Tuesday, August 6, 2019

To Kill a Mockingbird Essay Example for Free

To Kill a Mockingbird Essay Good morning/afternoon Executives of the Board of Studies. In the topic of powerful to powerless, To Kill A Mockingbird is a classic novel that is relevant and appropriate. It possesses many admirable qualities that prove its worth to be on the new curriculum. The novel explores many ideas regarding the use and abuse of power, different forms of power, the consequences of power, and how the composer has used language to portray power. To Kill A Mockingbird explores a number of different types of power throughout. There are four types of power: personal, instrumental, projected and official power. One clear example of power is that of Atticus Finchs regarding his children. As their father, Atticus has official power over Scout and Jem. He also has instrumental power as he provides a home, as well as other basic necessities for his children. Another example of power, although it is negative, is the projected power that Bob Ewell possesses over Tom Robinson. Tom Robinson highlights his fear of Bob as he testifies Mr. Finch, if you was a nigger like me, youd be scared too. Bob Ewells power demonstrates that power can be taken and abused by others. Despite whether if you have an abundance of power of you are miserably lacking so, there will always be certain consequences that follow. Bob Ewell, as an example, believed that he was better than the African Americans despite the fact that he was considered the lowest class in white society. Bob Ewell abused his power, although it was still lacking. Ewell, was too prideful, that after being humiliated in court and stripped of dignity by Atticus, he decided to attack Atticus children. Furthermore, Arthur Boo Radley can depict a lack of power. Boo Radley had lived most of his life trapped inside his home by his oppressive family members. He was feared because of the negative connotations that surrounded him. The stories that were told of him portrayed his character as a monster, or something to fear. Furthermore, another figure in the novel that lacked power was Tom Robinson. In society, African Americans were looked down upon by the white society. Tom Robinson was racially discriminated against by Bob Ewell, who framed him for a crime he did not commit. As white people were the superior race, they had power over the African Americans. As Tom Robinson lacked power, he also lacked the ability to act against the threats of Bob Ewell because of his fear. Even though Tom Robinson was a man of great stature, and seemed adequate to engage in a physical brawl despite his injury, he was still afraid. Harper Lee employs a range of language techniques in order to convey ideas about power. Lee has described Arthur Boo Radley as having cheeks that were thin to hollowness, gray eyes that were colourless and hair that was dead and thin. It has been acknowledged that Boo is considered one of the novels most powerless figures. His name is an aptronym, it portrays his character and highlights his mysterious nature. It is also an example of onomatopoeia, hinting at negative connotations. Additionally, there are other aspects that can also assist the portrayal of his character. The author describes the Radley house as droopy and sick, this parallels to the descriptions made of Boo. Harper Lees many descriptions of Boo Radley creates a vivid picture in the readers mind, the reader is immediately drawn to the connotations that surround Boo. It is because of ideas explored previously that prove To Kill A Mockingbird to be a worthy contender on the new school curriculum. It explored the concept behind power and powerless and therefore is relevant.

