Week 3-Sheila Coursework Example | Topics and Well Written Essays - 2000 words

Week 3-Sheila - Coursework Example They make this move with an aim of increasing the knowledge base the organization is going to rely on when making decisions. However, this technological move comes with the challenge of team members lacking trust in one another. Therefore, the management has to consider some factors in order to create trust in team players (Allison, 2013). The first factor is employing of proper communication tools to be used by the globally distributed worker teams. Such tools should be those which can be used to make long distance communications effectively. They should also be appealing enough so that the team can at least trust the channel used to pass the information. For example the use of videoconferencing is appropriate in instilling trust in team members (Boundless.com, 2014). Commitment among the members is another key factor that determines the trust that globally distributed worker teams will have on each other. Committed team members will ensure they are always ready to participate, and the work they do is perfect. In such a case the team players in different parts of the world will trust the knowledge and work done with their fellows as far as they may be situated (Carmody, 2012). Having common goals as a team is another factor that builds trust in the globally distributed team. The common goals are going to bring the team players together and this is a way of building trust among them. For example, with common goals, members will trust the information brought in by another member since they all believe in satisfying same goals (Chesebro, 2012). Organizational portal is one of the new technologies that improve communication among members of an organization or a team who are far away from each other. The tool is based on the idea of creating many platforms that every member will use to communicate to the rest of the team. the technology behind creating a portal for a team or organization is supported with a

International Finance Term Paper Example | Topics and Well Written Essays - 1750 words

International Finance - Term Paper Example Such as a skewed change rate can create a business's exports inexpensive as compared to their foreign counterparts, although for a nation to attain this artificially, they have to trade their own currency by borrowing against the country's assets to pay for another country's currency. If exports or all investment is in high demand, a nation's currency will increase in value due to the demand for that currency to fund exported commodities, services, as well as investment. Companies that depend on exports can find their goods unexpectedly competitive - or excessively costly - in a foreign country’s markets as exchange rates rise and fall. In the same way, businesses that depend on imports can see the charges of these imports fluctuate with the exchange rate. â€Å"Exchange rates directly affect the realized return on an investment portfolio with overseas holdings. If you own stock in a foreign company and the local currency goes up 10 percent, the value of your investment goes up 12 percent even if the stock price does not change at all† (Levi, p. 201, 2009). The study of international finance usually refers to trade and foreign investment as alternative policies. This replacement can however be called into uncertainty as the need to struggle on several foreign markets taken into account. With reference to the theory of international trade, classical conclusion of Mundell has been challenged because of inadequate competition. In addition, macroeconomic series of foreign investment and trade emphasize that these two approaches of internationalisation are complements evidently. â€Å"If foreign investment displaces trade, exports will be at least replaced by local sales on foreign markets, detrimental to the domestic industry of the investor. On the contrary, if trade and foreign investment are confirmed as complements, investing abroad might lead to greater competitiveness in foreign markets, which is beneficial to exports from the investing country and thus to its industry. In order to clarify these relationships, a bilateral and sectoral empirical approach is proposed based on a matching of trade and foreign investment data authorising a break down by industry and partner country. It permits to control for joint determinants of trade and foreign investment such as market size, per capita income or regional integration, or conversely for economies of scale having an opposite impact on both forms of internationalisation† (Sercu, p. 184, 2009). With the most disaggregated data, the finding of complementarities involving trade and foreign investment flows is legalized for many industries. Outward foreign investment is linked further exports and imports, within the industry considered, in comparison with the state of investment. However, in view of the fact that the previous rise more as compared to the latter, investment in a foreign country is linked with a trade excess. On the other hand, inward foreign investment is lin ked with a trade deficit of the host nation. Overflows between industries are substantial. The impact of foreign investment on trade is much higher as these overflows are accounted for, even if the international trade surplus stays comparable with the one approximated on the industry of investment level. A huge share of the complementarities between trade and foreign investment at the macroeconomic level can be clarified by huge overflows between i

