Monday, December 30, 2019
Human Stomach And Impacts Of Human Gut Bacterial...
Siddu Navaneetha Mrs. Schott Chemistry Honors 24 November 2014 Interactions between Methanobrevibacter smithii and Bacteroides thetaiotaomicron in the human stomach and impacts of human gut bacterial transplantation in mice on obesity Obesity is becoming an increasing problem in America, as well as the whole world. As defined by the CDC, an individual is considered obese when they have a BMI of 30.0 or higher. BMI stands for body-mass index, and is used as a standard for measuring the % body fat of an individual.(CDC, 2014) In addition to being overweight, obesity comes with a myriad of other health risks including: high blood pressure, stroke, type 2 diabetes, and cancer.(NIH, 2012) In 2013, a study focusing on the relationship between concentrations of hydrogen and methane in an individualââ¬â¢s breath and the individualââ¬â¢s body weight happened upon a startling discovery. Conducted by Dr. Ruchi Mathur of Cedars-Sinai Medical Center, the study examined the breath of 792 people. There were four distinct sets of results. One group had normal concentrations of both gases, one with higher concentrations of hydrogen, one had higher concentrations of methane, and lastly one group had higher concentrations of both gases. All things aside, the individuals with higher concentrations of both gases also had notably greater BMIs than the rest.(Mathur, 2013) Focusing on obesity, this group is the one of greatest interest. This higher concentration of methane is connectedShow MoreRelatedSymptoms And Treatment Of Clostridium Difficile Essay2293 Words à |à 10 Pagesbecause anyone can get this infection from touching different surfaces, such as sinks. But it is harder for younger people to get this infection, whereas older people are more likely to get it due to weakened immune systems. This disease mainly impacts those, who again, are in a hospital setting, like a nursing home or intensive care unit, and who are taking antibiotics to cure another disease, in which the C. diff bacterium is resistant to. Causal Agent Clostridium difficile is part of theRead MoreThe following questions relates to the patient within the first 24 hours 1. Outline the causes,2500 Words à |à 10 PagesThe following questions relates to the patient within the first 24 hours 1. Outline the causes, incidence and risk factors of the identified disease and how it can impact on the patient and family (450 words) This case study is about Abdul Chidiac, a 51 year old male, married with 4 children. He had a medical history of hypertension, hypercholesterolaemia and cirrhosis with two admissions in the last six months. He is a smoker and drinks beer, 5-6 bottles per day. As Carithers McClain (2010)
Sunday, December 22, 2019
Cornelius Vanderbilt is one of the five tycoons of...
Cornelius Vanderbilt is one of the five tycoons of America. He was able to use both wit and his entrepreneurial skills in order to create a very successful career and legacy. Starting off from the very beginning, young Vanderbilt was able to start his own business. At the age of sixteen, Vanderbilt decided to start his own ferry service with the loan he received by working through his Mother. With the one hundred he was able to obtain, by clearing and planting eight-acre field, Vanderbilt purchased two small vessels and carried freight and passengers from Manhattan to Staten Island. By being able to utilize his own earnings in order to start up a business for a chance to make an even more of a profit, Vanderbilt was in a road to become aâ⬠¦show more contentâ⬠¦As for Gibbons and Vanderbilt, the two lowered their rates, applied services, and also tried out new technologies which all help lead them to become hugely profitable. And in 1829, Vanderbilt left Gibbons to increase his own business. Vanderbilt created his own steamship company. With a fleet of boats and a budget of $30,000 or roughly $775,000 today, Vanderbilt successfully established a company along the Hudson River. He used his usual tactic, reduced fare prices, to stir away any competitors. He then expanded between New York and New England and Long Island. What helped his business to flourish was through customerââ¬â¢s loyalty. Because Vanderbilt was known to have reliable, safe and cheap steamboats, Cornelius Vanderbiltââ¬â¢s company skyrocketed. In 1830, Vanderbilt entered the Hudson River market and competed against Steamboat Association. Due to Vanderbiltââ¬â¢s success, Steamboat Association purchased his Hudson River company for $150,000 in total. Because of the success he had, Vanderbilt went to Long Island for another round. His business tactic and customer loyalty served him in the right way. The Gold Rush, where many go to California in hopes for gold, allowed Vanderbilt to begin an ocean-going service, between West Coast and Central America. At the time, Clipper ship was predominantly the best type of transportation. However