Monday, August 5, 2019

Performance appraisals in improving employee performance

Performance appraisals in improving employee performance All organization faces the problem of directing the energies of their staff to the task of achieving organization goals and objectives. In doing so, organization need to devise means to influences and channel the behavior of their contributions. Performance appraisals constitute one of the major management tools employed in this process. This is based on the perception of an individuals performance in a job is improved by having definite goals, feedback about their performance and complemented by an appropriate reward system. Therefore, performance appraisal are been implemented. Performance appraisals are used in nearly all organization in worldwide. Corporations use different tools and have a number of goals for performance appraisal often resulting in some confusion as to the true purpose of performance appraisal systems. However, it is core because it allows an organization to measure and evaluate an individual employees behavior and accomplishment over a specific period of time (DeVries et al, 1981). There are many advantages in using performance appraisal in facilities organizational decision employees decision such as reward allocation, promotion or demotions, layoffs or recalls and transfers (Murphy and Cleveland, 1995). It also assists manager to develop employees. Additionally performance appraisal may increase employee commitment and satisfactions due to improvements in organization communication. The outcomes of performance appraisal are in the form of work performance, affective organizational commitment and turnover intention are very crucial to support the overall growth of an organization. According to business dictionary, Performance Appraisals define as a process by which a manager or consultant and evaluates an employees work behavior by comparing it with present standards, documents the result of the comparison and uses the results to provide feedback to the employee to show where improvements are needed and why. Performance Appraisals are employed to determine who needs what training, and who will be promoted, demoted, retained or fired. Besides that, the employees merit like initiative, dependability, and personality to compare with others and ranked or rate base on their performances. Although the performance appraisal is very importance for every kind of organization, it does have several functions. The primary purpose of performance appraisal is to justify the individual performance most often through (1) Clarifying job requirement and standards. (2) Providing feedback to the employee regarding his or her progress toward meeting these standards (3) guiding future performance by formulating an action plan and allocating rewards and opportunity. The purpose of providing feedback is to improve performance in the future for employees and team leaders. Managers able to get valuable information from their staff regarding about the employee and it will help the employee to make their jobs more productive. This process can go through by providing feedback in performance appraisals work units can identify problems that interfere with everyones and take steps to rectify them. Besides that, it also provides an opportunity to discuss strength and resolution of performance deficiencies of an employee. By this, it will allow the employees to move in his/ her direction. The employers promote a positive attitude, advancement and motivation to make the employee to understand their own special potential and find the roles which they really fit well. This also helps the employee to develop as a whole-person which is an important aspect of modern corporate responsibility. The advantage of it is the employment market in which all employers com pete to attract the best recruits and to retain the best staff. Second purpose of performance appraisal is to guide future performance by formulating an action plan and allocating rewards and opportunity. This is where the action plan put into place. The employee should be given time frame for the implementation of the plan in the future. So that the employee can spelled out completely and know what actions should be taken and when it should implement. The organization should inform the employee regarding the plan. Therefore the employee know what is to be accomplished, once the implementation of the plan. Besides that the manager and employee should communicate on a regular basis to discuss the effectiveness of the plan. Therefore, the business moves one step closer to the achievement of their set goal and objectives. This also helps to maintains record of workers that are legally viable which can protect the business when dealing in cases of dismissals and demotions. Importance of performance Appraisal The need of the performance appraisal system is mainly to find out the area of strengths and weakness of the employees. These strengths and weakness are studied by the HR managers carefully and are discussed with the employees the time of the appraisal. The performance appraisal process involves setting of performance standards which can help the comparison of the performance of all the employees. Communication of these standards to all the employees of the company is also one of the most crucial processes in the performance appraisal process. Performance measurement is a process which taken time and lot of efforts on part of the senior management of the organization. At many places, marks or grades are given to the employees by comparing their actual employee performance with the desired performance. Performance appraisal strengths and weakness can help employees conduct a reality check on them and improve their performance. The last step in the performance appraisal process is that of decision making in which the employees are given sufficient time to learn new technologies, be more efficient, increase their working speed and improve the quality of their work. The performance appraisal methods adopted by companies can differ depending on their needs. In many organizations, the feedback on job performance is ambiguous or is given annually as a ritualistic exercise. Many subordinates therefore haven trouble in gasping how their efforts are perceived by the organization. Almost everyone who has worked at a job can remember times when they were unclear on how their performance was being judged. The annual performance appraisal system tends to serve only a little purpose such as salary administration, training and succession planning, but this is not the sole objective of performance appraisal. These objectives will only dilute and weaken the clarity and validity of any appraisal system. Most organization ties the formal appraisal system directly to salary increase, which decrease their validity. Performance appraisal systems are important for organization because it proper enforcement of personal decisions, help works as control device and also give guide the employee development. Performance appraisals provide employee and manager w ith opportunities to discuss areas in which employees excel and those in which employees need improvement. Performance appraisal should be conducted on a regular basis and they need not be directly attached to promotion opportunities. Performance appraisal is importance in term of personal attention because during the review, supervisor and an employee discuss the employees strengths and weakness. This give an opportunity for the employee personally face the