Saturday, November 30, 2019

Managing Waste Essays - Waste Management, Water Conservation

Managing Waste Managing Waste, To Save Our World Have you checked your garbage lately? Are you aware that you are throwing away many materials that could be saved? If we did simple things like reusing glass, we could reduce our municipal landfill sites by almost 10%. Waste cannot be simply thrown away anymore, now it must be managed. Managing our trash is the "in thing", yet it is hardly convenient. Lets face the facts, sealed toxins "won't affect us for a good twenty years". Although this may be true, there are still many advantages to waste management. Today, more people are in favour of companies who invest in "green products". As a result, companies have removed phosphates, bleaches, and have made their paper products out of recycled papers. At home, families, are saving things, like leftovers, and making sandwiches for the next day. Industries are also manufacturing most of their christmas cards out of recycled paper, since it takes 20 trees to make a ton of it. Finally, small businesses are d oing christmas tree pickups, and reuse them for preventing erosion in stream beds, and as fertilizer. Compared to several years ago, people have begun to see that there is a problem. We are beginning to deal with it, now we must solve it. Sarah White Andrew Likakis

Monday, November 25, 2019

The best references to give on a job application

The best references to give on a job application Your job references aren’t just warm bodies who can verify that you’re â€Å"the best employee ever, and a totally great fit for [insert job here].† If done thoughtfully, your references can help you create a specific â€Å"hire me because I have these skills† narrative, or support the one you’ve set up in your cover letter, resume, and interview. The groundwork for these references should be done ahead of time, before you even think about applying for a job. That way, they’re ready to go when you need them- and won’t be taken by surprise when someone calls them for a reference. So who should be included on your list of professional references?Your current bossThis is complicated if you’re looking for jobs on the down-low, but if it’s an open concept that you’re leaving your current job and looking for a new one, your current manager is the best bet. He or she knows you as you are right now and can speak to recent accomplishments. Before you offer up your current boss, though, it’s important to know roughly what they’ll say. If there are any concerns or uneasiness about that, then leave them off the list.Your current colleaguesThis can be a great alternative if you don’t want your current boss to know you’re actively seeking another job. A trusted colleague (one who can keep a secret) who works closely with you can be an excellent reference to have, since they know you in a day-to-day professional capacity. Ask him or her to talk about specific projects and what you’re like as a team member.Your former supervisorAn old boss can be useful because they can give the hiring manager a sense of what you’re like as an employee, but the risk here is that their professional information about you may be a little out of date. And as with referring your current boss, it’s important to know roughly what they’re going to say. If you think they might w ant to talk about some of your less-than-stellar moments, then think twice about including them.Your teachers or advisorsThis isn’t all that helpful if you’ve been in the workforce for a while, but if you’re a recent grad or just starting out, professors or advisors can tell the company about your skills and personality.Once you’ve decided who your go-to references are for this job application, be sure to give them a heads-up that they may be contacted. Also give them information about the job itself and what you’re hoping they’ll emphasize in their chat with the new company. There’s only so much you can stage-manage what this person will say, but giving them a template of sorts helps them prepare and find the most useful information to share about you. It takes some of the onus off of them to figure out what they’re supposed to talk about.It’s also important to make sure your references are targeted to the job you want. If you’re applying for a marketing job, your old boss at your summer restaurant job might not be the most useful person to help you get this new gig. The more thought and preparation you put into your reference list, the better and more focused information they’ll be able to provide.

Friday, November 22, 2019

A Study On Agile Software Development Business Essay

A Study On Agile Software Development Business Essay Agile software development is a group of methodologies whose basis is iterative development. The requirements and solutions in this develop through collaboration between self-organizing cross-functional teams. Agile methods usually endorse a well-organized project management process that promotes many inspection and adaptation. It endorses a leadership philosophy that encourages teamwork, self-organization and accountability, a set of engineering best practices intended to allow for rapid delivery of high-quality software, and a business approach that aligns development with customer needs and company goals. Agile methods promote an iterative mechanism for producing software. They further enhance the iterative nature of the software lifecycle by tightening design-code-test loop to at least once a day (if not much more frequently) as opposed to once per iteration. The theoretical foundations of this framework are found in modern approaches to operations management and analysis, such as lean manufacturing, soft systems methodology, speech act theory (network of conversations approach), and Six Sigma. Agile Vs Waterfall Waterfall Model: The Adoption of waterfall has helped to drive down the failure rate of software development projects, but even with rigorous project management and processes, a full 70 percent of software projects using this methodology fail to meet their objectives. To put this in perspective, waterfall software projects have less than half the success rate (66 percent) of going over Niagara Falls in a barrel. Figure: The waterfall process for software development Agile approach differs from Waterfall in more than one ways, however the major point of difference is that in the waterfall process there are several checks carried out in phases and the team is expected to deliver a particular part in each phase, however in agile the team is expected to carry out their project in iterations instead of phases. At the end of each iteration, the deliver able expected is a working code that can be continuously improved in order to cope up with the ever changing needs of the demanding client. However, in case of Waterfall, it is assumed that all the needs and requirements of the client are known precisely right at the beginning of the project. Alibi the software development industry is such that , it is often very difficult to understand the exact requirements of the customer at the beginning of the project. This is the major shortcoming of waterfall, where the development team is seldom able to meet the expectations of the customer. Agile methodologies embrace iterations. Small teams work together with stakeholders to define quick prototypes, proof of concepts, or other visual means to describe the problem to be solved. The team defines the requirements for the iteration, develops the code, and defines and runs integrated test scripts, and the users verify the results. Verification occurs much earlier in the development process than it would with waterfall, allowing stakeholders to fine-tune requirements while they’re still relatively easy to change. 1. XP Extreme programming mainly focuses on the development; it does not lay too much emphasis on the management perspective of the software projects. The main purpose with which XP was designed was that all organizations could adopt it for free in its entirety or partly.

Wednesday, November 20, 2019

Exam - 3 Essay Example | Topics and Well Written Essays - 1500 words

Exam - 3 - Essay Example nal integration with highly qualified management, external technical assistance, and good project communication (Applegate, Austin & Soule, 2009:317). Low structured-high technology projects: These refer to projects that are even more complex, considering that such projects entail the combination of low technology and unknown outcomes (Applegate, Austin & Soule, 2009:351). Thus the level of uncertainty is very high, since the expectations are uncertain, while the technology being used is novel and experimental, putting such projects at a great risk of project failure. To avert the chances of such projects failing, the tools that are necessary are the internal integration and the external integration tools, comprising of teams of highly qualified developers, and the excellent application f communication skills (Applegate, Austin & Soule, 2009:317). High structure-low technology projects: These are projects that have the lowest level of risk involved, since they comprise of well understood technology and well-defined outputs and user-requirements (Applegate, Austin & Soule, 2009:316). The essential tools for such type of projects include formal control of results and formal project planning. Low structure low technology projects: This are projects with low levels of risk, because the technology applicable is well known, so the only difficulty is the high rate of volatility of user requirements (Applegate, Austin & Soule, 2009:313). Such projects require the application of good project communication and excellent external integration as the tools to assist in the ever-changing user requirement. Before the incident: At this stage, the issues that need to be considered are the sound design of the project. Further, there also needs to be the consideration of the level of execution, where a high level of disciplined execution is required (Applegate, Austin & Soule, 2009:281). Further, it is important to have detailed documentation of all process and procedures, as

