Thursday, October 31, 2019

Assess the economic benefits of Globalisation to developing countries Essay

Assess the economic benefits of Globalisation to developing countries within recent years - Essay Example 3M (Minnesota Mining and Manufacturing) would lose more than 53% of its revenues if the American government asks them to restrict their operations within the United States (Barrera, pp. 17, 2007). Exxon Mobil is an American firm but it receives only 25 percent of its yearly revenues from operations within the United States (Welfens, 102-103, 1999). Finnish employees no longer form the majority at Nokia’s head quarter, which is a Finland based company; surprisingly, employees from China and India dominate the numbers (Chatterji & Gangopadhyay, 89-93, 2005). Honda, a Japanese automobile maker, has its biggest production plant in Ohio. When Pakistani government decided to impose a 25% duty on the import of cell phones, Nokia (Finnish company), Sony Eriksson (Japanese cum Swedish company), Samsung and LG (South Korean Companies) came into action and found ways to persuade the Pakistani government not to do so (Scholte, pp. 22-25, 2000). These were just a few glimpses and examples that how globalisation has affected each one of us. However, today we do not realize or feel that with such intensity but most of the products that we consume today, are manufactured or processed in strange lands, millions of miles away, lands that we have never seen or heard of. The rest of this paper is an attempt to asses the effects and changes brought by globalisation considering the specially the economic grounds. Despite the fact that there several definitions of globalisation but in its broadest sense, â€Å"globalisation refers to the rapid growth of linkages and interconnections between nations and social communities† that make up the present world system (Barrera, pp. 17, 2007). It is important to note that in economic terms globalisation has many forms. Firstly, it involves and facilitates trade between individuals, companies, corporations and

Tuesday, October 29, 2019

Engineering and Technology versus the natural Environment Essay

Engineering and Technology versus the natural Environment - Essay Example More recently of course, particularly during the late 19th century and early 20th century, a great array of scientific and technical discoveries were made which directly affected the way in which mankind viewed its environment as something to be changed to meet its needs and desires more conveniently. With engineering innovations came bigger houses, transportation systems, increased infrastructure and urban development. All of these things, once made apparent to mankind, did not remain novelties for long, but soon became seen as essential and a practical and fundamental aspect to civilised living, without which, human needs were not being met. The famous psychologist, Abraham Maslow explains this shift in thought in his ‘hierarchy of needs’ theory (1973). This theory explains that human needs are based upon which needs have already been met. At the bottom of the hierarchy, are the more physical human needs of shelter and nourishment. When these are difficult to come by, they are essentially all that is felt to be ‘needed’ by the individual. It is only when these needs are met, that the person feels a need for something else, which according to this theory, would be things like friendship and family. At the top of the hierarchy, are much more emotional needs such as self-actualisation, professional achievement and similar. The point is, as the world became built up and urbanised, and more tools and aesthetic factors thus became more common, people’s needs and expectations fundamentally changed.... de apparent to mankind, did not remain novelties for long, but soon became seen as essential and a practical and fundamental aspect to civilised living, without which, human needs were not being met. The famous psychologist, Abraham Maslow explains this shift in thought in his ‘hierarchy of needs’ theory (1973). This theory explains that human needs are based upon which needs have already been met. At the bottom of the hierarchy, are the more physical human needs of shelter and nourishment. When these are difficult to come by, they are essentially all that is felt to be ‘needed’ by the individual. It is only when these needs are met, that the person feels a need for something else, which according to this theory, would be things like friendship and family. At the top of the hierarchy, are much more emotional needs such as self-actualisation, professional achievement and similar. The point is, as the world became built up and urbanised, and more tools and aes thetic factors thus became more common, people’s needs and expectations fundamentally changed. Quite paradoxically, as the world has radically shifted in its desires to become increasingly civilised, archeologically impressive and technologically convenient, so too has the global interest in maintaining the natural environment. In recent decades, the adverse impact that technology and engineering has had upon the natural environment has become increasingly apparent and worrisome, as rainforest destruction is widespread and climate changes have reached shocking levels. Environmental groups have long been urging people to acknowledge the crucial importance of maintaining the natural environment, not just because of the vital role that its elements play in sustaining life, but because of its beauty and

