Septic Shock And Kidney Injury Health And Social Care Essay

Systemic inflammatory response syndrome ( SIRS ) is expressed as febrility or hypothermia, tachycardia, tachypnea which may be associated with leucocytosis or leukopenia. SIRS generates broad spread inflammatory reaction in organic structure in response to external abuse which is protective for an person when its effects are restricted to pathogens, in other state of affairss inflammatory reactions are hurtful when they are directed against normal tissues in add-on to pathogens. [ 1,2 ] SIRS can ensue from legion conditions but termed as Sepsis, merely when infection sets in and morbific agent is detected. Sepsis consequences from an single response to external infection, which begins with systemic redness ab initio, followed by curdling abnormalcies and eventually deranged fibrinolysis. When sepsis causes one or more organ disfunction, the syndrome is termed Multiple Organ Dysfunction Syndrome ( MODS ) or terrible sepsis. [ 3 ] Sepsis-induced hypotension which is furnace lining to f luid boluses is termed Septic daze. Hypothermia associated with infected daze indicates hapless tegument and visceral perfusion, is normally associated with hapless forecast and high mortality rates of up to 30 to 40 % . Several serum biomarkers suggested holding diagnostic or predictive value in infected daze, but a unequivocal biomarker for everyday clinical usage is yet to be identified. One such marker is serum lactate which indicates pronounced hypoperfusion and tissue hypoxia in infected daze. Similarly serum Creatinine should besides be considered as marker of lessening organ perfusion in sepsis and Acute Kidney Injury should be regarded as index of ongoing organ harm and likely possibility of oncoming of infected daze. [ 4 ] AKI is due to sudden and drastic decrease in kidney map ( within 48 hours ) characterized by absolute addition in serum Creatinine ( & gt ; 50 % from baseline ) or a decrease in urine end product ( oliguria of & lt ; 0.5 ml/kg/hour for & gt ; 6 hours ) . Nephritic hypoperfusion and ischaemia during infected daze amendss nephritic tubules taking to acute cannular mortification ( ATN ) and have been demonstrated to be a common etiologic factor for AKI development during sepsis [ 5,6 ] . ATN was found to be a consistent histopathological determination in these patients, this would strongly propose that ischaemia and nephritic tubular cell mortification are likely an of import pathogenetic mechanism. [ 7,8 ] Acute kidney hurt have marked impact on the result of critically sick patients. Disease badness tonss such as the Acute Physiology and Chronic Health Evaluation ( APACHE II ) and Sequential Organ Failure Assessment mark ( SOFA ) both have included nephritic disfunction as forecaster of morbidity and mortality ; on the other manus liver disfunction tonss, coagulopathy, thrombocytes and other critical organ maps are non much stressed in APACHE II hiting system. To set up a unvarying definition of nephritic harm, RIFLE categorization was formulated which characterizes Risk, Injury, Failure, Loss and End-stage Kidney ( RIFLE ) . [ 9 ] An of import facet of the RIFLE categorization is that it grades the badness of acute kidney hurt on the footing of alterations in serum creatinine and urine end product from the baseline status. [ 10 ] Urine end product is an of import physiologic mark of organic structure fluid position, and unstable instability is common in critically sick patients due to extravasation of fluid into extravascular infinite or due to 3rd infinite losingss and eventually the nephritic disfunction. This farther suggest that reduced organ perfusion in infected daze plays a cardinal function in development of AKI taking to cut down creatinine clearance and increased serum creatinine degrees. [ 11,12 ] In this survey we compared increasing serum creatinine degrees with plasma lactates and SOFA tonss to observe oncoming of sepsis and infected daze and to prove the hypothesis that ongoing acute kidney hurt can bespeak reduced organ perfusion and oncoming of infected daze in critically sick patients.Patients and Methods:This survey was carried out to happen a correlativity between lifting serum creatinine degrees and oncoming of infected daze in 115 critically sick patients admitted in ICU and were managed following Surviving Sepsis guidelines. [ 13 ] Human ethical blessing was taken by the institutional moralss commission. Written informed consents were obtained from control topics and patients or their relations. The control groups were the healthy relations attach toing the patient. Entire 90 controls were taken, among them 65 were males and 25 females with a mean ( SD ) age of 36.5 ( 8 ) old ages. Among patient group 67 were males and 48 females with mean ( SD ) age 37.5 ( 6 ) old ages. Patients included in our survey had either of the undermentioned characteristics: ( 1 ) Clinical characteristics proposing infection ; ( 2 ) Core temperature & gt ; 38AÂ °C or & lt ; 35AÂ °C ; ( 3 ) Heart beats & gt ; 100/min ; ( 4 ) Respiratory rates & gt ; 30 breaths/min or demand for supportive mechanical airing and ( 5 ) Inadequate organ map or daze within 12 hours of registration. Patients excluded were: ( 1 ) aged patients older than 75 old ages ; ( 2 ) NYHA category III or IV patients ; ( 3 ) liver inadequacy ( Child C ) ; ( 4 ) HIV, HBsAg positive serology, Cancer patients. Demographic characteristics like age, sex, primary site of infection, morbific beings and disease badness scores including Acute Physiology and Chronic Health Evaluation Scores ( APACHE II ) and Sequential Organ system Failure Assessment mark ( SOFA ) were recorded for each patient ‘s at the clip of admittance in ICU and later. The plasma of these patients was tested for serum creatinine and lactates degrees at the clip of entry in ICU, so after every 24 hours till their stay in ICU. All the samples collected and patient inside informations gathered during the survey were coded to look into for prejudice and patient confidentiality was maintained as per the guidelines for surveies of human patients. Blood sample aggregation: First blood sample was collected prior to get down of antimicrobic, steroid therapy or vasopressors. Blood samples were collected from cardinal venous line ( 9 milliliter ) into sterilized tubings incorporating 1ml trisodium citrate ( TSC ) at the clip of patient admittance I ICU and later. Plasma was separated by extractor at 10,000 revolutions per minute for 15 min. The plasma was stored at -70AÂ °C for farther analysis and repeated freezing melt of samples was avoided in order to forestall debasement of plasma.Statistical analysis:The informations were analyzed by nonparametric analysis of discrepancy ( ANOVA ) with Newman-Keuls multiple comparing post-test. The relation between serum creatinine degrees, plasma lactates and APACHE & A ; SOFA mark was tested by finding the Pearson correlativity coefficient ( R ) . A P-value of less than 0.05 was considered important. Entire information recordings were obtained in triplicate and consequences of computation s are reported as agencies and criterion divergence up to two denary points. All statistical analyses were performed with the Graph Pad InStat 5.0 demo plan ( Graph Pad Software, USA ) .Consequences:Among 115 patients admitted in ICU during the period April 2009 to May 2010, 45 patients were of SIRS, 39 patients were in sepsis and 31 patients in province of infected daze ( Table 1 ) . Sepsis was diagnosed on the footing of specific civilization studies from assorted possible sites of infection, including blood civilization study. Out of 115 patients studied there were 67 male patients and 48 females with a mean ( SD ) age of 37.5 ( 6 ) old ages. Mean serum creatinine degrees in healthy control group was 0.83 AÂ ± 0.26 mg/dl, runing from 0.4 to 1.6 mg/dl. In SIRS group, the average serum creatinine degrees were 3.45 AÂ ± 1.26 mg/dl, runing from 1.2 to 6.2 mg/dl ( Figure 1 ) . The APACHE II and SOFA score correlated linearly with serum creatinine degrees ( r2=0.74, P & lt ; 0.001 for APACHE & A ; r2=0.69, P & lt ; 0.001 for SOFA ; Figure2 ) bespeaking nephritic hurt with badness of redness. In sepsis patients average degrees were 7.15 AÂ ± 1.3, runing from 4.0 to 9.3 mg/dl. Pearson ‘s coefficient showed additive correlativity of serum creatinine and sepsis badness tonss ( r2 = 0.65, P & lt ; 0.001 for APACHE and r2 = 0.62, P & lt ; 0.001 for SOFA ; Figure2 ) . In patients of infected daze with nephritic disfunction really high serum creatinine degrees were observed with mean of 10.31 AÂ ± 2.29 mg/dl with values runing from 6.0 to 15.2 mg/dl, these values were significantly ( P & lt ; 0.01 ) higher than those with sep sis ( 7.01 AÂ ± 1.3 mg/dl ) , SIRS ( 3.49 AÂ ± 1.10 mg/dl ) and the control group ( 0.83 AÂ ± 0.26 mg/dl ) . Detection of metabolic acidosis in arterial blood gas analysis was evaluated farther by blood lactate appraisal ( Figure 3 ) . Blood lactate degrees in SIRS group were ( 5.14 AÂ ± 1.24mmol/L ) with scope from 2.2 to 7.8 mmol/L. Similarly blood lactate degrees in sepsis ( 7.73 AÂ ± 1.4mmol/L ) and infected daze group ( 9.53 AÂ ± 1.2mmol/L ) were significantly high ( 95 % CI in sepsis 7.25 to 8.21 ; daze 8.9 to 10.16 mmol/L ) . In control group mean values were 0.93 AÂ ± 0.39mmol/L ( 95 % CI 0.84 to 1.0 mmol/L ) . In order to detect a relation between extent of nephritic hurt and oncoming of infected daze, creatinine clearance ( taken as step of nephritic map ) was so compared with blood lactate degrees ( taken as index of anaerobiotic metamorphosis and daze ) , Pearson ‘s coefficient showed reverse relation between lifting lactate degrees and Creatinine clearance in patients with terrible sepsis and infected daze ( Figure 4 ; r2=0.48, P & lt ; 0.001in sepsis ; r2=0.56, P & l t ; 0.001in infected daze ) . The patients included in this survey were non given any nephrotoxic drugs and drug dose were modified as per criterion chronic nephritic disease guideline to forestall farther nephritic hurt [ 14 ] .Discussion:Patients come oning to infected daze during their stay in ICU may hold altered sensorium, deranged liver map, malabsorption syndrome or may hold respiratory trouble. It was observed in our survey that all such patients with infected daze have one common characteristic of crazed kidney map with AKI. The pathophysiology of AKI in infected daze is ill understood due to miss of histopathologic information, which in bend requires nephritic biopsy to observe any parenchymal or vascular alterations in nephritic tissue ; such biopsies are non routinely performed in most ICU set up. [ 15,16 ] In absence of such information, we performed an indirect appraisal of nephritic map during oncoming of infected daze. These observations were based on serum creatinin e degrees and creatinine clearance which was so correlated with disease badness tonss ( APACHE II and SOFA ) and serum lactate degrees ( index of anaerobiotic metamorphosis and daze ) . Assorted carnal surveies of AKI have been done which helps in more complex and invasive measurings of nephritic maps. [ 17 ] Most of these carnal surveies were based on either ischemia-reperfusion hurt or drug induced hurt and informations generated from such surveies may assist us in understanding the pathophysiology in a infected patient with AKI. A major paradigm developed from these observations in animate beings and worlds with daze is that AKI is due to nephritic hypoperfusion and ischaemia. This fact supported our position of utilizing AKI as index for decreased organ perfusion and oncoming of infected daze. [ 18 ] Under basal conditions blood flow to kidney is 360 ml/min/100gm of tissue where as blood flow to encephalon ( 50ml/min/100gm ) , bosom ( 70ml/min/100gm ) , lungs ( 25ml/min/100gm ) and liver ( 95ml/min/100gm ) . [ 19 ] Among all the variety meats, kidneys have really high flow rates, approximately three times higher than other critical variety meats, therefore metab olic maps of kidneys were more likely to be affected earliest by decrease in blood flow during infected daze, this may ensue non merely in a decrease in glomerular filtration but besides, in metabolic impairment perchance doing cell decease, acute cannular mortification and terrible AKI. [ 20 ] Glomerular filtration rate ( GFR ) is governed by glomerular filtration force per unit area, which in bend is determined by the relationship between the sensory nerve and motorial arteriolas. When the sensory nerve arteriola constricts due to hypoxia in infected daze, glomerular filtration force per unit area will fall and urine end product and GFR will besides diminish, ensuing reduced creatinine clearance and increased serum creatinine. [ 21 ] Arterial lactate concentration correlates with badness of infected daze and reflects metabolic changes associated with hemodynamic via media. Therefore, the association between high lactate degree and diminishing creatinine clearance are built-in to the badness of the daze and of multi-organ failure. [ 22 ] In add-on, epinephrine extract during infected daze besides enhances lactate production by itself ; the higher adrenaline dosage required in more terrible patients may besides hold contributed to this association. Following the natural history of infected daze in most ICU, it is impossible to happen patients deceasing of infected daze but without nephritic failure, the huge bulk of patients deceasing of multiorgan failure has a outstanding nephritic constituent and requires nephritic replacing therapy during their class in ICU. Renal biopsy during infected daze is non performed routinely because of important hazards owing to azotemic or infected coagulopathy and patient instability. However, this restriction does non impair the relevancy of our observations sing the pathophysiology of infected daze, as kidneys have highest blood flow per gm of tissue and AKI is changeless characteristic of terminal phase multiorgan failure so any via media in nephritic map in critically sick patients should be considered as indicant of decreased organ map and likely oncoming of infected daze.Decision:Kidneies are invariably involved in multiorgan failure of infected daze. Nephritic lesions associated with AKI in infected daze are more complex than the simple ague cannular hurt, so reduced creatinine clearance should be regarded as index of underlying mechanism of decreased organ perfusion and likely possibility of oncoming of infected daze in critically sick patients. Recognition: We thank ICMR, New Delhi for patronizing the MD PhD undertaking. Furthermore we thank Professor Shally Awasthi, Faculty Incharge, Research Cell CSMMU, Lucknow for her changeless moral support and counsel to research chaps.Table 1:Control( n=90 )Sir( n=45 )Sepsis( n=39 )Septic daze( n=31 )Age ( old ages ) 38.5AÂ ±8 37.3AÂ ±4 36.2AÂ ±7 39.1AÂ ±4 Heart rate ( beats/min ) 94AÂ ±2.3 116 AÂ ± 16 118 AÂ ± 32 124 AÂ ± 32 Respiratory rate ( breaths/min ) 16AÂ ±3.2 30 AÂ ± 8 24 AÂ ± 6 28 AÂ ± 4 Mean Blood Pressure ( mm Hg ) 90 AÂ ±10.2 89.2 AÂ ± 14.3 98.3 AÂ ± 12.5 68.8 AÂ ± 23.3 Serum Creatinine ( mg/dl ) 0.8AÂ ±2.3 3.49 AÂ ± 1.1 7.0 AÂ ± 1.3 10.12 AÂ ± 2.2 Lactates ( mM/L ) 0.93 AÂ ± 0.39 5.14 AÂ ± 1.24 7.73 AÂ ± 1.4 9.53 AÂ ± 1.2 APACHE II mark–25.23AÂ ±6.6 28.03AÂ ±6.2 30.0AÂ ±6.3 SOFA mark–10.89AÂ ±3.4 13.52AÂ ±3.2 13.11AÂ ±2.8Legends:Table 1: Patients demographic features ( Mean AÂ ± SD ) Figure 1: Average serum creatinine ( mg/dl ) . Differences in average plasma degrees among each group was statistically important ( ** P & lt ; 0.001 ) Figure 2: Serum creatinine degrees increased as the badness of disease increased, it correlated linearly with disease badness tonss ( APACHE II & A ; SOFA ) . Figure 3: Average blood lactate ( mM/L ) . Differences in average blood degrees among each group was statistically important ( ** P & lt ; 0.001 ) . Figure 4: Creatinine clearance compared with lifting blood lactate degrees. It correlated reciprocally with blood lactate degrees.