Tuesday, November 19, 2019

Assignment Example | Topics and Well Written Essays - 750 words - 111

Assignment Example c) Inflation changes dramatically in the price level. When inflation rises to 4%, buyers will increase the present consumption expenditure and demand price levels raises and money loses its real purchasing power. a) Physical capital refers to the objects used by firms to produce its goods and services. They include machinery, buildings, and equipment. Financial capital refers to resources that are used to purchase those physical objects. The resources come from savings. b) Net investment refers to the amount of actual addition made to the capital stock of economy in a given time, while gross investment refers to the total amount of addition made to capital stock that represent the economy within a given period. c) Types of markets for financial capital include money market, capital market and third and fourth markets, which include foreign exchange, commodity and derivatives market. Their availability and development will depend on the policy a country sets to safeguard the money matters. d) There is a wide swing in prices of goods and services when the interest rates are low. Variation in asset prices changes with interest rates. The business executive knows how to best design ways into meeting the available demands and constant supply of products and services. The increase and decrease in prices of goods depend on profit margins. e) Firms have a number of factors to consider when making an investment decision. They consider the scale of investment, expected returns and the long and short-term effects on investment. The consumer preferences that demand more from the manufacturers usually create an awareness campaign to enhance profitability. f) The determinants of demand for loanable funds are an investment. It changes with interest rates. Those who require putting their money and time into investment in many occasions use loan facilities from banks. g) Household make saving decision by reducing spending and increasing

Saturday, November 16, 2019

Personal Portfolio Essay Example for Free

Personal Portfolio Essay My journey as a student started out as a young child. Coming from nurturing parents, I was always taught my ABC’s, 123’s and colors. I was an eager student and when it was time to go to school, I was excited and motivated. As I moved on in my educational career, I didn’t keep with the same attitude I started with when I was younger. I feel now, I’ve regained my passion to be a student with the maturity I’ve gained over just this past year. I feel that I will always be a student because I will never cease to learn. I’ve been successful and unsuccessful in my efforts in my formal education. With each new endeavor I take, I learn something new about myself and what I can handle. One of the biggest things I’ve accomplished was the completion of high school. For me, my high school years were some of my darkest. I was in regular day school or the first two years and because of personal issues spent the last two years on home instruction. Being able to graduate with a high school diploma in the allotted 4 year time span meant so much to me and still does. Another successful experience I’ve had before coming to MCC was obtaining my Medical Assistant Certification. I worked in the field for some time and decisions I made in my life, lead me to give away what I had worked so hard for. The most recent and successful thing I’ve done thus far is coming to MCC. Before enrolling here, I was in a very lost and dark place in my life. I wasn’t sure if I was ever going to get out. I was given an opportunity at a second chance and I am going to take full advantage of it this time around. I’ve encountered many challenges along the way; some of them I’ve even let stunt me in my growth as a person in society. When I was in grammar school, I lost my father suddenly, as I entered high school I fell into the wrong crowd of friends and my life took a turn down the wrong path for a while and I have a diagnosed mental illness that makes everyday life difficult sometimes. I’ve learned that I need to be open and honest with my life in order to get better. How I’ve learned cope with theses everyday challenges it to just face every day and know my limits. I attend self-help groups that have changed my life and afforded me with nineteen months clean and showed me there is a better way to live. I decided to enroll in Middlesex County College because I need a change of pace. Before coming to MCC, I was stagnant; I wasn’t sure I’d ever move from the dreary place I found myself in. When the Fall 2012 semester was about to close, I had a choice, was I going to participate in life or was another year going to pass me by? I made a decision to put all my fears aside and enroll. Honestly, the first few weeks of that fall semester were great. I felt on top of the world, things were coming so easy. Then reality started to set in. I saw that I was in remedial classes and my friends were in more advanced courses some even in universities. Life started to show up and responsibilities were beginning to knock on my door and tests were on days I wanted to have for myself. I felt trapped and on some days, I really wanted to give up. However, I kept pushing forward because I know that I came this far and wasn’t going to give up over a little pressure. Plus, I had so much support from the people that love me I was doing this more for just selfish reasons this time. I’m not sure how my professors this semester would describe me being we’ve only known each other a short period of time. Going on the opinion of last semester’s professors, I feel they would describe me as outgoing and responsible. I remain accountable for the things I do and the things I don’t do. I’m on time for classes and not shy about asking for help or staying after class to voice a concern. That is something I’ve learned in my short time as a college student and it’s taught me well. An academic goal of mine in the short term has been in the short term to complete my remedial classes and some of my basic psychology classes. In the long term I would then like to matriculate to Rutgers University to complete my Bachelor’s degree. It has always been a dream of mine to graduate from the University my mother did. Although I don’t want to follow in the medical field the same way my mother did, I still want to obtain my doctorate as she did. I feel it is in my blood to help people, just in different ways. I plan to accomplish this goal by staying focused on my plan and using my time wisely. I need to start to identify my weaknesses and work on them more thoroughly. I need to obtain better study skills begin to prepare to the weeks ahead instead of the just the week or the day. Also, I need to get out of the mindset that things will get done for me or over time just go away; in life, things don’t happen like that. In conclusion, I plan to take my new lease on life and my academic career very seriously. I have a pretty good understanding what is ahead of me of me given I keep doing the next right thing. On the other hand I know what is waiting for me if I slip and go back to the life I was leading before I made the decision to change and start this new way of life. The good thing about today is today I am free and have a choice of what I want to do. I no longer have to be dictated to on what I have to get done, it’s my life and from this point on I will decide how I will live each day.

Thursday, November 14, 2019

Comparing Evil in The Elephant Man, Romeo and Juliet, and Let the Circl

Comparing the Evil Exposed in Christine Sparks' The Elephant Man, William Shakespeare's Romeo and Juliet, and Mildred Taylor's Let the Circle Be Unbroken  Ã‚     Ã‚  Ã‚   "Evil is the underlying element in the life of a living creature." This quotation, by Ray V. Sjorvek, expresses the idea that all living creatures contain a certain degree of evil inside themselves. In literature, protagonists usually express their sinister sides through words or actions when trying to prove the point that one's hidden emotions cannot be concealed. Authors generally write about evil causing the downfall of society. In many cases, authors speak of hatred persuading people to aid in the corrosion of civilization. Christine Sparks' famous novel, The Elephant Man, William Shakespeare's play, "Romeo and Juliet", and Mildred Taylor's novel, Let the Circle Be Unbroken, all convey the idea that hatred, which develops out of the evil within man's heart, can only lead to destruction.   Ã‚  Ã‚   In Christine Sparks' novel, The Elephant Man, many of the characters express hatred towards a character referred to as the Elephant Man. One of the first characters introduced in the play is Mr. Bytes, the keeper of John Merrick (the "Elephant Man"). Bytes continually beats Merrick like he would an animal and he uses Merrick to gain money by performing at "freak shows". Because of his appearance, society views Merrick as an outcast. Furthermore, Bytes expresses his frustration towards Merrick by beating up the "Elephant Man". Another character in the novel named Dr. Treves is a kind, compassionate man. However, when he first meets Merrick, he chooses not to associate with John because of his outward appearance and apparent lack of intelligence. Lastly, we meet Jim Renshaw ... ...judice towards blacks and other minorities was nothing odd during the 1930's. The protagonist of the story, Cassie, first experiences an example of racial tension when she notices a drinking fountain and cannot drink from it because it is "White Only". Another example of prejudice occurs when Suzella, who looks white but is actually half white and half black, gets attention from many white boys. However, when the boys find out that Suzella is partially black, they stay away from her. Lastly, society's hatred towards blacks displays itself when a young boy named T.J. Avery is falsely accused of robbing a store. T.J.'s imminent conviction shows us that the judicial system, the one thing that should defend people's rights can be warped according to the way society wants it to be it to be. Therefore, we can conclude that prejudice is yet another manifestation of hatred.

