony Kytes the females all seem to crave Tonys attention, in particular the character Unity Sallet, who questions Tonys decision to marry Milly. Unity asks him if hes seen anything to complain about, if she is prettier than Milly, and reminds Tony that they have known each other for a long time, since childhood. In Spiv we dont learn much about Eunice, the spivs steady, other than that she was a real classy dresser and different as chalk from Myra. Generally the stories arent intentionally humourous, but do contain small amounts of amusing parts. In the spivs story it is funny to learn how in a rough-house with the Hammersmith Gang, he cares more about his bleedin titfer (his hat) then he does about his black eye. In Tonys story an element of slapstick comedy is used where the three girls are quarrelling in the cart, and as the cart tips over, out roll the three maidens into the road in a heap. Despite the stories not being intentionally humourous, in the end it is amusing how both men struggle to find happiness with more than one woman, and end up with either the woman they started out with in the first place, or alone (in Tony Kytes and Spiv respectively). Both stories are narrated in the first person, and both stories are narrated in a similar style to the dialogue of the characters. In Tony Kytes the narrator uses thee and ee, and in Spiv the story is told by the spiv himself. This technique places a sense of realism in the story, bringing us closer to the story than if the narrative was written in standard English. During the times these stories were set, a womans career was to marry and look after the home. A man leading women on or taking on a couple of women wasnt too uncommon, because the man was, without being too sexist, the dominant sex, and needed to find a good woman to settle down with. Times have changed since then, and so by reading this I find that the behaviour of the main characters is not strictly unacceptable, but immoral. Over the last century, women have become more independent and have earned more respect, and will not be lead on by a man as easily as in the stories. During the times in which they were set it wouldnt have been seen as wrong as such, but still during both settings a woman might have taken offence to either Tonys or the spivs actions. I think that placing the stories into different social and historical contexts would bring out different reactions, but the idea of a woman not being a slave to a male is the issue raised in both stories. Shaun Collier 7/2/2001 Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Miscellaneous section.

The Verdict on Albert Camus’s The Fall Essay example -- Literature The

The Verdict on Albert Camus’s The Fall As if to mock the crumbling principles of a fallen era, â€Å"The Just Judges† preside over a solemn dumping ground of earthly hell. This flimsy legion of justice, like the omnipresent eyes of Dr. T.J. Eckleburg in F. Scott Fitzgerald’s The Great Gatsby, casts a shadow of pseudo-morality over a land spiraling towards pathos. But Albert Camus’s The Fall unfolds amidst the seedy Amsterdam underground--a larger, more sinister prison than the Valley of Ashes, whose center is Mexico City, a neighborhood bar and Mecca for the world’s refuse. The narrator and self-proclaimed judge-penitent, Jean-Baptiste Clamence, presides over his subjects every night to â€Å"offer his services,† although partially dissembled and highly suspect, to any who will listen. More artfully than a black widow preying on her unsuspecting mate, he traps us in his confessional monologue, weaving a web so intricate and complete that no one can escape its clutches. Clamence points out that â€Å"Holland is a dream†¦of gold and smoke† whose residents are â€Å"somnambulists in the fog’s gilded incense† who â€Å" have ceased to be† (13-14). Peopled by the living dead, where â€Å"hundreds of millions of men†¦painfully slip out of bed, a bitter taste in their mouths, to go to a joyless work,† â€Å"Amsterdam’s concentric canals resemble the circles of hell,† as in Dante’s Inferno (144, 14). Holland’s lost souls are the forsaken ones, machines who go through the motions of life but never really live, the modern men, who fornicate and read the papers, with good intentions and bourgeois dreams never realized. These are the men capable of tolerating the â€Å"Liebestod† and the Holocaust in the same breath, who wait for something to happen, â€Å"even loveless sla... ...risk your life. You yourself utter the words that for years have never ceased echoing through my nights and that I shall at last say though your mouth: â€Å"O young woman, throw yourself into the water again so that I may a second time have the chance of saving us both!† (147) For Clamence it was too late, will always be †(t)oo late, too far† for him (70). But we are not he. We do not need to suffer from the paralysis of inaction. We need not relive unlucky Hamlet’s indecision each and every day nor question whether to dare disturb the universe. We have a choice—we will always have a choice. It is never too late for us, for we are endowed with freedom, and more importantly, a responsibility to be free. By all means, â€Å"Do not go gentle into that good night,/ Rage, rage against the dying of the light† (Dylan Thomas). Works Cited: Camus, Albert. The Fall.