supervisor and able to address personal concerns. Besides that, it also importance to communicate about the divisional and also company goal. These help the management to communicate with employee regarding about goal of the company and also highlight the way in which the employees can participate in the achievement of those goals. Benefit of appraisal Most significant benefit of performance appraisal is conducted properly by both supervisors and subordinates have reported the experiences as beneficial and positive. Many supervisor avoid administering performance reviews because the fear of criticizing their employees and also the paperwork. Employees also fear because of negative feedback, being refused a raise or punished for issues out of their control. But appraisal offers a valuable opportunity to focus on work activities and goals, to identify and correct existing problems and to encourage better future performance. Thus the performance of the whole organization is enhanced. Performance appraisal benefits the employee in (1) increased employee productivity and (2) improve areas of weakness. Increased employee productivity Supervisors use performance appraisals to help employees to get a better understanding of their roles and responsibilities within the framework of the company goals. When the employees know that they are an integral component to the overall performance of the company, they will feel more accountable with their duties. Therefore, the supervisor can accurately identify their weaknesses and assist employees in improving and also able to increase the productivity of the employee. Improve areas of Weakness Performance appraisals can expose employees weaknesses and enables them to improve for further career development. Employees have to use the feedback to expand their skill base and focus on areas that need coaching and education. Motivate employees Performance appraisal enables supervisors to formally recognize the achievements and contributions of their employees. The appreciation which receives from subordinates help to increased retention of highly productive employees. During the performance appraisals, supervisor may use incentives such as raises and promotions to motive the employees. For management, performance appraisals bring out the key and non-key performers. The management then takes steps to hone the key performers and develop the non-key into putting in their best. Performance appraisals identify the areas where training and development are needed. This is to expose their weakness and enable them to improve for future career development, if an employee desires to become a manager, yet leadership are lacking, performance reports reveal this incompetency. Employees use review to expend their skill base and focus areas that need coaching and education. This is to assist employees in deciding if they are in the industry that matches their values and personality. Besides that it helps the management to generate idea for improvement. How to improve employee performance Implementing employee appraisal is an important responsibility for a company manager and supervisor. Employees are highly praised for their contribution and given constructive ways to improve the area that are still being learned. Therefore, well designed appraisal systems can strengthen good relationships between supervisors and employees. To improve the appraisal system, there are several ways such as (1) a collaborative approach, (2) Clear objective, (3) Focus on observable behavior (4) Avoid personal feedback. A collaborative approach If both supervisor and employees help to develop the appraisal system, they are likely to endorse it. Therefore, the collaborative approach has several advantages. The appraisal system is likely to be accepted and endorsed by both supervisor and employees since it was created by their peers. Besides that, the actual appraisal form will probably be more meaningful and appropriate since it directly reflects the objectives of their peers. In addition, performance dimensions are tailored to the organization and are clearly defined in appropriate terms. The policies and procedures take into account organizational objectives and concerns. Clear objective In formal performance appraisal system there will be two objectives that compete during the appraisal process. Firstly is to provide feedback to the employees. This is to help the employees to develop themselves and improve their performance. Secondly is to document the performance and to communicate and support administrative decisions about salary increase, promotions, and transfers. Therefore, an effective appraisal system is to focus on one objective during the interviews. These help the supervisor to conduct the interview to improve performance as often as necessary for the benefit of employees, supervisors and the organization as a whole. Focus on observable behavior In appraisal process, discussion between supervisor and employee is most important. In this process, supervisor are not been trained to handle the interview with their employees. The main reason why this process is importance because it help the employees to understand and use the feedback to develop themselves and improve their performance in future. If the feedback it not clear, then it will be difficult for the employee to understand. Avoid personal feedback In all appraisal form contain a section on employee strengths and weaknesses where supervisors comment about the employees aptitudes and qualities that will contribute to or interfere with an employees job performance. In the form, the supervisor need to rate the employees on the personal traits such as maturity, attitude and personality. The problem arises when the supervisor gives feedback to their employees. The employees often become suspicious when they receive general comment such as rate between 3 on a 5 point scale of maturity or poor interpersonal skill. This type of feedback are often disagree by the employees because the characteristic being evaluated are not directly observed. The supervisor does not see the initiative, aptitude, maturity or even job knowledge and interpersonal skill of the employees but they see in a large number of individual behavior form they infer traits and aptitudes. The supervisors who evaluate their employees in these vague, subjective terms may find themselves in court defending their performance appraisals against charges of EEO violations and discrimination against women and minorities. Summary To summarize, performance appraisal should be viewed as a beneficial process within the context of an effective systems of personnel management. It should be accepted as a normal management responsibility to review the performance of all employees and for all managers to discuss performance with their subordinates on a regular basis. Performance appraisal can be an effective tool if they are used in a constructive and motivating manner. The appraisal should target specific areas of weakness and strength. It is importance for employees to know the areas where they are under performing as well as the categories where they excel. A performance appraisal should be a well-though out instrument designed to bring about a desired behavior. When you communicate with an employee using a performance appraisal, it provides an opportunity for clarification of any discrepancies. Those elements will help to ensure that performance appraisal conducted in any organization will yield the desired benef its and be more readily accepted by all concerned.