Monday, November 11, 2019

Sociology Global Socio Cultural Responsibility

They will do this for two rounds. After the have made their lists, with the entire class, I will ask the students for some of the similarities they found and some of the differences and make a list of these. Than we will discuss the similarities and differences they gathered. Which differences were most common among people, which differences were most/ least important, were the differences physical characteristics. Period #3 Needs: The last period I will explain the meaning of responsibility in a community.I will also have the students do a community building activity that will help them understand the concept and importance of social responsibility in there community. I will than explain the importance of being aware of global issues that take place and how as a class they can contribute to helping others even f they are not located close to them. The community building active ¶y' will start after I explain the importance of community and what it means. Ill divide the students int o small groups of three and provide them with presented scenarios to act out. The skits will provide them with examples of ways to help another student. An example would be a student helping another student with something because they may be disabled. After the groups have practiced their skits I will ask for two volunteers to perform their skit in front Of the class. I will than ask them questions such as, how was this group lawful to another student who was different? If you were in the situation would you do the same thing?Next I will ask the students to raise their hands and give me ideas of things they could do to help members in the class, in school or in the community. Some ideas would be picking up trash, cleaning the white boards or donating olds clothes they don't need anymore. To end the lesson on Global Socio-cultural Responsibility I would ask the students to review what we went over: the three qualifications of social responsibility, the aspects of cultural responsibil ity and how they demonstrated a sense of Ewing a responsible member of a community in the classroom.Last I will talk to my students about setting up a Penal. Assignment #1- Part #2 period #1 First lets start off with the question of what is social responsibility? These two words explain the idea that every person is responsible for society as a whole, not just individually, not just in the state of Florida or even the United States but all around the world. This means that each day we need to act and behave in the most appropriate ways that help us all be better people but we also need to consider how Our actions and behaviors affect the rest of society coolly and globally.How can you be a socially responsible student? The following are three qualities that describe a socially responsible second grade student at Sarasota Elementary: 1 . Someone who contributes positively to the classroom and school community An example would be holding the door open for your classmates on the way to lunch or helping pick up trash around the classroom. 2. Solves conflicts in peaceful ways An example would be a student who uses kind words to speak to another student if they happen to get into an argument. . Values diversity Diversity means a variety of something. Valuing diversity means we need to be aware of all of the differences among our classmates and other people in the world. The important thing to remember is that these differences are what make us who we are and we should be open to different things and never tease someone if they seem different from what we are used to. Showing that you value diversity is very simple!Here are a few ways you can show that you appreciate the differences that makes each of us special: never make fun of people who are different from you in any way, next time you go out to dinner with your parents ask them if you can go somewhere with food room another culture, treat everyone how you would like to be treated and last believe in yourself and be proud of the different things that make you who you are! Period #2 Second we will discuss the cultural part of Global Socio-Cultural Responsibility. What does the word culture mean?Culture means the different attitudes, behaviors, knowledge, values, traditions and customs that a society or a social group all share. These differences come from all around the world and are the â€Å"glue† that keeps a group of people together. Pizza is a food item that is part of the Italian culture, SST. Patrick Day is a national loudly and part of the Irish culture and the American flag is part of the American culture. For all of us to have cultural responsibility we have to honor diversity in our world.Honoring diversity means that instead of focusing on the flaws, we need to focus on the good. In order to honor diversity among cultures we need to be aware of how some members of cultural groups might feel about certain issues like, family, religion or traditions. Period #3 The last part towards understanding Global Socio-cultural Responsibility is realizing the importance of community. Community is a group of people ho acknowledge the deep connections they have with one another, respect each others differences, and work as a group in making decisions.A community of people also has a common purpose and each person is responsible for his or her own actions but when you are part of a community it is important that everyone supports each other's growth. As a class, we can all create our own community. This might all be a lot to take in but in light of what we have learned today I think it would be a very fun and good idea for each of you to start writing to a Penal. This will help you learn about other ultras and other countries and allow you to be more globally aware of things that are going on in places other than just here in the united States.It will be a good way for you to really learn the true differences of other students your age plus it's always nice to have another friend! Assignment #2 From age three to eighteen attended private Catholic schools. Attending a private Catholic school for almost my entire life, up until right now, I was always very sheltered. There wasn't really any racial diversity in my school and very little religious diversity. Having attended a small, private, Catholic school y entire life definitely made one of the biggest impacts on my development.