Nursing Process Essay

The client is a 70 year old, Caucasian male who is a retired siding salesman from Riverside, IA, who has an extensive history with Paralysis agitans (Parkinson’s disease). The client was first admitted to the long term care facility in December 2012. The client explained that he came to be at this facility after â€Å"already being in two places like this†. He was removed/discharged from the last long-term care facility for being what he called â€Å"disruptive†. The client described the staff at the last facility as not very kind to the residents. There was an incident where the drugs that were prescribed to the client made him hallucinate and he became unruly with the staff and was restrained and taken to the hospital for evaluation. He was then transferred to this long term care facility. Wanting to gather the client’s health history, an interview was scheduled. In starting the interview with the client, he was asked if he would be comfortable with being asked some questions and was informed that he did not have to answer any questions that he was uncomfortable with. Due to the client’s paralysis agitans and his muscle weakness he is primarily in a wheelchair. The client was asked if there was anything that he needed before starting and if he would prefer the door be closed or the curtain be drawn for privacy, he stated that wasn’t necessary. It was observed that the client had tremors in his right hand and arm. A few minutes after sitting down, the client asked for help moving his hand that was resting on the bed to the arm of his wheelchair; in doing this it seemed to help calm the tremors. When speaking with the client, he is of sound mind and has a sense of humor. This indicates that the client’s paralysis agitans has not affected the area in the right hemisphere of the brain that controls personality. The client noted that he was in respectable physical health until 1996. He then explained that in the spring of 1996, while he was running he suffered from a TIA (Transient Ischemic Attack). The client sought out professional answers from 5 specialists and was diagnosed with Paralysis agitans. The client conveyed this was a concern he had because his father also had Paralysis agitans. The client describes that the Paralysis agitans has  progressively become worse over the past 18 years. It was observed that his speech was slow and monotonous. The client spoke in a low and discreet volume. A lack of facial expressions was also noticed. The client can walk with the assistance of a walker but is generally in a wheelchair. Name of Drug Dosage Route Time Related to Carbidopa-Levo 25 100 tab Orally TID Paralysis agitans Comtan 200 mg tablet Orally TID Paralysis agitans Seroquel XR 50 mg tablet Orally In the afternoon Nonorganic psychosis He is prescribed 3 tablets to be taken orally 3 times a day Carbidopa-Levodopa 25-100 (25 mg of Carbidopa and 100 mg of Levodopa) for paralysis agitans. He is also prescribed 200 mg of Comtan to be taken orally 3 times a day for paralysis agitans. These drugs raise the level of dopamine in the brain. A side effect of having elevated levels of dopamine in the brain is psychosis. The client is also given 50 mg of Seroquel XR orally in the afternoon to alleviate his nonorganic psychosis. It is documented in the client’s chart that there are symptoms of sleep apnea. When asked, the client stated that he was unaware of having that condition. The client does not use a continuous positive airway pressure (CPAP) machine  while sleeping at night. When talking more in depth about sleep patterns and concerns the client stated that he gets approximately 8 hours a sleep a night, this is without any help from sleep aids. When speaking of his bedtime rituals he said that he does have two beers, back to back, at night right before bedtime, while watching television. He does not have difficulty falling asleep but did claim that he sometimes has a hard time staying asleep at night. When questioned about taking occasional naps throughout the day he stated â€Å"depends on if I’ve been up all night†. The client then explained that it is the noise level at the long term care facility that keeps him awake. When inquiring about the client’s family he stated that he has been married for 48 years and has two children, a son who is 44 years old and a daughter that is 39 years old. The client also has seven grandchildren. When asked what he likes to do in his spare time he replied that he loves spending time with his wife and children. He stated that before coming to this long term care facility he enjoyed playing card and gambling. He now plays computer games for fun, when his wife is there to help him. The client explained that he has a â€Å"little bit† of high blood pressure and it was noted in his chart that he is given an 81MG Aspirin daily for atrial fibrillation. Aspirin 81 mg Orally o.d. A-fib Acetaminophen 325 mg Orally Every 6 hour Pain He has no history of heart surgeries or surgeries of any kind. The client reported that he has never had rheumatic fever. When asked about blood clots, the client responded that he believes that his TIA in 1996 was a result of arterial emboli. The client claims that sometimes he has numbness in his legs and his hamstrings tighten up and it can be painful. He stated that he will ask for his prescribed 650 MG of acetaminophen for the pain. When speaking about everyday stresses with the client, he stated that he doesn’t have a lot of stress but gets irritated when that staff turn on the lights every morning at 6:30 am. When asked if there was anything that he does when he notices that he is stressed, the client mentioned that when he was younger he would travel to Vedic City in Iowa and practice with the Maharishi meditating. He says that meditating has been very helpful in his adult life. The client also mentioned that he liked to follow the Maharishi lifestyle and eat only organic foods but it is not possible to follow that when residing at a long term care facility. Other things that he does to distress are look at his pictures that he has on his shelf in his room. The one that helps him the most is a black and white picture of him in a small airplane with his flight instructor standing on the wing. The client use to pilot planes when he was younger. When the client was asked if he was religious and he explained that he is Methodist but hasn’t been to church in about 5 years. He did state that he does pray occasionally. The client stated that is not afraid of dying but he is afraid of falling. He then joked that maybe it’s not so much the falling but maybe it’s the landing. When assessing the client’s vitals it was noted that he has slightly elevated blood pressure of 129/84 and could be cause for concern of pre-hypertension. Metoprolol tartrate 25 mg Orally BID Hypertension It is noted in his chart that the client is given a 25 mg tablet of metoprolol tartrate orally twice a day for hypertension. His respirations were within normal range at 18 respirations per minute. SaO2 was at 86%. The client’s temperature was taken orally and was 97.6  °F. The client is 6 feet and 1 inch tall and weighs 257 lbs. The client has a BMI of 33.9. The client received a vaccination for influenza on 10/16/13. The clients chart states that he requires assistance with many daily activities. He is dependent on help with dressing, and bathing. When asked, the client stated that it is challenging to get dressed and undressed due to the stiffness in his arms and legs. The client is on a regular diet and states that he  doesn’t have any difficulty swallowing foods and doesn’t require help with feeding. When asked about appetite he said that sometimes he doesn’t have much of an appetite but he believes that is due to the medications that he is taking. The client explains that he is not aware of having any food allergies. He also stated that after eating he does not experience sensations of nausea/vomiting, but does encounter heartburn/indigestion occasionally, which he takes 30 ml an antacid suspension. He is also given one multivitamin orally daily for supplement. Antacid Suspension 30 ml Orally Every 6 hours Supplement heartburn Multivitamin 1 tablet Orally o.d. Supplement When the client was asked about dentures he stated that he does not have dentures even though dentures were noted in his chart. He states he needs aid in transferring from bed to a chair and with toileting. When asked about the character of his stools he explained that both consistency and color were normal. The client also stated that he does not need the help of laxatives. Noted in the client’s chart he is given a 100 mg capsule of Docusate sodium orally 2 times a day to help with constipation. Docusate sodium 100 mg capsule Orally BID Constipation The client does not have any history of kidney or bladder disease. He claims that the frequency, amount and color of his urine are normal. He also claims that he does not have any difficulty voiding and there is no pain or burning while urinating. According to the CNA, the client is able to stand,  holding the hand rails, while urinating. It is noted in the clients care plan that he is urinary incontinent which is related to impaired mobility and PRN straight catheter needed for intermittent retention secondary to BPH. The client is given one 0.4 mg of Tamsulosin HCL orally a day for BPH (benign prostatic hyperplasia). Tamsulosin HCL 0.4 mh Orally o.d. BPH The client needs assistance with bathing as well. The client also has a DNR order. Parkinson’s disease (paralysis agitans) is a progressive disorder of the nervous system that affects ones mobility. According to Hubert and VanMeter, Parkinson’s disease is a â€Å"dysfunction of the extrapyramidal motor system that occurs because of progressive degenerative changes in the basal nuclei, principally in the substantia nigra.†(UMMC, 2012) The substantia nigra is the primary area of the brain that is affected by Parkinson’s disease (PD). (UMMC, 2012) The substantia nigra is comprised of a specific set of neurons that send chemical signals, called dopamine. Dopamine then travels to the striatum, responsible for balance, control of movements, and walking, by means of long fibers called axons. (Okun, 2013) These regular body movements are controlled by the activity of dopamine on these axons. With PD the neurons in the substantia nigra break down and die causing the loss of dopamine, which in turn causes the nerve cells in the striatum to trigger excessively. The excessive firing of neurons makes it impossible for one to control their movements, a sign of Parkinson’s disease. (Okun, 2013) According to the Parkinson’s disease Foundation (2014): As many as one million Americans live with Parkinson’s disease, which is more than the combined number of people diagnosed with multiple sclerosis, muscular dystrophy and Lou Gehrig’s disease. Also approximately 60,000 Americans are diagnosed with Parkinson’s disease each year, and this number does not reflect the thousands of cases that go undetected. An estimated  seven to 10 million people worldwide are living with Parkinson’s disease. Incidence of Parkinson’s increases with age, but an estimated four percent of people with PD are diagnosed before the age of 50 and men are one and a half times more likely to have Parkinson’s than women. (p 1) Since PD is a progressively degenerative disease the signs and symptoms change over time and vary from person to person. A widely used clinical rating scale is the Hoehn and Yahr scale (HY); this helps to identify signs and symptoms in the various stages of Parkinson’s disease. (MGH, 2005) Early stages, like HY’s stage one, of Parkinson’s disease the symptoms are usually mild and appear unilateral. There may be changes in facial expressions, posture and locomotion; these symptoms are usually untimely and bothersome but not disabling. As the disease progresses, into stage two of the HY scale, it may begin to affect ambulation and be noticeable bilaterally with minimal disability. (MGH, 2005) As symptoms worsen, as in stage three of the HY scale, there is considerable slowing of body movements, early impairment of equilibrium with walking and standing and generalized dysfunction that is moderately severe. The Hoehn and Yahr scale’s stage four explains that signs and symptoms are severe but the person can still walk to a limited extent. (MGH, 2005) Rigidity and bradykinesia become factors in mobility. In stage five the person is unable to walk or stand so is bedridden or confined to a wheelchair. This stage is referred to as the â€Å"cachectic stage †. Constant nursing care is required in stage five (Costa and Quelhas, 2009). There are many complications that are associated with PD; one can be difficulty swallowing (dysphagia), likely due to the loss of control of muscles in the throat. (UMMC, 2012) Drooling can occur since saliva may accrue in the mouth due to dysphagia. Difficulty swallowing can also lead to malnourishment, but also poses a risk for aspiration pneumonia (Leopold and Kagel, 1997). Constipation can be another complication as to the slowing of the digestive tract. Parkinson’s disease can also cause urinary retention and urinary incontinence. Dementia and difficulty thinking comes in later stages of PD. (University of Maryland Medical Center, 2012) Depression is very common in patients with Parkinson’s. The disease process itself causes changes in chemicals in the brain that affect mood and well-being. Anxiety is also very common and may be present along with depression (University of Maryland Medical Center, 2012). Sleep problems  and sleeping disorders are also associated with PD, with this comes fatigue. Some patients may experience feeling light headed when standing due to the drop in blood pressure (orthostatic hypotension). Pain can also be another symptom related to Parkinson’s disease (Okun, 2013). There is not yet a cure for Parkinson’s disease but there are treatments that can help alleviate the symptoms. The most commonly used is drug therapy. Medications can help with difficulty with movement, walking and controlling tremors by increasing the brains amount of dopamine. (University of Maryland Medical Center, 2012) The most common and most effective Parkinson’s disease drug is Levodopa. This is a natural chemical that passes into your brain and is converted to dopamine (Okun, 2013). There is also surgical procedures available, deep brain stimulation. With this procedure the surgeon implants electrodes into a specific location in the patient’s brain. A gen erator is implanted in the patient’s