Saturday, December 14, 2019
T.C. Boyle Writes of Infidelity Free Essays
Katherine Meyer English 1100 Sec. 131 November 4th, 2008 Indefinitely Infantile Infidelity As an apparent defiance of one of the Ten Commandments, Adultery, the act of voluntary sexual involvement between a married individual and someone whom is not his or her spouse is a widely frowned upon taboo that disregards social norms. Staying true to his style and content by pushing the envelope on controversial topics such as this in his writing, T. We will write a custom essay sample on T.C. Boyle Writes of Infidelity or any similar topic only for you Order Now C. Boyle frequently addresses the theme of adultery throughout many of his short stories.Reoccurring in the selections ââ¬Å"Caviarâ⬠and ââ¬Å"All Shook Upâ⬠adultery takes on a disturbing component of the stories as the main characters similarly get caught up in the unacceptable. With differing motives, paralleling sexual interests and desires, as well as converse outcomes for the two men defying the sacred vows they once made under holy matrimony, Boyle weaves two complex stories of deceit and malice. Adultery outside the world of fiction is committed for an infinite number of reasons; attempted justifications that can roll on for miles.In these particular stories, aside from their irrepressible habitual instincts, the main characters Mr. Trimpie and Patrick in ââ¬Å"Caviarâ⬠and ââ¬Å"All Shook upâ⬠have differing objectives when they decide to officially sever the vows they once made to their wives. The differing motives for each manââ¬â¢s imprudent acts against the principles of marriage cover a broad spectrum of rationale. Leading to his downfall, In ââ¬Å"Caviarâ⬠the central character Mr. Trimpie finds himself unable to reproduce with his sterile wife, Marie. Although he is not to blame for the fruitless attempts at an offspring as Boyle describes, ââ¬Å"The bad news was that Marieââ¬â¢s ovaries were shotâ⬠(109) it is apparent that his own insecurities in addition to other factors brand him vulnerable and susceptible to bad judgment, such as infidelity. This vulnerability presents itself when he frequently references his lack of education and wealth throughout the story as seen here, ââ¬Å"I was on the wrong end of the socioeconomic ladder, if you know what I meanâ⬠(106).As a surrogate mother is introduced into the picture and becomes pregnant with his natural child, Mr. Trimpie suddenly finds himself hot for the young carrier. The flustered young man expressed, ââ¬Å"The thought of it, of my son floating around in his own little sea just behind the sweet bulge of her bellyâ⬠¦ well, it inflamed me, got me mad with lust and passion and spiritual love tooâ⬠(114). This reveals that the motivation behind Mr. Trimpi eââ¬â¢s act of adultery was not purely the result of meaningless attraction or fragile insecurity though. The feeble father consequently ends up falling in love with the biological mother of his child and is unable to restrain himself. Intercourse with Wendy, the young stand-in mother becomes a frequent occurrence for the covetous husband stigmatizing him a cheater once and for all. Mr. Trimpieââ¬â¢s counter character, Patrick, found in Boyleââ¬â¢s short story entitled ââ¬Å"All Shook Upâ⬠has his own prerogative concerning his execution of adultery in his story. Patrickââ¬â¢s wife, Judy, disappeared with another man prior to a newlywed couple, Cindy and Joey conveniently moving next door.Initially compelled to Cindy because of her sultry, suggestive manner, Patrick recalls a late night after what started out as a neighborly dinner, ââ¬Å"She was kneeling beside me on the couch; then she kicked her leg out as if mounting a horse and brought her knee softly between my legs until I could feel the pressure lighting up my groinâ⬠(126). Still exhibiting his wedding band on the left ring finger, Patrick engages in the act of infidelity with Cindy shortly after this night. Describing the event, Patrick stated, ââ¬Å"She felt good, and a little strange: she wasnââ¬â¢t Judyâ⬠(130). Based on his assessment of the night, Boyle alludes to the reader that Patrick is still yearning for his wife. Patrick bluntly conveys, ââ¬Å"I felt evil and betrayed and wanted his wife because I had wounds to salve and because she was thereâ⬠(127). The meaningless sex with Cindy was an attempt to fill a void and heal the pain from Judyââ¬â¢s abandonment.In addition to his emotionless mind-set concerning Cindy and their intercourse, his lack of concern towards the young woman becomes more evident as he confirms, ââ¬Å"I should have held her, I guess, should have probed deep in my counselorââ¬â¢s lexicon for words of comfort and assurance, but I didnââ¬â¢tâ⬠(130). Patrick views Cindy as well as their dance, as nothing more than a physical encounter, ruling out any deeper vehicle of motivation for his actions. Although the