Care of the older adult notes Essay Example for Free

Care of the older adult notes Essay Many older patients are prescribed multiple drugs, take over-the-counter medications, and are often prescribed additional drugs to treat the side effects of the medications that they are already taking. The increase in the number of medications often leads to polypharmacy, which is defined as the prescription, administration, or use of more medications than are clinically indicated in a given patient. One widely used ADL tool is the Barthel Index : measure functional levels of self-care and mobility, and it rates the ability to feed and groom oneself, bathe, go to the toilet, walk (or propel a wheelchair), climb stairs, and control bowel and bladder. The original ADL tool was developed by Katz Several interventions that may help the prescriber to prevent polypharmacy include knowing all medications, by both brand and generic name, being used by the patient; identifying indications for each medication; knowing the side effect profiles of the medications; eliminating drugs with no benefit or indication; and avoiding the urge to treat a drug reaction with another drug. Patient education on the risks of polypharmacy may help the patient as well. The Mini-Cog: The screening consists of a three-item recall and a clock-drawing test. This reliable tool can assist nurses with early detection of cognitive problems. Mini Mental State Examination (MMSE): measure change in cognitive impairment. It measures orientation, registration, attention and calculation, short-term recall, language, and visuospatial function. *Dementia is a permanent progressive decline in cognitive function Of the five senses—hearing, vision, smell, taste, and touch—it is the occurrence of diminishe d vision and hearing that seems to have the greatest impact on older adults. Problems with vision or hearing can have negative effects on social interaction and hence on social and psychological health. Presbyopia refers to an age-related change in vision. Presbycusis refers to age-related progressive hearing loss. Age-related macular degeneration, the deterioration of central vision, Assessing Older Adults  cognitive-testing tools such as the Mini–Mental State Exam or the Orientation–Memory–Concentration Test (OMCT).3 Both tools assess orientation  to time and place, short-term memory, and concentration. The CAM is a standardized instrument developed for clinicians to identifydelirium, an acute change in mental status from baseline, quickly and accurately. Montreal Cognitive Assessment (MoCA © Version 7.1) was developed as a quick screening tool for MCI and early Alzheimer’s dementia. It assesses the domains of attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation End-of-Life Care The interdisciplinary group or team (IDG/IDT): Registered nurse—coordinates the plan of care for each patient Health Promotion Healthy people 2010- preventative measures for ages 50-64 Healthcare Policy and Reform Medicare is Title XVIII of the Social Security Act; it was passed in 1965, after years of trying to provide some kind of universal health insurance. It is an insurance program for those 65 or over who have paid into the Social Security system, the railroad fund, or are diagnosed with end stage renal disease. Activity: Healthcare Policy and Reform In general, you should apply for Medicaid if your income is low and you match one of the descriptions below. Medicare is a Federal health insurance program for people 65 years or older, certain people with disabilities, and people with end-stage renal disease (ESRD). Medicare Medicare is an insurance program. Medical bills are paid from trust funds which those covered have paid into. It serves people over 65 primarily, whatever their income; and serves younger disabled people and dialysis patients. Patients pay part of costs through deductibles for hospital and other costs. Small monthly premiums are required for non-hospital coverage. Medicare is a federal program. It is basically the same everywhere in the United States and is run by the Centers for Medicare Medicaid Services, an agency of the federal government. Medicaid Medicaid is an assistance program. Medical bills are paid from federal, state and local tax funds. It serves low-income people of every age. Patients usually pay no part of costs for covered medical expenses. A small co-payment is sometimes required. Medicaid is a federal-state program. It varies from state to state. It is run by state and local governments within federal guidelines. To qualify for Medicaid, an individual must fit into a category of eligibility and meet certain financial and resource standards. Medicaid provides three types of health protection: 1) health insurance for low-income families and people with disabilities, 2) long-term care (LTC) for older Americans and persons with disabilities, and 3) supplemental coverage for low-income Medicare beneficiaries for services not covered by Medicare Living Environment Annual vaccination against influenza is recommended for all adults 65 years of age or older because more than 90% of the deaths from influenza occur in this population. Periodic boosters of tetanus vaccine, traditionally given every 10 years in the United States, are recommended for older adults by the USPSTF. The Beers List of medications to be avoided in the elderly has become a national guideline for prescribers and pharmacists in the United States (Fick etal., 2003). These medications include long-acting benzodiazepines, sedative or hypnotic agents, longacting oral hypoglycemics, analgesics, antiemetics, and gastrointestinal antispasmodics. Maintaining Functional Independence â€Å"Elderly patients with unintentional weight loss are at higher risk for infection, depression and death† U.S. Public Health Service published the report Promoting Health/Preventing Disease: Objectives for the Nation. This 1980 report outlined 226 objectives for the nation to achieve over the following 10 years. Healthy People 2000, was initiated by the U.S. Public Health Service in another effort to reduce preventable death and disability for Americans. Healthy People 2010 initiative; however, the number of objectives has increased to 467, and these are distributed over 28 priority areas. Frailty is perceived as a general decline in the physical function of older adults that can increase vulnerability to illness and decline. Defining characteristics include unintentional weight loss of more than 10%  in the prior year, feelings of exhaustion, grip strength in the weakest 20% for age, walking speed in the lowest 20% for age, and low caloric expenditure.