chest, which is attached to the electrodes. This generator sends electrical impulses to the patient’s brain, which may lessen the symptoms of Parkinson’s disease. (University of Maryland Medical Center, 2012) Other ways that help control the effects of PD is a healthy diet. Constipation is a complication associated with PD, so a diet that is balanced with whole grains, fruits and vegetables helps to manage this complication. Balance, coordination, flexibility and muscle strength deteriorate with PD so, exercise is encouraged. Exercise also helps with decreasing anxiety and depression. The client exhibits many of the discussed signs and symptoms of Parkinson’s disease. The client experiences resting tremors, bradykinesia, mask like face (hypomimic), slowed speech and is in a wheelchair. He scores very poorly according to the Hoehn and Yahr scale. The client is on medications to help diminish the signs and symptoms of Parkinson’s disease. Impaired physical mobility level 3, related to bradykinesia, ak inesia, neuromuscular impairment motor weakness, pain and tremors. (Berman & Snyder, 2012) Evidenced by lack of decisive movement within physical environment, including movement in bed, transfers, and ambulation. Limited range of motion (ROM). Decreased muscle stamina, strength and control. Limitation in independent, purposeful physical movement of the body and impairment unilaterally on the right side. Due to the muscular and neuromuscular weakness related to Parkinson’s disease, evidenced by it being difficult for the patient to ambulate. The client has a defect of extrapyramidal tract, in the basal ganglia, with loss of the neurotransmitter dopamine. (Berman & Snyder, 2012) Classic triad of symptoms: tremor, rigidity, bradykinesia (Jarvis, 2012). Tremors associated with paralysis agitans make it difficult maneuver. Tremors cease with voluntary movement and during sleep (VanMeter and Hubert, 2014). Immobility is an expected human response to Parkinson’s disease. The client’s immobility puts him at risk for thrombophlebitis, skin breakdown, pneumonia and depression. Immobility impedes circulation and diminishes the supply of nutrients to specific areas. As a result, skin breakdown and formation of pressure (decubitus) ulcer can occur (Berman and Snyder, 2012). Immobility also promotes clot formation. Self-care deficits related to neuromuscular impairment, immobility, decreased strength, and loss of muscle control and lack of coordination, ridgity and tremors. Self-care deficits, dressing, hygiene and toileting, evidenced by tremors and motor disturbance. The client lacks the ability to cleanse his body, comb his hair, brush his teeth and do skin care. . The client is also unable to dress himself satisfactory. He does not have the capability to fasten his clothes. The patient is assisted with ADL’s. Patient is incapable to bathe, dress or brush teeth without aid. Patient occasionally needs assistance with feeding. Assistance is also required with toileting. Aid is needed with ADL’s because of the lack of coordination and for safety. This nursing diagnosis is important because it ensures hygiene, improves quality of life, and promotes dignity, self-worth, independence and freedom. Risk for falls related to decreased mobility, a nd unsteady gait secondary to sedentary lifestyle and Parkinson’s disease. Patient uses a wheelchair and ambulates with a walker. Patients gait is impaired due to Parkinson’s disease. Festination, or a propulsive gait (short, shuffled steps with increasing acceleration), occurs as postural reflexes are impaired, leading to falls (VanMeter and Hubert, 2014). Falls also result in psychological implications for the patient with a decrease in self-confidence and a fear of further falls. This contributes to a decrease in mobility and culminates in a significant reduction in quality of life (Jarvis, 2012). Impaired bowel elimination/constipation related to medication, physical disability and decreased activity. Evidenced by the client not passing stools daily. Medications prescribed to patient for Parkinson’s disease attribute to constipation. The patients experience with immobility is also a  contributing factor for constipation. This nursing diagnosis is important because it allows nursing staff to monitor the patient’s bowel movements and avoid fecal impaction. Imbalanced nutrition less than body requirements related to tremors, slowing the process of eating, difficulty chewing and swallowing. Evidenced by the client occasionally needing assistance with eating. Pressure sores develop more quickly in patients with a nutritional deficit. Proper nutrition also provides needed energy for participating in an exercise or a rehabilitative program. The goal is to optimize the client’s nutritional status. Impaired verbal communication related to decreased speech volume, decreased ability to speak, stiff facial muscles, delayed speech, and inability to move facial muscles. Evidenced by lack of expression on the client’s face, client’s hindered speech. Loss of dopamine can affect the facial muscles, making them stiff and slow and resulting in a characteristic lack of expression. Speech impairment is referred to as dysarthria and is often characterized as weak, slow, or uncoordinated speaking that can affect volume and pitch. Difficulty speaking and writing because of tremors, hypophonia, and â€Å"freeze† incidents. This is an expected consequence of Parkinson’s disease. Nursing Care Plan- Alteration in impaired physical mobility- Parkinson’s disease Related to: Goals Intervention Bradykinsia Client will use a walker to go to breakfast in the mornings and not need assistance with transfers. Client will be able to perform all active ROM by 3 months Examine current mobility and observation of an increase in damage. Do exercise program to increase muscle strength. Perform passive or active assistive ROM exercises and muscle stretching exercises to all appendages. To promote increased venous return, prevent stiffness, and maintain muscle strength and endurance. Without movement, the collagen tissues at the joint become ankylosed (permanently immobile) (Berman & Synder, 2012) Akinesia Client will gain power of voluntary movements. Joint contractures will not occur. Assess the possibility of deep brain stimulation. Refer to physical therapy. When the muscle fibers are not able to shorten and lengthen, eventually a contracture forms, limiting joint mobility (Berman & Synder, 2012) Tremors Client’s tremors will decrease. Encourage deep breathing, imagery techniques and meditation. Encourage holding an object in hand Suggest holding the arm of the chair. Stimulating the brain by concentrating on breathing may cease tremors. (www.theparkinsonhub.com) Pain Client will not experience pain >4 on a scale of 0-10 Before activity observe for and, if possible, treat pain. Assess patient’s willingness or ability to explore a range of techniques aimed at controlling pain. Administer pain medication per physician orders. Encourage/assist to reposition frequently to position of comfort. Pain limits mobility and is often exacerbated by movement. (www.ptnow.org) Nursing Care Plan- Alteration in Skin Integrity, Impaired: Risk for – Pressure Sores; Pressure Ulcers, Bed Sores; Decubitus Care Related to: Goal Interventions Rationale Neuromuscular impairment Client will be free of any pressure ulcers for length of long term stay. Monitor site of skin impairment at least once a day for color changes, redness, swelling, warmth, pain or any other signs of infection. Pay special attention to high risk areas and ask client questions to determine whether he is experiencing loss of sensation. Apply barrier cream to peri area/ buttocks as needed. Use ROHO cushion on wheelchair. Checking skin once a day will ensure that skin stays intact. (Jarvis, 2012) Immobility Client will be able to express s/s of impaired skin. Teach skin and wound assessment and ways to monitor for s/s of infection, complications and healing. Use prophylactic antipressure devices as appropriate Early assessment and interventions may help complications from developing. To prevent tissue breakdown. (Jarvis, 2012) Nursing Care Plan- Self Care Deficits Related to: Goal Intervention Rationale Immobility Client will assist with bathing, grooming, dressing, oral care and eating daily. Assist client with bathing, grooming, dressing, oral care and eating daily. Use high back wheelchair. The effectiveness of the bowel or bladder program will be enhanced if the natural and personal patterns of the patient are respected. Loss of muscle control and lack of coordination Client will improve muscle control and coordination in all extremities for the length of long term stay. Client will walk to dining room and in hallways- 5 mins a day 5 days a week. Use consistent routines and allow adequate time for patient to complete tasks. Assist client with ambulation. This helps patient organize and carry out self-care skills. Tremors Client will be able to assist with dressing. Provide appropriate assistive devices for dressing as assessed by nurse and occupational therapist. Encourage use of clothing one size larger. Teach and support the client during the client’s activities Apply extensions on breaks with ball grips The use of a button hook or of loop and pile closures on clothes may make it possible for a patient to continue independence in this self-care activity. Ensures easier dressing and comfort. Grips will be easier to grasp with tremors. Neuromuscular impairment Client will be clean, dressed, well groomed daily to promote dignity and psychosocial well-being. Assist with shower as needed. Assist with daily hygiene, grooming, dressing, oral care, and eating as needed. This promotes dignity and psychosocial well-being. Nursing Care Plan- Falls, risk for Related to: Goal Intervention Rationale Decreased muscle tone Client will express an understanding of the factors involved in possible injury. Educate the client about what makes them at risk for falls. Bed should be in lowest position. Provide assistance to transfer as needed. Reinforce the need for call light. If the client is educated and shows an understanding of the factors involved with falls, they are less likely to fall. Prevent fall. Nursing Care Plan- Impaired Bowel elimination/constipation Related to: Goal Intervention Rationale Inactivity, immobility Client will have soft formed stool every other day that are passed without difficulty. Encourage physical activity and regular exercise. Adjust toileting times to meet client’s needs. Report changes in skin integrity forum during daily care Ambulation and/or abdominal exercises strengthen abdominal muscles that facilitate defecation. low-fiber diet Evaluate usual dietary habits, eating habits, eating schedule, and liquid intake. Initiate supplemental high-protein feedings as appropriate. Change in mealtime, type of food, disruption of usual schedule, and anxiety can lead to constipation. Proper nutrition is required to maintain adequate energy level. Diminished muscle tone Encourage isometric abdominal and gluteal exercise Apply skin moisturizers/barrier creams as needed To strengthen muscles needed for evacuation unless contraindicated. (http://www.gutsense.org) Medications Encourage liquid intake of 2000 to 3000 ml per day To optimize hydration status and prevent hardening of stool (VanMeter & Hubert, 2014) My thinking about my resident has definitely changed since the initial day when I conducted a health history assessment on him. I knew that first day that I was going to appreciate getting to know this resident because of how smoothly the conversation flowed. This resident had some amazing stories to tell. I absolutely adore that fact that he and his wife have been married for 48 years. I enjoyed listening to him remember what life was like before being diagnosed with Parkinson’s disease, it appeared to lighten his spirit. I feel very fortunate to have been given the opportunity to care for such a genuine soul. My whole clinical experience was a positive one. I realized that if I lacked the knowledge about a particular task to ask for help. I liked the fact that clinicals was hands on and that I gained experience in a long term health care facility. Another thing that this clinical rotation  taught me was that it takes an exceptional type of person to go into geriatric nursing. Probably the number one thing that I’m going to take away from this clinical experience is the total importance of dignity. I too will be old someday and I applied the golden rule to this experience. I treated others as I want to someday, and hopefully, will be treated. What a fantastic learning experience. References: Berman, A., & Snyder, S. (2012). Kozier & Erb’s Fundamentals of Nursing: Concepts, Process, and Practice. Upper Saddle River: Pearson Education. Coleman, J., (September 1, 2013) Meditation & Mitigating Parkinson’s Symptoms. Retrieved from http://www.theparkinsonhub.com/your-quality-of-life/article/meditation–mitigating-parkinsons-symptoms.html Costa, M. & Quelhas, R. (2009). Anxiety, Depression, and Quality of Life in Parkinson’s Disease. The Journal of Neuropsychiatry and Clinical Neurosciences 2009; 21:413-419. Jarvis, C. (2012). Physical Examination & Health Assessment. St. Louis: Elsevier Kegelmeyer, D., (July 1, 2013) Functional Limitation Reporting (FLR) Under Medicare: Tests and Measures for High-Volume Conditions. Retrieved from http://www.ptnow.org/FunctionalLimitationReporting/TestsMeasures/Default.aspx Leopold N., Kagel M. (1997). Pharyngo-esophageal dysphagia in Parkinson’s disease. Dysphagia 1997; 12:11–18 Massachusetts General H ospital (MGH) (May, 2005) Hoehn and Yahr Staging of Parkinson’s Disease, Unified Parkinson Disease Rating Scale (UPDRS), and Schwab and England Activities of Daily Living. Massachusetts General Hospital. Retrieved March 2, 2014, from http://neurosurgery.mgh.harvard.edu/functional/pdstages.htm#HoehnandYahr Okun, M. (2013). Parkinson’s Treatment: 10 Secrets to a Happier Life. CreateSpace Independent Publishing Michael S. Okun M.D. Parkinson’s disease Foundation (2014, March) Understanding Parkinson’s. Parkinson’s Disease Foundation. Retrieved March 2, 2014, from http://www.pdf.org/en/understanding_pd University of Maryland Medical Center (2012, September) Parkinson’s disease. University of Maryland Medical Center. Retrieved March 2, 2014, from http://umm.edu/health/medical/reports/articles/parkinsons-disease#ixzz2upFLCggw VanMeter, K. C., & Hubert, R. J. (2014). Gould’s Pathophysiology for the Health Professions. St. Louis: Elsevier.