Sunday, October 27, 2019

Diabetes Mellitus in the emergency services

Diabetes Mellitus in the emergency services Diabetes mellitus is one of the most common medical issues affecting people today. There are two types of diabetes. The first is type one, it is often referred to as juvenile diabetes or insulin dependent diabetes. Patients with this type of diabetes are often diagnosed with the disorder early in life but in rare occasions it can be diagnosed as late as forty years of age. People with type one diabetes make up between ten and twenty percent of all diabetics. Men are also more common to be diagnosed with type one diabetes. While it is not fully known why people develop diabetes it is know that it is a genetic disorder and can be passed down from generation to generation. People with siblings with this disorder increase there chance of developing type one diabetes by six percent. The reason it is often called insulin dependent diabetes is because the body does not form any insulin from the beta cells of the pancreas, so there for the patient need to take daily insulin shots to keep the ir blood sugar low. Type two diabetes is often referred to as adult onset diabetes or non-insulin dependent diabetes and make up the remaining eighty to ninety percent of diabetics. Patients with this form of the disorder often do have some type of insulin production by the beta cells in the pancreas but just do not produce enough to maintain in their body. Also in some cases the patients develops a type of insulin resistance where their body does not use the insulin that in naturally produced by their body correctly or efficiently. In most cases this type of diabetes can be controlled by a strict diet or use of oral medications. The diet of a patient with type two diabetes often includes fruits, vegetables, whole grains and low-fat dairy products. Patients with type two diabetes what to avoid high amounts of sugars, trans-fats and sodium. When a patient eats large amounts of calories and fat, their body then causes a spike in their blood glucose level. Type two diabetes can sometim es also be reversed with exercise to lose excess weight. People with family members with type two diabetes have a ten to fifteen percent increased risk of developing this disorder. Two types of issues arise with diabetes. Sometimes the patients blood glucose level is too high and sometimes it is too high. When it is too low it is call hypoglycemia. A patient is usually determined to be suffering from hypoglycemia when their blood glucose level is below 60mg/dL. When the body is in a state of hypoglycemia the body automatically slows insulin production and increases glucagon production by alpha cells. Often times hypoglycemia in both type one and type to diabetics is due to over medication of injected insulin. It can also be caused by exercise, malnutrition and alcohol consumption. Over time the pancreases ability to produce glucagon is sometimes decreased making it harder to raise blood glucose levels during hypoglycemia. When a patient has a high blood glucose level it is called hyperglycemia. A patient is usually considered hyperglycemic if their blood glucose level is above 300 mg/dL. Hyperglycemia occurs because the body is unable to produce insulin to prom ote uptake of glucose from the cells. There are two sub-types of hyperglycemia. The first is diabetic ketoacidosis or DKA. This type of hyperglycemia is most often found in patients with type one diabetes because DKA occurs when there is little or no insulin in the body causing the blood glucose level to soar. It can be caused by untreated type one diabetes or excess glycogen production due to stress. Patients in DKA often present with a blood glucose level above 350mg/dL. Due to the lack of insulin the body then uses fats as metabolic fuels and ketoacidosis is developed. The other type of hyperglycemia is called hyperosmolar hyperglycemic nonketotic coma. This occurs most often in patients with type two diabetes. Because patients with type two diabetes still produce some insulin, unlike in DKA the body is still able to move sugar into the cells and not have to use the fatty tissue from the body. Patients experiencing hyperosmolar hyperglycemic nonketotic coma usually have blood glu cose levels of 600 and above. Diabetes has a large impact on pre hospital emergency medicine because often when people are having hypoglycemic or hyperglycemic emergencies paramedics are the first to treat these patients. Sometimes when paramedics are dispatched to these calls the caller may not know what is exactly wrong with the patient. Patients in a hyperglycemic or hypoglycemic crisis may present in a variety of ways. The key with these kinds of patients is to keep a high index of suspicion. Like previously stated patients having diabetic issues may present in a variety of ways. Patients suffering from hypoglycemia will often present with hunger, nausea and weakness. Due to poor cardiac output of the body the patient will often present with a rapid and weak pulse. The patient will also present with seizures or small twitches. Lastly the most common symptom is altered mental status. The patient can present in total unconsciousness, drowsiness, confusion or even aggravated and violent. Change in mental status usually comes with a quick onset because once the body is insulin deprived the brain is the first body structure to suffer because the brain uses glucose as an energy source. When the patient present with the altered mental status it can mimic many other conditions. The patient can look as if he or she is intoxicated because of their lack of coordination and aggravated attitude. They are sometimes so combative that it may be difficult to