Saturday, November 9, 2019

The Importance Of Personal Development Education Essay

With out a program cipher can make their finish. As Bob ( 2010 ) , described that â€Å" Personal development refers to activities that improve self-knowledge and individuality, develop endowments and possible, build human capital and employability, enhance quality of life and contribute to the realisation of dreams and aspirations. The construct is non limited to self-development but includes formal and informal activities for developing others, in functions such as instructor, usher, counselor, director, manager, or wise man. Finally, as personal development takes topographic point in the context of establishments, it refers to the methods, plans, tools, techniques, and assessment systems that support human development at the single degree in organisations † Personal development planning is a supported procedure which helps to concentrate on single public presentation and helps to accomplish and develop their bearer. The chief aim of personal development program is to better the capacity of single. Harmonizing to careereducationweb.com personal development is repeatedly seting a individual in a place where we need to be alteration or developed or motivated to make our finish. It takes control of a individual to turn and coercing to go dead. Personal development and growing are critical to success. Most of the people fail to accomplish their end because of deficiency attempt, clip invariables or an incapableness of concentrating on the ends. Harmonizing to heacademy.ac.uk web site PDP is defined as â€Å" a structured and supported procedure undertaken by an single to reflect upon their ain acquisition, public presentation and/or accomplishment and to be after for their personal, educational and calling development. PDP embraces a scope of attack to larning that articulation planning ( an person ‘s ends and purposes for larning or accomplishment ) , making ( alining actions to purpose ) , transcript ( judgement, facts, experience, in order to acknowledge and grounds the process and consequences of larning ) and look reviewing and measure experiences and the consequences of larning. † Personal development program is a procedure which gives a character a clear position of life. And every witting professional should hold a personal development program to accomplish their nonsubjective and make their finish.Importance of Personal Development:Every organic structure got its ain endowment indoors. Every person has its ain thought and endowment. But most of us can non research it because of lacking of personal development. Without growing life is like dull being. Due to lie state of affairss many people can non develop personally. Growth is indispensable portion of life of a individual. Personal development helps to larn which we are capable to larn. Personal development is really of import. It helps to happen out chance to make a better life mentally, physically and spiritually. Personal development is really of import. It helps to happen out chance to make a better life mentally, physically and spiritually. There are few grounds why personal development is of import. First ground is personal development helps you to concentrate on of import things of your life. There are many things in u your life which can deviate you from of import things. For an illustration it could be short – term pleasance. Short term pleasance may do us experience good for short clip but it will be do the long term suffer for hereafter. Merely personal development can direct you on the right way. Second ground is personal development develops our capacity. Personal development non merely concentrate on of import things of our life but besides helps to manage a critical state of affairs. We are capable to confront some specific challenge but personal development increase our bound to manage more hard challenge. Third ground is personal development helps us to link with positive people. When we will affect us in personal development so we will establish many positive people around us. Having this positive people around us, we will be more motivated to travel frontward. Personal development means difficult work. it takes consistency, forbearance and clip. Harmonizing to scotthyoung.com web site if we want our personal development we need to concentrate on deriving bravery which thing we fare of, decilpline, more learning, hope and power. Personal development is an investing for our life. Personal development helps to better our cognition. Personal development is an attitude which helps to better our life. If you want development in our personal life we need to concentrate on Understand yourself Better your consciousness, Work on your attitude, Believe in yourself, potencies Develop your accomplishments, Set your ends, Begin with the terminal in head. It is really of import to under stand my self fist because we need to cognize where is our failing and heterosexual and believe on yourself and be confident. And so put our ends it is really of import to put our end it is impossible with out a end to accomplish something. And last one is set up head. It means we must hold to be confident and promise that I will make it by any opportunity. Allen and Adair ( 1999 ) province that â€Å" There is no ‘end ‘ to the self-development procedure. † The besides show that why this is of import for professional life and where to concentrate on. Personal development helps to better our public presentation, develop appropriate accomplishments and competencies and gain full potency. Every organic structure want a place to work but most of them do n't hold proper set of ends. Merely for this ground most of us can non make our coveted finish. Merely personal development plan can assist us to cognize where to travel how to better our ego and assist us to make our finish. From the above discursion it is clear that personal development is really of import for our life. It gives witting attempt to turn up. Every organic structure grew up with their ain single endowment and accomplishments. Personal development helps us to happen out these accomplishments. Like that I have some accomplishments in my professional life. Team worker: I believe that I am really good squad participant because when I work I like to affect every one into work, expression after single demands and seeks to derive committedness by engagement. I am really good hearer and willing to impart my manus if needed. For my difficult work and as a good squad participant I became associate of the month from my working topographic point. Co- ordinator: I am confident at my work topographic point. I am able to work at busy clip and able to take the challenge. I am ever committed to my organisational end and aim. For those activities I became crew trainer at my working topographic point. A Good Presenter: Presentation accomplishments is really of import for professional life. I conducted a professional accomplishment class and learned how to make it decently. On the first twenty-four hours of my presentation test I run off from speech desk but after that I took that challenge and I got 2nd tallness Markss on my concluding test. I discussed about my three accomplishments which I poses. But I believe that I need more pattern on it. And I need to travel further for more accomplishments which will assist me in hereafter for my professional life.1.2 Importance of Professional Skills:Harmonizing to answer.com web site accomplishments defined as â€Å" Proficiency, sleight that is acquired or developed through preparation or experience. † Professional accomplishment is really of import for personal bearer. We must concentrate on it. Professional accomplishments is a sort of accomplishment that we learned from a company and applied on professional life. The accomplishment and importance are described below: Communication Skills: Communication accomplishments are really of import for professional life. It is really of import to hold a good communicating accomplishment. With out a proper communicating it is impossible to pass on with other and achieve the aim. Performance Management: Performance direction should be see really strongly. It is about to happen out recognized staff and honor them, behavior coaching Sessionss with staff etc. Customer Service: As a director it is really of import to concentrate on client service. It is all about to betterment of client service. Organizational accomplishment: To accomplish an organisational end we must hold to hold organisational accomplishment. Which includes effectual at deputing work, clip direction system etc. Professional development: Professional development is really of import for professional life. It is of import to cognize section functions programs and ordinance of working topographic point. Legal Issue: Legal issue base on understanding the all employment Torahs. Effective legal employment interview etc. Leadership: Make determinations easy and efficaciously monitoring assignments without micromanaging. Team work: Positive ambiance which helps to team work together. Creat chance for other. Problem resolution: With out job work outing attitude it is impossible to run a company. It most of import for professional accomplishment. From the above discursion, it is clear that it is really of import all professional individual. To do a successful bearer those accomplishments are really of import. From the Belbin squad roles – â€Å" Self Perception Inventory † utilizing this tools we can acquire into deepness of importance of professional accomplishments. Plant, resource research worker, coordinates, proctor judge, squad worker, implementer, complete finisher those are the cardinal factor of professional accomplishments. I completed Belbin Team Roles appraisal and found my ego as a squad worker. Which indicate that like to affect with everyone, I like to expressions after single and perceptive and diplomatic. And happen my failing as I could be influenced and indecisive in crunch state of affairss. I attach the tabular array below.Belbin Team Roles Inventory:Key Team Role Team contribution/personal manner Allowable failing PL 26 Plant Generates thoughts. Creative, inventive, irregular, solves hard jobs Ignores inside informations, excessively preoccupied to pass on efficaciously Rhode island 27 Resource research worker Maintains consciousness of resources available outside the squad. Extrovert, enthusiastic, communicative, explores chances, develops contacts Overoptimistic, loses involvement one time the initial enthusiasm has passed Carbon monoxide 48 Co-ordinator Ensures internal resources are applied to the squad aim. Mature, confident, a good president, clarifies ends, promotes determination devising, delegates good. Can be seen as manipulative, delegates personal work. SH 43 Maker Shapes the manner the squad operates. Challenging, dynamic, thrives on force per unit area, has the thrust and bravery to get the better of obstructions Can arouse others, hurts peoples feelings Maine 38 Monitor judge Buttockss squad advancement against the aims and mileposts. Sober, strategic and discerning, sees all options, Judgess accurately. Lacks drive and ability to animate others, excessively critical TW 51 Team worker Involves everyone, looks after single demands, and seeks to derive committedness by engagement. Co-operative, mild, perceptive and diplomatic, listens, physiques, averts clash, calms the Waterss Indecisive in crunch state of affairss, can be easy influenced IM 48 Implementer Turns thoughts into practical actions. Disciplined, dependable, conservative and efficient. Slightly inflexible, slow to react to new possibilities Californium 24 Completer closer Ensures the occupation is decently finished. Painstaking, painstaking, dying, searches out mistakes and skips, delivers on clip Inclined to worry unduly, loath to depute, can be a nit-picker. ( Beginning: Conducted by Class Tutor ) My failing are complete finisher. I need to guarantee that the occupation is decently finished or non. I need to develop on clip as good. To acquire more clear position of professional accomplishments, presently which I use Memletic Learning manner stock list. Which is given below: The tonss are out of 20 for each manner. A mark