The Characteristics of Retroviruses

The Characteristics of Retroviruses Retroviruses have various characteristics that make them unique as gene delivery vehicles. Their life cycle includes an integrated state in the DNA of the host chromosome. Retroviruses are the only animal viruses that integrate into the host cells genome during the normal growth cycle. They use an integrase that acts in a site-specific manner to join the ends of the viral cDNA to target sequences in host cell DNA. The linear ds cDNA made in the cytoplasm is transported to the nucleus where it is also found as circles and as integrated DNA. Two forms of circular DNA are generally found: one having a single Long Terminal Repeat (LTR) and one having two LTRs. It is now thought that the original integrated proviruses were linear molecules with two LTRs. The retroviral promoter can direct high-level, efficient expression of genes encoded within the viral capsid of its genome using chromatin. The retroviral genomes can accommodate changes to its configuration. Retroviruses offer gene therapy researchers aid for delivering genes to target cells at high efficiency that allows for long-term, stable expression of introduced genetic elements The retroviral life cycle begins in the nucleus of an infected cell. At the beginning of the life cycle the retroviral genome is a DNA element integrated into and covalently attached to the DNA of the host cell. Full-length genomic mRNA is made starting at the beginning of the repeat at the 5 LTR (Long Terminal Repeat). The free particle can infect new cells by binding to a cell surface receptor. The specificity of the virus-cell interaction is determined most commonly by the envelope proteins of the retrovirus. Infection leads to injection of the virus nucleoprotein core (consisting of many gag-derived proteins, full-length genomic RNA, and the reverse transcriptase protein). Once inside the cell, the nucleoprotein complex accesses intracellular DNA nucleotide triphosphate pools, where the reverse transcriptase protein initiates and creation of a double-stranded DNA copy of the genome of the virus is prepared for integration into the host cell chromosome. When reverse transcription is completed, the viral enzyme integrase looks for an appropriate storage place for the DNA, which the integrase clips the host DNA to and binds the double-stranded DNA into the host DNA. The virus is the able to initiate a new round of replication again. 3 major proteins encoded in a retroviral genome Gag is a polyprotein and is an acronym for Group Antigens (ag). Pol is the reverse transcriptase. Env is the envelope protein. The group antigens form the viral core structure and are the major proteins which comprise the nucleoprotein core particles. Reverse transcriptase is the essential enzyme that carries out the reverse transcription process that take the RNA genome to a double-stranded DNA preintegrate form. General transcription and proteins are encoded from spliced mRNA of retroviruses. Transcription proceeds through the genome and mRNA is polyadenylated and processed using signals in transcribed regions from the 3 LTR at the end of the transcribed R (repeat). The full-length message can be spliced to lead to production of envelope proteins (or other proteins depending upon retroviral class). Unspliced full-length mRNA can give rise to gag-pol proteins. Gag and Pol are made as either Gag protein or a Gag-Pol precursor. Translated proteins assemble a retroviral particle at the cell surface. Full-length genomic unspliced mRNA is bound by gag-derived proteins and incorporated into the budding particle. Virion structures In retroviruses particle shapes can be divided into distinct categories: A-type particles are immature intracellular forms derived from endogenous retrovirus-like elements and the immature form of MMTV. B-type particles correspond to the extracellular form of MMTV and are characterised by prominent surface protein spikes and a dense asentric nucleocapsid. C-type particles form at the surface of the cell at the site of budding. Lentiviruses bud like C type particles but have a distinctive blunted cone shaped core. D-type particles are the MMPV related viruses of sub-human primates, and differ from B-type particles by a lack of surface spikes. The gag (group specific antigen) gene encodes the viral matrix, capsid and nucleoproteins The protease encodes a product that cleaves the gag polyprotein precursor. It can be encoded as part of Gag or a Gag-Pro-Pol polyprotein The major read-through product is derived from the pol gene which encodes the reverse transcriptase and an integrase which is involved in provirus integration. The envelope gene encodes the surface glycoprotein (SU) transmembrane (TM) polyprotein. Viral entry Retroviruses enter by at least two different manners, dependent upon the retroviral subclass. The viral envelope is critical in each case for recognising appropriate surface receptors to initiate viral fusion to the host target cells. The RNA genome in the free retrovirus is arranged as a diploid genome with identical sequences. The mRNA associates with a tRNA primer (pro, trp, or lys) that is bound by complementary base pairing to 18 base pairs to the U5 region. The integrated form (proviral) of all retroviruses contain transcription regulatory sequences primarily in Long Terminal Repeats (LTR). LTR sequences are derived from sequences unique to the 5 end of viral RNA (U5), from sequences unique to the 3 end of viral RNA (U3), and from sequences repeated at both ends of the viral RNA. The integrated provirus is larger than the viral genome but its complexity is the same because of duplication of U3 and U5 during synthesis. Replication of retroviruses is sensitive to the transcription inhibitors Actinomycin D, alpha-amanitin nucleoside and analogues like 5-bromodioxyuridine and cytosine arabinoside. 5 bromodioxyuridine and cytosine arabinoside are thought to inhibit DNA replication.