Role of Project Manager

NICMAR ASSIGNMENT ON â€Å"ROLE OF PROJECT MANAGERS† SUBMITTED BY: JHA PRAVIN KUMAR JOSHI SOURABH MALANI GOVIND 221071 221074 221094 GUIDED BY: Prof. T. K. GANGULI ACM 22-SECTION 2 NATIONAL INSTITUTE OF CONSTRUCTION MANAGEMENT AND RESEARCH, PUNE ROLE OF PROJECT MANAGERS Page 1 NICMAR INDEX Contents 1. Introduction 2. Role of Project Manager 2. 1 Planning 2. 2 Organizing 2. 3 Controlling 2. 4 Leading 2. 5 Communicating 2. 6 Cognitive functions 2. 7 Self management functions 2. 8 Motivational and personal development functions 2. 9 Customer awareness functions 2. 0 Organizational savvy functions 2. 11 Project Manager’s Unofficial Job Duties 3. Conclusion Page no. 3 5 6 6 7 7 7 8 8 8 9 9 9 10 ROLE OF PROJECT MANAGERS Page 2 NICMAR 1. Introduction 1. 1 Project A project is a temporary endeavor undertaken to achieve a particular aim. At the most basic level, a project is actually the response to a need, the solution to a problem. Further it is a solution that promises a bene fit especially financial benefit. The fundamental purpose for most projects is to either make money or save money, hence projects should be financially justifiable. A project is temporary in nature; that means that it has a specific start and finish. A project consists of a well defined collection of small jobs and ordinarily culminates in the creation of an end product or products. A project is a unique, one time undertaking; it will never again be done exactly the same way, by the same people, and within the same environment. There will always be some uncertainty associated with the project. This uncertainty represents risks to your ability to make definitive plans and predict outcomes with high level of confidence. All projects consume resources in the form of time, money, materials and labour. 1. 2 Project Management Project management is the application of knowledge, skill, tools and techniques to project activities to meet project requirement. The project management process calls for the creation of a small organizational (project team), which is often a microcosm of larger organization. Once the team has produced desired outcome, the process then calls for the decommissioning of that small organizational structure. The project form of organization allows the manager to be responsive to: †¢ †¢ †¢ The client and the environment Identify and correct problems at an early date Make timely decisions about trade-offs between conflicting project goals ROLE OF PROJECT MANAGERS Page 3 NICMAR †¢ Ensure that managers of the separate tasks that comprise the project do not optimize the performance of their individual tasks at the expense of the total project- that is, that they do not suboptimize. 1. 3 Project Manager A project manager is usually responsible for the success or the failure of the project. They first need to define the project and then build its work plan. If the scope of the project is not very clear, or the project is executing poorly, the manager is held accountable. However, this does not mean that the manager does all the work by himself (which is practically impossible). There is an entire team under the project manager, which helps to achieve all the objectives of the project. However, if something goes wrong, the project manager is ultimately accountable. Apart from this, depending on the size and the complexity of the project, they may need to take on multiple roles. The project manager may need to assist with gathering business requirements, help to design a database management system or may prepare project documentation. They may work full time on a large project, or may work part-time on various projects of a smaller nature; or may alternatively handle various projects as well as handle other responsibilities like business analysis and business development. At times, they may have accountability but not authority. For example, he or she may be using certain resources but might not have direct control over those resources. At such times, the manager might find certain limitations over task execution, which might not take place as they might have liked. Not having direct control over the state of finances and finance allocation might cause ambiguity. Project managers use project management software, such as Microsoft Project, to organize their tasks and workforce. These software packages allow project managers to produce reports and charts in a few minutes, compared to the several hours it can take if they do not use a software package. ROLE OF PROJECT MANAGERS Page 4 NICMAR In order to be successful, the project manager must be given support and authority by senior management. 2. Role of Project Manager It is the responsibility of project manager to make sure that the customer is satisfied and the work scope is completed in a quality manner, using budget, and on time. The Project Manager has primary responsibility for providing leadership in planning, organizing and controlling the work effort to accomplish the project objectives. In other words, the project manager provides the leadership to project team to accomplish the project objective. The project manager coordinates the activities of various team members to ensure that they perform the right tasks at the proper time, as a cohesive group. The different roles of project manager are as follows: †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ Planning Organizing Controlling Leading Communicating Cognitive functions Self management functions Motivational and personal development functions Customer awareness functions Organizational savvy functions ROLE OF PROJECT MANAGERS Page 5 NICMAR 2. 1 Planning First, the project manager clearly defines the project objectives and reaches agreement with the customer on this objective. The manager then communicate this objective to the project team in such a manner as to create a vision of what will constitute successful accomplishment of the objective. The project manager spearheads development of a plan to achieve the project objectives. By involving the project team in developing this plan, the project manager ensures more comprehensive plan than he or she could develop alone. Furthermore, such participation gains the commitment of the team to achieve the plan. The project manager reviews the plan with the customer to gain endorsement and then sets up the project management information system-either manual or computerized-for comparing actual progress to plan progress. It’s important that this system be explained to the project team so that the team can use it properly to manage the project. 2. 2 Organizing Organizing involves securing the appropriate resources to perform the work. First, the project must decide which tasks should be done in-house and which tasks should be done by subcontractors or consultants. For tasks that will be carried out in-house, the project manager gains a commitment from the specific people who will work on the project. For tasks that will be performed by subcontractors, the project manager clearly defines the work scope and deliverables and negotiates a contract with each subcontractor. The project manager also assigns responsibility and delegates’ authority to specific individuals or subcontractors for the various tasks, with the understanding that they will e accountable for the accomplishment of their tasks within the assigned budget and schedule. For large projects involving many individuals, the project manager may designate leaders for specific group of tasks. Finally, and most important, the task of organizing involves creating an environment in which the individuals are highly motivated to work together as a project t eam. ROLE OF PROJECT MANAGERS Page 6 NICMAR 2. 3 Controlling To control the project, the project manager implements a management information system designed to track actual progress and compare it with planned progress. Such a system helps the manager distinguish between busy-ness and accomplishments. Project team members monitor the progress of their assigned tasks and regularly provide data on progress, schedule and cost. These data are supplemented by regular project review meetings. If actual progress falls behind planned progress or unexpected events occur the project manager takes immediate action. He or she obtains input and advice from team members regarding appropriate corrective actions and how to replan those parts of the project. It’s important that problems and even potential problems, be identified early and action taken. The project manager cannot take a â€Å"let’s wait and see how things works out† approach- things never works out on their own. He or she must intervene and be proactive, resolving problems before they become worse. 2. 4 Leading Project manager fosters development of a common mission and vision to the team members. He should clearly define roles, responsibilities and performance expectations for all his team members. He uses leadership style appropriately to situation or stage of team development. He should be able to foster collaboration among team members. He should provide clear direction and priorities to his team members. He should be efficient enough to remove obstacles that hamper team progress, readiness or effectiveness. He should promote team participation in problem solving and decision making as appropriate. He should pass credit on to team, and promotes their positive visibility to upper management. He should appreciate, promote and leverage the diversity within the team. 2. 5 Communicating ROLE OF PROJECT MANAGERS Page 7 NICMAR The Project Manager should be able to communicate effectively with all levels inside and outside of the organizations. He should be able to negotiate fairly and effectively with the customers/subcontractors. He should be able to bring conflicts into the open and manages it collaboratively and productively with the help of other team members. He should be able to able to influence without relying on coercive power or threats. He should be able to convey ideas and information clearly and concisely, both in writing and orally to all the team members. . 6 Cognitive functions The project manager should identify the problem and gathers information systematically and seeks input from several sources. He should then consider a broad range of issues or factors while solving these problems. For this he collects the appropriate quantity of data for the situation and discusses it with all the team members before making a decision. He then draws accurate conclusions from quantitative data and makes decisions in an unbiased, objective manner using an appropriate process. For this process of decision making he understands the concept of risk versus return and makes decision accordingly. 2. 7 Self management functions The project manager should be able to maintain focus and control when faced with ambiguity and uncertainty and should be able to show consistency among principles, values and behavior. He should be resilient and tenacious in the face of pressure, opposition, constraints, or adversity. Being the head of the project he should manage implementations effectively and should recognize as someone â€Å"who gets things done. He should continuously seek feedbacks from the team members and modify his behavior accordingly. He should take keen interest in learning and self development opportunities. 2. 8 Motivational and personal development functions Project manager should consider individual skills, values and interest of all his team members when assigning or delegating tasks to them. He should allow team ROLE OF PROJECT MANAGERS Page 8 NICMAR me mbers an appropriate amount of freedom to do the job. He should accurately access individual strength and development needs of his team members to complete the work effectively. He should continuously offer opportunities for personal and professional growth to his team members. He should arrange for training program and continuously seeks support to his team member when needed. He should pass credit on to the individuals and promote their positive visibility to upper management. He should give timely, specific and constructive feedback to all his team members. 2. 9 Customer awareness functions Project manager should be able to anticipate customer’s needs effectively and proactively strives to satisfy them. He should be able to accurately translate the customer’s verbalized wants into what they actually needs. He should be able to understand customers and their business and actively build and maintain strong customer relationships. He should understand customer’s issues, concerns and queries and try to resolve them effectively. He should actively strive to exceed customer expectations. 2. 10 Organizational savvy functions Project manager should involve the right people at the right time for a particular job. Understands, accepts and properly uses power and influence in relationships. He should build and leverage formal and informal networks to get things done. He should know the mission, structure and functions of the organizations and others. He should understand profitability and general management philosophy. He balance interests and needs of team/project with those of the broader organization. 2. 11 Project Manager’s Unofficial Job Duties The functional competencies listed above represents official duties of the typical project manager. In fact, if organization has developed a job description for project managers, it probably includes many of these functional competencies. What we won’t find in job description are the unofficial duties that Project Managers perform in the course of carrying out their mission. Let’s examine some of the key ones: ROLE OF PROJECT MANAGERS Page 9 NICMAR Babysitter: This refers to the apparent need to provide close guidance or detailed instructions to certain individuals. This situation results from any number of root causes. The target may be under qualified, lack of confidence or simply crave attention. Salesperson: There will be times when they will have to rely heavily on their ability to influence thers to sell an idea, sell themselves or perhaps sell the virtues of Project Management. Most of the selling situations will be helpful and have positive outcomes. However if he find himself spending too much time selling Project Management, they may signal deeper underline problems such as issues of trust or confidence. If most of the selling he does to his management, he is in trouble; this is a signal that l ife as a project manager may be exceptionally challenging. Teacher: This is an example of an unofficial role that actually yields positive roles. In fact, superior project managers will be able to educate and develop those they work with as they manage the project. Friend: Maintaining friendship and professional relationship with the same people is difficult. However if they can do it they will benefit greatly. An open, informal and comfortable communication linkage is much more likely to keep them supplied with more of the information they need than formal, rigorous and stiff team meetings. Finally avoid the trap of believing that he is been put in charge of a project so he has risen above his peers and friendship no longer matters. . Conclusion â€Å"The Project Manager is a key ingredient in the success of a Project. In addition to providing leadership in planning, organizing and controlling the Project, the manager should possess a set of skills that will both inspire the project team to succeed and win the confidence of the customer. Effective Project Managers have strong leadership ability, the ability to develop people , excellent communication skills, good inter personal skills, the ability to handle stress, problem solving skills and time management skills†. ROLE OF PROJECT MANAGERS Page 10