of 20 indicates you use that manner frequently. Style Tonss Ocular 4 Social 13 Physical 10 Aural 13 Verbal 11 Lone 12 Logical 13 Memletic Learning Styles Graph: ( Beginning: www.learning-styles-online.com ) Everybody has its ain strength and failing. Memletic manner helps me to happen out which my heterosexual and failing. From this graphs it is clear that my chief failing is ocular, verbal and lone. And my chief strengths are logical, verbal and societal. To became a successful professional I must necessitate to better my failing because those are my chief obstruction. From graphs it is clear that my chief failing is on ocular. Think it is really of import for a professional individual. This graphs helps me to cognize where I need betterment. And it helps me to better my personal accomplishments2.1 Importance of Skills Audit:A accomplishment audit is an indispensable procedure which helps to mensurate and enter the accomplishments of single or group. The intent of carry oning accomplishments audit are to place the accomplishments presently we have and the accomplishments we need to better. Skills audit helps to reconstitute and develop personal life. Importance of Skills audit: with out accomplishments audit it is impossible to cognize where to better. Using this skills audit information we can better and develop our hereafter program. The chief benefits of accomplishments audits are ; a ) Improve cognition and accomplishments ) Valuable and valid work topographic point plan. , degree Celsius ) Increase productiveness. The accomplishments audit based on three things, those are a ) Behavioural accomplishments, B ) Technical cognition, B ) Other cognition. I have conducted self appraisal accomplishments audit which I given below.Skills Audited account:Knowledge and accomplishments which I consider to be of import for my current Job Your Ability Rating ( 1-5 ) or strong / weak / someplace in between I am a good squad participant. Always try to assist other Friendly which helps to our occupation done decently. I am witting about client demands. I ne'er ignore client complain. Strong Knowledge and accomplishments which I consider to be of import for my hereafter calling Your Ability Rating ( 1-5 ) or strong / weak / someplace in between Involve my ego in different topographic points at my work Necessitate more experience in peculiar place. Need to better communicating accomplishment. Legal issue. Missing of organisational leading accomplishments Poor ( Beginning: Conducted by Class Tutor )Rating Ability:= Some consciousness but non sufficiently competent to utilize it, = Familiar with and able to utilize the cognition or accomplishment ( some competence ) , = Proficient in the cognition or accomplishment and able to demo others how to utilize it = Expert with a high grade of accomplishment and/or comprehensive cognition From the accomplishments audit tolls I found myself need to work hard on communications accomplishments, because it is really of import and need to cognize more about organisational leading accomplishments. And my chief strengths are helpful and difficult worker and client service. 2.2 SWOT Analysis and Precedences: SWOT analysis is tool through which we can place our Strength, Weakness, Opportunity and Threat. For the Personal scheme, SWOT analysis has a bold impact. It helps us for future program and my current state of affairs, where I have improve for my bright bearer. Harmonizing to quintcareers.com web site Randall and Katharine described that SWOT analysis helps to capitalise our strength and over come the hereafter. The demonstrate that SWOT analysis dived into parts -a ) Internal personal development, B ) External personal development.Personal SWOT AnalysisInternal Strength Failing Education Movable Skills Personal characteristicsA Good contactsLack of Work ExperienceWeak proficient cognitionExternal Opportunity MenaceEnhancing instructionPositive tendenciesOpportunities for professional developmentStrong webLack of the advanced education/traininglimited professional developmentAFrom this SWOT analysis, I found that I still I have some strength and chance and some failing. For my personal development I can analyze more which will assist me develop my bearer. I have another strength that is movable accomplishments which helps me to be a good squad member. My failing are deficiency of work experience and proficient cognition. My chance and menace, I can travel for farther instruction to construct up my calling and so I will acquire to be involve with more professional development and strong web.My Five Future Precedences:Higher Education: After finishing this class I will travel for farther instruction which will assist me develop my bearer. Travel: Beyond my higher instruction I will seek to go because it will assist me to contract with different civilization and different people which will assist me to my hereafter. Technical Knowledge: Exploitation of engineering is increasing twenty-four hours by twenty-four hours. So I will seek to affect my ego to maintain my ego up to day of the month with engineering. Involving with Multinational Company: will work for transnational company because this is a topographic point where I will acquire chance to develop my bearer. To make the end: After finishing my grade and making avobe work I want to make my finish and I want to open my new company and develop my ain organisation.3.1 Personal Development Plan:Developing a PDP My demands How can I run into those demands? My Future Aim What are the challenges in my occupation current that I need to run into? Improve Personal development Opportunity to work at direction Position A Work on personal development that will assist me to work at direction place Where do I desire to be in 2 old ages? To go resource research worker Awareness of resources available outside the squad. Extrovert, enthusiastic, communicative, explores chances, develops contacts. Where do I desire to be in 5 or 10 old ages? To go a maker A Shapes the manner the squad operates. Challenging, dynamic, thrives on force per unit area, has the thrust and bravery to get the better of obstructions How does that tantrum in with what the pattern wants? A To go a completer closer A Ensures the occupation is decently finished. Painstaking, painstaking, dying, searches out mistakes and skips, delivers on clip What adjustments will I need to do to accomplish what I want? Travel for farther higher instruction. Be more confident and positive What accommodations will other people need to do for me to accomplish what I want? A Provide me good preparation A After holding my preparation I want to work as resource research worker How can I get the better of my proficient obstruction? A Go for farther preparation It will assist me to be up make day of the month about my on the job topographic point. What helps me to be societal? Be more friendly and helpful It will assist me to be more acceptable in my professional life. What should I see to accomplish my end? To do a personal program and put a mark. Personal program will assist to accomplish my end ; Why I need a balance life? Practicing personal development and follow them decently It will assist me to success all the point of my professional life. Without a program it is non possible to make a finish. A is a way manner where it is written really clearly from where to get down and how to complete. To accomplish a coveted finish every organic structure must hold to hold a program. A individual without a program means a bird with out wings. Here I developed my program in table which screening, my needs 2nd 1 is how can I run into those demand and last 1 is my future aim. Here I tried to explicate my current demands which is most of import for me to accomplish my aims. Obstacles is everyplace. To accomplish my ends I would hold to confront some jobs. But in my development program I found some solutions how to over come it. The last 1 is my future aim. where I tried to happen out after my demands and how can I run into those demands what will be my accomplishment. Not it is more clear for me that what is my personal development program and how can I accomplish my finish.3.2 Obstacle to accomplishing aims:Aim Problem I can confront What are the challenges in my occupation current that I need to run into? Work Experience Communication accomplishment. Missing of Information and preparation. Less Job Opportunity Time direction. This universe is altering really foremost. Every twenty-four hours we are confronting new jobs and able to work out every bit good. New chance are lifting and new jobs come to look to accomplish them. Like that I have some obstructions of my bearer to accomplish the obstruction. First obstruction is my current occupation demand. I am working for a company as a trainer but I want me to see more higher place but I cant range at that place. I must hold to hold higher instruction, work experience, trained myself for suited place and better my communicating accomplishments. Question is that how to get the better of those obstructions? We know that there is job, there is a manner. So every job has its solution. First things is that I must hold to work hard and put a end to over come those obstruction. My first obstruction is missing of preparation. In every company where we want to turn up we need a preparation. I believe with a proper preparation I can get the better of my current occupation demands. To get the better of this job I can contract with my senior directors who can assist me to give right way. Work experience is my another obstruction, to over come this job I think I need to concentrate on clip direction. First I need to put my clip how to use it. It could be give some more clip for work topographic point through which I can acquire more experience. Communication accomplishments are became chief cardinal point for a professional. There is no other picks without holding a communicating accomplishment instruction. I think if I study communicating accomplishments and pattern it will be really helpful for my professional life.3.3 Brooding ReportI have covered a broad scope of subjects in Personal Development Skills. The purpose of this class is to cognize our accomplishments and failing and how to develop them and helps to take any challenges. This capable gives right way for life who wants to prosecute their ends and success. Personal development accomplishment helps me to understand my ain personality and ability to alter. It shows me where is my strengths and failing. For illustration I need to pay attending on organisation and clip direction. This topic helps me to put my nonsubjective and helped me to cognize how can I accomplish them. Now I know my chance and menace and where I have to pay more attending. For illustration – heightening my instruction which will assist me to be more confident. I have covered twosome of appraisal here such as Belbin squad function appraisal which helps me to cognize what types of worker I am. I found myself as a effectual squad participant. Which is my menace but still I need to better to take challenge in critical state of affairs, communicative and originative. Memletic appraisal helps me to cognize what sort of personality I have. Which is rather interesting and informational to cognize yourself. It is really utile tools to better personality. And another one is skill audit tools. Using this tools now I able to cognize where I can work efficaciously and what accomplishments still do I need to go successful in professional life. I conducted personal grind analysis. It really of import to cognize the personal strength, failing, menaces and chance. This analysis helps to place obstruction of bearer and demo how to over come it. Personal development accomplishments helps to measure our accomplishments. This topic helps to put up my ends and shows the way which is full of chance. After analyzing this topic it is clear to me that which is my strength, weaknesses where I have chance. To go a successful professional in future I know at which point have to work more. This is a topic which breaks the obstructions and open the new doors for future. At the terminal I would wish to state that analyzing of personal development accomplishment takes charge of future.