two men have contrasti ng motivations driving their less than admissible behaviors, they do however share common ground concerning their sexual interests and desires. Mr. Trimpie and Patrick alike are attracted to barely pubescent young girls who entice them with their youthful sex appeal. From the story ââ¬Å"Caviar,â⬠the pedophilic character Mr. Trimpie responds to the news of Wendyââ¬â¢s growing belly as follows: ââ¬Å"I grinned like an idiot, thrilled at the way the panties grabbed her thighs- white nylon dancing pink flowers- and how her little pointed breasts were beginning to strain at the brassiere. I wanted to put my tongue in her navalâ⬠(113).Asserting such a disturbing observation, it is obvious that this man finds Wendyââ¬â¢s juvenile body parts, as well as childish undergarments as much of a turn on as the fact that she is carrying his child. Staying true to the paralleling interest in adolescent females, in the short story ââ¬Å"All Shook Up,â⬠Cindy, the woman Patrick kanoodles with is also a young lady who exerts her youthful charm on the much older man. Describing Cindy, Pat states, ââ¬Å"She was wearing a halter top and gym shorts, her hair was pinned up, and her perfect little toes looked freshly paintedâ⬠(121).His innocent depiction of a young girl standing at his front door exudes sexual frustration. Evident in this passage, Boyle writes: ââ¬Å"I wanted her like a forbidden fruit, wanted her like Iââ¬â¢d wanted half of the knocked-up, washed-out, defiant little twits who paraded through my office each yearâ⬠(127). Just as disturbing as Mr. Trimpieââ¬â¢s erotic observations of Wendy, this passage is Patrickââ¬â¢s confession that he too secretly craves the taste of a freshly ripened young woman. Further emphasizing the two menââ¬â¢s interest in similar types of women, Boyle disguises coincidental details with reference to the women in his text.Boyle illustrates Wendy in the short story ââ¬Å"Caviarâ⬠by stating, ââ¬Å"Her eyes were gray, and there was a violet clock in the right oneâ⬠(121). Resembling Wendyââ¬â¢s gray eyes, Cindy in ââ¬Å"All Shook Upâ⬠is described in the same manner: ââ¬Å"Her eyes were gray, the color of drift ice on the riverâ⬠(111). Both men who commit the infidelity identify with one another in regards to their type of secondary woman. Both acts of adultery have serious impacts on the lives of Mr. Trimpie and Patrick. Although cheating on a spouse typically results in formidable outcomes, the aftermath for each of the two men in ââ¬Å"Caviarâ⬠and ââ¬Å"All Shook Upâ⬠are surprisingly converse. How to cite T.C. Boyle Writes of Infidelity, Papers
Friday, December 6, 2019
Decision Making in Moral Dilemmas â⬠Free Samples to Students
Question: Discuss about the Decision Making in Moral Dilemmas. Answer: Introduction: One of the functions of management is decision making within an organization. Decision making can be defined as the process involved in making choices from several alternatives or options. Problems are common within organizations and are addressed by managers through a process of decision making. The decisions made may be in operation or strategy within the organization. The decision can be structured in formats which are different in presentation. Some of the approaches that guide the decision making process include: the rational, intuitive, bounded rational and the value-based models. Decisions are made after proper problem definition, followed by solution generation, evaluation and ending with implementation. Jumbo Airlines is a major airline operating in the UK. Its major operations are in short haul domestic services which are high in frequency and low in fare. Its model of operation is as a low-cost provider and driven by passenger volumes. The airline has been reported as one of the most admired companies in the UK. Data available also shows it is considered as one of the best companies to work for. Operating in more than 50 domestic destinations, the airline has one of the lowest cost structures in the local airline industry. Being a low cost airline, it is sensitive to changes in the price of jet fuel and other operational expenses. The airline is more heavily unionized when compared to other airlines operating within the UK and employees more than 10,000 people in its service. The airline was amongst the first to embrace the use of internet based technology for its bookings. Through its dedicated website, the airline posted results that showed the following: 60% of flight bookings and 80% of revenue was generated through the use its website. Prior to the use of online booking, the main form of customer reservation was through the use of call centers. An organizational audit showed that the company operated too many agents in its call centers. This had begun to negatively impact its overall revenue position and required the management to make a decision on how to right size. Basel Bruhr (2013), state that using