Baroque and Renaissance comparison

Art of the middle ages (which lasted from the 5th to the 13th century) was very religious in tone and content, especially in Europe. Art was overwhelmingly funded by the church, as the catholic church was the dominating force in European politics and had a greater influence than the political state. Portraits of the Madonna were very common. Paintings were very often produced by members of religious orders such as monasteries. It is interesting to note that most of the art produced was in the form of paintings often done in illustrated manuscripts. The figures in paintings reduced in this era were very flat.The colors were very muted most of the time, with the exception of using real gold leaf as an accent. The figures in paintings of the era rarely had shadows and possessed narrow faces with solemn expressions. There was no perspective in art of the middle ages; all of the paintings were flat and one- dimensional. Artists of the era made little to no attempt at realism. There was a fair amount of artistic evolution towards the end of the era. Paintings became brighter in color and tended towards more realistic imagery. Perception Egan to develop, causing images to look less flat.Paintings began to use different lighting and incorporate shadows. Art in the Medieval era evolved into more realistic imagery. (â€Å"Middle Ages Art. † Middle Ages Art. N. P. , n. D. Web. 15 DCE. 2013. ) The evolution in art of the later middle ages culminated with the Renaissance era (the 14th to 16th centuries). It refers to a cultural rebirth. The influence of the church began to wane, allowing for the political states to regain power. The move towards secularism bled into the art of this era. Art was patronized less by the church and ore by wealthy, independent investors who were usually royalty of some sort.Renaissance artists began to study perspective. They used figures with more emotions. Oil paints in brighter colors became more commonly used. Paintings incorporated b righter sources of light. Thus the paintings of the Renaissance era became far more realistic. As it is a rebirth, the art of the Renaissance era was heavily influenced by classic Greek and Roman art. Classical mythology became a subject for many works. Artists of the era portrayed gods such as Mars, the Roman do of war, in ways similar to how he was portrayed by the ancient Romans.The influence of the Greeks and Romans also gave more believable proportions to human figures. The images of clothing looked more realistic, giving them the illusion of movement and fluidity. (â€Å"Characteristics Of Renaissance Art. † Characteristics Of Renaissance Art. N. P. , 9 May 2011. Web. 15 DCE. 2013. ) Art of the era had a greater focus on naturalism. Paintings of realistic landscapes became increasingly common. They were made realistic by an increased understanding of believable space and perspective. The sense of depth became more realistic.The study of perspective allowed for spaces to look more realistic as backgrounds, which was not something that was focused on during the middle ages. The Renaissance was the culmination of all the social, political, and religious changes of the middle ages. It was reflected in the religious tones of art in the middle ages. And while art of the Renaissance became more secular and broader in subject matter, there was still a great deal of religious art. Catholics of the middle ages became interested in Greek and Roman mythology, which became a common theme n Renaissance art.The Catholic church began to look more at Greek philosophy. The middle ages began to consider the human condition, which ended up as a common theme during the Renaissance. The middle ages were entirely ruled by the church. But during the Renaissance, there was a bit of a backlash due to heavy corruption. The art of the Renaissance was far less religious in tone. It explored more themes, such as philosophy, the human condition, and the mythology of the Greeks as Romans. The church commissioned nearly all of the art produced during the middle ages, which is the reason for the overwhelming theme of religion.The Madonna and many Catholic saints are portrayed in the art of that era, and it was often produced by members of the church, clergy, or monasteries. With the shift away from the church during the Renaissance, the art of the era became more secular. The greatest difference between the styles of the middle ages and the Renaissance is realism. While art of the middle ages predominantly lacked a realistic look, it became the focus of most Renaissance art. Perspective was also introduced near the beginning of the Renaissance era, lending greater depth to paintings reduced in this era.While the paintings of the middle ages looked flat with slightly dull colors, the paintings of the Renaissance era had depth and became more vibrant in color due to the increased use of oil paints. (â€Å"The Relationship between the Middle Ages and Renaissan ce. † Web log post. Pious Fabrications. N. P. , 30 Cot. 2011. Web. 15 DCE. 2013. ) Madonna and Child was painted by Paolo did Giovanni Fee during the sass's. The colors are muted, but the background and the frame are leafed in gold. The figures, especially the hands of both and the feet on the baby, are unrealistic.

Museum Essay Example | Topics and Well Written Essays - 1000 words

Museum - Essay Example Among others who borrowed from Ancient Egypt tradition were also Ancient Greeks, the beginners of Western civilization, and Arabs, whose culture is commonly considered as the Middle East culture (O’Connor, 1971). Thus, despite African and Ancient Egypt cultures share the same continent, the two cultures differ. African culture generally, seems more connected to a nature. For example, African ceremonial clothing (Figure 1) is primary made from natural floral materials and looks like a bush. On black mannequin there is some kind of yelm, made from a dry rush plant, which supposed to cover the whole body of oracle or sacrifice. His human identity isn’t visible in such clothing, because his ceremonial mission is more important. Two other issues of the clothing have also a ceremonial destination: a headwear made from natural floral materials and seashells, and a stick, decorated the same way with a headwear. Even more natural and joyful African culture seems, when looking at African dolls (Figure 2). They differ strongly, even from each other, despite they often belong to the same African region. Some are made from wood, and focused on sex and religious characteristics of a woman, other ones are made from soft materials and different bright pieces of texture. It should be mentioned, that all dolls have individual face characteristics, despite that faces may look unnatural (big mouth, schematic eyes, etc.). It’s mostly noticeable when comparing African dolls to Egyptian Shabti statues, which also look like dolls (Figure 5). Despite Shabti statues too have individual faces, and those faces look more proportional than ones of African dolls, generally Shabti look less individual. They have the same ceremonial posture (standing front-wise with crossed arms), similar schematic haircuts and clothing. Being a part of a well-known Egyptian funeral cult, Shabti statues symbolize servants o f a dead master. However, the most attention is

What is the role of the consumer in our culture Essay

What is the role of the consumer in our culture - Essay Example There are times that an individual can go to purchase a certain commodity and probably finds the attendant with very poor moods. In such conditions, the attendant may talk in a wanting manner and at times fail to satisfy the customer. There are times however that an individual may find the attendant in appropriate moods. These are the times that they may even get a bonus or rather receive a special type of treatment from the attendant. This information shows that there does not exist any particular way through which one can identify the treatment accorded to them as a customer since it is unpredictable. The customer has minimal power over the production process of the commodity or the media’s involvement with the product. The media is whole other setting and many times, people say that the media is independent. This in itself alone as a sentence enables an individual to understand that the consumer has no control over the media’s involvement with a certain product. The customer however has an extended involvement in the production of a commodity. The reason is that at times, a group of consumers may have some negative reaction towards a certain commodity and this may make them submit their grievances to the production team (Ewen & Ewen). It is after this that the manager may pass the information to the relevant quality control teams to make amends. It is also vital to grasp and comprehend that the ordinary consumer does not have any control over the ideas that the media may have on a certain product. There are times that a consumer may use a product and have a negative view about it. After this, the consumer may find the media advertising the commodity and giving it fake praises. This normally angers the consumer but the reality is they cannot do anything concerning this. It is the right of the product owner to