Thursday, November 7, 2019

Disadvantages of Information Technology Essay Example

Disadvantages of Information Technology Essay Example Disadvantages of Information Technology Essay Disadvantages of Information Technology Essay Keep in mind that Isonaizd(INH) is the established treatment for preventive therapy , and the usual regimen is up to 300mg daily for adults. You can keep pts on for 6 months or 12 months with a positive CXR. Always give vitB6 when treating pts with INH. If there is a suspected resistance then use Rifampin (RIF) alone or in combo with the said INH. How do we treat current CLASSES III IV diseases. The first line medications are used in combinations since these tend to delay the development of resistance and to enhance activity. INH(p. o. or IM) 300mg. nhibits synthesis of mycolic acid in the bacterial cell wall thus making it easy to kill the organism in the dividing stage. The drug is however, bacteriostatic for the bacilli in the stationary phase. The drug is metabolized by N-acetyl transferase. Some of side effects include paresthesia, fever, convulsions, hepatotoxic, optic neuritis and Hemolysis in G6PD deficient pts. High level resistance involves deletion in the katG gene that c odes for catalase, and low-level resistance involves deletions in the inhA gene that codes for the target acyl carrier protein. Keep in mind that genotypic variability exists with FAST ACETYLATORS needing high doses of INH. Remember for the boards that Vit B6 will offset the neurotoxicity. RIFAMPIN(RIF) GOOD against Mycobacterium tuberculosis very bacteriocidal against it. Also against M. leprae. Can be used prophylactically in meningitis. The drug suppress the initial step of RNA synthesis by inhibiting DNA dependent RNA polymerase, and resistance occurs via change in polymerase sensitivity to inhibition. The drug undergoes hepatic metabolism to red-orange colored metabolites. So let the patient know that the urine and feces will be red-orange in color. Nausea ,vomiting, rashes, fever, jaundice and flu like symptoms with high doses. This drug will reduce the efficacy of anticonvulsants,contraceptive steroids and warfarin so take note for your boards and clinical treatment. PYRAZINAMIDE(PZA): Good for short term use and initial therapy with INH and RIF. The precise target of this drug is not well understood. Works well when bacteria is dividing very bacteriocidal at that point. The drug requires bioactivation. Can cause gouty attacks, liver dysfunction, phototoxicity, hyperuricemia, exacerabation of porphryia, polyarthralgia. ETHAMBUTOL(EMB): Great against M. tuberculosis and kansasii. The drug inhibits synthesis of arabinogalactan a component of mycobacterial cell wall. The side effects are dose dependent, and most common are optic neuritis,and gout. So we have looked at the first line drugs for treating TB, but keep in mind that daily intake of Alcohol increases the risk of hepatitis in patients on INH. In females on oral contraceptives increase the dosages or change to another form of contraceptive. RIF will also decrease methadone activity in pts on it so increase the methadone dosage by 50% . In treating pregnant patients the initial combination should be INH, RIF and EMB along with B6. Do not use PZA it is TERATOGENIC, do not use STREPTOMYCIN also will cause deafness. In fact let me mention some antibiotics to be AVOIDED IN PREGNANCY. : Aminoglycosides – ototoxic in developing fetus, Clarithromycin-embryotoxic Erythromycin estolate- increases incidence of cholestasis in the pregnant patient. Fluoroquinolones- deleterious effect on collagen metabolism Tetracyclines- interfere with bone and tooth formation via calcium chelation Sulfonamides- not to be used in third trimester can displace bilirubin from plasma proteins in the fetus and neonate causing KERNICTERUS. Metronidazole – mutagenic. OK let me get back to TB treatment. The second line drugs are Aminosalicylic acid, Ethionamide, Cycloserene, Streptomycin, ciprofloxacin, Oflofloxacin, Kanamycin or Capreomycin Amniosalicyclic acid: This is a bacteriostatic drug used in the treatment of TB and has good distribution but is not seen in the CSF. It is a competitive inhibitor of PABA in folate synthesis, and is eliminated in the urine. So do not use in patients with renal failure. However, the drug has been associated with causing HYPOTHYROIDISM, acute hemolytic anemia and GI distress. If used with ethionamide can become hepatotoxic. P. O. Ethionamide – This is a structural analog of INH and inhibits acetylation of INH. The drug is seen IN CSF However, the mechanism of action is not quite clear but it is known to cause peripheral neuropathies, GI distress, optic neuritis and is hepatototoxic. The drug is excreted in the urine and has a metallic taste. P. O. Cycloserine This tuberculostatic and its mechanism of action is unknown you never use it alone. Do not use it in pts with epilepsy since it will exacerbate the condition. The main side effect is peripheral neuropathies , Headaches, psychosis,depression so you can appreciate its CNS effects . nd it is excreted in the urine. P. O. Streptomycin – This was actually the first antibiotic that was used effectively to treat TB given IM but cause hypokalemia, hypomagnesemia, auditory and renal toxicity. You can now understand why it is no longer a first line drug due to the side effects. Ciprofloxacin – P. O. I have already discussed this . Oflofloxacin – P. O. similar in action to Ciprofloxacin Kanamycin )IV, IM, Both of these drugs are useful but their side effects include auditory, vestibular Capreomycin)IV, IM, and renal toxicity. Hypokalema and eosinophilia. Let us now shift to the attention to antibiotics that inhibit bacterial wall synthesis. These agents that attack the bacterial cell wall in order to be maximally effective require actively proliferating organisms because they have little effect on organisms that are not growing. The B-Lactams are the most important for this activity and these are the PENICILLINS. Their mechanism of action is to interfere with the LAST STEP OF PEPTIDOGLYCAN SYNTHESIS .. The antibiotics will bind to and inactivate proteins present on the bacterial cell membrane. Thus morphological changes or lysis of susceptible bacteria will occur. There is also inhibition of the transpeptidase step, thus hindering the formation of the crosslinks essential for cell wall integrity. So cell wall synthesis is blocked. What will accumulate in the bacteria are the â€Å"PARK PEPTIDE† (UDP-acetylmuramyl-L-Ala-D-Gln-L-Lys-D-Ala-D-Ala) . The natural Penicillins are G and V. Pen G is used in infections caused by Gm + and Gm – cocci, Gm + bacilli and spirochetes. This is less acid stable and is given IV or IM. Great for syphilis, gonorrhea and Pneumococcal pneumonia. Pen V is similar to Pen G but is given P. O. and is more acid stable than Pen G. Never use Pen V to treat septicemia. Keep in mind that B-lactamase bacteria are resistant to the the drug. Oh let me mention this in passing one of the ways to prevent GONOCOCCAL OPHTHALMIA in newborns where the mother has gonorrhea is by the use of SILVER NITRATE DROPS in the eyes. ANTISTAPHYLOCOCCAL PENICILLINS- Methicillin, nafcillin, oxacillin, dicloxacillin these are penicillinase resistant penicillins. Their use is usually restricted in treating infections caused by penicillinase-producing staphylococci. Keep in mind that METHICILLIN RESISTANT STRAINS are usually susceptible to Vancomycin, rifampin, ciprofloxacin, or imipenem/cilastatin. EXTENDED SPECTRUM