Customs Union

Outline I. Introduction Thesis statement: The Customs Union for Russia, Kazakhstan, and Belarus is a purposeful union, which serves to meet several aims. II. Body A. In the light of common aspiration to the WTO accession, it is worth of examining why preference of states was given to multilateral over preferential trade. B. The idea of the multilateral cooperation and creation of a common economic space, elimination of borders and regional integration is not new in the post-Soviet space. 1. â€Å"Putinomics† an attempt of Putin to bring back Soviet Union and Russian supremacy; 2. â€Å"Eurasian Union† similar to â€Å"ASEAN†;C. In theory, customs unions are created to eliminate the trade barriers and decrease customs obligations between several states. 1. It requires confidence in partners and share of responsibilities; 2. single economic region; D. There are many different assumptions why Customs Union was created. 1. supremacy of Russia over the territory of th e former Soviet states; 2. a strategic step in the WTO accession; 3. reduction of Chinese influence and prevent massive imports of Chinese goods; 4. beneficial for entrepreneurs and domestic production enterprises; 5. fair competition; 6. ffective legal protection against corrupt schemes and fraud mechanisms; E. Several other post-Soviet neighboring states were also invited to join the club. 1. The Ukraine; 2. Tajikistan; 3. Kyrgyzstan; F. It is noteworthy of saying that pre-existing Customs Union trade relations and economic ties cannot be described as dynamic ones. 1. statistical numbers; G. An interesting observation is that â€Å"with few exceptions, all the countries bordering the Western fringes of the former Soviet Union have intensified their trade relations with the European Union as well as with China, whose importance in Central Asian trade has been growing. . statistical data; H. Official Astana firmly defended its position on the Customs Union accession, and denied any political motivations behind the membership of the alliance with Russia and Belarus. 1. a unified customs territory would make Kazakhstan even more attractive for foreign investors; 2. geopolitical position, as the largest land-locked country; 3. access to global markets; 4. expand trade with Russia and China; 5. diversity of economy through technological and service advances; I. Belarusian position toward the Customs Union brought many obstacles. 1. â€Å"arm-twisting† politics of the Kremlin; 2. Russian pressure;J. At first it seemed that Russia benefited from creation of the Customs Union more than others, as it has the largest market and biggest production industries. 1. diversification of opinions; K. What does the World Trade Organization is? 1. a network of agreements; 2. a single system, which regulates trade relations of members; 3. advantages and requirements; L. The decision to create the Customs Union between three states could signal willingness to engage in dee per cooperation and integration, and thus, the WTO accession provides access to more states willing to cooperate and a platform for finding new â€Å"friends†. . advantages and disadvantages of being a member of WTO; M. Russia was the only Security Council and G8 member not on the WTO, thus its accession was a requirement to be fully admitted as one of the superpowers. 1. further policy of Russia toward Kazakhstan and Belarus; III. Conclusion Creation of the Customs Union between Russia, Belarus and Kazakhstan caused a lot of debates about why these countries are forming the union, what are the benefits that they get and why exactly these states?First of all, I would like to define the meaning of â€Å"Customs Union†. According to Business Dictionary â€Å"Customs Union is an agreement  between two or more (usually neighboring)  countries to remove  trade barriers, and reduce or eliminate  customs duty on  mutual trade. A customs union (unlike a  free trad e area) generally imposes a  common external-tariff (CTF) on  imports from non-member countries and (unlike a  common market) generally does not allow  free  movement of  capital and  labor among member countries† (Business Dictionary. com, n. d. ).In part, debates were around preference of regional over multilateral trade, as for many years Russia, Belarus and Kazakhstan aspired to join the World Trade Organization (WTO); therefore, creation of the Customs Union was at first seen as an alternative to the WTO accession. However, just after the ratification of the Customs Union charter and all relevant agreements, Russia joins WTO club and leaves the rest to wonder what is going to happen to the Customs Union. The Customs Union for Russia, Kazakhstan, and Belarus is a purposeful union, which serves to meet several aims.In the light of common aspiration to the WTO accession, it is worth of examining why preference of states was given to multilateral over preferenti al trade. In particular what pre-conditions existed prior to the Customs Union creation that inspired Russia, Belarus and Kazakhstan to create the Union and what benefits it provided that three states could not obtain by joining the WTO only? The idea of the multilateral cooperation and creation of a common economic space, elimination of borders and regional integration is not new in the post-Soviet space.Adelaja (2012) asserts that a number of political scientists and former Soviet Republics believe in so called â€Å"Putinomics† – an attempt of Putin to bring back Soviet Union and Russian supremacy (p. 1). It is difficult to label the Customs Union creation an attempt to bring back the Soviet Union and expansion of the Russian authority over the territory of the former Soviet states. However, the countries are clearly bound by the common past that unlike others (Ukraine, Turkmenistan) makes Kazakhstan and Belarus seek for cooperation with Russia. According to Eurasia n Union (n. d. , another regional cooperation the idea of â€Å"Eurasian Union† belongs to Nursultan Nazarbaev, the idea is to create a union similar to ASEAN (p. 3). After collapse of the Soviet Union, states tend to isolate themselves from their post-Soviet neighbors and especially from Russia. In part, it happens due to unwillingness to cooperate with possibly depending neighbors and also due to the aspiration to get rid of rudiments of the Soviet centralized economy that intentionally established mutual dependence of the Union states. Thus, existing regional organizations are not effective in terms of policy implementation.CIS and EurAsEC could become a platform for negotiations and decision making over regional integration. However, states are reluctant to give up their sovereignty and create supranational body authorized to decide on behalf of its member states. Instead, states were defining their foreign policies depending on national interest and regional integration was not one of them. Thus, Customs Union between Russia, Belarus and Kazakhstan could become first real and effectively operating regional cooperation body, where states would indeed execute provisions of signed agreements and declarations.In theory, customs unions are created to eliminate the trade barriers and decrease customs obligations between several states. It requires confidence in partners and share of responsibilities. Initially, the Customs Union was created and signed by Kazakhstan and Russia. Belarus was negotiating its interests with Russia and postponed ratification of the agreement until July 2011. To illustrate the advantages of the union, official media was speculating with huge market that the Customs Union opens for three states. The union has a population of 167 million, a total GDP of USD 2 trillion and goods turnover of USD 900 billion. The aim of the Customs Union is to create a single economic region and eliminate the state borders and to facilitate the free dom of movement† (Krotov, 2010, p. 1). According to Prajakti and Varadzhakov (2012), further to demonstrate that the Customs Union brings advantages not only to Russia, official media reported Kazakhstan agriculture and steel sectors will benefit from newly introduced import duties for non-Customs Union member states (p. ). In addition, Kazakh and Belarus obtained access to Russian labor market. In general, the Customs Union agreements should have improved quality of goods, increase competition and help diversify economies of three states. There are many different assumptions why Customs Union was created. Some see hidden agenda and conspiracy behind creation of the union. Opponents of the Customs Union claim that it only benefits Russia and establishes its supremacy over the territory of the former Soviet states.Zlatkin (2012) comments that opponents also interpret Belarus unwillingness to join the union as a rebellion against Russia, and say that in the end Belarus was force d to join the union. Russia, Kazakhstan, Belarus (2012) Russian supporters say that the creation of the Customs Union was a strategic step in the WTO accession, as it was obvious that Russia will become a member first and then it will promote its partners in the WTO accession (p. 1). In the end, they add that Russia needs reliable partners and friends in the WTO and promotion of Kazakhstan and Belarus interests still benefits Russia.Russia, Belarus, Kazakh (2012) claim that the Customs Union was created to reduce Chinese influence and prevent massive imports of Chinese goods (p. 1). Other reasons are less sophisticated and mostly indicate economic benefits that three states obtain from participation in the union. â€Å"Eurasian Development Bank study released, that the effects of economic integration of 2011 – 2030 will reach 14% of gross domestic product of Belarus, 3. 5% in Kazakhstan, and Russia (2%)† (Russia, Belarus, Kazakh, 2012, p. ). The Customs Union was also said to be beneficial for entrepreneurs and domestic production enterprises, as they got greater market access, fair competition and effective legal protection against corrupt schemes and fraud mechanisms. Decreased trade barriers should have contributed to the free movement of goods and services between three countries, and improved quality of products. Russia, Belarus, Kazakh (2012) states that in total, Customs Union opened access to about 170 million consumers (p. ). Several other post-Soviet neighboring states were also invited to join the club. In particular they were Tajikistan, Ukraine, and Kyrgyzstan. None of three Central Asian countries have fully considered and started the Customs Union accession negotiations. Ukraine was assessing and comparing its benefits from the Customs Union versus WTO accession, as well as waiting for the decision on Deep and Comprehensive Free Trade Agreement (DCFTA) with the European Union.Adilaja (2012) asserts that in a while, official Kiev pr eferred to abandon its plans on the Customs Union accession negotiations, saying that this will destroy its ongoing negotiations with the European Union. According to Russia’s Inevitable (2012) asserts that for Tajikistan and Kyrgyzstan, membership in the Custom Union would have brought access to the labor market and increase cooperation in the field of the energy resources supply with Russia and Kazakhstan (p. 2).Although, Kyrgyzstan is currently a member of the WTO, its historical ties and economic dependency on Russian energy resources contributed to its willingness to join another union with Russia. It is noteworthy of saying that pre-existing Customs Union trade relations and economic ties cannot be described as dynamic ones. â€Å"European Union Institute for Security Studies describes trade relations between Customs Union member states prior to the Customs Union creation. In particular, share of intra-CU trade to the total amount of trade of CU-member states within th ree years prior to CU creation.Thus, 48. 1% of Belarusian the total amount of trade in 2008 accounts for Russia and Kazakhstan. While only 7. 3% of Russian trade turnover in 2008 accounts for Belarus and Kazakhstan. And 18. 8% of the total volume of Kazakhstan trade turnover accounted for Russia and Belarus in the same period. 