Nietzsches Critique of Liberalism Essay Example | Topics and Well Written Essays - 1000 words

Nietzsches Critique of Liberalism - Essay Example Against the backdrop of liberalism movement that was taking place in the late 17th century and early 18th century, Nietzsche claimed that democracy only worked to protect the rights of the majority, which included the general population compared to the liberal idea that democracy worked to protect the rights and interests of individual people (Ansell-Pearson, 1994). This view on liberalism strikes the right chord because, in every sense, democracy in the modern world is based on the rights of the majority against the rights of individuals. This means most constitutions, the world over, claim to protect the rights and privileges of individuals yet, on the other hand, the rights of the majority overrules. It is only in exceptional cases, which often involve the affluent in society, that this view is applied. The rich are always given their rights when they demand them. The idea of liberalism emphasized on protecting the rights of every individual, but according to Nietzsche, these individuals’ are usually the rich people in society. The liberals did not protect the rights of the general citizenry as they claimed. Instead, they were clustered in one group and their rights were determined as a whole’. Nevertheless, the rights of the majority came in as a second priority since the liberals focused on securing the rights of the affluent in society. This means that the poor or middle income had no say; since the rich people were the main decision and policy makers because only their voice counted in key decision making. This notion created a slave mentality among such liberal states. According to Peters, et al (2003), Nietzsche also believed in the mastery of oneself. He believed that human beings should define their live according to themselves and rid themselves pity of the weak members of the society. In order for an individual to succeed in a society, he should not be tied to any equality standards, but be allowed to go grow beyond boarders in tandem with their abilities. This means that liberalism hindered the growth of individuals since it placed standards and emphasized on equality among individuals, yet each individual has the ability to grow beyond the average. He believed that liberalism emphasized on equality among members of the society, yet in the real sense not every human being has the same potential as the other. He envisioned a society where, individuals would have their own independence and

G&S Research Paper Example | Topics and Well Written Essays - 1000 words

G&S - Research Paper Example This procedure for DNA forensic always begins at the scene where the crime has take place. Biological samples like saliva stain, blood remains, and semen samples are identified, collected, and transported to the laboratory for forensic laboratory analysis. There are instances where the DNA technique cannot be useful unless the investigators have found sufficient historical information on the suspect in check when a match is made in state or either national database (Balding, 2005). Once the lab analysis is complete with suspect’s analysis, the report is made available to investigators who must have some knowledge about the suspect in question. This is the situation where the law enforcer’s gets most challenging situation, as the DNA for the profile for the real offender may not be available for comparison with the materials recovered in the crime scene. Besides they have to ensure that they create an environment that ensures that, they obtain information from the suspects in a way that respect the privacy of those individuals (Butler, 2005). The federal law gives the FBI security sector the responsibility to administer and give support to the national DNA index system. Therefore, various states have enacted laws that ensure the DNA of convicted criminals is collected on specific crimes. This has made many states improve and expand the mandates involving the collection to include and retention of the offenders DNA’s samples after arrest (Butler, 2005). There has been gradual improvement forensic science of DNA as compared to traditional way where most DNA forensic was entirely based on scanning the fingerprints of the suspects that are left at the crime scenes. This traditional method entailed manual identification of fingerprints in absence of the suspects (Butler, 2012). This method was referee as cold searching. The method was slow, challenging and was not practical.

MCS 146F Midterm Essay Example | Topics and Well Written Essays - 1000 words - 1

MCS 146F Midterm - Essay Example The other part of the press is the handle, which is mounted on the upper section of the machine and is used to apply pressure onto the printing media. It has a series of levers to multiple the force being applied by the one operating the machine. Counterweights are a very vital part of the press and perform key functions. The purpose of the counterweights, which are located adjacent to the handle, is to ensure that the force of the impression is increased. Moreover, the weights are used in raising the platen after every single impression (Eisenstein 129). This allows for the next impression without much force being required. The press is raised from the ground level by four metallic legs that terminate in molded feet. A closer look at the end of the supports suggests that they resemble the claws of a lion. The four supports are well spread to increase stability of the machine when it is not in use and when it is functioning. In addition to this, the platen is located a few meters from the ground so that the center of gravity can be lowered and ensure that the machine remains in a stable state when other parts are being moved. The Colombian press has talons with eagle clutches. These are incorporated into the design as a symbol of war. It also has olive branches on some talons to show prosperity. At one end of the counterweights, there are arrows that rest on a crescent moon. The other ends of the arrow in the counter masses are coiled to form a dolphin with open jaws. The coiling allows it to hold the hook of the press bridle thus facilitating a connection with the upper end of the levers. Another dolphin like part is extended from the counterbalance to connect it with the main lever. This mechanism works in synchrony to pass the forces that is exerted by the operator to the media on that the printing is to be done. The press also has two pillars that are embellished with cadeus intervened with what appears to

Research Essay Example | Topics and Well Written Essays - 1250 words - 12

Research - Essay Example g is an issue that need to be tackled holistically by all people and the relevant authorities without blaming each other for the current worsening conditions. Technically, global warming is a problem that emanates from the presence of too much carbon dioxide in the atmosphere. This acts as a blanket which traps heat, thereby warming the planet. Other gases such as methane and nitrous oxide have the same effect. Therefore, burning of coal, oil, and natural gas for energy leads to accumulation of carbon dioxide gas in the atmosphere. Scientific evidence indicate that an increase in global average temperature by 3.6 (F) poses a major risk to the natural systems and the existence of the human beings (Smith 18). Scientists have discovered that methane is mainly released by landfills and various agricultural practices such as use of nitrous oxide from fertilizers. In addition the gas is released through both industrial and refrigeration processes. Greenhouse gas emission is one of the major causes of global warming; global warming, thus, results from the greenhouse effect. The latter involves a process through which the emission and absorption of infrared radiation through the gases in the earth’s atmosphere, which warms the lower atmosphere and the surface of the earth (Smith 26). On the surface of the earth, the naturally occurring greenhouse gases have a mean warming effect of approximately 59˚F. Without the existence of the Earth’s atmosphere, the average temperature on the planet would be lowered to the freezing point. The major greenhouse gases exist in terms of water vapor that results in about 30-70% of the greenhouse effect, which leads to global warming. Scientists have pointed out that carbon dioxide causes 10-25%; methane causes 5-10%; and the ozone causes 3-8% of the greenhouse effects. Scientists have also pointed out that human activity that began during the times of Industrial Revolution in the United States and Western Europe increased the level

Edit research paper Essay Example | Topics and Well Written Essays - 7500 words

Edit research paper - Essay Example Over the years, the country has established its supremacy in the global oil market. For the past decade, a mean yield of 10.26 million barrels per day has been produced by the country. Figure 1 shows that this is 12% of the total world supply. In 2011, the oil-based economy generated 11.8 million barrels per day, raising their production share to 13%. The world Saudi Arabia is followed by Russia, United States of America, and China with shares of 12%, 12% and 5% respectively (See Appendix Table A). The domestic production of the country grew by a yearly average of 3.6% from 1991 to 2011.This growth is helpful for the country’s export market and profitability making it beneficial for the overall development of the economy (Yizraeli, 2000). In terms of exports, Saudi Arabia also led the industry in 2009 with 8.2 million barrels a day. The country has captured 12.4% of the total world exports during the year. Russia placed second with 5.2 million followed by Iran with 2.8 billion. 20% of the country’s exports go to the United States of America. Japan and South Korea also imports significant portions of Saudi’s supply (US Energy Information Administration, 2010). On the other hand, despite the consistent boost in production of oil, the world demand for the commodity has been volatile. Figure 2 shows the instability in the world-wide demand for oil, these factors may have been influential to the export performance for crude oil. Figure 2 depicts the demand of the world, US, Japan and South Korea. The latter three mentioned were also included because these are significant importers from Saudi Arabia. The demand for oil has been volatile from the 1990s to early 2000 as reflected from the fluctuations in the graph. Near 2008, downward demand trends are manifested from the world, US, Japan and South Korea. Periodic drops in demand are apparent, and seem to relate to business cycles. During this

Pros And Cons Of Abortion Research Paper Example | Topics and Well Written Essays - 500 words

Pros And Cons Of Abortion - Research Paper Example In most cases, abortion has been blamed for the increasing chances of miscarriages as well as increasing the individual’s risk to pelvic inflammatory diseases (Boyer, 2013). Furthermore, citizens who are the taxpayers are against using their taxes to fund abortion; thus abortion is morally unacceptable and unethical. For women who indulge in abortion, they are increasing their exposure to stress and psychological pain thus abortion impacts their view of life and also how the society view them (Pourreza & Batebi, 2011). In fact, societal rejection has been directed to women who have been identified to have aborted or terminated their pregnancy. Finally, abortion reduces the chance of giving birth in future as some of the methods may affect the entire reproductive system of the woman.Though abortion has always received negative perception from the public, there are some instances where it is necessary to terminate the pregnancy. For instance, cases where the mother’s life is at risk require the termination of the pregnancy so as to save the mother in case she cannot survive to deliver a healthy baby (Boyer, 2013). Conversely, there exist some cases when the mother's life become paramount to that of the unborn, and this is morally acceptable from all the perspectives. Nonetheless, abortion carried out through safe medical procedures is more acceptable since the life of the mother is protected. The implication is that the medical procedures have least risks and does not affect the mother's health.

