Sunday, November 17, 2019
Strategically evaluation the airlines based on your choice using the SWOT analysis Essay Example for Free
Strategically evaluation the airlines based on your choice using the SWOT analysis Essay SWOT are meaning of the Strengths, Weaknesses, Opportunities and Threats. First, we discuss the strengths of Cathay Pacific. Cathay Pacific established in 1946, itââ¬â¢s a long history experience base on Hong Kong. It is a large-scale international airline around the world, includes flights to Asia, Europe, Africa and USA. The services that this airline provides are passenger transport and cargo services to 167 destinations in 42 countries and territories around the world. The Cathay Pacific is a strong financial position from Swire Group and its acquisition of Dragon Air is the market leader in Asia. The Airlines is a strong relationship with Air China and China Government are increased shareholding in Air China, it is a majority shareholding in Air Hong Kong with all cargo carrier services. On the other hand, they well-trained labor force of the high quality service, it around 29,800 employees in the world and the superb team is about 22,000 in Hong Kong. Cathay Pacific is adapting in organizational structure. At last, Cathay Pacific development of online service for its business growth, the passenger can book on the website for operating in many routes easily. {1} It have strong Media Centre and awards, for example, Slogan ââ¬Å"Asiaââ¬â¢s world city Hong Kongâ⬠, Worldââ¬â¢s Best Overall Airline, Best first class lounge and most punctual airline between London and Hong Kong. After that, provide the new types A340 of aircrafts for saving energy and efficient operations. Some of the long haul flights are always 100% Full. Second, the weaknesses of the Cathay Pacific are strong labor union and potential strike and negotiations. The environment of Long Haul Equipment, apparently the current A340 and B744 both of them have their weakness, B744 still have a little bit noisy, and A340 have a narrow cabin to affect the comfort. There are low margins and keen price competition. However, it is earning per share under fluctuation and uncertainty. Third, the Opportunities are stable economic growth and increase the needs of traveling in Asia. It development of global travel and tourism industry and air freight and logistics it is because of globalization. There is relaxation of China policy in outbound tour. The expansion of cargo services in new markets (Zhengzhou and Hyderabad). It is planning for a new establishment of {5} Joint Venture business with Shanghaiââ¬â¢s 2 international airports. For the people, they can tend to luxury flight experience and passages know Cathay Pacific is safety. Finally, Threats of the Cathay Pacific is high fuel cost, and it is increasing competition from low cost carriers like the HK Airline and Air Asia. It became the economic fluctuation in Europe and USA. {6} It is potential terrorist attack under unstable world political situation.
Thursday, November 14, 2019
Polygyny benefits Society :: Anthropology
Polygyny benefits Society Polygyny, the social arrangement that permits a man to have more than one wife at the same time, exists in all parts of the world. From our present knowledge, there are very few primitive tribes in which a man is not allowed to enter into more than one union. In fact, ethologists now believe that only one to two percent of all species may be monogamous (Tucker). None of the simian species are strictly monogamous; our closest relatives, the chimpanzees, practice a form of group marriage. Among the 849 human societies examined by the anthropologist Murdock (1957), 75% practiced polygyny. Many peoples have been said to be monogamous, but it is difficult to infer from the data at our disposal whether monogamy is the prevalent practice, the moral ideal, or an institution safeguarded by sanctions (Malinowski 1962). Historically, polygyny was a feature of the ancient Hebrews, the traditional Chinese, and the nineteenth-century Mormons in the United States, but the modern practice of polygyn y is concentrated in Africa, the Middle East, India, Thailand, and Indonesia. The extent to which men are able to acquire multiple wives depends on many factors, including the economic prosperity of the manââ¬â¢s family, the prevailing bride price, the differential availability of marriageable females, the need and desire for additional offspring, and the availability of productive roles for subsequent wives. Even in societies that permit polygyny, the conditions of life for the masses make monogamy the most common form of marriage. The two variations of polygyny are sororal (the cowives are sisters) and nonsororal (the cowives are not sisters). Some societies also observe the custom of levirate, making it compulsory for a man to marry his brotherââ¬â¢s widow. It must be remembered that any form of polygyny is never practiced throughout the entire community: there cannot exist a community in which every man would have several wives because this would entail a huge surplus of f emales over males (Malinowski 1962). Another important point is that in reality it is not so much a form of marriage fundamentally distinct from monogamy as rather a multiple monogamy. It is always in fact the repetition of marriage contract, entered individually with each wife, establishing an individual relationship between the man and each of his consorts (Benson 1971). Where each wife has her separate household and the husband visits them in turn, polygynous marriage resembles very closely a temporarily interrupted monogamy.