2009 indicators did not change significantly, but in 2010, the year of establishment of the Customs Union, the share of intra-customs union trade of Russia dropped† (Zagorski, 2012, p. 5).An interesting observation is that â€Å"with few exceptions, all the countries bordering the Western fringes of the former Soviet Union have intensified their trade relations with the European Union as well as with China, whose importance in Central Asian trade has been growing. There is a trend that between 41 and 45% of Russian exports to former Soviet states are currently comprised of energy resources, while 39 percent of its imports consist of machines and equipme nt† (Adelaja, 2012, p. ). These facts makes many experts doubt trade relations of the Customs Union states; while others suggest that the Customs Union could become a fundamental change in relations between former Soviet states and that become a push to growth in trade. The figures mentioned above, as well as the fact that post-Soviet states were reluctant to form another union, made the decision to establish the Customs Union look spontaneous and unjustified.However, throughout the whole process of negotiations and ratification of the Customs Union policies and implementation of the necessary procedures, official governments were justifying their decision to create a union and finding new benefits of the participation in the regional cooperation between three states. Although not all of them played in a concert, all three were citing economic benefits that countries obtain from the participation in the regional union. Official Astana firmly defended its position on the Custom s Union accession, and denied any political motivations behind the membership of the alliance with Russia and Belarus.Kazakhstan officials were speculating that â€Å"a unified customs territory would make Kazakhstan even more attractive for foreign investors who have considered Kazakhstan as one of the most attractive markets in our part of the world† (Accession to the WTO, n. d. , p. 1). Kazakhstan also speculated over its geopolitical position, as the largest land-locked country and the state with the most number of transit routes that will ensure large income from transit tariffs.For Kazakhstan the membership in the Customs Union will increase access to global markets, expand trade with Russia and China, and diversity of economy through technological and service advances. Belarusian position toward the Customs Union brought many obstacles. Belarusian President Alexander Lukashenko has openly complained about the â€Å"arm-twisting† politics of the Kremlin, saying t hat his country had been under pressure to cede control of some of its juiciest companies like Belarusian potassium company (Belkali) and Belarus’ state-run Minsk Automobile Plant (MAZ) unless the country joined the union. â€Å"Given the importance of ‘champion enterprises’ such as MAZ and Belkali for Belarus or Gazprom for Russia, it is still unclear how the states can agree on regulating these enterprises with supranational institutions, especially when they are governed not by economic, but by political logic,† said George Plaschinsky, an associate analyst at the Center for European Transformation in Minsk. â€Å"Previously the Russian authorities had an experience of imposing different decisions on gas and oil companies in order to achieve some political aims and assert them as the ‘energy superpower. † (Russia’s Customs Union, 2012, p. 2). At first it seemed that Russia benefited from creation of the Customs Union more than others , as it has the largest market and biggest production industries. Experts suggested that some competition from Kazakh and Belarusian producers will be beneficial, but not risky for Russian producers and entrepreneurs. In addition, it will create positive conditions for transition from Soviet centralized to market economy. Russia would also benefit from the labor market of its neighbors, as Russia’s own demographic situation is worse than in Kazakhstan and its population is aging.It is also working on North and South stream gas pipelines to bypass such transit countries, such as Ukraine. Thus, a union with some of its neighbors would ensure protection of Russia’s interests and concessional conditions for pipelines placement. In addition to traditional argument on competition for the regional dominance in the Central Asia, a union would solve some tensions between Russia and neighboring states regarding debt payment for gas supply, political influence and alliances creat ion.However, some experts were more skeptical. â€Å"Some businesses are likely to move to the neighboring states, like Kazakhstan, where the investment climate is more favorable,† said Alexei Devyatov, the chief economist at Ural Sib Capital (Adelaja, 2012, p. 2). Russia might also lose from the opening of it market to the labor from Kazakhstan and Belarus, as Russia also has a huge population of unskilled and unqualified population hat will be left out from participation in the marked taken over by foreign nationals.Considering positions of the Customs Union member states expressed above, it is crucial to consider what regulations or conditions influenced Russia, Belarus and Kazakhstan in their decision to access WTO. What does the World Trade Organization is? The WTO is a network of agreements. It unites states around the world into a single system and regulates their trade relations. The WTO member states may chose the degree if integration, but should aspire to opening o f deeper and wider access to domestic markets. The WTO member states are allowed to create the regional agreements and unions within the organization.General goal of the organization is free trade and liberalization of the economies. As it was mentioned above, the Customs Union between Russia, Belarus and Kazakhstan was also created to facilitate liberalization and decrease trade barriers without fully abolishing tariffs. The WTO does not require elimination of borders, unlike the customs union that stipulates common border and single economic space. Thus, the Customs Union requires deeper integration of its member states than primary WTO accession documents.The decision to create the Customs Union between three states could signal willingness to engage in deeper cooperation and integration, and thus, the WTO accession provides access to more states willing to cooperate and a platform for finding new â€Å"friends†. Creation of the Customs union with outside WTO partners can also be a sign that the state relies on partners who do not necessarily share the idea of free trade on global level. Interestingly, with the creation of the Customs Union, Russia, Kazakhstan and Belarus enhanced WTO accession process.In this case, the creation of the trade liberalization institution could be an illustration of states’ readiness to access the WTO and negotiate conditions. The main reason of the WTO accession for many states is said to be a wide access to foreign markets and integration into a global club of â€Å"advanced† nations. Some of the advantages are improved competition that ensures supply of qualified products, attraction of more foreign investors to the country, securing their interests and protection by legislation common in the WTO space, as well as lowering the costs of running business. According to General benefits from WTO (n. d. , however, there are also some disadvantages of being a WTO member, such as limited abilities to protect in fant industries, inability to compete with advanced economies, prohibition of governmental subsidies and elimination of fixed currency rates (p. 1). Economies of state applicants for the WTO accession should be ready for a drastic change and shock therapies. Even with the transitional period, the changes brought by the WTO accession and commitments made by states are significant. Russia was the only Security Council and G8 member not on the WTO, thus its accession was a requirement to be fully admitted as one of the superpowers.Putin and other Russian governmental officials assured other Customs Union member states that with the accession of Russia to the WTO, it is still going to preserve the Customs Union and keep close relations with Belarus and Kazakhstan. Furthermore, Russia has promised promotion of two countries in their accession to the WTO. Experts believe that Russia will not abandon its partners, as it is still interested in integration of the post-Soviet states, and will not give up on the struggle for domination in the region.Therefore, even after the WTO accession it is not efficient for Russia to exclude Kazakhstan and Belarus from its foreign policy. In case Kazakhstan is left outside of the WTO, it will become a reliable partner of Russia outside of the organization. While Belarus can be more reluctant in implementation of the agreement reached before the WTO accession. Thus, Russia will probably use more force to get Belarus remain in the union. Since Russia dominates in the union, in case all member states access the WTO, Russia will be established as a single power in the region that decides on economic and political processes.Other states will be bound by obligations under the agreements, and since their accession comes after Russia, it is most likely that they will negotiate similar if not the same tariffs as Russia did. Considering unequal political positions of the Customs Union member states, and economic ties prior to the creation of the Union that did not directly contributed to the establishment of the union, it can be assumed that the Customs Union was created as a demonstration of the commitment to the trade liberalization and aspiration to be a part of the globalized world.It is also important to mention that it is a Russian-led union and neither economies of its partner states or their political leadership are sufficiently competitive to challenge Russian industries, market and politics. Russia played very important role in the promotion of the idea of the union, and the Customs Union could become the first effectively working regional integration mechanism on the post-Soviet space. However, since Russia aspired to join the WTO, Customs Union member states have to catch up and also join the club, although they might be less interested in it than Russia.Bibliography Adelaja, T. (2012). Putinomics Abroad. Russia Profile, Section: Politics. Retrieved November 16, 2012 http://russiaprofile. org/politics/57118/ print_edition/ Krotov, I. (2010). Customs Union between the Republic of Belarus, the Republic of Kazakhstan and the Russian Federation within the framework of the Eurasian Economic Community. World Customs Journal, 5 (2). Retrieved November 16, 2012, from http://www. worldcustomsjournal. org/media/wcj/-2011/2/Krotov. pdf Prajakti, K. , & Varadzhakov, S. (2012).The Customs Union between Russia, Kazakhstan and Belarus: First Steps Towards the Rivaval of the Silk Road, Academia, 894. Retrieved November 18, 2012, from http://cambridge-centralasia. academia. edu/PrajaktiKalra/Papers/472081/The_Customs_Union_between_Russia_Kazakhstan_and_Belarus_First_Steps_towards_the_Revival_of_the_Silk_Road Zagorski, A. (2012). Russia's neighbourhood policy. European Union Institute for Security Studies. Retrieved November 16, 2012, from http://www. iss. europa. eu/publications/detail/article/russias-neighbourhood-policy/Zlatkin, I. (2012). A Sovereign Surge, Not a Soviet Resurgence: The Mutualism of E urasian Reintegration. SRAS, The Journal of Russia and Asian Studies. Retrieved November 17, 2012, from http://www. sras. org/a_sovereign_surge_not_a_soviet_resurgence_the_mutualism_of_eurasian_reintegration IXGV, Financial News, â€Å"Russia, Belarus, Kazakh customs union will benefit enterprises in Asia†. (2012). p. 1. Retrieved November 17, 2012, from http://www. ixgw. com/2012/05/russia-belarus-kazakh-customs-union-will-benefit-enterprises-in-asia/Astana Economic Forum, News, â€Å"Nursultan Nazarbayev  «Eurasian Union: from idea to the history of the future »Ã¢â‚¬ , (n. d. ), pp. 1 – 10. Retrieved November 16, 2012, from http://aef. kz/upload/news/statya%20Nazarbayeva. pdf Belarus Digest, Economy, â€Å"WTO v. Customs Union: Russia Decides†. (n. d. ). Retrieved November 17, 2012, from http://belarusdigest. com/story/wto-v-customs-union-russia-decides-7434 Business Dictionary. com. (n. d. ). Retrieved November 16, 2012, from http://www. businessdiction ary. com/definition/customs-union. htmlEmbassy of the Republic of Kazakhstan, Discover Kazakhstan, Economy, â€Å"Accession to the WTO†, (n. d. ). Retrieved November 18, 2012, from http://www. kazakhembus. com/page/wto-accession The Fish Site, News and Analysis, â€Å"Russia, Kazakhstan, Belarus Keep Customs Union†, (2012). p. 1. Retrieved November 18, 2012, from http://www. thefishsite. com/fishnews/17679/russia-kazakhstan-belarus-keep-customs-union U. S. A. Poultry and Eggs Export Council, News, Analysis, â€Å"Russia's Inevitable Customs Union in Central Asia†. (2012). pp. 1 – 3. Retrieved November 17, 2012, from http://www. usapeec. kz/en/news/10204/