Globalization and advancement in technology Essay Example for Free

Globalization and advancement in technology Essay Globalization and advancement in technology has resulted in the governments taking a back seat as regards shaping the destiny of its people. The increased capacities of individuals do not seem to provide any point of refuge. The most difficult thing from this situation is the fact that the new political agenda being championed for the millennium is not well documented for. The book China and Globalization presents an in-depth analysis of the political, economic and social transformations that the Chinese society and state went through over the past thirty years. The author argues that the rise of China throughout this period has been propelled through the dynamic geopolitical environment as a result of community building efforts that enhance economic cooperation CITATION Gut09 l 1033 (Guthrie, 2009). A Brief History of Neoliberalism by David Harvey aims to find out the goals of neoliberalism and presents a useful explanation on why neoliberal policies do not always follow neoliberal theory. Harvey simply considers this new form of political economy as a means through which the global economic elite reconstitutes the high class power CITATION Har05 l 1033 (Harvey, 2005). He states that elite power often takes precedence in the event of a conflict with the contemporary neoliberalism economic principles. Harvey’s book is a powerful tool for analyzing the accumulation by deficiency concept. Doug emphasizes that this has been the foundation to the facilitation and eventual institutionalization of China’s economic integration. This argument is quite a challenge of David Harvey’s neo liberal argument that the rises of neo liberal economies like the United States and capitalist China is the cornerstone of an intended project to restore the noble power. According to Doug, the rise of Chinese revolution is â€Å"the result of methodical and careful government policies† (p 8). The fundamental element basis of Doug’s argument lies in her view that the successful revolution of China was because it was gradual and was led by the state. She states that China’s propagation of bilateral PTA’s is a â€Å"necessary intermediate step toward a seamless integration into a pan regional framework† (Guthrie p.15). This argument, though quite an optimistic and bold claim by Doug Guthrie is in contrast to David Harvey who argues that the propag ation of bilateral PTAs is an emasculation to region building in Asia. David Harvey’s sanguine view is that most bilateral PTAs are merely destabilizing to regional cooperation owing to the fact that most bilateral PTAs are strategically or politically driven. The Chinese government led by Deng Xiaoping introduced reforms that allowed the actors of the economy to master the rules of capitalism rather than making assumptions and withdrawing perceptions based on intuitions CITATION Gut09 l 1033 (Guthrie, 2009). Incentives were stimulated by granting autonomy to the local government. Currently, foreign investors in China deal with provincial bureaucracy and build long term alliances rather than the central government. Guthrie points out that the crucial underlying mechanisms that boosted a much freer Chinese environment were the autonomy of individuals at the workplaces and the depletion of monitoring capacity of the Chinese Communist Party (CCP). Individuals no longer had to de pend on their superiors or work units despite the fact that there was a major rise in corruption among local officials. The results of such reforms were the evolution of an independent middle class that was economically secure. High rewards were offered to holders of foreign language skills and university degrees and the access to female education increased. Guthrie advocates for China to engage strongly with the United States in order to acquire grander external motivation as a way to overcome domestic hindrances. However, her assertion that a futurist state can better engineer changes from socialism raises questions as to whether or not developing countries can only grow by enforcing autocratic policies CITATION Gut09 l 1033 (Guthrie, 2009). David Harvey argues that while neoliberal economies may boast of allowing the free market to take its course, government intervention and regulation only comes into place when it is beneficial to economic elites. Thus from a neoliberal perspective, environmental and labor regulations by the government always lead to inefficiency by distorting free market price mechanisms CITATION Har05 l 1033 (Harvey, 2005). In his opinion, the main aim of neoliberalism was not wealth increase but wealth redistribution and uses statistics to explain this phenomenon. Harvey’s argument is supported by the decrease of real wages in the poorer sectors of neoliberal economies like the United States and the massive wealth increases of the economic elite. In his view, Harvey refers to this type of wealth distribution as accumulation by dispossession and goes on to state that this is how neoliberalism has managed to redistribute wealth and considers it a transition to the onset of capitalism. Among th e main aspects of this one sided wealth redistribution are monetization, privatization, state redistributions, commodification and the management by manipulation of crises. Harvey presents a brief history of neoliberalism where he point out that before its existence the political economy was dominated by embedded liberalism which was a form of capitalism. His assumption of neoliberalism is that it is quite extremist in its operation and if unchecked will be unruly because of socialism failure to develop a reliable model. The pretense by socialism as a means of management of the state and its people without any form of intervention of market forces results in social destruction CITATION Har05 l 1033 (Harvey, 2005). He is attached to this political tradition of democratic capitalism. His view is that of economic restructuring for the development of the people in general. To this effect, Harvey fails to understand why the way of doing things in neoliberal economies is more prominent across the globe even though they embrace democratic capitalism. The push and pull between the two ideologies of Guthrie and Harvey could be attributed to economic growth witnessed across the globe in this period. Harvey asserts in his writing that neoliberalism to some extent does not meet up its expectations by the people. The win by embedded neoliberalism according to him was not a stable environment to create a socially stable environment. Both authors present vague points at some point. Doug Guthrie believes that China is taking baby steps to becoming a capitalist nation and therefore the way to remain economically viable is through slow transition from a command to market economy. Guthrie in totality misses the whole idea that democracy and growth in newly industrialized countries have an inverse relationship. David Harvey on the other hand fails to clearly highlight the main economic policies of neoliberalism. From the review of the different aspects of the books by Harvey and Guthrie, it is indeed difficult to exactly point a celebration o f the past century with the misery related to the so many ideologies that have not been successful in the long run. The books depict a situation of melancholy with the authors coming to terms so late in agreeing with the disadvantages related to these ideologies and their lack of appreciation of the one ideology that has revealed the aspirations of human and has been able to change to the different circumstances of life as it is. References   Guthrie, D. (2009). China and Globalization: The Social, Economic and Political Transformation of Chinese Society. New York: Taylor Francis. Harvey, D. (2005). A Brief History of Neoliberalism. Oxford: Oxford University Press. Source document

Authority-responsibility relationships

Authority-responsibility relationships Modern organizations are constantly trying to incorporate a humanistic approach in order to keep their employees happy. Organizational behavior is greatly affected by changes that occur inside the company. One that is seen as most important is that of the changes in organizational structures. The old way of doing things with bureaucratic models have given way to modern models using project and matrix designs. Every organization has objectives and goals that it strives to achieve. In order to do so, the people in the organization must work together. The activities of each of these individuals are broken down by authority-responsibility relationships. These relationships are often formed on the basis of the job hierarchy (Organizational behavior and basics, n.d.). An organization is a group of individuals that are broken down into different levels of authority and segments based on specialty for the intention of achieving the goals and objectives that have been set by the organization. When objectives are established for these groups a process is used to identifying and group the work that is to be performed. Responsibility and authority roles are also defined and delegated while relationships are established for the purpose of enabling the people to work most effectively together (Organizational behavior and basics, n.d.). Administration of an effective organization determines the goals that the company as a whole strives towards. Organizations often evolve out of a need clear, well defined system or structure, that allows people to execute their work responsibilities. This structure helps employees to relate to each other, organize their activities, and achieve the goals or objectives that have been set by the organization. It helps to minimize confusion, maintain an ideal environment and maximizes effectiveness (Organizational behavior and basics, n.d.). Hewlett-Packard is an example of a company that uses modern organizational behavior in order to emphasize productivity and good employee relations. In 2000, Hewlett-Packard was one of five winners of the Ron Brown Award for Corporate Leadership. This company was founded in 1939 by Bill Hewlett and David Packard. Early on this company has a good philosophy that encouraged good employee relations. David Packard fashioned the concept of management by walking around as a means to achieve a high involvement and open work culture. HP has been both a leader in technology and in human resource management practices. As a leader in technology HP designed and produced the first handheld scientific calculator. As a management innovator HP introduced the radical notion of flexible work hours and removed time clocks as a way to show respect for and trust in its employees (Organizational Behavior in Changing Times, n.d.). HP is a $41-billion-a-year business that consists of seven major product lines and three service lines. HP products include computer desktops and workstations, mobile products, printing and digital imaging products, storage products, servers, networking products, and software. The services lines include e-services, personal services, and business services. HP has approximately 88,500 employees and was one of the first companies to formalize telecommuting policies for its employees. The company has more than 540 sales and support offices and distributorships in 120 countries worldwide (Organizational Behavior in Changing Times, n.d.). The Santa Rosa Systems Division of Hewlett Packard (SRSD) was created in 1992 in order to target a new systems integration opportunity in the ever growing communication business sector. In 1994 SRSD faced many challenges that threatened its success as well as that of its leadership team. Those in the organization saw the following things as major issues: There were two competing strategies that were threatening to divide the organization There were problems between two functions that were competing for common engineering resources. This problem was caused by a functional structure that had very poorly designed cross-functional business teams The cross-functional teams that were not effectively led or managed and did not produce any needed coordination There was a top team that was not effective. There was a general manager who was not confronting and resolving key strategic and organizational issues. There was low trust throughout the organization that prevented organizational problems from being discussed and managed. There was underperformance in the rate of growth and profitability as well as low morale and turnover of key technical people (Beer, 2002). In order to help address these issues HP used a technique know as Organizational Fitness Profiling (OFP). This process enabled the leadership team to bring these problems to the surface and make changes that allowed the business unit to capitalize on many market opportunities. The leadership team and many of the key managers in theSanta Rosadivision had grown up in Hewlett Packards traditional business environment. Fitness Profiling enabled the leadership team to have an honest organizational conversation about the behaviors that were silent killers and diagnose the root causes (Beer, 2002). HP is a technology company that operates in more than 170 countries worldwide. They explore how technology and services can help people and companies address their problems and challenges while pursing their own possibilities, aspirations and dreams. They apply new thinking and ideas to create more simple, valuable and trusted experiences with technology. They are continuously improving the way that their customers live and work (Hewlett-Packard, 2009). Not many other companies offer as complete a technology product portfolio as HP does. They provide infrastructure and business offerings that range from handheld devices to some of the world’s most powerful supercomputers. They offer consumers a wide range of products and services from digital photography to digital entertainment and from computing to home printing. This comprehensive portfolio helps them match the right products, services and solutions to their customers’ specific needs (Hewlett-Packard, 2009). Hewlett Packards motto for their employees consists of Stretch. Strive. Succeed. This is a standard that they demand not only from themselves but from their employees as well. When a person goes to work at HP, they are given every opportunity to stretch their talents, strive for new solutions and succeed beyond what they thought was possible. And when the employee does this they are recognized and rewarded as they grow with the company (Hewlett-Packard, 2009). This approach is what has made HP the worlds leading information Technology Company and keeps them moving in new and interesting directions. This is how they have been able to provide ideas that help people around the world connect, create and accomplish amazing things. Its why their people are experts in so many areas including marketing, finance, HR, sales, IT infrastructure, personal computing and access devices, business technology solutions, global services, and imaging and printing for consumers, enterprises, and small and medium businesses. They believe that when you bring great minds together in over 170 countries, each person has a hand in driving the innovations that make the world a better place (Hewlett-Packard, 2009). The Sociotechnical system (STS) redesign process that was used by HP in order to chronicle the process as it actually occurs includes documenting how changes in managers’ and employees’ beliefs and behaviors as they are produced. STS redesign is not a new management trend but was first detailed by Eric Trist and his associates of the Tavistock Institute in 1963. Central to STS redesign are two principles. The first is that work is comprised of both social and technical components, while the second is that organizations are open systems. The second concept is composed of two important concepts. Organizations are open meaning that they are constantly interacting and negotiating with their environment. Just as significant is the character of their system. Real change occurs only with attention to all aspects of the organization. In order to implement STS redesign, top management must sponsor and demonstrate commitment to the change and the redesign team must be composed of employees from all levels of the organization. This is a change process designed by the workers whose work is being redesigned. Guiding principles include employee involvement, the reallocation of power and authority down the hierarchical ladder, open communications, and system wide transformation. Structurally, the result is an organization composed of self-managing teams (Besser, 1999).  