Sunday, August 4, 2019

Zora Neale Hurston :: Zora Neale Hurston

	Zora Neale Hurston was an astounding Afro-American author who was recognized not for being the first Afro-American writer, but rather for her ability to bring forth her cultural language and imagery. If not for Zora's pioneering effort as a female black writer, the world of modern literature would have never seen the cultural insights of the African American culture in such a candid way. 	Zora's date of birth is said to be in January of 1891, however her actual date of birth is debated today due to the fact that records of African Americans during the 19th century were not accurately kept (Lyons 2). Zora's home town, which was not disputed, was Eatonville, Florida, which was founded by African Americans and was the first all-black town incorporated into the United States (Cheryl@geocities [online] ). Her father John Hurston was a tall, heavy muscled man who often seemed "invincible" to Zora (Lyons 2). John was a community leader and was influential member of society. His positions in Eatonville included: Baptist preacher, town mayor, and skilled carpenter (Lyons 2). Though John was a revered member of Eatonville he had is faults as well. His eye for other women often left his family home alone for months out of a time (Lyons 1). Zora's mother, Lucy Potts Hurston was the "hard-driving force in the family."(Lyons 2) Lucy was a country schoolt eacher, who taught all her children how to read and write, which lead to six out of her seven children earning a college degree (Lyons 2-3). Unfortunately, Lucy Hurston died when Zora was nine years of age (Otfinoski 46). Zora was the seventh child out of a family of eight (Otfinoski 45). During her childhood she felt unloved by her father and thus was seen as the odd on out (Lyons 2). 	Zora's education was comprised of six years of grammar school, high school, and several prestigious colleges. Zora attended grammar school in Eatonville, Florida at Hungerford School around 1907 (Lyons 3). The summer of 1917 Zora began the next step of her education by attending Morgan Academy in Baltimore, Maryland. By 1918 when she had finished her high school requirements, Zora had attended multiple schools, in order to gain the best education as an African American female. 1918-1919 Zora attended Howard Prep School in Washington D.C. In 1920 she earned her associates degree and in 1924 earned her Bachelor of Arts degree in anthropology at Howard University (Lyons 24-6).

Saturday, August 3, 2019

Dealing With Having Back Surgery :: Personal Narrative Athletics Medical Sports Essay

Dealing With Having Back Surgery Starting my freshman year at County High School, I played basketball and loved every minute of it. I wouldn’t be conceited enough to say I was good, but God did bless me with the talent to play. My life revolved around the sport of basketball; some would say I slept, ate, and breathed every part of it. I spent all my time training and practicing to make myself a more dedicated athlete. This dedication not only helped me as a player, but also molded me into the person I am today. It somehow helped to prepare me for what defeat I would face with back surgery in the future. Beginning as a freshman I started every game never, but to sit on the bench unless there was a major problem. This repetitious cycle mirrored itself over and over again until there was a problem, physically, with my body. I had felt a pain in my back that ran down my leg for some time, but no one other than me knew of this pain. I am a very strong willed and determined person, not letting pain stand in my way. The pain started to vaguely effect my everyday activities, such as walking across Wal-mart which put me in agonizing pain. The only way I played basketball with this pain was by focusing on the goal I was out to achieve. My mother took me to see a back specialist named, Dr. Johnson at the Knoxville Orthopedic Center in Knoxville, TN who explained this pain I was having generated a major problem. It never came to my realization how serious this could be, or what it could do to my basketball career. Tests after tests including MRI’s, X-rays, and experimental procedures were performed to show I had five ruptured disks in the lower lumbar section of my back. Tedious Examination done by a group of doctors concluded I had a crippling disease of the spinal column called spinal stenosis. Spinal stenosis is a narrowing of the spinal canal that causes compression of the spinal cord. (Lohr,1) If this disease was ignored any longer, it would lead to many other problems affecting other areas of my back to help support this weakness. It was an extremely rare case for an athlete my age.

The Individual and the Court System Essay -- essays research papers f

The Individual and the Court System - Essay The Australian jury trial system is said to have many merits and defects, and as Winston Churchill once said about democracy the Australian jury system is â€Å"not a perfect system, it is just the least worst of all the others†. In analysing the system several major strengths can be seen, but many weaknesses can be found also. It is a matter of great interest in the general community and many people have written on it, ranging from past jurors to university students. Some of the main strengths seen are that juries have established philosophical and historical importance within our community. The jury system is a centuries old tradition of our legal system and in the eyes of the community it remains a vital expression of the importance of justice being adjudicated upon by ordinary citizens. Without a jury system, it is claimed that the liberties of individuals would be adjudicated upon by unrepresentative experts who would further remove the workings of the legal system from those it is meant to serve in the wider community. It is also seen that the random selections of jury members from a cross section of society ensures that the law remains adjudicated upon by a representative sample of society who can reflect the values of the community they serve. In recent years it is argued that juries have effectively expressed community attitudes on diverse matters including passive smoking, reckless drunk driving and self defense claims in murder trials b y women who had suffered repeated physical and mental abuse. The existence of a jury means that lawyers must ensure that their cases are presented in a way that enables community understanding of important issues and principles. Without a jury it is argued the evolution of the principles of our legal system would become increasingly complex and removed from the understanding of the community. In general the community is more likely to have confidence in the decision of a representative group of that community than one made by a single judge or a court appointed panel of experts. If the system was removed it would open the adjudication process of civil and criminal trials up to the possibility of political or monetary influence - the jury is a vital institution for ensuring that 'open courts' remain truly open to public scrutiny. It is also argued by some that 'in diversity... ... and feeling it limited their ability to absorb evidence. "They felt that the barristers hadn't given them information that they required through the evidence," One juror mentioned that "It was a bit like being thrown pieces of a jigsaw puzzle and there were pieces that were missing and they had to fill those pieces with their own experience". It is arguable which side holds more sway, while it seems that the majority of published reports deal with the defects of the system there are a number of reasons for it's continuation. This seems to fate that it unlikely to be abolished entirely in either civil or criminal courts. It seems to me that any changes that are to be made will be focused on the need for specialised jurors and the ability for civil juries to award damages. As crimes become increasingly more complex it seems that changes will need to be made to the system but it will be a heatedly debated subject when it's change is made. Bibliography Structures and Systems, Willmott. J and Dowse. J, 2001, Western Australia, Politics Law Publishing Bulletin with Newsweek, 7/6/2004, Vol. 122 Issue 6428, p22, 4p www.ebsco.com - Jury Problems