Discourses of management

Discourses of management Types of international strategies Operating in diverse geographical markets is one of the major challenges faced by most organisations today. Traditional multinational entities are increasingly considering venturing into emerging economies. Similarly, small and medium sized enterprises are appreciating the need to develop international relationships in order to increase their profitability.Advertising We will write a custom essay sample on Discourses of management specifically for you for only $16.05 $11/page Learn More In order to develop their competitive advantage, both large and small enterprises have to make decisions regarding various issues such as collaboration, competition, and outsourcing from the international market. Consequently, there is a need to formulate and implement international strategy effectively. International strategy is very broad in scope; therefore, firms have wide range strategic choices to select from in the attempt to come up w ith the most appropriate strategy. However, it is fundamental for firms to take into account four main themes, which include internationalisation drivers, geographical advantages, modes of entry, and market selection (Johnson et al. 2011). There are four main approaches that organisations can take into account in their internationalisation efforts. Some of these core strategies include global strategy, multi-domestic, complex export, and simple export. Simple export With regard to simple export, firms undertake the production process in a particular country, and more specifically their domestic country but market the product into the international market through loosely coordinated channels such as using independent sales agents. The majority of the marketing activities such as product pricing, packaging, formulation of branding policies, and decision on distribution channels are made in the domestic market. Decision to adopt simple exportation strategy should be made if an organisa tion has a strong locational advantage in the international market. Alternatively, such a strategy may also be adapted if an organisation does not have sufficient managerial resources and capabilities to undertake effective marketing in the international market.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Multi-domestic strategy Firms may adopt a multi-domestic strategy, which entails undertaking product development and production processes in the respective foreign country that a firm has ventured. In a bid to penetrate the foreign market effectively, multi-domestic strategy provides the management team of every team with the autonomy of operation. Thus, subsidiary firms can localise their production processes effectively in order to enhance the competitiveness of their products in the host country (Johnson et al. 2011). Complex export Unlike the simple export strategy, the c omplex export strategy entails designing and implementing more coordinated marketing activities. Marketing activities such as research and development, manufacturing, branding and pricing are more systematic and coordinated. However, one of the major challenges of adopting complex exportation strategies is that the coordination process is demanding. The complex exportation strategy is mostly common amongst firms in emerging economies that intend to develop a strong network and brand in the international market in order to attain organisational maturity. Global strategy This strategy is considered as the most established internationalisation strategy that a firm can adopt. For a firm to adopt this strategy, it is imperative for the management team to ensure that its activities are globally dispersed. In the process of implementing the global strategy, it is imperative for a firm to select the most optimal location of operation, which is attainable by evaluating the locational advanta ge of each location. By implementing the global strategy, firms intend to benefit from developing a high economies and operational scale (Jabri 2012). One of the unique aspects of global strategy is that the firm’s operation is heavily centralised. Direction and control of the firm mainly originate from the headquarters.Advertising We will write a custom essay sample on Discourses of management specifically for you for only $16.05 $11/page Learn More In their internationalisation efforts, firm’s management teams may decide to oscillate within the four main strategies. The strategic choices made will be subject to the aforementioned internationalisation drivers. However, one of the major strategies associated with using multi-strategy is the high cost of implementing the necessary strategies. Additionally, adopting multi-strategy would result in poor control. Therefore, the author reinforces the importance of effective selection and implementat ion of the various strategic choices. Factors to consider when ranking markets for entry The attractiveness of a particular market can be assessed by evaluating a number of aspects. For example, firms intending to venture into the international market may evaluate the prevailing macro-economic environment by analysing the economic, political, social-cultural, technological, and legal environments. The decision to enter a particular country consequently hinges on the relative attractiveness of the identified country. However, the attractiveness of a particular country compared with others is not sufficient. Entrepreneurs should assess the country’s compatibility with the firm’s operation. A match between the firm and country should be established for firms originating from a particular country may be mismatched compared to others; therefore, it is of utmost importance for firms to assess the degree of closeness of match. In the process of ranking markets for entry, it i s imperative for the involved parties to take into account a number of aspects. Some of the elements that should be integrated include the prevailing cultural distance, political and administrative distance, geographical, and economic distance. However, investors mainly ignore these aspects. Cultural distance Different countries are characterised by unique cultural dimensions, which are established based on various issues such as social norms, ethnicity, language, and religion.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The prevailing cultural dimension does not only affect the extent to which the firm’s products are compatible to customers, but also affects the nature of managerial behaviour that should be developed. It is essential for internationalising firms to conduct a comprehensive cross-cultural comparison. Administrative and political distance This distance emanates from incompatible political, legal, and administrative traditions. The existence of colonial ties may result in such difference being diminished, hence leading to the development of a strong understanding of the other party. Additionally, the political environment may enhance elimination of political distances for example by opening up a country to foreign investors. Geographical distance When assessing the foreign market to enter, it is important for a firm to evaluate the geographical distance, which is attainable by evaluating the target country’s size and quality of infrastructure. The prevailing physical dist ance between countries limits a country’s attractiveness to foreign investors. Economic distance On the other hand, economic distance takes into account the difference in poverty levels across countries. In most cases, multinational companies prefer venturing into markets characterised by relatively high living standards. However, such a decision makes them to lose an enormous opportunity presented in such countries. In their internationalisation strategy, it is imperative for multinational companies to consider the possibility of developing new capabilities that will aid them in exploiting the huge market in the less developed countries. Assessing the competitor retaliation threats The attractiveness of a particular country can also be assessed based on its intensity of competition. One of the models that firms should consider using is the Michael Porter’s five forces. Effective implementation of this framework can assist firms to understand the intensity of competiti on between countries. This knowledge is critical in designing and deciding on the entry criteria to be used coupled with coming up with competitive advantage over the different competitors. In addition to market attractiveness, other criterions that might be used in determining the country to venture into relate to the competitor retaliation such as the defenders reactiveness and the defender’s influence. The defender’s retaliation may be influenced by the degree to which the competitor perceives the market to be attractive. It may also be subject to the extent to which the competitor has integrated a global strategy relatively to a multi-domestic strategy. A competitor firm is more likely to be reactive if it has developed sufficient managerial capabilities to enable the firm coordinate its activities (Jabri 2012). On the other hand, the defender’s influence entails the power that the competitor can gather in order to counter the new market entrant. The competi tor may derive such power from various sources such as connections to local players and the government. Assessing the degree of market attractiveness and competitor retaliation forms a strong basis upon which a firm can make decisions regarding market entry (Johnson et al. 2011). Taking into account that the competitor’s move is critical in evaluating and ranking potential investment destinations, a firm can implement aggressive expansion strategies effectively. The analysis has shown that mere consideration of market attractiveness based on cultural distance, political, administrative, geographic, and economic distance cannot be sufficient in ranking the market to venture. However, evaluating the competitors’ retaliation threats can significantly influence the decision to enter a particular market. By taking into account the above factors, the probability of a firm succeeding in the international market increases significantly. Reference List Jabri, M 2012, Managing O rganizational Change: Process, social construction and  dialogue, Palgrave Macmillan, Hampshire. Johnson, G, Whittington, R Scholes, K 2011, Exploring Strategy: Text Cases, 9th edn, Prentice Hall, Upper Saddle River.