PENICILLINS:- Ampicillin and Amoxicillin. These are less potent than Pen G against Gm+ and Gm- cocci. However, ampicillin is the drug of choice against Gm+ Bacillus. We are now beginning to see resistance to these antibiotics so you can add a beta-lactamase inhibitor such as CLAVULANIC ACID or SULBACTAM so as to protect the penicillins from enzymatic action. ANTIPSEUDOMONAL PENICILLINS: Carbenicillin, ticarcillin, piperacillin are useful in pseudomonal infections, and of the three piperacillin is the most potent. Combining ticarcillin with clavulanic acid will give you a broader spectrum so you get more bang for your buck. PENICILLINS AND AMINOGLYCOSIDES: The antibacterial effects of B-lactam antibiotics are synergistic with the aminoglycosides but NEVER! NEVER! Place both of them in the same INFUSION FLUID because the positively charged aminoglycosides will form an INACTIVE COMPLEX with the negatively charged penicillins. Some basic rules of administration: Methicillin, ticarcilloin, carbenicillin, meziocillin,piperacillin, azocillin and ampicillin plus sulbactam must be given IV or IM. You can get Pen V or Amoxicillin combined with Clavulanic acid P. O. There is a REPOSITORY or DEPOT form of penicillin and this is PROCAINE PENICILLIN G and BENZATHTHINE PENICILLIN G they are given IM and are slowly absorbed into the circulation. As a rule most of the penicillins are incompletely absorbed after p. o administration but they reach the intestine in sufficient amounts. However, AMOXICILLIN is almost completely absorbed. THUS it is not appropriate therapy for SALMONELLA derived enteritis. Since effective levels do not reach the organism in the intestinal crypts. Food will impede ALL PENICILLINASE RESISTANT PENICILLINS therefore they should be taken 30 – 60 minutes before meals or 2 – 3 hours after meals. Be reminded that other penicillins are less affected by food. Primary route of excretion via kidneys. The drug PROBENICID will inhibit secretion of penicillins. Adverse reactions include hypersensitivity, diarrhea, nephritis(seen more with methicillin), neurotoxic so be careful with the EPILEPTIC patient. Platelet dysfunction, (seen more with ticarcillin and carbenicillin) NEXT STOP CEPHALOSPORINS. These are B-lactam antibiotics and are closely related to penicillins structurally and functionally, and have the same mode of action and mechanism of resistance as the penicillins, but tend to be more resistant than the penicillins to B-Lactamase. Cephalosporins have been classified as first, second, third and fourth generations largely on the basis of bacterial susceptibility patterns and resistance to B-lactamases. Clinical uses vary depending on the generation of the drug. First Gen: Cefazolin, cephalexin, cefadroxil – great for Gm+ cocci, E. coli, Klebsiella pneumonae, and some proteus species. Also Penicillin G resistant staph. Second Gen: cefotetan, cefaclor, cefoxitin useful against Gm- bacilli, including B. fragilis(cefotetan) H. influenza, enterobacter aerogenes, neisseria species and Moraxella catarrhalis. Third Gen: Many Gm= and Gm- cocci and Gm- bacilli including B-lactamase forming strains. Ceftazidime (Pseudomonas), ceftizoxime (anerobes), ceftriaxone and cefixime(gonococci), cefotaxamine(antagonizes Vit K), cefoperazole,moxalactam. Fourth Gen: Cefipime This drug combines the Gm+ activity of the first generation with the Gm- activity of the third generation drugs. Please keep in mind that cephalosporins have some limitations: a. The third and fourth generations have a wide spectrum of antibacterial action that includes many significant pathogens. b. There are gaps in the antibacterial activity of cephalosporins c. None of the cephalosporins have clinically useful activity in the treatment of infections caused by methicillin resistant staphylococci, Listeria species, enterococci or â€Å"atypical† organisms such as Mycoplasma pneumonae and Chlamydia. The mechanism of action similar to Penicillins, and the mechanisms of resistance are essentially the same as those for penicillin. All cephalosporins except CEFADROXIL, CEPHRADINE(1st), CEFACLOR(2ND), and CEFIXIME(3rd) must be administered via IV. Due to poor oral absorption. All of them distribute very well into the body fluids but only with the 3rd gen you get adequate levels in the CSF especially with CEFOTAXAMINE which isused to treat meningitis caused by H. influenza. Elimination of cephalosporins is by tubular secretion and or glomerular filtration. Thus dosage must be adjusted in pts with renal failure. However, Cefoperazone and Ceftriaxone are EXCRETED THRU BILE into the FECES, and can be used in pts with renal insufficiency. Among the side effects of cephalosporins are allergic manifestations in that 15% of individuals allergic to penicillins will show cross-sensitivity whereas the allergic reactions to cephalosporins is 1 2%. There is a disulfiram-like EFFECT when CEFAMANDOLE, CEFOPERAZONE and MOXALACTAM are ingested with alcohol or alcohol-containing medications. These drugs will block the second step in alcohol oxidation which results in accumulation of acetaldehyde. In fact these same three drugs can also cause bleeding because of anti-vit K effects. So give Vit K to correct the problem of bleeding. Let us look at the other B-Lactam antibiotics. CARBAPENEMS- These are IV drugs which are eliminated via the kidneys so you have to reduce the dosage in renal dysfunction patients. The carbipenems are IMIPENEM and MEROPENEM, and they are bacteriocidal and have a wide activity against Gm+ and Gm- bacteria including anerobes. Very good in Empiric therapy pending lab results. Imipenem is used with CILASTATIN which blocks its metabolism by renal dihydropeptidases. Nausea, vomiting, diarrhea, skin rashes and seizures are among the adverse effects. MONOBACTAMS AZTREONAM is capable of disrupting cell wall synthesis but has a narrow spectrum and cannot be used alone in empiric therapy. It is resistant to B- lactamases. Used IM or IV and is excreted in the urine so it can accumulate in pts with renal problems. However, the drug is relatively non toxic although it can cause phlebitis, skin rash and occasionally abnormal liver function tests. This is a safe alternative for treating patients allergic to penicillin. B-Lactamase Inhibitors. Clavulanic acid, sulbactam. These protect penicillin derivatives from enzymatic inactivation by B-lactamases. Note ; clavulanic acid alone barely has antibacterial activity. We now arrive at the big gun, VANCOMYCIN a bacteriocidal wall inhibitor of glycosylation ractions by binding to the D-Ala-D-Ala terminal of the peptide chains of peptidoglycans. Resistance involves decreased binding of the drug via replacement of the terminal D-Ala-by D-lactate. It is used mainly for severe infections caused by methicillin resistant staph, pseudomembraneous colitis caused by C. difficile, allergies to penicillin,used prophylactically in dental patients with prosthetic heart valves. Resistrance rarely occurs with it, and slow IV infusion is used to treat systemic infections. Drug is excreted via glomerular filtration. The side effects are serious ; dose-related ototoxicity is associated with serum levels above 80ug/ml. Nephrotoxicity may occur in some pts, fever, chills or phlebitis can occur at the site of infusion. Shock has occurred in pts when infusion is rapid. Rashes may be seen in chronic administration. I want you to remember this for the boards if a pt has ANTIBIOTIC –INDUCED COLITIS give VANCOMYCIN p. o. since it is not absorbed after oral administration.