value metrics and rationality should be the critical factors in the decision making process. Problem definition The problem definition is achieved by the 5WS and Root cause analysis. The main attributes for consideration are the what, who and why in the root cause analysis for the management of Jumbo Airlines. The "what" is the cost associated with the call centers with regards to human resource expenses. The employees, union and management are the who attribute according to the root cause analysis. The "who" represents two critical stakeholders: management and the union. The management is accountable to the board and shareholders by extension (Tangpong Pesek, 2007). The why factor is that the present use of online booking greatly reduces the need to use call centers and gives the rational of using a particular solution amongst different alternatives. 5W S Root cause analysis Who are the main stakeholders in the case The employees, union and management When should the remedial action be undertaken This should be the timeline and action plan which is set for a period of one year Where should the action plan to downsize be done The downsizing is within the staff who operate the call centers. What is the main cause of the problem The high costs of operating the call centers Why is it necessary to downsize To keep costs low in line with being a low cost airline The second stakeholder is the union which is tasked with the responsibility of ensuring the welfare of its members (DeCarlo Jenkins, 2015). With more than 10,000 unionized members, the union has to ensure that any decision that leads to loss of employment will have to be rationally justified and acceptable. The union has to balance the welfare of its members while ensuring that the sustainability of the airline is ensured so as not to lead to bankruptcy. The union has to work with the management in order to arrive at a solution that will be mutually acceptable. The management of the union therefore has to analyze the decision of the management, evaluate the alternatives and make an informed choice. Issues of liability- One of the criteria that will be considered in the decision making process is the issue of liability for the airline which is a weakness using the SWOT analysis (Wood, Cogin Beckmann, 2009). The main liability is with the union that has several options available at its disposal in this case. The union may decide to call for work stoppage and slowdowns as a form of industrial action. It may also decide to go to court and apply for an injunction to halt any decision that the management may make. It may also decide to negotiate of which the terms of negotiation may not be favorable to the airline. At the same time, greater use of technology in online booking also presents as an opportunity for a new strategic shift that will fit with the future trend to use more technology in the industry. SWOT Analysis STRENGTH- Largest low cost carrier with a strong brand WEAKNESS- Liability to union action as it is heavily unionized OPPORTUNITY- To embrace use technology which cuts operational costs THREATS- Financial instability due to low operating margins and fares The options available are to ask the employees to voluntarily leave the airline, force redundancies or voluntary relocations. All these alternatives have to be communicated to the union and should seek their consent and inclusion (Holley, Jennings Walters, 2012). Voluntary retirement and forced redundancies will require financial planning and allocation in the short-term. Forced redundancies will lead to confrontations with the union which is not desirable. Voluntary relocations may call for slightly lower financial allocations in terms of re-training costs to new designations. The union management has to make decisions that will safeguard the welfare of their employee while ensuring sustainability of the airline. Its best options are voluntary retrenchment and staff relocation. Costs of implementation- The other consideration for the management is the cost implication for any decision made and how it may affect its cash flow in the short and long term (Veronika, Tibor Peter, 2014). In the short-term, a huge outlay of cash for redundancies may affect its operational costs. This may disrupt the schedule of payments to its jet fuel supplier amongst other suppliers. In the long-term, its financial position will be impacted with the possibility that it may post losses for several years as it recovers from the decision to downsize its call centers. The number of call centers that will be closed down and the employees who may become redundant may be implemented in phases or in one fell swoop. Wood, Cogin Beckmann (2009), state that this presents as a threat according to the SWOT analysis. Closing down all call centers will make redundant a massive number of employees at one go. Settlement claims of termination may exceed the current company