Tuesday, November 12, 2019
Malignant Hyperthermia: What You Need to Know
Malignant Hyperthermia: What You Need to Know Ivy O. Corlew, BSN, RN, CNOR Conneaut Medical Centerââ¬âOR Malignant Hyperthermia: What You Need to Know What is Malignant Hyperthermia or MH Malignant Hyperthermia (MH) is a rare, life threatening, pharmacogenetic disorder characterized by hypermetabolic state of skeletal muscle induced by inhalation anesthetics like halothane, sevoflurane, desflurane and the depolarizing muscle relaxant agent like succinylcholine (Rosenberg et al, 2007).Clinical signs are; Increased end tidal CO2 production which is an early sign, tachycardia, tachypnea, trunk or total body rigidity, masseter (jaw) muscle rigidity after succinylcholine which occurs commonly in children, marked temperature elevation (maybe a late sign), respiratory and metabolic acidosis, myoglobinuria(MHAUS, 2011). If left untreated the patient will experience cardiac arrest, kidney failure, blood coagulation problems, internal hemorrhage, and possibly death (slideshare, 2010) Nursi ng AssessmentNurses taking care of surgical patients must be knowledgeable regarding MH so they can identify clinical signs and symptoms early on, its emergent treatment, and be able to respond promptly and appropriately. Preoperative assessment by nurses are crucial in identifying the patient, who could be at high risk for Malignant Hyperthermia, so MH triggering agents can be avoided during anesthesia. Example of questions to ask to help screen for MH susceptibility are (AORN 2012): 1. Has anyone ever told you that you had a ââ¬Å"badâ⬠reaction to anesthesia? 2. Has anyone ever told you that you or your family member had a problem with anesthesia? . Have you or a family member experienced a high fever while under anesthesia? 4. Has anyone ever told you or a family member they had a difficult time opening your jaw during general anesthetic? 5. Has anyone in your family died unexpectedly in the operating room? 6. Have you or anyone in your family experienced sunstroke or heat stroke resulting in hospitalization? 7. Have you ever noticed dark ââ¬Å"cola-coloredâ⬠urine after a general anesthetic or after experiencing a heat-related illness? Treating MH Dantrolene IV is the only drug available in the market to treat Malignant Hyperthermia.It is difficult to mix and is time consuming to reconstitute. It comes in yellowish colored powder that when fully mix with non-bacteriostatic sterile water, the color stays the same. The new brand Dantrium IV (dantrolene sodium for injection) mixes in just 20 seconds (MHAUS, 2011). However, this is not what we have stocked in our cart. According to MHAUS (2011), dantrolene suppresses the exaggerated rise in muscle cell calcium that seems to trigger MH by binding to the calcium channel site in muscle that is responsible both for calcium release and, likely, calcium entry into the cell.Dantrolene may cause significant muscle weakness in patients with preexisting muscle disease and should be used with extreme caution in those patients. When used with calcium channel blockers (verapamil or diltiazem), dantrolene may produce life-threatening hyperkalemia and myocardial depression. Once a patient has been successfully treated for 36 hours with intravenous dantrolene, he/she may be switched to oral dantrolene until the CK or Creatine Kinase level is trending down and there is no further evidence of acidosis or hypermetabolism and temperature spikes. A recommended 36 vials be stocked.Treating Malignant Hyperthermia crisis is a complex nature, and it involves several staff members. The first thing to do in the event of suspected MH crisis is to recruit extra staff. The following steps are outline by role (MHAUS, 2011): The surgeon should stop or complete the procedure as soon as possible. The anesthesia provider stops inhalation agents; stops warming blanket; increase minute ventilation; inserts esophageal temp probe; inserts NG tube for lavage as needed; administers dantrolene IV; inserts an arteria l line; draws blood for chemistry, ck, coagulation, ABG.If peaked T waves on ECG, administers calcium then glucose and insulin. If T waves are not peaked and arrhythmia present, injects bicarbonate. The circulating nurse brings in MH cart; mixes dantrolene based on 2. 5 mg/kg with 60 ml of non-bacteriostatic sterile water, repeat dose until the signs are controlled. The circulating nurse should document the event. A second nurse assist in mixing dantrolene and hands syringe to anesthesia provider. A third nurse brings in emergency crash cart; places urinary catheter; assist in drawing blood or with other task.A fourth nurse brings in plastic bags with ice and cold IV fluids; places ice bags on exposed parts like groin, axilla, and neck (without compromising sterility); iced saline lavage of any open body cavities such as the stomach, bladder, or rectum. Cold I. V. fluids are administered using 0. 