Essay --

â€Å"If men were angels, no government would be necessary† (Madison, Federalist No. 51), said Madison in Federalist 51 In Federalist No. 51. This quote basically says everything about Madison’s political theory and how he felt the country should have been ran. In federalist No. 10, Madison stood for the republican government that was proposed by the constitution. He states that the only way to control factions within states is to make a representative form of government. Madison states â€Å"Democracies have ever been spectacles of turbulence and contention†¦ as short in their lives as they have been violent in the deaths† (Madison, Federalist No. 10). Madison believes that with democracies come factions, these â€Å"special interest groups† as we call them now and with these groups comes unequal balances that they would make in society. Although in Federalist No. 10, Madison mainly argues against having a full democratic government, I believe as we see later that Madison believes in our now present form of government, a two-party system. I believe his true core values were to have the government keep a fair and balanced setting with the whole spectrum of society. In Federalist No. 51, Madison talks about the works of checks and balances and how important it is to the government. I believe Madison’s core values were the fairness and safety of the over all government as a whole. When upholding these standards, he wanted to make sure that the power of the government in future actions was safe and that it was a base to start building upon. Madison touches on the importance of ‘checks and balances’ and why they play such a huge role in distributing power among the branches. Checks and balances are meant to check the levels of government and to ens... ...uthors’ ideas about Logic of American Politics in that government now, you have to come to a common agreement. In Madison’s beliefs, he believed that equality and liberty were two of the most important things. In the textbook, they explain that congress most come to common ground before agreeing on anything so many things are hard to accomplish. In Madison’s ideas, I believe this is what he was truly encompassing; he didn’t want one side of an argument win and have those majorities rule. He wanted everyone to be heard not just those of the ruling party. As for Collective Action, the textbook relates to Madison by ways of coordination. Madison believed that it would be better to work as one huge group than a ton of tiny factions. He believed that all beliefs and ideas should be represented as a group rather than individually to minimize as much problems as possible.