effectively assess them. Hypog lycemia can also mimic a stroke. Due to its effect on the nervous system the patient may present with weakness on one side for no apparent reason. Lastly the patient may present like a person experiencing epileptic seizures. The seizures are also a result of the brains lack of glucose. These seizures can be all types; they can be full body grand maul seizures or partial seizures that only affect certain parts of the body. It is very important that paramedics indentify that these symptoms are underlying symptoms of hypoglycemia and treat the true problem correctly. Patients who are experiencing hyperglycemia have some similar symptoms to hypoglycemia but also distinguishing symptoms that are different. One of the distinguishing groups of symptoms is the polys. These symptoms include polyuria, polydipsia and polyphagia. Polyuria is defined as excess urination, polydipsia is extreme thirst and lastly polyphagia is the feeling of extreme hunger. Like patients experiencing hypoglycemia these patients will present with tachycardia and altered LOC. One symptom that is specific to DKA is kussmaul respirations with fruity smell to their breath. This type of breathing is when the patient had rapid and deep respirations. The reason for this is because the body is breaking down fats due to the lack of insulin the body enters into a state of metabolic acidosis. The deep respirations is the bodys way to blow off carbon dioxide to make the body more alkolidic and return the bodys pH level to normal. The patient will also present with a fruity smell on their breath when experiencing DKA. This is due to the ketones being broken down in the body. HHNCs only distinguishing factor is the lack of kussmaul respirations and the fruity breath odor. Many social and ethical issue can and do arise when treating patients with this condition. One social issue is that this problem occurs quite often with homeless and improvised persons. This is because they are often not able to get the proper medications and also not eat proper meals to keep their blood sugar at a normal level. Also these types of patients are sometimes known to drink alcohol and skip out on meals. The combination of malnutrition and alcohol consumption will cause diabetes to worsen significantly. One social and ethical issue is seeing through the symptoms that sometimes indicate other medical problems and determining that the patient is suffering from a diabetic emergency. Patients sometimes present identically to how a person who is severely intoxicated would. These patients can often be rude and violent. It could be very easy to mistake a hypoglycemic patient with an intoxicated individual and have the police transport them to the jail without ever obtaining a BG L check to determine the true problem. This mistake could cause the patient further internally injury and even death. The key with these types of patients is to keep a high index of suspicion. Lastly a common ethical issue is when to let these types of patients refuse care. Often times EMS will arrive and treat the patients symptoms and bring them back to their normal state of consciousness. For many patients it is not the first time the rescue squad has had to respond to their home to reverse their hypoglycemia and do not see a need to go the hospital. The paramedic should try to convince the patient that they should go to the hospital and explain to them the risks of refusing care, but if they still refuse and are alert and oriented the paramedic needs to respect their decision to refuse care and document the event accordingly. One positive thing about encountering a patient with hypoglycemia prehospitaly is that this issue is usually easily reversed. When treating hypoglycemia you want to first asses the patients Airway, breathing and circulation. Patients in hypoglycemia may have decreased respirations so assisting ventilation with a BMV may be necessary. If the patient is breathing at a normal rate they should have oxygen administer to them via a nasal canula or non-rebreather to combat hypoxia. Once ABCs are taken care a blood glucose reading needs to be obtained from the patients finger to confirm that the patient is indeed experiencing hypoglycemia. If the patients BGL is below 60mg/dL first consider 15-30g of oral glucose to be administered only if the patient is conscious and is able to swallow. If IV access can be obtained then 25g of D50 should be administered via IV or IO. If IV access cannot be obtained 1mg of glucagon should be administered IM. The patient should also be hooked up to cardiac mo nitor to rule out cardiac dysrhythmias. In the case of a patient experiencing hyperglycemia first asses the patients Airway, breathing and circulation. Patients in hyperglycemia may have decreased respirations so assisting ventilation with a BMV may be necessary. If the patient is breathing at a normal rate they should have oxygen administer to them via a nasal canula or non-rebreather to combat hypoxia. Once ABCs are taken care a blood glucose reading needs to be obtained from the patients finger to confirm that the patient is indeed experiencing hyperglycemia. If the patient is found to be experiencing hyperglycemia with a BGL of 300mg/dL attempt to obtain IV access and admitter a 250ml/hr fluid bolus with normal saline. This will help combat dehydration associated with hyperglycemia and help thin out the glucose enriched blood. In conclusion diabetes is a true medical emergency. It should be taken very seriously but can often be treated effectively in a pre-hospital setting. Paramedics need to keep a high index of suspicion to make sure they do not misdiagnose patients that are actually having diabetic emergencies.