9% sodium chloride, but Lactated Ringerââ¬â¢s is avoided so that acidosis is not wor sened (Martin, 2009). Stop cooling measures when temperature falls to 38à °C (MHAUS, 2011). A laminated copy of MHAUS dantrolene dosage chart is located on top of MH cart to minimize precious time wasted in calculating dosage per kilogram.As soon as patient is stabilized, transfer patient to ICU or call transfer center for an emergent transfer to UH Case SICU or ED. Knowing your Role All staff involved in the MH crisis response should conduct a debriefing meeting as early as possible. Points to consider including (AORN, 2012): 8. Was the MH cart adequately stocked and immediately available? 9. Were enough staff members available to manage the crisis effectively? 10. When staff members responded, were they familiar with task expected in MH crisis? 11. Was MHAUS appropriately notified? 12. Do staff members have other ideas about planning care for a future MH crisis? 3. Has a root-cause analysis been done (MH is considered a sentinel event)? Staff Competency By using the mannequin as our patient, and mixing the expired dantrolene from MHAUS, perioperative staff did fairly well during the MH mock drill simulation by following thru with the expected roles. MH drill should be held at least quarterly to help perioperative staff practice early recognition of MH crisis and how to act accordingly. MH drill also improve OR (operating room) team coordination and provides opportunities to serve in each of the four roles mentioned (Martin, 2009). PreventionEarly detection of clinical signs and symptoms of MH, knowing your role and a prompt response to this emergent crisis can save your patientââ¬â¢s life. MH crisis prevention is the key and the best treatment you can provide to your patient. Knowledge about MH is a must for nurses taking care of a patient before, during and after operative care. Armed with this knowledge, you can make a difference in your patientââ¬â¢s lives. References AORN (2012). AORN Malignant Hyperthermia Guideline. In Perioperative Standards an d Recommended Practices: For Inpatient and Ambulatory Settings (pp. 5,8-9). Retrieved from http://online. statref. om/titleinfo/fxid-234. html Martin, C. L. (2009). A Practical Guide for Malignant Hyperthermia Management. OR NURSE 2009, 24. Retrieved from www. ORNurseJournal. com Rosenberg, H. , Davis, M. , James, D. , Pollock, N. , & Stowell, K. (2007). Malignant Hyperthermia. ORPHANET JOURNAL OF RARE DISEASES. doi:10. 1186/1750-1172-2-21 Malignant Hyperthermia Mock Drill Kit. (2011). Healthcare Professionals. Retrieved from http://www. mhaus. org/healthcare-professionals/#. T6rV3VI2cTY Malignant Hyperthermia (2010, January 28). [Video File]. Retrieved from http://www. slideshare. net/wright958/malignant-hyperthermia-3015604
Saturday, November 9, 2019
IEP Inclusion Essay
The main function of the Individuals with Disabilities Education Act (IDEA) has always been to integrate the value of learning and development among special students within the educational curriculum. Recognizing the current trends and needs of students, the law was changed to address the functions of consolidating different measures to enhance approaches that bridges further effectiveness in carrying out its goals and objectives. Reacting to its application within Georgia (GA), these new tenets diversified the value of integrating new laws and furthering opportunities that infused better means of facilitation, transmission, and redirection of necessary elements essential towards increased appreciation and learning. One essential application of the amendment of the IDEA corresponds to the acquisition and training of highly qualified teachers. Since the practice of inclusion of special students within the classroom requires the necessary skills and competence among educators, the application of standards coincide not only within the precept of IDEA but also on other educational mandates such as the No Child Left behind Policy (NCLB). By ensuring that Georgian teachers are fit to meet the needs of students via training and development of necessary skills, they can help transcend towards furthering means to induce inclusion and determine the best programs available for students regardless of their physical and cognitive capacities (Hyatt, 2007). Another crucial component shaping Georgia in adherence to the needs of facilitating inclusion and the needs of special students revolves around the procedural safeguards present within the state. Here, the board of education alongside educational institutions are the ones who ensure that careful application of protective mandates is given towards special students particularly in the realm of disciplining, mediation, and the process of intervention during specific cases. Such directions can then induce