Blue Crush Film Review :: essays research papers

Striving for Respect â€Å"These waves are for the big boys†   Ã‚  Ã‚  Ã‚  Ã‚  My film review is on the movie Blue Crush for my topic â€Å"Women competing with the men.† The movie is directed by John Stockwell and is written by Lizzy Weiss. The basic for the movie is that the main character Anne Marie is a surfer trying to make it big and become sponsored. She has to earn the respect of her friends, herself and the respect of the men surfers who ride the pipeline. She has to overcome her fears and conquer her own limits.   Ã‚  Ã‚  Ã‚  Ã‚  Anne Marie’s goal is to become a big wave surfer and to do that she needs to conquer her fears and overcome the critics who say a girl can’t ride the big waves like the boys. Anne Marie has many obstacles to overcome through the movie. First she has to take care of her little sister Penny, second she has to make money to pay rent, and third then she has to work and train for the Pipe Masters surf competition. Besides her obvious goals she has to earn the respect of herself to surf with the guys. A quote from the movie is when a guy surfer Eden says to Anne Marie:   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"These waves are for the big boys.† (Blue Crush 2002) This shows that the men don’t think she can compete on the same big waves as they do. At one point in the movie when she goes out to try and prove herself to the guys, they clear the wave so that she can take it. She hesitates and doesn’t take the first couple waves. Her fear overcomes her and she looks weak in the eyes of the guys. The fear of failure is the driving force in what holds her back in become a great surfer period. It's not holding her back just in the female surfing world but the male and female surfing world as a whole.   Ã‚  Ã‚  Ã‚  Ã‚  A strong moment in the film is where she gets the nerve to test the big waves with the guys and before she goes out to the beach she runs into her ex-boyfriend. He obviously doesn’t think she can hang with the guys and questions her:   Ã‚  Ã‚  Ã‚  Ã‚  Drew: You really think you can surf it for real out there? Anne Marie: Well, Drew, I dated you, I guess I can do anything. (Blue Crush 2002) This shows how she rises to the occasion in face of the guy telling her she can’t do it.

Just Below the Surface

Just below the surface The story is written by Kate Nivison and takes place in a London suburb in an upper class environment (p. 41, l. 14) in modern time (p. 42, l. 23). It is a first person narrator so we sympathize with Indrani. Indrani: * Is an Indian woman (p. 42, l. 37) * Is education, but not highly educated * She is very bigoted (p. 42, p. 29-30) * She thinks the British people are xenophobic (the woman in the shop and the men from the council, p. 43, l. 5) * She is very concerned about what other people think about her (p. 42, l. 19) * She feels suppressed (p. 43, l. 16) * She wants to be a good wife and desperately wants to keep up her appearances (p. 42, l. 1) She wants to keep her pride that is typical for the Indian culture. * The British people are biased against her (p. 43, l. 13) * She is trying to assimilate to the society, but the society hasn’t assimilated to the foreigners because the foreigners want to keep their values (p. 48, l. ) * She develops through the story; in the beginning she doesn’t mind the racism against her. She doesn’t notice it. But in the end she gets an eye-opener. * She is dependent on her husband (p. 44, l. 6) * She tries to avoid conflicts Barry: * He is a hidden racist (p. 48, l. 14) * Is very ironic (p. 4, l. 31) * He uses metaphors (p. 47, l. 15) * He is insolent * He is very biased There are a lot of dialogs and direct speech in the story. Also colloquial language because of the direct speech.There can be drawn parallels to the story My Son the Fanatic because in both stories there is a person who tries to integrate to the British society. There can also be drawn parallels to Mrs. Frost and Barry because they are both very bigoted. There can also be drawn parallels to Robin Cook’s speech. He says the immigrants are good for the country while Barry wants to get rid of them. The rats symbolize the immigrants according to the Barry. The kitchen symbolizes her facade.