TQM and Business Process Re-engineering

TQM and Business Process Re-engineering Total Quality Management and Business Process Re-engineering Introduction This article going to discuss about Total Quality Management (TQM) and Business Process Re-engineering (BPR) which are the most expressions of an increasing sophistication in management techniques and principles in recent years (Christian 1997). There are some ambiguous constructs between TQM and BPR. On the one hand, there are claimed that the management innovations might be restore competitiveness and back to traditional, such as bureaucratic organizations. On the other hand, TQM and BPR are normally concerned to only to the managerial common sense (Fisher 1994). This papers goals to explode the reasons and benefits relate with managers and workers around the BPR and TQM. Total Quality Management (TQM) Total Quality Management (TQM) has its roots in Japan, because of the original Japanese words Quality Control (QC) which means the development of quality improvement activities, due to the translation problems about QC from the original Japanese words(Boaden 1996). So, QC and TQM have same meaning, for example the principles were universally accepted as a means of continual improvement in quality overall organizational performance. Furthermore, there are aim of TQM which means for customer satisfaction, and improved flexibility (Ruth 1996). TQM often rely on a statistical base through mathematical foundation of quality control (Ruth 1996). At the begin , TQM started in 1950s and 1960s, it was attributed by Deming and Juran who promoted quality processes in Japan. Although the radical concepts of TQM were developed in US and Europe during 1980s and 1990s the growing international competition led many UK and other companies to adopt TQM, especially focus on quality by management gurus such as Peters and Waterman (Ruth 1996). There are some common quality principles of TQM, including customer orientation, substantial cultural change, top management leadership of the quality improvement process, focus on continuous improvement, respect for employees and their knowledge, and reduction of product and process variation with an emphasis on defect prevention rather than detection. Especially continuous improvement for example, it is often related with Kaizen which is one of the basic principles of TQM (Ruth 1996). The results of TQM processes generally are improvements in mistake rates, reduced time needed to save money, worker capital and increased efficiencies (Christian 1997). Another example of Customer orientation is one of soft systems of TQM. I t is usually flexible forms of work organization with the intensification and insecurity that come in its wake. TQM as an inclusive management practices that using methodology to set up models of organization and amplifies. Some aspects of TQM were obviously incorporated more easily than others. For instance, problem solving by teams, conferencing, and training. After finished the TQM training, managers were able to offer an intellectualized report of TQM (Chritian 1997). However, it was not mean that managers were understood of practical by their level, and they could sure what the elements exactly could mean in their working climate (Chritian 1997). For instance, senior managers might lose sight of the ball. They kick the ball into play, and when it has some problem or the ball is not working as fast as they think they would like change the way to find another job better than before (christian 1997). In addition, managers focused on the mechanisms- training, meetings. Because of TQM become a more efficient and modern company it was enabled managers could self-referential, especially in official company discourse (Christian 1997). And most of senior managers have had an opportunity to achieve a multitude of sometimes conflicting or objectives, who were choosed by consultants and management gurus. TQM principles, practices and techniques are have benefits to workers. Such as teamwork, group skills, continuous training and learning techniques as role clarification and group feedback (Christian 1997). For example, there are lots of quality management rules such as TQM, just-in-time, Quality Control systems are used by the operational workers in Denso Company, this are increasing and improving work efficiency and effectiveness. In spite of the benefits of TQM, there is failure paradigm of the Quality Management. For example, according to Kearney survey that there are 80% of the companies surveyed might not point to a dramatic improvement in implementation, and research from 1992 by Arthur D. who reported that TQM had a remarkable impact on their activities and habits are considered merely by the third of studied companies (Christian 1997). Business Process Re-engineering (BPR) The Business Process Re-engineering (BPR) replaced Total Quality Management (TQM) as the hottest topic of organizational processes and structures, always following the introduction of new information technologies into an organization. â€Å"BPR is the fundamental thinking and redesign of business processes, to achieve dramatic improvements in critical, contemporary measures of performance, such as cost, quality, service and speed† (Hammer Champy 1994). On the other hand, BPR is contrasted with process simplification that it is considered involved in fundamental change, led by a view, involving new frameworks and technology and changes in habits and attitudes. In addition BPR was developed as a radical concept for fundamental change in an organization, relied on total redesign of an organizations programmers, and taking into account the full power of modern technology (Ruth 1996). BPR could make the small change in each department for example in marketing sales department, but return the huge benefits for the organization. For instance, structure change related with people and technology, it plays a crucial role in organizing people, technology, decision-making, control, and management. Bad organizational structure can reduce the success of the redesigning effort. These might involve multi-functional teams, product teams, and the flattening of the management hierarchy (Delvin 2002). In the technology facts are pointed that it might includes the relationships and controls in various technologies. The main features of BPR includes simple to multi-tasked work, empowerment of employees, change of focus from management towards customer, flattening hierarchies and managements habits from supervising to coaching, and switch from functional department to process teams ( Grint 1994). BPR have benefits both of managers and workers, including a non-bureaucratic and informal management structure, a flat organizational structure, tight control of day to day works for example someone absence, and little management of authority. To achieve these might via the three fields, such as reengineering technology, organizational structure, and communication (Delvin 2002). Firstly, the advantage aspects of reengineering technology to managers are including standard managerial processes which trend to integration all the information: share databases, function, network, and improving quality in operational processes (William 1996). Such as, the most important processes in a manufacturing or service company and distinguish the following steps: order flow, strategic process, product, marketing or sales, services, accounting, personnel, and technology (Marta 1999). These could via information technologies systems to achieve them. Information technologies, namely, personal computers and internet communications allow workers to work far away from the office. Employees may work at home or other areas. Multimedia communication programmers, which receive email or messages, and review news and get information is very convenience and quick. And computer systems can integrate multi-functional of business processes, sharing data resources, internal and external information. These processes not only reduce cost and improving the accuracy of exchanging information, but also increasing work efficiency and effectiveness (Marta 1999). Such as Enterprise Resource Planning Systems (ERP) which is one of popular software systems, it is widely used in most of companies in recent years. Secondly, organizational structure which is really difficulties in redesigning procedures especially to managers, they might less autonomy due to the formal constraints and regulations of organization (James 2000). For example managers may less decision-making and flexibility. On the other hand, the hierarchical or bureaucratical of organization might become flat levels. And their changed the management habits and attitudes from supervising to coaching or training. As well as towards pay more attention to the customers instead of management. Organizational structure change to workers, the organization needs encouraged employees who accept changes, share, and motivate their new style of working processes. On one hand, the organization must in-depth training and motivation their employees, such as provide the team work knowledge and creative new type of jobs. On the other hand, the organization must encourage their workers via incentive systems and involvement in the decision-making process (Marta 1999). Lastly, communication issues to managers are more crucial in the organization. For example, in most of the companies, they employees are working for the company, it is not only for the better paid, but also really focus on the senior managers who are respect or take care them as a word or a gesture. While these are absolutely small changes to managers, but to workers are really more respects or thanks to managers, prompted them to performance well, these are without money issues, each worker needs esteems and trusts. Communication processes involved in all departments and people at all levels of the organization (Winklhofer 2002). People should be kept as open as possible to ensure success. It can help higher management transform information about the business and BPR progress across the organization and make workers more ensure and understand what exact their role in the change process (David 2005). It will be reduce resistance of change process and give feedbacks to the higher level managers, such as the training issues or promotions, employees cannot be controlled, they can be encouraging innovation, sharing information, and providing a change blueprint (David 2005). However, there were 70% of BPR projects failed (Ralph 2000). It had have many reasons about failure of BPR, including have â€Å"ill-defined scope and processes defined, inaccurate information and data, lack of executive commitment and sponsorship, limited guru to proceed and fast changing technologies† (Ralph 2000). One of the typical unsuccessful example of BPR in the organization, management risks involve operational problems such as lack of customer focus, transaction issues, and lack of time to execute the project. Conclusion In conclusion, this paper provides general theories and examples about Total Quality Management (TQM) and Business Process Re-engineering (BPR). Although there are many critical articles about TQM and BPR, and the high rate of failure cases. While, it is not deny that BPR established on the TQM programmers, there are similarities both of them such as high quality, continuous improvement, and working efficiency. However, there are basic different between TQM and BPR. For example, TQM do not changing the existing processes, it is focus on continuous improvement and customer satisfaction. In contrast, BPR is changing the existing processes, reengineering the whole processes, set up the new processes instead of old one. References Boaden, R.J. (1996) What is TQM †¦and does it matter?, Total Quality Management (in press). Christina, D. C. (1997) TQM and BPR: Beyond the beyond myth Journal of Management Studies 34:5 September 1997 David, P., Ruey-Dang, C. (2005) The State of Business Process Reenineering: A Search for Success Factors. Total Quality Management Vol. 16, No.1, 121-133, January 2005 Delvin, G . (2002) A Wider View of Business Process Reengineering. February 2002/Vol.45, No.2 Fisher, L. (1994) Total quality: hit or myth? Accountancy, 50-1 Grint,K. (1994) Reengineering history: social resonances and business process reengineering. Organization,1, 179-201 Hammer, M. Champy, J. (1994) Reingenierla De La Empresa ( Redesign of the Business), Barcelona, Spain: Parram6n, 1994 James, Y.L., Thong., Chee-sing,Y., Kin-lee, S. (2000) Business Process Reengineering in the Public Sector: The Case of the Housing Development Board in Singapore. Journal of Management Information Systems. Summer 2000. Vol. 17, No.1, pp. 245-270 Marta, F, O. (1999) Information Technology in Business Process Reengineering March 16-23, 1999 Ruth, J. B. (1996) Is total quality management really unique? Total quality management, Vol, 7, No.5, 1996, pp553-570 Ralph, L. K. (2000) Risk management for business process reengineering projects pp71-73 William, J. K., James, T.C., Subashish, G. (1996) Inforamtion architectural design in business process reengineering Journal Information Technology (1996) 11, 27-27

paper :: essays research papers

Paper has a long history, beginning with the ancient Egyptians and continuing to the present day. For thousands of years, hand-made methods dominated and then, during the 19th century, paper production became industrialised. Originally intended purely for writing and printing purposes, a wide variety of paper grades and uses are now available to the consumer Of all the writing and drawing materials that people have employed down the ages, paper is the most widely used around the world. Its name derives from papyrus the material used by the ancient Egyptians, Greeks and Romans. Papyrus, however, is only one of the predecessors of paper that together are known by the generic term ‘tapa’ and are mostly made from the inner bark of paper mulberry, fig and daphne. Tapa has been found extensively in nearly all cultures along the Equatorial belt and is made by what is possibly the oldest papermaking technique – one still practised in some parts of the Himalayas and South East Asia. Indeed, recent archaeological excavations in China have revealed some of the oldest ‘tapa’ paper ever found which shows that paper was being produced in China before western records began. The tapa technique involves cooked bast, which is flattened with a wooden hammer to form a thin, fibrous layer and then dissolved in a vat with water to make a pulp. A screen consisting of a wooden frame with a fabric base is then laid in a puddle or big basin and floats with the fabric just under the surface of the water. The papermaker then pours the quantity of pulp needed to make one sheet into this ‘floating mould’ and spreads it evenly, by hand, across the surface. The screen is then carefully lifted out of the water, allowed to drain off and a sheet of paper forms on the wire. Once the water has dripped off, the screen is placed in the sun or near a fire to dry. When dry, the sheet easily peels off and, apart from possible smoothing, requires no further treatment. This technique has two basic drawbacks. Firstly, a separate screen is needed for each new sheet, and is only available for use again after the last sheet has dried. And secondly, an increase in productio n can soon lead to a shortage of raw material, since fresh bast is not always available everywhere in the required quantity. The fibres normally used for textiles, like flax and hemp, also served as substitutes for bast.