financial reserves and even lead to the company using bank loans in the settlement process. This will disrupt the financial costing and planning in its daily operations. Phased retrenchment will necessitate planned settlement claims that factor in the current financial position of the airline. The phased retrenchment would be the best option for the airline in this particular instance in order to ensure smooth continuity of its daily operations. This will also have minimum disruptions in its cash flow position in the short-term. Desire to remain competitive- The airline is already recognized as being the largest low cost domestic operator and needs to maintain this status and recognition. Using PEST analysis, the airline can leverage on technology in order to stay competitive while reducing manual labour. Any disruptions in operations or cash outlay may severely affect its competitiveness locally (Kunc Morecroft, 2010). Operating on low fare and high passenger volumes means that any volatility in its operational environment may lead the airline to lose its competitive edge which it may never recover. In order to recover from any outlay in finances to settle redundant workers may force the airline to either increase fares or use bank financing in the short-term. None of these options provide optimal solutions in terms of financial planning and execution for the airline. Increasing fares may affect its strategic market position as a low cost operator. Increased fares may lead to customers shifting to other low cost competitor which is not a desirable outcome. Depending on high passenger volumes, the reduced customer numbers will reduce operational revenue and its ability to pay its suppliers on time. The use of bank financing in the short-term will also be expensive in the short-term as bank financing will attract interest rates which makes the cost of money to be expensive. The bank financing may be in the form of an overdraft and this will call for restructuring its financial operational flow in order to meet the bank requirements. Solution Evaluation Issue of liability- The best alternative for the airline to use is to implement a mixed plan of retrenchment for staff working in the call centers in order to reduce its liability with the union. Forced redundancy should not be considered, as it may impact negatively staff moral for the rest of the employs. Based on the acceptance priority rule, employees should be encouraged to voluntarily retire or be relocated and retrained. Emotional control of employees will then be achieved (Bachkirov, 2015). Where excess capacity still exists, planned redundancy should be considered and implemented with the cooperation of the union. The decision should be based on rationality based on controlling costs and projected future revenue for the airline. Support from the union will reduce liability of industrial action and benefit the airline in terms of minimal disruptions in operations. Costs of implementation- The cost of implementation of the downsizing program should be ration based on cost implication and financial flows (Lucian, Elena Daniel, 2014). While forced redundancy may result in optimization of the workforce, it carries challenges of cost. Termination dues coupled with potential court cases instituted by the union may make the whole exercise to be too costly. Voluntary retirement together with retraining of the remaining staff may carry longer term costs but avail stability in the short term. This window in the short-term will give the airline the opportunity to innovate new products or destinations in order to fully utilize the excess capacity in staffing. Desire to remain competitive- Competitiveness will be maintained by greater use of technology and less manpower in ticketing and reservations. As the company downsizes in using human resources in its call centers, more resource allocation in technology is required commensurately. Increasing fares in order to meet operational financial needs should not be considered during this period in order to maintain its status as the largest low fare airline. While considering using bank financing, this should be done with a strategy to also get into new destinations and increase its domestic coverage. A bank facility would then be able to be serviced with the increased revenue from new routes. Frick (2012) states that this would ensure prices remain low, operational costs are met and the airline remains competitive. Implementation The rational decision for implementation that will result in minimum disruptions is to work with the union in the downsizing exercise. This decision should be structured on rationality in strategy and operation. Staff should be encouraged to voluntarily retire based on experience and age while the remaining will be relocated and retrained (Ashill Jober, 2013). This decision should be communicated for approval to the board as well as the union