Friday, August 2, 2019

Environmental Protection and Sustainability

Introduction In the past 25 years, international passenger aviation has experienced a threefold increase. It is expected that the aviation sector will continue to see similar growth over the next 25 years (Walker & Cook, 2009). Due to the rapid expansion of the aviation sector, there has been a growing concern for environmental issues in airline operations, especially in terms of energy and environmental sustainability (Agarwal, 2010). The focus on sustainability and environmental protection is due to the environmental consequences of contemporary aviation, especially the contribution of aviation to global climate change (Upham, 2003). With the recognition of the harmful effects of aviation on the environment, experts predict that â€Å"environmental factors will increasingly limit the expansion of air travel and the social benefit that it brings† (Green, 2003, p.281). Meridiana concurs that it is important to consider sustainability and environmental protection in aviation. It recognises the importance of green aviation and puts a lot of value on protecting the environment. In line with this, the company manages its activities in compliance with national and EU environmental regulations. As proof of its commitment, it has been awarded certification of its Quality System in compliance with UNI EN ISO 9001:2008 regulation for air quality. SGS Italia SpA has certified the compliance of the company’s activities involving the design and supply of services on board of domestic, international, and intercontinental flights (Meridiana, 2009). Recently, Meridiana joined the Association of European Airlines (AEA), which represents Europe’s major airlines. The AEA influences its members at the industry and institutional level in order to achieve goals that benefit the airline industry. One of the main thrusts of the AEA is to shape a more sustainable and competitive arena (AEA, 2013). Meridiana’s membership in the AEA shows that it is committed towards achi eving sustainability in the aviation sector. Marketing Mix Despite its success in some areas of the domestic market, the company has experienced heavy losses in recent years. With its ageing fleet, subscale international network, and its dependence in the domestic market, the company is facing very stiff competition from some of Europe’s leading low cost carriers (CAPA, 2013). Taking these into consideration, Meridiana has to improve its current marketing mix in order to increase sales and remain competitive. Effective marketing strategies can have a significant influence on society; thus, it is important for the company to apply the appropriate marketing mix to achieve their objectives.ProductMeridiana’s major strength is its competitively priced business class seats for long haul destinations, targeted at leisure travellers. As a medium service carrier, it offers elements of both full service and low cost carrier. For example, it provides food and drinks like full service carriers but its price range is comparable to low cost airlines. Meridiana should utilise this mix and use it as a competitive advantage. The airline needs to focus on its domestic flights and its short/medium haul destinations in Europe. The current marketing strategy fails to reach out to the business community. Their marketing strategy should emphasise services for both holiday/leisure and business purposes. The company should target SMEs and become the airline of choice for small and medium-sized companies. This can be done by offering discounts and incentives for companies who want to purchase multiple seats or flights.PriceMeridiana needs to use a competitive pricing scheme to attract customers. Its price point should be not too high from low cost carriers, but lower than traditional networked airlines. Although low cost carriers have lower prices, Meridiana should differentiate its slightly higher price point by offering better customer service. The aim is to have a mid-range price point, which can attract middle class consumers and SMEs.PlaceMeridiana has been highly successful in Sardinia and Sicily. The company should replicate its success by building stronger presence in other parts of Italy and in key international airline hubs such as London, Dubai, Beijing, Singapore, Narita, Paris, and New York. This can be achieved by improving airport check-in services and making their internet reservations website more attractive and easy to use.PromotionAs a hybrid airline, Meridiana operates both as a low cost carrier and a network airline (Sansonetti, 2010). It needs to be highly competitive by keeping it unit costs down. This can be achieved by enhancing its internet and social media channels. Meridiana should upgrade its website to make it more attractive and user-friendly. It should improve its tie-ups with hotels, resorts, car rentals, and other tourist services to attract more customers.PeopleMeridiana should improve its services to customers in order to attract more consumers and gain more customer loya lty. Excellent customer service can be a competitive edge, especially when