Code Name Jane - Abortion Counseling Service 1969-1973

Code Name Jane - Abortion Counseling Service 1969-1973 Jane was the code name of a feminist abortion referral and counseling service in Chicago from 1969 to 1973. The official name of the group was the Abortion Counseling Service of Womens Liberation. Jane disbanded after the Supreme Courts Roe v. Wade decision legalized most first and second trimester abortions in the United States. Historical Context Prior to the  Roe v. Wade  decision, abortion was illegal nearly everywhere in the United States, although women had been terminating unwanted or dangerous pregnancies for centuries.  Thousands of women had died from illegal, back-alley abortions in the United States and around the world before the procedure was legalized. For women wishing or needing to end a pregnancy, options were scarce and gruesome: sketchy doctors in unsanitary conditions, risking being caught in a sting, or physical or chemical DIY abortifacients. Underground Abortion Service The leaders of Jane were part of the Chicago Womens Liberation Union (CWLU). Women who called seeking help spoke to a contact code named Jane, who referred the caller to an abortion provider. Like the Underground Railroad of the previous century, the activists of Jane broke the law in order to save womens lives.  Jane helped an estimated 10,000 to 12,000 women obtain abortions without fatalities. The group began in 1969 in Chicago, advertising with simple ads in alternative and student newspapers. At first, the Jane activists tried to find reliable doctors and arranged for callers to meet the abortionists in secret locations. A caller would leave a message on the networks answering machine, and a Jane would call her back, collect the necessary information, and pass it along to a Big Jane who handled the logistical aspects. The patients would first be taken to one place for counseling before being secretly led to a facility for the procedure itself. Eventually, some Jane women learned to perform abortions themselves. Since many of the male doctors who performed illegal abortions charged astronomical prices, the Janes learned medical skills and would charge as little as 10% or even less of a male doctors fee. As detailed in the book The Story of Jane: The Legendary Underground Feminist Abortion Service by Laura Kaplan (New York: Pantheon Books, 1995), one of Janes goals was to give women a sense of control and knowledge in a situation that otherwise made them powerless. Jane sought to work with the women, not do something to them. Jane also tried to protect women, who were often in difficult financial circumstances, from being exploited by abortionists who could and would charge any price they could get from a woman who was desperate for an abortion. Counseling and Medical Procedures The women of Jane learned the basics of performing abortions. They also induced miscarriages for certain pregnancies and brought in midwives who could assist the induced women. If women went to a hospital emergency room after inducing a miscarriage, they risked being turned over to the police. In 1972, the worst did happen. Chicago police raided one of the apartments used as a base of operations for the Janes. Seven women were arrested and charged for their roles in facilitating the illegal abortion procedures. Even then, the Janes worked to protect the identities and safety of the women who had trusted them. While in the police van itself, the arrested women ripped up the cards with their patients identifying information and swallowed the bits of paper that contained the most crucial details.   Jane also provided counseling, health information and sex education. Following the  Roe  decision, the network disbanded, as its services were no longer needed. In the 21st century, however, as local governments have chipped away at access to abortion services, similar networks of women helping women have popped up across the country, this time with access to modern medicine. The Women Jane Helped According to Jane by Laura Kaplan, the women who sought abortion help from Jane included: Women who could not care for a childWomen who became pregnant even though they used contraceptionWomen whose male partners forbade them to use contraceptionWomen who thought they were no longer fertileGirls who did not (yet) understand how reproductive biology works Women who came to Jane were of various classes, ages, races and ethnicities. The feminist activists of Jane said they had helped females from age 11 through age 50. Other Groups Nationwide There were other small abortion referral groups in cities across the United States. Womens groups and clergy were among those who created compassionate networks to help women find safe, legal access to abortion. The story of Jane is also told in a 1996 documentary film called Jane: An Abortion Service. Sources: Haberman, Clyde. Code Name Jane: The Women Behind A Covert Abortion Network.  The New York Times  14 Oct. 2018,  https://www.nytimes.com/2018/10/14/us/illegal-abortion-janes.html. Kaplan, Laura.  The  Story of Jane: The Legendary Underground Feminist Abortion Service.  New York: Pantheon Books, 1995.