Monday, November 4, 2019

R v Adomako, Law case Essay Example | Topics and Well Written Essays - 1500 words

R v Adomako, Law case - Essay Example The Court of Appeal discussed the tests on involuntary manslaughter when related with questions of gross negligence in dismissing the case and upholding a conviction. The court was faced with confirming that the violation of the duty of care resulted into the death of the victim. It was also important to find out whether the breach of the duty resulted to the death thus justifying a criminal conviction. The appeal was thus dismissed as it failed to convince the judges of the Court of Appeal to have satisfied the test of gross negligence in manslaughter cases (Erin and Ost 2007, p.19). The House of Lords was to ascertain what established criminal negligence, whether it was by gross negligence among drivers, as claimed in R v Bateman [1925] 19 Cr.App.R.8 and Andrews v Director of Public Prosecutions [1937] A.C.576; ignoring drivers carelessness as detailed in R v Lawrence (Stephen) [1982] A.C.510, or analyse the situation by its facts (Herring 2012, p.193). The House of Lords upheld th e conviction of the appellant for the offence of manslaughter stating that the law as made in the case of R v Seymor [1983] 2 A.C.493 was not relevant to the present case as the law it was found on been changed by the Road Traffic Act of 1991 that applied presently. The rider to this is that the trial judge is at liberty to use the word according to its liberal or literal meaning only when he thinks it as appropriate to the case beforehand. From this case, the House of Lords established the examination for serious negligence in manslaughter suitcases committed though not voluntary, Lord Mackay, LC in construing this in involuntary manslaughter cases stated that the usual test of negligence applied that which constituted the breach of duty that has resulted in harm or injury (Halpin 2004, p.93). Therefore, if a breach occurred that resulted in the death of the victim, the jury would be required to find out if the gross negligence resulted in the crime of manslaughter. In his argument , this depends must depend on the seriousness of the violation of the duty committed by a defendant in the course of his duties. In the present case, what the duty is supposed to care about is whether the conduct of the defendant was far from the standard of care expected of him and that it resulted in the death of a patient. Only if the departure was far from the expectation would the act or omission be adjudged as criminal. Using R v Bateman [1925] 19 Cr.App.R.8 as a basis for Lord Mackay while quoting Lord Hewart, CJ stated that as laid down in manslaughter cases if a person holds a position of consultancy, possesses special skills and knowledge and acts on behalf of a patient he should exercise due caution. Therefore a patient who willingly submits to the direction and treatment offered by a specialist is owed a duty of care that involves the exercise of skill and knowledge, care and diligence including caution in the provision of the medical care. In finding a conviction or not , the jury is therefore required to exercise utmost care through reasonable and a fair standard of care that takes consideration of the competence of the professional involved. Lord Atkin in formulating recklessness and gross negligence cases in involuntary manslaughter cases in Andrews v Director of Public Prosecutions [1937] A.C.576

Saturday, November 2, 2019

Miguels Hourly Performance Evaluation Essay Example | Topics and Well Written Essays - 500 words - 1

Miguels Hourly Performance Evaluation - Essay Example Voluntarily takes the first initiative in identifying and addressing potential and existing issues, opportunities, and obstacles (The University of British Colombia , 2011). Creatively identify and determine resources, technical needs and support team and initiates planning for potentially significant contingency plan and outcomes by integrating future and conflicting scenarios with opportunities. Focuses on a great consistency to the customers serve both internal and external ensuring high quality products and services by proper aligning and allocating resources to meet the objective of customer satisfaction and product utility. Develops strategies and plan that meet the technology and, or the architecture requirements of the organization. As an IT expert, I use scheduling software incorporate such plans and strategies to the business vision, goals, strategies, priorities, industry trends, emerging technology, and economic viability which help me and the department effectively plan for activities and have ultimately saved the organization time and money (Maurer & Robert, 2012). My business experience helps me run my work activities in a cost efficient manner by proactively conducting work progress and department reviews to reprioritize resources and apply corrective action that respond to business strategy, budget and initiatives against established objectives, and milestone to enhance high level of efficiency and effectiveness. Engages the right group of individuals within and beyond organization boundaries, by matching individual skills and capabilities to buy-in support and problem definition methods of resolution and accountability. Solicits and generates the approval of senior leadership prior to defining acute issues and solution to indistinct, multifaceted teething troubles of high risk, which can span across and beyond the enterprise. Consistently fosters collaboration