low cost carriers offer cheaper rates. Meridiana should also highlight their people and the value of customer service in their marketing strategies.ProcessMeridiana should ensure that its online reservations are always efficient and that customers can easily access the airline through phone or email. The airline’s systems should be designed for the benefit of customers. Physical Evidence Meridiana should also ensure that its flights are always on time; its planes are spotless; and its service crew are highly efficient. Its check-in and guest lounges in airports should be clean and the services of both ground crew and in-flight staff should be excellent.Promotional MixMeridiana should focus on tapping customers from the mid-market socio-economic segment and business people, especially from SMEs. The elements of the promotional mix must integrate different strategies. It should use a combination of vario us promotional strategies, particularly, advertising, public relations, sales promotions, and internet/online promotions. The integration of different promotional tactics will aid in achieving a more successful result. Advertising should be enhanced in traditional channels such as television, print, and radio in order to target domestic consumers in areas where Meridiana is not the market leader (i.e. Milan, Turin, Naples, Marconi, Rome, and Verona). To increase presence in international markets, the airline should advertise in popular travel magazines and international cable channels (i.e. BBC, CNN, NHK, etc.). In terms of public relations, the airline should improve its relationship with Italian businesses and local government. It should also improve its public image by doing CSR activities and being more active in environmental protection. The company should emphasise their support for green aviation and sustainability in the airline industry. Meridiana should also launch sales p romotions on its ticket prices. It should conduct seat sales in which the flight fare is a fraction of its original price but customers can avail of the ticket only for a limited period. For example, the seat sale gives an 80% discount on ticket prices for 50 seats in the plane and the sale will be ongoing for 3-5 days only. Meridiana should also prioritise internet/online promotions and strengthen its social media presence. The airline should improve its advertisement and tie-ups with online travel sites such as Expedia, Kayak, and Orbitz. It should also effectively make use of social media sites such as Facebook and Twitter. Meridiana should advertise in these sites and encourage customer feedback through social media. The company can also utilise viral advertising by putting very creative and highly memorable adverts in YouTube or other video sharing sites. References Agarwal, R. (2010). Sustainable (Green) Aviation: Challenges and Opportunities. SAE International Journal of Aerospace. 2(1), p.1-20. Anna Aero. (2013). Meridiana fly and Air Italy complete merger, as Meridiana turns 50 under new CEO; combined fleet shrinks for S13. Available: http://www.anna.aero/2013/06/19/meridiana-fly-and-air-italy-complete-merger-as-meridiana-turns-50-under-new-ceo/. Last accessed 12th January 2014. Association of European Airlines (AEA). 2013). AEA welcomes Meridiana as new airline member. Available: http://files.aea.be/News/PR/Pr13-036.pdf. Last accessed 15th January 2014. CAPA Centre for Aviation. (2013). Meridiana: how to escape the impact of loss-making Italian airlinesAvailable: http://centreforaviation.com/analysis/meridiana-how-to-escape-the-impact-of-loss-making-italian-airlines-120241. Last accessed 12th January 2014. Chartered Institute of Marketing (CIM). (2013). Marketing and the 7Ps: A brief summary of marketing and how it works. Available: http:// www.cim.co.uk/files/7ps.pdf. Last accessed 12th January 2014. Cooper. C et al. (2013). Tourism: Principles & Practice 5th edition. London: FT Prentiss Hall Denton, N & Dennis, N. (2000). Airline franchising in Europe: benefits and disbenefits to airlines and consumers. Journal of Air Transport Management. 6(4), p.179-190. Green, JE. (2003). Civil aviation and the environmental challenge. The Aeronautical Journal. p.281-299 McCabe, S. (2009). Marketing Communications in Tourism and Hospitality: Concepts, Strategies and Cases. Amsterdam: Butterworth Heinemann Meridiana. (2009). Meridiana Group Ethical Code. Available: https://www.meridiana.it/cms/deploy/1/IGGJ_Documenti/IT/Codiceetico/MeridianaGroupEthicalCode.pdf. Last accessed 12th January 2014. Meridiana. (2014). About us. Available: https://www.meridiana.it/en/company_informations/Company_AirItaly_quality.aspx. Last accessed 12th January 2014. Middleton, V. (2009). Marketing in travel and tourism. Oxford: Butterworth Heinemann San sonetti, A. (2010). The European Airlines Transformation: Hypercompetitive and Long Tail Effects. MCIS Proceedings. Paper 76. http://aisel.aisnet.org/mcis2010/76 Upham, P. (2003). Towards Sustainable Aviation. London: Earthscan Publications Ltd Walker, S & Cook, M. (2009). The contested concept of sustainable aviation. Sustainable Development. 17(6), p.378-390