Friday, October 25, 2019

Budgeting Essay -- Finances Accounting Budgets Essays

Budgeting Budgeting is the systematic method of allocating financial, physical, and human resources to achieve an organization’s strategic goals. Budgets are utilized by for-profit and non-profit organizations to monitor the progress towards the goals, assist in the control of spending, and help predict cash flow for the organization. The central challenge that budget developers encounter is predicting what the future holds for the internal business and external factors. Reading the future is something that can never be done with perfect precision. The fast pace of technological change, the complexities of global competition and world events make developing effective budgets both more difficult and more important. Important benefits of improving the budgeting process include better companywide understanding of strategic goals, more coordinated support for those goals, and an improved ability to respond quickly to competition. (Gruner & Jahr, 2003 Inc Magazine). Anyone familiar with Generally Accepted Accounting Principles (GAAP) and practices will find most accounting for nonprofit activity to be very familiar. There are, however, some significant differences, which include:  « Accounting for Contributions  « Capitalizing and Depreciating Assets  « Use of Cash- and Modified Cash-Basis Accounting  « Functional Expense Classification The act of budgeting resources to meet or beat the goals of an organization is an art form in any type of business. â€Å"All business should prepare budgets,† (Hansen and Mowen, p. 282). The advantage to budgeting is that: 1. It forces to plan. 2. It provides information that can be used to improve decision making. 3. It provides a standard for performance evaluation. 4. It improves communication and coordination. If good budgeting is important for every successful business or organization, can we expect to have industry standard and general practices that are followed in every type of organization? Probable not, but certain standard can be expected, which is the direction of this term paper. Are there a difference or should there be a difference in the way a for-profit and a not-for-profit conduct their budgeting procedures. In both cases, they have income and expenses, employees and goals and objectives of the organization. The hypothesis is that there is no difference in the bu... ..., a wide variety of popular accounting software systems are available that have been designed to satisfy these needs. If the nonprofit organization uses an adequate accounting system, sets up its categories and classifications in line with the IRS reporting requirements, and assiduously labels all revenue and expenses appropriately, then completing the IRS annual report is a relatively painless matter. References Bangs Jr, David H and Pellecchia, Michael, August 15, 2000, Action Plan: Forecasting and Cash-Flow Budgeting retrieved from web site http://www.muridae.com/ nporegulation/accounting.html on February 27, 2003. Critical Issues in Financial Accounting Regulation for Nonprofit Organizations, Online Compendium of Federal and State Regulations for U.S. Nonprofit Organizations, retrieved from web site http://www.muridae.com/nporegulation/main.html on February 28, 2003 Gruner + Jahr, January 12, 2000, Best Practices: Developing Budgets, Inc Magazine, USA Publishing. Inc.com, retrieved from web site http://www.inc.com/articles/ finance/fin_manage/budget/16379.html on February 27th, 2003 Hansen & Mowen, Management Accounting, 6th edition, 2003, South Western

Thursday, October 24, 2019

Eddie Mabo Essay Essay

I strongly agree with this statement because of his actions and personality throughout the film. My interpretation of this sentence is that Eddie is strong passionate person but he also faces the side of reality, that is, no one is perfect, and this is true what Perkins does to help us relate to Eddie and feel sorry for him. Eddie Mabo represented somebody who wasn’t just going to sit back and take it. Eddie Mabo is tired of being a victim of the unequal rights. He’s perceived to be strong. He fought for what was his right and for his people. People full led of hate have perceived him as being a smart man who was going to ‘beat’ them at their own game. People who have racist views don’t necessarily cope very well with perceptions of strength. They need to perceive people as being weaker then them, less able than them, but in this case Eddie was too smart, and determined. All throughout his life, Eddie Mabo showed us many strengths. He had leadership skills, especially considering his lack of education. He knew how to get people to believe in what he was saying, and was an inspiration to all of them. He was one of the first indigenous Australians to stand up for land rights, and would not back down even when everything seemed to be against him, displaying his powerful determination and belief in himself as a person. He also shows great respect and love for the land and his culture, which is the main driving force behind his fight for land rights. Throughout his life, Eddie Mabo had many obstacles. The first of these was his banishment from Murray Island, as he had to fight for survival from a young age, fending for himself at the age of sixteen. This made growing up very difficult for him as well as the racism he suffered which made it hard for him to get work and shelter.