better means for reinforcing accountability and responsibility among educators and administrators in congruence to the mandates provided by IDEA in reference to protective mechanism for the needs of special students and the promotion of inclusion (Hyatt, 2007). The third aspect that needs to be considered revolves around the nature of individualized education programs. Under the specific tenets advocated by the Georgian Board of Education, it has mandated and amended new conditions prior to the implementation of an IEP program. Under these conditions, it must correspond to particular standards and approved by the supervisory committee handling specific subjects and disciplines. In here, modifications within the IDEA were introduced to carry out a wider span and target new means of consolidating a wider scope in trying to reach out towards the needs of special students particularly those with disabilities (Georgia Department of Education, 2009). With regards to early intervention programs, specific attention is made by the Georgia Department of Education wherein they try to incorporate different schemes in reaching out towards special students and making them take part in government sponsored programs. In here, specific consideration is made the derivation of rubrics and EIP guidelines so as to guide both parents and educators about the appropriate model that is effective for each participant (Georgia Department of Education, 2009). Alongside this process is the condition towards centering options to help students meet the demands of their grade level and adhere to the standards provided by IDEA. The last part circumvents with the process alignment with the No Child Left behind Policy. Under this mandate, the Georgia Department of Education has corresponded and integrated its school policies and its programs according to its mandates. Here, amendments and rules were reinforced to guide educators and administrators the appropriate perspectives in helping students with disabilities become readily available and competent (Idea Partnership. org, 2007). Similarly, these conditions also center in areas such as special education services, school improvement, and addressing proficiency standards. All these conditions then necessitate better means to justify and outline congruence with both the differing perspectives and mandates provided by IDEA and NCLB. In the end, it can be argued that the Georgia Department of Education has indeed consolidated efforts towards bridging and redefining the mandates of the IDEA. Here, they had sought to help induce inclusion within the classroom by consolidating the directives provided by the IDEA and applies them according to the norms prevalent within educational institutions. By reinforcing these policies, Georgia remains responsive and accountable to the increasing needs of special students and opens up opportunities for growth and development.
Thursday, November 7, 2019
GI Jane essays
GI Jane essays Women in military positions is an issue that has been very controversial for many years. Today, the typical occupational field of female service members is mainly administrative or medical but filmmakers are attempting to show otherwise. In the 1997 hit movie G.I. Jane, directed by Ridley Scott, one female whose determination reaches heights beyond anyones expectations smashes this image of females in the military. The portrayal of women in the movie G.I. Jane not only suggests that women can do anything the military men can do but also shows some political corruption and manipulation. Historically, female military members served as primarily medical doctors, nurses, typists, translators, seamstresses and other clerical occupations. There were a few instances where women did seem to have an interest in joining the men in infantry type positions during the World War II era, but all attempts to enlist were denied. The roles women played in the military were very important and essential for support of the armed forces but limitations were soon challenged. The women in some areas of the military, (ie. The Navy Nurse Corps), were not even given a rank equivalent to those of the men, and in 1942 President Roosevelt approved a congressional enactment to give those women a relative rank. The interests of women to attempt to enlist into infantry positions and contribute in wartime situations grew after WWII due to the increase in womens rights activations and demonstrations. New womens rights leaders came forth to fight for equality of women and made large gains, but women in combat situations was still an issue the military could not approve of. Today, women rank highly amongst all military members and fill many important positions. They are todays aircraft mechanics, computer operators, air traffic controllers, sailors, Commanding Officers and leaders in all branches of the United S...