Thursday, August 1, 2019

Cardiovascular Disease Essay

Through cohort study designs and other evidence-based management studies, identify the major causes of CVD, and analyze the key steps, including current medications, used to address the disease. The understanding of the pathophysiology of many cardiovascular diseases is evolving rapidly, especially atherosclerosis, hypertension, myocardial, ischemia, and congestive heart failure. The role of genetics and its interaction with environment in the etiology and the progression of all forms of cardiovascular diseases is just one example of new information that is leading to improvements in prevention and treatment. Cardiovascular diseases include illnesses that involve the blood vessels like the veins, arteries and capillaries or even the heart, or both. The cardiovascular system, also called the circulatory system, is the system that moves blood throughout the human body. It is composed of the heart, arteries, veins, and capillaries. It transports oxygenated blood from the lungs and heart throughout the whole body through the arteries. Blood goes through the capillaries and vessels situated between the veins and arteries. When the blood has been depleted of oxygen, it makes its way back to the heart and lungs through the veins. The circulatory system may also include the circulation of lymph, which is essentially recycled blood plasma after it has been filtered from the blood cells and returned to the lymphatic system. The cardiovascular system does not include the lymphatic system. In this article, the circulatory system does not include the circulation of lymph. Angina is most frequently the result of underlying coronary artery disease. The coronary arteries supply the heart with oxygen rich blood. When cholesterol aggregates on the artery wall and hard plaques form, the artery narrows. It is increasingly  difficult for oxygen rich blood to reach the heart muscle as these arteries become too narrow. In additi on, damage to the arteries from other factors (such as smoking and high levels of fat or sugar in the blood) can cause plaque to build up where the arteries are damaged. These plaques narrow the arteries or may break off and form blood clots that block the arteries. The actual angina attacks are the result of this reduced oxygen supply to the heart. Physical exertion is a common trigger for stable angina, as the heart demands more oxygen than it receives in order to work harder. In addition, severe emotional stress, a heavy meal, exposure to extreme temperatures, and smoking may trigger angina attacks. Unstable angina is often caused by blood clots that partially or totally block an artery. Larger blockages may lead to heart attacks. As blood clots form, dissolve, and form again, angina can occur with each blockage. Variant angina occurs when an artery experiences a spasm that causes it to tighten and narrow, disrupting blood supply to the heart. This can be triggered by exposure to cold, stress, medicines, smoking, or cocaine use. Angina treatments aim to reduce pain, prevent symptoms, and prevent or lower the risk of heart attack. Medicines, lifestyle changes, and medical procedures may all be employed depending on the type of angina and the s everity of symptoms. Lifestyle changes recommended to treat angina include: 1.Stopping smoking 2.Controlling weight 3.Regularly checking cholesterol levels 4.Resting and slowing down 5.Avoiding large meals 6.Learning how to handle or avoid stress 7.Eating fruits, vegetables, whole grains, low-fat or no-fat diary products, and lean meat and fish Medicines called nitrates (like nitroglycerin) are most often prescribed for angina. Nitrates prevent or reduce the intensity of angina attacks by relaxing and widening blood vessels. Other medicines such as beta blockers, calcium channel blockers, ACE inhibitors, oral anti-platelet medicines, anticoagulants, and high blood pressure medications may also be prescribed to treat angina.  These medicines are designed to lower blood pressure and cholesterol levels, slow the heart rate, relax blood vessels, reduce strain on the heart, and prevent blood clots from forming. In some cases, surgical medical procedures are necessary to treat angina. A heart specialist may recommend an angioplasty – a procedure where a small balloon is used to widen the narrowed arteries in the heart. Coronary artery bypass grafting is another common procedure; this is surgery where the narrowed arteries in the heart are bypassed using a healthy artery or vein from another part of the body. Develop at least five (5) leading questions that may be posed to your local health department in regard to mitigating the proliferation of the disease. Provide a sound rationale for raising these questions. 1. Can second or third hand smoking cause cardiovacular diseases? Cigarette smoking remains the leading preventable cause of cardiovascular disease in women, with more than 50 percent of heart attacks among middle-aged women attributable to tobacco. Risk of cardiovascular disease begins to decline within months of smoking cessation and reaches the level of persons who have never smoked within 3 to 5 years. 2. What do cholesterol has to do with cardiovascular diseases? High blood cholesterol is a condition that greatly increases your chances of developing coronary heart disease. Extra cholesterol in the blood settles on the inner walls of the arteries, narrowing them and allowing less blood to pass through them to the heart. Aim for total cholesterol below 200 mg/dL; LDL cholesterol below 130 mg/dL and HDL above 35 mg/dL. 3. How do weight gain or maintaining a healthy weight control cardiovascular disease? Obesity and sedentary lifestyles are epidemics in the United States that contribute to increased risk of cardiovascular disease. The prevalence of obesity has increased among both men and women in the United States in the past decade; currently about one third of adult women (or 34 million) are classified as obese. Also, 60% of both men and women get no regular physical activity. Obesity, especially abdominal adiposity, is an important risk factor for cardiovascular disease in women. 