Yeats’ Leda and the Swan and Van Duyns Leda Essay -- Leda Swan Essays

Yeats’ Leda and the Swan and Van Duyn's Leda  Ã‚  Ã‚     Ã‚  Ã‚   In Greek mythology, Leda, a Spartan queen, was so beautiful that Zeus, ruler of the gods, decided he must have her. Since immortals usually did not present themselves to humankind in their divine forms, Zeus changed himself into a great swan and in that shape ravished the helpless girl (Carey 58-59). Both William Butler Yeats and Mona Van Duyn base their poems "Leda and the Swan" and "Leda," respectively, on this story of a "mystic marriage." Yeats' focus on the sexual act itself, along with his allusions to Leda's progeny, manifest a grave and terrifying tone. While he raises Leda to a status similar to that of Mary, mother of Jesus, Van Duyn portrays Leda as a universal mother. By making both figures, Leda and Zeus, ordinary, she gives a "surprising twist" (Greiner 337) to the original myth, emphasized by her witty tone. In addition, whereas Yeats suggests that Leda has gained something from her encounter with Zeus, Van Duyn asserts that she has gained nothing, portray ing women in general as primarily objects of men's satisfaction. Yeats begins his poem by concentrating on the mere depiction of the rape scene. Words such as "beating, dark, helpless," and "terrified" provide this violent act of intrusion with negative connotations. The victim, Leda, is helpless against the power of the aggressor, Zeus, and terrified by his actions. Recalling the original Greek myth, Yeats clearly shows Leda's resistance at every step ("staggering girl," "helpless breast," "terrified vague fingers push"). Zeus' relationship with Leda parallels human interaction in general with either Satan or God. In Christianity, the prevailing religion of Yeats' time, pious men attempt to push away ... ...f violence, and underlying religious motif. Overall, Yeats instills fear into the reader, while Van Duyn elicits an occasional laugh; however, both poems are equally effective, one for its religious message and the other for its man bashing.    Works Cited    Barnhart, Clarence L. and Robert K. The World Book Dictionary. Chicago:Doubleday, 1985.    Carey, Gary. Cliffs Notes on Mythology. Lincoln: C.K. Hillegass, 1973. Greiner, Donald J. "American Poets since World War II." Dictionary of LiteraryBiographies. Detroit:Doubleday, 1980.    Heaney, Seamus. The Redress of Poetry . New York: Noonday, 1995.    Magill, Frank N. Critical Survey of Poetry. Engelwood Cliffs: Salem Press, 1982. Vol. 7 "Torah: The Five Books of Moses." Tanakh: The Holy Scriptures. Philadelphia: Jewish Publication Society, 1985.      

Breach of Contract

A type of contract, a legally binding agreement between two parties to do a certain thing, in which one side has all the bargaining power and uses it to write the contract primarily to his or her advantage[1]. Breach of Contract Common Breaches of Contract When any contract is made an agreement is formed between parties to carry out a service and payment for that service. If one of the parties fails to carry out their side of the agreement then the party can be said to be in breach of contract.Breach of contract can also occur if work carried out is defective or if one party makes the other aware that they will not be carrying out the agreed work. Breaches of contract can also include non payment for a service or not paying on time, failure to deliver services or goods, and being late with services without a reasonable excuse. Terms and conditions are a fundamental part of a legally binding contract and any broken terms can lead to breach of contract. Types of Breach of Contract The main types of breach of contract will be minor, material, fundamental, and anticipatory.Minor breaches can be, for example, a builder who substitutes his own type of materials for specified materials. The substituted materials may work just as well as the specified but it can still be seen as a minor breach of contract. Related on Contracts And Agreements†¦ †¢ Do You Have to Know About a Breach to Be Liable? †¢ Mediation and Arbitration †¢ Remedies for Breach of Contract †¢ Breach of Contract Against Employer : A Case Study †¢ Contracts and Risk †¢ Jurisdiction in Contracts [pic][pic]A material breach can be a breach that has serious consequences on the outcome of the contract.A fundamental breach would be one so serious that the contract has to be terminated. An anticipatory breach is one where one of the parties makes it known that they will not be carrying out agreed work, and the consequences can be termination of the contract and damages being sought in court. Damages for Breach of Contract Damages can be awarded to an innocent party if a law court upholds that a contract has been breached. Damages will be used to compensate the innocent party for their loss due to the breach. These damages are usually a remuneration that will reflect the loss.For example, if an employer dismissed an employee unfairly then the employee could claim damages for loss of earnings under breach of contract. Damages can be awarded even if there has been no actual loss, the innocent party will then usually be awarded nominal damages. Proof of Breach If a dispute does occur due to breach of contract then the judge will need to decide that a legally binding contract does exist and that it has been breached. In some cases the contract may only be a verbal contract and there may be no actual written evidence that a contract was formed.In such cases a judge will need to go over the terms and conditions of the contract and clarify what actually took p lace in practice. Entitlement to damages may be awarded if the innocent party can prove that a breach of contract took place. The innocent party must prove that there was a loss due to the breach and that the nature of the loss would lead to compensation. Remoteness of loss will also be taken into consideration by the courts and may include future loss that could reasonably occur from the contract being broken. Other Damages due to Breach of ContractOther losses can include loss of profits, the cost of rectifying the breach and wasted expenditure. If disputes do end up in the law courts then the amount awarded may come down to how much documented proof the claimant has regarding financial loss. This can include actual records and document proof of financial loss due to the breach. However, if there is little proof, damages can still be awarded, this will be down to the judge ascertaining all of the facts of the case and not relying solely on documented proof. Breaching a contract ca n be a serious offence and is a very common reason for lawsuits.Anyone considering court action due to breach of contract should seek expert legal advice before proceeding. Court disputes are a lengthy and costly procedure and the legal costs should be weighed up against the likely damages awarded. A detailed view of the law of contracts shows that the main reason for this law is to enforce promises and agreements that have been made. If a broken contract is taken to the law courts then there will be certain criteria that a judge will look at before deciding whether or not the contract can be enforced. The Elements of a ContractFor any contract to be considered legally binding the elements of offer and acceptance must exist. The origin of a contract or agreement will begin with the offer. With the unconditional acceptance of the offer the contract will then be formed. But there are other contract elements that are required by the law, and if these are not present the courts may deci de there is no contract. The Offer and Acceptance With an offer there must be a willingness from the accepting party to enter into the contract. In order to make the contract complete there must also be specific terms and conditions set out and accepted.Once all terms and conditions have been offered and accepted, and no further negotiations intended then the contract can said to be complete or full. Consideration Another important element in the law of contracts is consideration. A contract may not be deemed to be enforceable by law if there was no consideration included. This means that there must be mutual consideration on either side; one person promises to provide a service and the other pays in return. Related on Contracts And Agreements†¦ †¢ New Law on Proving Consumer Contracts †¢ Legally Binding Contracts †¢ Employment Contracts Explained †¢ Common Law Marriage Contacts Remedies for Breach of Contract †¢ Contracts and Risk [pic][pic]Intention T he fourth element in a contract is intention. When parties make an agreement with no intention of the agreement becoming legally binding then it will not be judged to be a contract under the eyes of the law. In some cases, such as commercial contracts, there is an assumption that the contract is intended to be legally binding. If one of the parties does want to bring the matter to court and argue that there was never any intention of a binding contract then they will need to have some form of clear written evidence. The Terms and ConditionsIf a contract dispute is brought to the law courts then great emphasis will be placed on the terms and conditions of the contract. A contract cannot be said to be complete if the terms and conditions are not fully laid out. These conditions must not be vague or ambiguous. A contract will not usually be seen as legally binding if the terms and conditions are unclear. However, every court case is different, and a judge may at times try to clarify th e terms and conditions of the disputed contract. Type of Contract In most cases it makes sense to take the precaution of formalising all agreements with a written contract.But a contract may be upheld even if it is made verbally. There are certain circumstances where contracts must be made in writing, such as the sale of property or tenancy agreements. If no written contract or statement does exist, and the contract dispute has reached the courts, then the judge may look at how services, promises, and exchanges were carried out in practice in order to make a decision. Contract Discharge A contract can come to end in one of four ways; breach, performance, agreement and frustration. Discharge by performance means that all the obligations of the contract have been accomplished by both parties.Agreement of discharge can mean that both parties agree to end the contract or one party releases the other party from the agreement. Frustration means that events have occurred that made the comp letion of the contract impossible and the obligations of the contract could not be met. Breaching a Contract A breach of contract can occur if one party does not fulfil one or more of the specified terms and conditions. It can also occur if the work carried out is defective or if one party makes the other aware that they will not be carrying out the agreed work.The law can then be brought to judge on this contract dispute and can award the innocent part damages. The law of contracts can be a complicated matter, and serious consideration should be given along with expert legal advice if the court process is to be considered. Financial damages may only be awarded if the innocent party can prove financial loss. Court costs and solicitors fees should be weighed up against the likelihood of any damages awarded before proceeding with court cases. ———————– [1] http://legal-dictionary. thefreedictionary. com/Standard+form+contract