Wednesday, October 23, 2019

Fiction Essay Instructions Essay

In Module/Week 3, you will write a 750-word (about 3–4-pages) essay that compares and contrasts 2 stories from the Fiction Unit. Before you begin writing the essay, carefully read the guidelines for developing your paper topic that are given below. Review the Fiction Essay Grading Rubric to see how your submission will be graded. Gather all of your information, plan the direction of your essay, and organize your ideas by developing a 1-page thesis statement and outline for your essay. Format the thesis statement and the outline in a single Word document using current MLA, APA, or Turabian style (whichever corresponds to your degree program). You have the opportunity to submit your thesis and outline by 11:59 p.m. (ET) on Monday of Module/Week 2 for instructor feedback. The essay is due by 11:59 p.m. (ET) on Monday of Module/Week 3 and must include a title page (see the General Writing Requirements), a thesis/outline page, and the essay itself followed by a works cited/referenc es page of any primary or secondary texts cited in the essay. Guidelines for Developing Your Paper Topic Chapter 39 in your textbook provides some helpful pointers for reading actively, taking notes, brainstorming, developing a clearly-defined thesis statement, preparing an outline, and writing a cogent fiction essay. Be sure that you have read the chapter before doing any further work for this assignment. Choose 2 of the following short stories to compare and contrast in your essay: â€Å"The Lottery† by Shirley Jackson â€Å"The Destructors† by Graham Greene â€Å"The Rocking-Horse Winner† by D.H. Lawrence â€Å"Young Goodman Brown† by Nathaniel Hawthorne â€Å"The Child by Tiger† by Thomas Wolfe â€Å"The Most Dangerous Game† by Richard Connell Also, make at least 1 of these elements of fiction the focus of your essay: Conflict/Plot/Structure Characterization Setting Theme/Authors’ Purposes Point of View Tone/Style/Irony/Symbol/Imagery If you need help focusing your essay, ask yourself questions that correspond to your chosen element(s). Conflict/Plot/Structure (This is not a summary of the stories) What are the basic conflicts, and how do these build tension, leading to major complicated incidents and climactic moment(s)? What are the ways in which each major character experiences conflict (either with self, with other characters, or with the social and/or physical environment)? How are the conflicts resolved? Do the protagonists succeed in achieving their goals? Who receives your deepest sympathy and why? Characterization Who are the main characters in the stories?  What are their outstanding qualities? Does the author give any indication as to how or why the character developed these qualities? What are the characters’ emotions, attitudes, and behaviors? What do these indicate to the reader about the character? Can the characters’ motivations be determined from the text? Setting Where and when do the stories take place (remember to include such details as geographic location, time of year, time period, if the setting is rural or urban, etc.)? Do the settings make the stories believable or credible? How does setting impact the plot of the story, and how would the plot be affected if the story took place in another setting? Are the characters influenced by their setting? How might they behave if they were in a different setting? What atmosphere or mood does the setting create (for example, darkness may create a mood of fear or unhappiness while light or bright colors may create one of happiness)? Is the setting or any aspect of it a symbol or does the setting express particular ideas? Does setting  create expectations that are the opposite of what occurs? Theme/Authors’ Purposes What is the major theme (or themes) of each story?  Are the themes of the stories similar or different?  How does the author convey the theme (or themes) to the reader? How do the stories’ themes relate to the authors’ purposes (some examples of author purposes are to entertain, to satirize, to realistically portray life’s problems, to analyze emotions and responses, and/or to communicate a moral message)? What unique style, techniques, or devices do the writers use to communicate their themes? Tone/Style/Irony/Symbol How would you describe the tone of the piece?  Does the tone correspond with the action occurring in the plot? What style does the author use (for example, one way an author might satirize is by including a lot of ironies, hyperbole, and unrealistic scenarios)? How might the story be different if the tone or style is changed? Does the writer use irony or symbols to communicate the message?