leadership. Lipman (2016), states that the management should communicate the created vision, create urgency and target wins which are short-term. The implementation team should be drawn from the management with staff and union representatives being incorporated. The tentative action plan should be planned to for implementation within one year. Month one to three- Finance and Human Resources (HR) department work out the severance payouts for the staff who have agreed to voluntary retirement. Payments should be made as soon as the HR department concludes the legal requirements as set out by law. Meanwhile the HR department should draft a staff rationalization plan for relocation and retraining for the remaining employees. The staff training should begin during this window in anticipation for new designation s which will be created. Month three to six- The management should consult their principal bank for additional financing options in the short-term in order to ensure operational costs are not disrupted. At the same time, new destinations should be identified so as to increase revenue from the new domestic destinations. The additional funding will be critical during this period of retrenching and expansion into new destinations. The retrained staff can then be assigned to work in the new destinations. Month six to nine- This should be the period to evaluate the success or failure made so far and to make changes where appropriate. As excess staff capacity is now utilized, the airline should consider increasing more resources to invest in new technology in order to stay competitive. Adjustments made during this period should be incremental and should be communicated to the stakeholders involved. Month nine to twelve- This is the period to undertake an audit of the whole exercise and beneficial outcomes institutionalized and adapted (Mruthyunjaya, 2011). The use of an external auditor during this period should be encouraged in order to maintain objectivity. The new organizational paradigm should be communicated and inculcated into the culture of the airline. The audit can then be used in future as a reference point for decision making. Decision making is the choice made when evaluating alternatives that are presented in different situations. The decision making process for organizations can be in operation or strategy and follow different formats of structure. The case study for Jumbo Airline is analyzed using the 5Ws as the root cause analysis. Using both SWOT and PEST analysis, the problem is identified and solutions generated. Evaluation of the solution then follows and ends with implementation using an action plan. The decision finally made is based on a rational model which is structured and affects the operation and strategy embraced at the airline. References Ashill, N. J., Jobber, D. (2013). The effects of experience on managerial decision-making uncertainty. Journal of General Management, 39(1), 81-110. Bachkirov, A. A. (2015). Managerial decision making under specific emotions. Journal of Managerial Psychology, 30(7), 861. doi:10.1108/JMP-02-2013-0071 Basel, J. S., Brhl, R. (2013). Rationality and dual process models of reasoning in managerial cognition and decision making. European Management Journal, 31(6), 745-754. doi:10.1016/j.emj.2013.07.004 DeCarlo, J., Jenkins, M. J. (2015).Labor unions, management innovation and organizational change in police departments. Frick, K. D. (2012). Aspects of Cost-effectiveness Analysis for Managerial Decision Making. Journal for Nurse Practitioners, 8(2), 145. doi:10.1016/j.nurpra.2011.12.004 Holley, W. H., Jennings, K. M., Wolters, R. S. (2012).The labor relations process. Mason, OH: South-Western Cengage Learning. Kunc, M. H., Morecroft, J. W. (2010). Managerial decision making and firm performance under a resource-based paradigm. Strategic Management Journal, 31(11), 1164-1182. Lipman, V. (2016).The Best Managers-Always-Communicate. Forbes. Retrieved from https://www.forbes.com/sites/victorlipman/2016/01/18/the-best-managers-always-communicate/#711709ae2a2c Luciana, S., Elena, R., Daniel, D. (2014). MANAGERIAL DECISION MAKING BY ANALYZING THE FINANCIAL FLOWS. SEA: Practical Application of Science, Vol II, Iss 2 (4), Pp 129-136 (2014), (2 (4), 129. Mruthyunjaya, H. C. (2011).Knowledge management. New Delhi: PHI Learning. Nutt, P., C, Wilson, D., C. (2010).Handbook of Decision Making. John Wiley Sons. Tangpong, C., Pesek, J. G. (2007). Shareholder Value Ideology, Reciprocity and Decision Making in Moral Dilemmas. Journal of Managerial Issues, 19(3), 379-396. Veronika, F., Tibor, T., Pter, V. (2014). FINANCIAL INDICATORS IN MANAGERIAL DECISION-MAKING. Annals of The University Of Oradea, Economic Science Series, 23(1), 893-904. Wood, R. E., Cogin, J., Beckmann, J. (2009). Managerial problem solving : frameworks, tools, techniques. McGraw-Hill: Australia.
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