Drug Literature Evaluation Saw Palmetto Health And Social Care Essay

clinical query 1 Is truism palmetto proven to be every number effectual as Finasteride in shriveling or halting the outgrowth of the prostate gland secretory organ in work forces diagnosed with benign prostate hyperplasia ( benign prostatic hyperplasia ) ?Phosphorus male long-sufferings diagnosed with benign prostate hyperplasiaI power saw palmettoDegree centigrades Finasteride ( Proscar ) oxygen To shrivel or halt the emergence of the prostate secretory organ in work forcesThymine Therapy/ Intervention wait Engines employ ( 2 ) OVID, Pubmed face footings ab initio utilize ( based on PICO ) Ovidi? see palmetto AND Finasteride AND BPHPubmedi? Saw palmetto, finasteride, BPH instant OVID ( 24 ) , PubMed ( 24 ) expect footings in reality used Ovidi? Saw palmetto AND FinasteridePubmedi? Finasteride, Saw Palmetto. LIMITS incline linguistic communication, worlds, work forces subject Ovid ( 58 ) , PubMed ( 35 )Suggested Articles1 Ovid 28 championship A prospective, 1-year e xamen utilizing saw palmetto versus finasteride in the handling of class III prostatitis/inveterate pelvic b otherwiseation syndrome.generalisation objective This survey was designed to measure the gum elastic and efficaciousness of proverb palmetto or finasteride in work forces with class III prostatitis/ continuing pelvic hurting syndrome ( CP/CPPS ) . Materials and Methods A prospective, randomized, undo label, 1-year survey was designed to measure the safeguard and efficaciousness of proverb palmetto and finasteride in the hindrance of work forces diagnosed with CP/CPPS. Patients were randomized to finasteride ( 5 milligram one time day-to-day ) or saw palmetto ( 325 milligrams daily ) for 1 twelvemonth. Patients were evaluated utilizing the bailiwick Institutes of Health continuing Prostatitis Symptom Index, single(a) spheres ( hurting, urinary symptoms, quality of life and think hurting mark ) and the American Urological tie beam Symptom Score at baseline, 3, 6 an d 12 months. Consequences A sum of 64 back-to-back work forces 24 to 58 octogenarian get ons sexagenarian ( aver mature age 43.2 ) with a diagnosing of CP/CPPS were every bit randomized to the 2 hindrance weaponries. altogether 64 work forces had antecedently substantiate antibiotics ( continuance of 3 to 93 hebdomads ) , 52 ( 82 % ) had been on alpha-blockade. There were 61, 57 and 56 patients evaluable at 3, 6 and 12 months, sever eachy. At 1 twelvemonth correspond entire National Institutes of Health continuing Prostatitis Symptom Index score decreased from 23.9 to 18.1 in the finasteride group ( P & lt 0.003 ) , and from 24.7 to 24.6 in the proverb palmetto arm ( p = 0.41 ) . In the finasteride arm the quality of life and hurting spheres were significantly improved at 1 twelvemonth nevertheless, micturition was non. Adverse events include concern ( 3 instances ) in the proverb palmetto group and decreased libido ( 2 instances ) in the finasteride group. At the term o f the test 13 of 32 ( 41 % ) and 21 of 32 ( 66 % ) opted to go on saw palmetto and finasteride, severall(a)y. decisivenesss CP/CPPS treated with proverb palmetto had no considerable long-run betterment. In contrast, patients treated with finasteride had authorized and lasting betterment in all assorted parametric quantities except invalidating. foster surveies atomic number 18 warranted to determine the mechanism and reproducibility of these do in a placebo controlled test. commendation Kaplan S.A. , Volpe M.A. , Te A.E.EMBASE journal of Urology. 171 ( 1 ) ( pp 284-288 ) , 2004. examine of Publication Jan 2004. Journal Article bloke in nursing 20035169402. PubMed 4 surname Saw palmetto and finasteride in the intervention of stratum-III prostatitis/inveterate pelvic hurting syndrome.Abstraction Chronic nonbacterial prostatitis/chronic pelvic hurting syndrome is a common entity for which a standardised wariness has non been established. Patients frequently have a meaning(a ) symptom composite and impact on quality of life, but really piffling is known about the efficaciousness of second- and third-line interventions, much(prenominal) as the usage of herbal addendums. many interventions studied in recent publications include antibiotics, alpha-blockade, anti-inflammatory agents, and cognitive behavioural intercessions much(prenominal) as biofeedback and psychotherapeutics. character reference Yang J, Te AE. department of Urology, Weill Medical College of Cornell University, New York, NY ascorbic acid21, USA. Curr Urol Rep. 2005 Jul 6 ( 4 ) 290-5. Review.PMID 15978232 PubMed indexed for MEDLINE Clinical Question 2 In corpulent patients brook from schizophrenic upset, is clozapine more likely to do charge adjunct than other atypical study tranquilizers?Phosphorus corpulent patients enduring from schizophrenic disturbanceI ClozapineDegree centigrades other untypical study tranquilizersOxygen control of corpulent patient s schizophre nic disorder with untypical study tranquilizers while non doing an rundown in incubusThymine Therapy/ Intervention chase Engines used ( 2 ) Trip Database, PubMed count footings ab initio used ( based on PICO ) Trip Databasei? Clozapine, pack access, corpulent, schizophrenic disorderPubMedi? corpulent, clozapine, weight addition, schizophrenic disorderConsequence Trip Database ( 32 ) , PubMed ( 37 )Search footings really used Trip Databasei? Clozapine, weight addition, corpulent, schizophrenic disorderPubMedi? clozapine, weight addition, corpulent, schizophrenic disorder, untypical study tranquilizers. Limits worlds, face linguistic communicationConsequence Trip Database ( 32 ) , PubMed ( 28 )Suggested Articles1.Trip Database 4 ( nexus to PubMed ) championship angle addition during a double-blind multidosage clozapine survey.Abstraction Possible variables associated with weight addition during clozapine intervention include dosing, intervention continuance, baseline organi c structure aggregative index ( BMI ) , sex, and germ plasm norclozapine ingresss. Weight additions during a double-blind, randomized Clozaril survey utilizing 100- , ccc- , and 600-mg/d doses were analyzed. It was hypothesized that weight addition was associated with baseline BMI, Clozaril dosing, and demographic work outs. The possible part of plasma Clozaril and norclozapine concentrations was explored. Fifty treatment-refractory schizophrenic disorder patients were randomized to 100- , 300- , or 600-mg/d doses of Clozaril for a 16-week, double-blind intervention in a look ward. Nonresponsive patients went onto a 2nd and/or a 3rd 16-week, double-blind intervention at the other doses. Weights of patients were measured every hebdomad. During the first of all Clozaril intervention, weight addition varied across 3 baseline BMI classs ( normal-weight patients 4.1 kilogram, P & lt 0.001 , fleshy patients 2.6 kilogram, P = 0.05 , and corpulent patients 0.36 kilograms, non principal(prenominal) ) and harmonizing to dosing ( 600 mg/d 4.4 kilogram , 300 mg/d 2.6 kilogram , and 100 mg/d 1.3 kilograms ) . Sexual exertion had no outlet after coercive for baseline BMI and dose, but the African-American tend had a strong important consequence despite the little figure of African Americans ( n = 6 ) . At the terminal of the first Clozaril intervention, plasma norclozapine concentration was non significantly correlated with weight addition in the entire sample ( r = 0.16, P = 0.32, n = 43 ) , but seems to be strongly correlated in nonsmokers. Despite its restrictions, this survey indicates that baseline BMI, dosing, and, perchance, the Afro-american race may be major determiners of clozapine-induced weight addition.Citation de Leon J, Diaz FJ, Josiassen RC, Cooper TB, Simpson GM. Journal of Clinical Psychopharmacology. Mental Health look into middle(a), Eastern State Hospital, Lexington, KY 40508, USA.2. PubMed 12504074Title A reappraisal of the consequence of untypical major tranquilizers on weightAbstraction Controlled research tests have instaln that untypical major tranquilizers have of import advantages over standard major tranquilizers, including a broader spectrum of efficaciousness and improved tolerability profile, queerly with respect to neurological inauspicious events such as extrapyramidal symptoms ( EPS ) . Some untypical major tranquilizers, nevertheless, tend to do important weight addition, which may take to hapless conformation and other inauspicious wellness effects. The mechanisms pertain in antipsychotic drug-related weight addition are as yet unsure, although serotoninergic, histaminic, and adrenergic affinities have been implicated along with other metabolic mechanisms. The untypical major tranquilizers diversify in their leaning to do weight alteration with long-run intervention. Fol down(p)-up surveies show that the largest weight additions are associated with Clozaril and olanzapine, and the smallest with quetiapine and ziprasidone. Risperidone is associated with diminished weight alterations that are non dose related. granted the tantamount efficaciousness of untypical major tranquilizers, weight-gain profile is a legitimate factor to see when building an algorithm for intervention collectible to the serious medical examination effects of fleshiness.Citation Nasrallah H. Psychoneuroendocrinology. 2003 Jan 28 Suppl 183-96. Department of Psychiatry, University of Cincinnati Medical Center, 231 Albert Sabin Way, PO Box 670559, Cincinnati, OH 45267-0559, USA. electronic network FootingsAntipsychotic Agents/adverse effects*Clinical Tests as SubjectWorldsMonitoring, Physiologic corpulency/chemically induced*obesity/epidemiologyObesity/therapy* sullen/chemically induced*Overweight/epidemiologyOverweight/therapy*Schizophrenia/complications*Schizophrenia/epidemiologyWeight LossClinical Question 3 Is Crestor s new indicant for the master(a)(a) saloon of cardiovascular distemper, considered unique to the drug, or a category consequence of all lipid-lowering euphony drugs?Phosphorus patients at steep endanger of cardiovascular disorderI CrestorDegree centigrades the statin drug therapy categoryOxygen metre of cardiovascular illnessThymine Therapy/preventionSearch Engines used ( 2 ) OVID, PubMedSearch footings ab initio used ( based on PICO ) OVIDi? Crestor AND cardiovascular disease AND new indicantPubMedi? rosuvastatin, cardiovascular disease. Limits worlds, English linguistic communication.Consequence OVID ( 0 ) , PubMed ( 431 )Search footings really used OVIDi? rosuvastatin AND cardiovascular disease AND barPubMedi? rosuvastatin, Cardiovascular disease bar. Limits worlds, English linguistic communication.Consequence Ovid ( 505 ) , PubMed ( 253 )Suggested Articles1.From OVID-Lipid-lowering medicines for primary bar in aged grownups who is high peril, who is hoary, and what denotes primary bar?Abstraction Whether to handle older grownu ps with statin medicinesfor primary bar of cardiovascular events remainsa clinical riddle. A figure of observationswith respect to increasing age stoke this quandary The association mingled with elevated cholesterin degrees and cardiovascular disaster diminishes ( 1 ) , risk-prediction tools ( such as theFramingham gage mark ) become less undefiled ( 2, 3 ) , back upingclinical test informations become limited, and the decreasinglife expectancy versus clip to medication benefit everdisplacements. Additional downsides of lipid-lowering medicines for oldergrownups include medicine cost, polypharmacy, and possibleside effects. Conversely, age unaccompanied makes older grownupsinherently high hazard and lipid-lowering medicines slash down cardiovascularevents and authorise and may hold other sizable effects.Clinical test informations support unoriginal bar of cardiovascularevents with lipid-lowering medicines for individuals 80 old ages oryounger, but informations are start ou t thenceforth. As the figure ofindividuals 65 old ages or older quickly additions, and more so thefigure of individuals 85 old ages or older, this clinical inquirydemands to be addresseda .Citation Zieman S.J. , Ouyang P. EMBASE Annals of internal medical specialty. 152 ( 8 ) ( pp 528-530, W183 ) , 2010. Date of Publication 20 Apr 2010. Journal Note AN 204043842. PMID 20026779Title Rosuvastatin in the bar of go among work forces and giving females with elevated degrees of C-reactive protein justification for the Use of Statins in measure an Intervention Trial Evaluating Rosuvastatin ( JUPITER ) .Abstraction Background Anterior primary bar tests of lipid-lowering medicine therapy that used cholesterin standards for adaption have non reported important lessenings in shot hazard. We evaluated whether lipid-lowering medicine therapy might cut down shot rates among persons with low degrees of cholesterin but elevated degrees of high-sensitivity C-reactive protein.METHODS AND RESULTS In Justification for the Use of lipid-lowering medicines in Prevention an Intervention Trial Evaluating Rosuvastatin ( JUPITER ) , 17 802 plainly healthy work forces and big(a) females with peculiarity lipoprotein cholesterin degrees & lt 130 mg/dL and high-sensitivity C-reactive protein degrees & gt or = 2.0 mg/L were randomly allocated to rosuvastatin 20 mg day-to-day or placebo and so followed up for the happening of a first shot. After a mean(a) followup of 1.9 old ages ( maximal, 5.0 old ages ) , rosuvastatin resulted in a 48 % decrease in the chance of fatal and nonfatal shot as compared with placebo ( relative incidence rate, 0.18 and 0.34 per 100 person-years of observation, on an individual basis guess ratio 0.52 95 % self-assertion interval, 0.34 to 0.79 P=0.002 ) , a determination that was coherent across all examined subgroups. This determination was due to a 51 % decrease in the rate of ischaemic shot ( hazard ratio, 0.49 95 % assurance interval, 0.30 t o 0.81 P=0.004 ) , with no difference in the rates of haemorrhagic shot between the active and placebo weaponries ( jeopardy ratio, 0.67 95 % assurance interval, 0.24 to 1.88 P=0.44 ) .Decision Rosuvastatin reduces by more than half the incidence of ischaemic shot among work forces and adult females with low degrees of low-density lipoprotein cholesterin degrees who are at hazard because of elevated degrees of high-sensitivity C-reactive protein.Citation Everett BM, Glynn RJ, MacFadyen JG, Ridker PM. Circulation. 2010 Jan 5 121 ( 1 ) 143-50. Epub 2009 Dec 21. Center for Cardiovascular Disease Prevention, Brigham and Women s Hospital, 900 domain Ave, Boston, MA 02215, USA.