4. Can exercise reduce cardiovascular disease? Recent evidence suggests that even moderate-intensity activity, including brisk walking, is associated with substantial reduction of cardiovascular disease risk. These findings support  the 1995 federal exercise guidelines endorsing 30 minutes of moderately intense physical activity most days of the week, a program that should be feasible and safe for most of the population. Regular exercise and maintenance of healthy weight should also help reduce insulin resistance and the risk of non–insulin-dependent diabetes mellitus, which appears to be an even stronger risk factor for cardiovascular disease in women than in men. Diabetes is associated with a threefold to sevenfold elevation in cardiovascular disease risk among women, compared with a twofold to threefold elevation among men. Approximately half of all deaths in patients with non–insulin dependent diabetes mellitus are due to heart disease. 5.Can eating less saturated fat, more produce and more fiber reduce cardiovascular disease? †¨Diets low in saturated fat and high in fruits, vegetables, whole grains, and fiber are associated with a reduced risk of cardiovascular disease. Also, a recent study reported in the Annals of Internal Medicine journal confirmed that eating fruits and vegetables, particularly green leafy vegetables and vitamin C-rich fruits and vegetables, seems to have a protective effect against coronary heart disease. You may even think about moving toward more flexitarian or vegetarian eating habits: A vegetarian diet reduces the risk of coronary artery disease, and may even reverse existing coronary artery disease when combined with other lifestyle changes. A Mediterranean diet that uses olive oil can reduce the risk of coronary artery disease. Based on the five (5) questions you developed in Question two (2), provide a rudimentary protocol to disseminate this information to your local community lea ders. Based on the above listed question in question two, the population that is directly affected by lack of basic health care information is poor families in rural areas across the United States. However, many others are indirectly affected by this including Governments who on varying levels are trying to determine how to keep their people alive and healthy longer and institutional partners who are spending significant resources to treat conditions that could be prevented or taken care of at earlier stages of a problem or condition. SMS to mobile phones which can be done through mobile networks at the prompting or through a contract with an institution, NGO, private company or the Ministry of Health. This does not have to be  expensive and is something in some countries that is partly supported by the Ministry of Health or can be provided in limit cases free of charge by the network provider. Through mobile cinemas which are used throughout much of Africa in rural areas to disseminate information on health care or other pertinent issues. Many times these mobile cinema vans already exist and are under the control of the Ministry of Transportation or Ministry of Health. It is possible, depending on the circumstances to access these vans and pay only for fuel consumption. Posters displayed in prominent areas that can provide a very clear and visual message, can sometimes transcend language barriers and get across simple messages most effectively. The cost of this would be the printing of the posters, the human resources to disseminate the posters (you can sometimes go through the Ministry of Health and utilize the community health workers and regional and district hospitals and other partners) and in some instances a small charge to hang the posters at certain locations. Radio spots that provide simple information in the most basic terminology to ensure the messages are construed properly. The cost of this depends on the availability of community messaging which is provided by some stations in some countries free of charge or station to station depending on country and size of the listener group. Recommend six (6) steps that may be given to your current or previous place of employment to prevent the proliferation of CVD. Provide support for your recom mendations. Heart disease and stroke, the principal components of cardiovascular disease (CVD), are the first and third leading causes of death in the United States. In 2002, employers representing 88 companies in the United States paid an average of $18,618 per employee for health and productivity-related costs. A sizable portion of these costs are related to CVD. Employers can yield a $3 to $6 return on investment for each dollar invested over a 2 to 5 year period and improve employee cardiovascular health by investing in comprehensive worksite health-promotion programs, and by choosing health plans that provide adequate coverage and support for essential preventive services. The most effective interventions in worksites are those that  provide sustained individual follow-up risk factor education and counseling and other interventions within the context of a comprehensive health-promotion program: (1) screening, health risk assessments, and referrals; (2) environmental supports for behavior change (e.g., access to healthy food choices); (3) financial and other incentives; (4) corporate policies that support healthy lifestyles (e.g., tobacco-free policies). (5) standardized treatment and prevention protocols consistent with national guidelines. (6) multidisciplinary clinical care teams to deliver quality patient care. References 1.Austin, C. J., & Boxerman, S. B. (2008). Information systems for healthcare management (7th ed.). Chicago: Health Administration Press. 2. Harvey, B.H.,†Technology, Diversity and Work Culture-Key Trends in the Next Millenium,†HR Magazine, 45,(7) ,p.59. 3. Bowen, D.E., and Lawler, E.III.†The Empowerment of Service Worker;†Sloan Management Review, pp.31-39. 4. Williams, S. J., & Torrens, P.R. (2010). Introduction to Health Services. Mason Ohio. Cengage Learning. 5.Marquis, M.S., & Rogowski, J.A. (2004). Journal of the American Medical Association, 52(5)408-415.