Tuesday, November 5, 2019
Marine Herbivores
Marine Herbivores An herbivore is an organism that feeds on plants. These organisms are referred to as herbivorous. An example of a marine herbivore is the manatee. The opposite of an herbivore is a carnivore or meat-eater. Origin of the Term Herbivore The word herbivorous comes from the Latin word herba (a plant) and vorare (devour, swallow), meaning plant-eating. Size Matters Many marine herbivores are small because only a few organisms are adapted well enough to eat phytoplankton, which provides the bulk of the plants in the ocean. Terrestrial herbivores tend to be larger since most of the terrestrial plants are large and can sustain a large herbivore. Two exceptions are manatees and dugongs, large marine mammals who survive primarily on aquatic plants. However, they live in relatively shallow areas, where light is not limited and plants can grow larger.à Advantages and Disadvantages of Being An Herbivore Plants such as phytoplankton are relatively abundant in ocean areas with access to sunlight, such as shallow waters, at the surface of the open ocean, and along the coast. So an advantage of being an herbivore is that food is pretty easy to find. Once it is found, it cant escape like a live animal could. On the disadvantage side, plants are more difficult to digest and more may be needed to provide adequate energy for the herbivore. à Examples of Marine Herbivores Many marine animals are omnivores or carnivores. But there are some marine herbivores that are wells of marine herbivores in various animal groups are listed below. Herbivorous Marine Reptiles: Green sea turtle (who are named for their green fat, which is green because of their plant-based diet)Marine iguanas Herbivorous Marine Mammals: Manatees, as already mentioned above.Dugongs Herbivorous Fish Many tropical reef fish are herbivores. Examples include:à ParrotfishAngelfishTangsBlennies These coral reef herbivores are important to maintaining a healthy balance in a reef ecosystem. Algae can dominate and smother a reef if herbivorous fish arent present to help balance things out by grazing on the algae.à Fish can break down the algae using a gizzard-like stomach, chemicals in their stomach and intestinal microbes. Herbivorous Invertebrates Some gastropods, such as limpets, periwinklesà (e.g., the common periwinkle), and queen conchs. Herbivorous Plankton Some zooplankton species Herbivores and Trophic Levels Trophic levels are the levels at which animals feed. Within these levels, there are producers (autotrophs) and consumers (heterotrophs). à Autotrophs make their own food, while heterotrophs eat autotrophs or other heterotrophs. In a food chain or food pyramid, the first trophic level belongs to the autotrophs. Examples of autotrophs in the marine environment are marine algae and seagrasses. These organisms make their own food during photosynthesis, which uses energy from the sunlight. Herbivores are found at the second level. These are heterotrophs because they eat the producers. After herbivores, carnivores and omnivores are at the next trophic level, since carnivores eat herbivores, and omnivores eat both herbivores and producers. References and Further Information Cornell University. Herbivory in Fish. Accessed October 31, 2015.Harper, D. Herbivorous.à Online Etymology Dictionary. Accessed October 1, 2015.National Geographic.à Autotroph.à Accessed September 29, 2015.Map of Life. Gut fermentation in herbivorous animals. Accessed October 31, 2015.Morrissey, J.F. and J.L. Sumich. 2012. Introduction to the Biology of Marine Life. Jones Bartlett Learning. 466pp.
Sunday, November 3, 2019
A career in culinary arts Research Paper Example | Topics and Well Written Essays - 1250 words
A career in culinary arts - Research Paper Example For such reasons, the world of culinary arts has attracted my interest for a long time. A career in culinary arts would show me how people can be satisfied by good food; moreover, it takes training and skills to become a culinary expert. Nevertheless, the good salary and the fulfillment of seeing people pleased with their meals are the greatest rewards of a culinary expert. Food can greatly satisfy people, being one of the basic needs. A lot of people find good food as comforting, a balm to the broken heart and weary soul. Recently, many studies have been conducted to evaluate the connection of food to happiness. Remarkably, some results were worth looking into because researchers have found that certain types of substances like DHA ( simply known as Omega 3) can alleviate depression in individuals with highly-stressful situations (Gorman, 2011). In fact, the researcher named Hibbeln has influenced the American Psychological Association to prescribe Omega 3 Fatty food to their mentally ill patients ( p.2). Food promotes over-health as it supports growth and development. For many decades, the US Food Pyramid guide was the yardstick to healthy diet; however, this was discarded in 2005 as the Harvard School of Public Health came up with a new MyPyramid that was fully endorsed by the USDA ( hspa.harvard.edu). Old beliefs such as eggs were bad and that all fats posed health risk were discarded; instead, focus was more on quality of food rather than restrictive calorie-counting. It can be said then that food gives back to people in both ways- positively or negatively. But if people make wise decisions about the food they eat, they can be very healthy. This is where the role of a culinary expert comes in- to prepare healthy and satisfying meals so people can have a better life. Now, that we understand the crucial role that food plays in our daily lives, it is time to focus on how to become a culinary
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