Full Analysis of ACT Grammar Rules Which Are Most Important

Full Analysis of ACT Grammar Rules Which Are Most Important SAT / ACT Prep Online Guides and Tips When you are planning your study approach for ACT English, it’s important to know where your time is best spent. Which grammar rules are really the most important to learn? What can help you make the greatest improvement to your score? What kind of questions are on ACT English? ACT English is a passage based test. There are 5 multi-paragraph passages and 75 questions to go with them. The makers of the ACT break the test down into two main sections: Usage and Mechanics questions and Rhetorical Skills. Usage and Mechanics covers questions about punctuation (including internal and end of sentence punctuation and avoiding ambiguity), grammar and usage (including subject-verb agreement, pronoun-antecedent agreement, verb formation, pronoun case, comparative and superlative adjectives and adverbs, and idiomatic use), and sentence structure (including modifier placement and relationships between clauses). In the past, these questions have made up about 53% of the questions on the test. The second main category is Rhetorical Skills. These questions will ask about strategy (including understanding when to add or delete information and how to best revise writing for a certain audience), organization (including choosing effective openings, transitions, and conclusions), and style (including choosing correct words, tone, style, and avoiding wordiness). Also grouped with Rhetorical Skills are questions that ask about the author’s goal. These questions test your ability to recognize main ideas and understand what the passage is about, and understanding the scope of the passage. These questions usually compose about 47% of the questions on the test. Since the most recent updates to theACT, the test makers are not sticking as strictly to these percentages, butthey are still good guidelines. What concepts are tested? And why should you care? Almost as predictable as the question types are the grammar and style rules that ACT English will test you on. ACT English heavily favors a few main grammar and style rules, and lightly touches on a multitude of others. Why should this matter to you? This means that especially if you are aiming for a mid-range score, you should focus your studying on the main grammar and style rules that are covered. But if you are aiming for a high score, you should make sure you know all the concepts listed here. Since ACT English has so many questions, even concepts that appear a low percentage of the time will almost definitely be featuredand could affect your score. How did I find this out? I analyzed over 500 ACT English questions from seven official ACT tests that have been given in the past and wrote down the grammar and style concepts tested in each. Usually, it was easy to find the answer to a question just by knowing one style or grammar rule. But a couple of questions required knowledge of more than one rule. For these questions, I counted them for both concepts. And the winners are†¦ Usage and Mechanics For usage and mechanics questions, the overwhelming winner of the frequency test is correctly forming and joining sentences at 20.5% of the grammar questions. This covers all the concepts involved in understanding what a correct sentence is, including bothfragments and run-ons. This topic also covers correct use of semicolons in joining sentences. Not far behind in second place are questions dealing with correct uses of commas, dashes, and colons. These questions make up 17.7% of the grammar questions. Following in third and fourth places are correctly used non-essential clauses and relative pronouns with 10.2% of the questions, and correct verb tense and form, with 9.6% of the grammar questions. This topic involves, among other things, knowing what tense is necessary, and forming the tenses correctly. So, if you master these four concepts, you will have all the information you need to answer almost 60% of the grammar questions on ACT English. Here is the full breakdown This is my analysis of the most commonly-tested grammar concepts on ACT English, along with brief explanations of what each grammar rule means. #1: Correct Sentence Formation: 20.5% Recognizing fragments Recognizing run-ons, including comma splices Joining sentences correctly Incorrectly used semicolons #2: Use of commas, dashes, and colons: 17.7% No comma between subject and verb No comma before or after preposition When to use commas to separate adjectives No comma between adjective and noun Commas used after introductory words No commas between compound subjects or compound objects No commas around emphatic pronouns Colons used for a list or explanation Dashes used with non-essential clauses, as intro for a list, and with a deliberate pause #3: Correctly formed non-essential clauses andrelative pronouns: 10.2% Non-essential clause must be surrounded by commas Correct use of which vs. that; who vs. which; who vs. whom #4: Verb tense and form: 9.6% Correct and consistent tense usage When to use past tense instead of past participle Past participle needs a helping verb Incorrectly formed past participle Will vs. would When to use gerund and when to use infinitive #5: Misplaced and dangling modifiers and word placement: 9.2% Descriptive phrases must be next to the word they describe. Would a word make more sense elsewhere in the sentence? #6: Apostrophe use: 7.5% Correct formation of plural nouns Correct formation of possessive form of nouns Common contractions and their meanings (such as â€Å"it’s†) #6: Pronoun Use: 7.5% Consistent use of pronouns Pronoun-antecedent agreement (including singular or plural pronouns) Pronoun case Present and clear antecedents #8. Idioms: 5.1% Idiomatic use of prepositions #9: Parallel Structure and Word Pairs: 4.1% Use of matching prepositions Items in a list match Such as neither†¦nor, either†¦or, not only†¦but also, from†¦to, as†¦as #10: Subject-Verb Agreement: 3.8% Singular subjects need singular verbs; plural subjects need plural verbs Subject – non-essential clause – verb construction Subject – prepositional phrase – verb construction Verb before subject #: Adjectives vs. Adverbs: 2.4% Adjectives are used to describe nouns Adverbs are used to describe adjectives, adverbs, and verbs Correct use of the comparative and superlative forms #: Comparison words: 2.4% Correct use of comparison words such as more/less than, less vs. fewer, much vs. many, and that of/those of Rhetorical Strategy These questions are based on making the passages more smooth and logical to read. As in the grammar section, the ACT heavily favors some rules over others. The big winners for Rhetorical Strategy are†¦ Logical transitions. Unsurprisingly, in a section all about making passages more logical, transitions reign supreme. Over 18% of the questions will test your ability to create logical bridges within and between sentences and paragraphs. In second place is adding information with 16.7%. These questions test your ability to see if new information is relevant to the paragraph in question, and also ask students to explain how the paragraphs are changed by the addition of new information. And tied in third with 15.5% each are conciseness and replacing and re-wording information. Similar to the concepts above, replacing information questions ask student to tell if information is relevant to the paragraph in question, and if not, to replace it with different information. Conciseness questions test students’ abilities to see when the author has been unnecessarily wordy. Repetitive words, circular talking, and the passive voice are all put to the test in these questions! Let’s break it down completely #1. Logical Transitions: 18.4% Includes transitions within sentences, between sentences, and between paragraphs Transition words make logical sense for context #2. Adding Information: 16.7% Determining if new information is relevant to paragraph Understanding why new information is relevant #3. Re-wording or Replacing Information: 15.5% Replacing a word or phrase to add a certain emphasis to the passage Replacing irrelevant information with relevant information #3. Conciseness: 15.5% No using repetitive words to describe something General wordiness No passive voice when active voice is also correct and shorter #5. Deleting Information: .7% Is information irrelevant? If so, delete it. What information would be lost if sentence were deleted? #6. Diction: 8.4% Commonly confused words, such as then/than, have/of #7. Sentence Order/Placement and Paragraph Organization: 6.7% Does the placement of a sentence make sense in context? Does one sentence/paragraph logically follow from the last? Does a new paragraph start with a shift in topic? #8. Writer’s Goal: 5.4% Recognizing main ideas in the passage Recognizing specific and general passages #9. Formality: 1.5% Is the phrasing of an answer too casual or formal to match the rest of the sentence? So What Would a Perfect Test Look Like? If you took the ACT English and it broke down exactly according to these statistics, here is what you would expect to see: 8 questions on Forming Correct Sentences 7 questions on Commas, Dashes, and Colons 7 questions on Logical Transitions 6 questions on Adding Information 5 questions on Replacing or Re-wording Information 5 questions on Conciseness 4 questions on Verb Tense and Form 4 questions on Deleting Information 4 questions on Non-essential Clauses and Relative Pronouns 4 questions on Dangling and Misplaced Modifiers and Word Placement 3 questions on Diction 3 questions on Apostrophe Use 3 questions on Pronouns 2 questions on Idioms 2 questions on Parallel Structure and Word Pairs 2 questions on Sentence Order/Paragraph Organization 2 questions on Author Goal/Intent 1 question on Subject-Verb Agreement 1 question on Adjectives vs. Adverbs 1 question on Comparison Words 1 question on Formality †¦.for a total of 75 questions. Of course, it’s unlikely that any test will exactly follow these statistics, so don’t be surprised if you see a few extra (or fewer) questions of a certain type! How Should You Use This Information? Now that you know exactly what you can expect to find on ACT English, use this information to guide your studying. Here’s a study plan that will help you make the most of your study time to give you the best chance of improving your score. Take a diagnostic test. To do this, you should take a real ACT English test, because it’s best to work with realistic questions. You can find official ACT tests online, or you can get them from The Real ACT Prep Guide. After taking the test, score it to see how you've done. For every question that you either got incorrect or had to guess on, make a note of why you got it wrong, and what grammar concept it is testing. Compare your list of grammar mistakes with the â€Å"Perfect Test† list above. Which of your mistakes appears highest on the list? Focus your studying on the concept that is highest on the list. You’re likely to see that kind of question the most, and so mastering that grammar concept will give you the chance to improve your score by a few points. When you feel confident that you have mastered the highest concept on the list, move on to the next one. Keep working your way down the list. As you’re taking these steps, you should also consider what your target ACT score is. For example, if you're just looking to boost a mid-range score (around a 20) a bit higher (a 24), you’ll want to focus on the first 10 – 12 grammar concepts. If you can get these concepts down, you’ll have a great chance of hitting your target score, and you won’t need to worry about many of the less-frequently-tested concepts. On the other hand, if you're aiming for a high or perfect score, you should pay attention to every grammar and rhetorical point on the list. Missing even a few points could hurt your chances of getting the score you want. What’s Next? Now you know exactly what is on ACT English. Use the above links to master each topic. Know the concepts, but unsure of how to attack the questions? Read the best way to approach ACT English passages. Before you get studying, read our top 5 secrets to mastering the ACT English. Not sure if ACT English is for you? Read our comparison of ACT English and SAT Writing to see which is the best fit! Want to improve your ACT score by 4 points? Check out our best-in-class online ACT prep program. We guarantee your money back if you don't improve your ACT score by 4 points or more. Our program is entirely online, and it customizes what you study to your strengths and weaknesses. If you liked this English lesson, you'll love our program.Along with more detailed lessons, you'll get thousands ofpractice problems organized by individual skills so you learn most effectively. We'll also give you a step-by-step program to follow so you'll never be confused about what to study next. 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Human Activity and Its Ecological impact Essay Example | Topics and Well Written Essays - 1000 words - 1

Human Activity and Its Ecological impact - Essay Example The increase in human activity in mountainous regions has contributed to the rise in global warming, primarily owing to the adverse environmental impacts caused by the development and construction of ski resorts (Todd and Williams, 1996). The constant rush of tourists, and the overuse of natural resources at popular ski resorts take a toll on the surrounding environment, disturbing the natural habitat in the process (Waldron and Williams, 2002; Wilde 1998). Furthermore, the increasing popularity of ski resorts attracts tourists in hordes, thus leading to an increased pressure on the natural resources by way of increased demand and consumption of water, energy, and other natural resources, thus further raising deep concerns regarding its sustainability in the long run. Ski resorts, rely heavily on energy to lift and pump water to high altitudes, provide drinking water, operate heavy machinery, and fuel vehicles used for transportation. Furthermore, there are concerns regarding soil degradation caused by construction and constant human activities in ski resorts (Ries, 1996); leading to loss of vegetation, soil erosion and may lead to increased chances of floods. Flora and fauna are deeply affected due to activities such as the construction of ski slopes. The surrounding environment and the natural habitat of fauna is disturbed due to increased sound levels and noise pollution caused by tourists (Mountain Wilderness, 2007).

FDA Approval Procedure Assignment Example | Topics and Well Written Essays - 500 words

FDA Approval Procedure - Assignment Example From this paper it is clear that pre-clinical studies must showcase that the medication will not induce chromosomal damage when consumed in potentially effective doses. The results are filed to the FDA together with the IND (Investigational New Drug) application. Apart from the pre-clinical studies report, the IND application contains the information on pharmacologic properties, the proposal for clinical investigations, and clarification of safety measures for prospective volunteers.This essay discusses that after a drug has survived all the trials, an NDA (New Drug Application) is forwarded to the FDA. According to the 1992 Prescription Drug User Fee Act, standard applications are to be reviewed within the 12-month timeframe. Results on priority applications are usually released within six months. Sometimes, FDA may request to provide minor corrections or labeling adjustments. As soon as the product receives the FDA approval, it is allowed for sail. In case of rejection, the FDA pre sents the reasoning together with a list of recommendations. Certain approvals are given under the condition that further research must be conducted shortly after the initial marketing. For instance, the manufacturer may be requested to assess risks in patients with specific illnesses or to examine the long-term effects.  To conclude, drug approval is a lengthy and costly process that is strictly regulated by the FDA.