Types of Communicated Messages

Countries, Nationalities and Languages in English

Countries, Nationalities and Languages in English Sometimes people say, She speaks France. or I am from French. This is an easy mistake to make as countries, nationalities, and languages are very similar.  The chart below shows the Country, Language and Nationality of many major countries from around the world. You will also find sound files to help with correct pronunciation.   Countries and Languages are both nouns. Example - Countries Tom lives in England.Mary travelled to Japan last year.Id love to visit Turkey. Example - Languages English is spoken around the world.Mark speaks fluent Russian.I wonder if she speaks Portuguese. Important Note:  All countries and languages are always capitalized in English.   Nationalities are adjectives used to describe where a person, type of food, etc. is from. Example - Nationalities He drives a German car.We went to our favorite Japanese restaurant last week.The Swedish prime minister is coming next week. Click on the link below to hear the correct pronunciation of each group of nationalities. Each group of words are repeated twice. Important Note: Unlike other adjectives, all nationalities used as adjectives are capitalized in English. Important Notes All country names are unique. They are not similar to language or nationality names.Language and nationality names are often, but not always similar. For example: French - the language, and French the nationality are the same in the case of France.. However, English - the language, and American - the nationality are not the same in the case of The United States.All countries, languages and nationalities are always capitalized in English. This is because country, language and nationality names are proper names of countries, languages and nationalities. Pronunciation Files for the Chart Its important to learn the correct pronunciation of countries, languages and nationalities. People need to know where you are from! For help with pronunciation, click on the links below for different groupings of countries, nationalities and languages.   One SyllableEnds in ishEnds in ishEnds in ian or ean Pronunciation Chart Pronunciation File Country Language Nationality One syllable France French French Greece Greek Greek ends in -ish Britain English British Denmark Danish Danish Finland Finnish Finnish Poland Polish Polish Spain Spanish Spanish Sweden Swedish Swedish Turkey Turkish Turkish ends in -an Germany German German Mexico Spanish Mexican The United States English American ends in -ian or -ean Australia English Australian Brazil Portuguese Brazilian Egypt Arabic Egyptian Italy Italian Italian Hungary Hungarian Hungarian Korea Korean Korean Russia Russian Russian ends in -ese China Chinese Chinese Japan Japanese Japanese Portugal Portuguese Portuguese Common Mistakes People speak Dutch, but live in Holland or BelgiumPeople live in Austria, but speak German. A book written in Vienna is Austrian, but written in German.People live in Egypt, but speak Arabic.People in Rio have Brazilian customs, but speak Portuguese.  People in Quebec are Canadian, but they speak French.

Abacus Distribution plc Research Paper Example | Topics and Well Written Essays - 1000 words

Abacus Distribution plc - Research Paper Example With these acquisitions, it is believed that there would be a major thrust in the financial markets. This has also resulted in the consolidation of the product markets by Abacus and it is now positioned as the 5th largest distributor of electronic components in the industrial markets in Europe. (Annual Report and Accounts. 2006).The changes from GAAP to IFRS have brought about a major transformation in the treatment of Goodwill in accounting records. In the earlier accounting periods, goodwill was amortized through the profit and loss account, along with other intangible assets, but under IFRS, good will valuation is reviewed through a yearly goodwill impairment evaluation method. (Amortisation of Acquired Intangibles andCapital: On 30/9/2006, the Net Bank debt was to the tune of 61.4 Million due to the amounts of 12.1 million and also 1.8 million acquired from Deltron and Axees Technologies. A sum of 6.9 million was also paid towards purchase consideration for the acquisition of Axe es Tech. (Cash flow and working capital. 2006).These factors have increased the operating capital requirements for the Company. During earlier years, the Deltron business had reduced working capital to such an extent that the needs of the customers were not being met, with the integration of these companies into the Abacus fold, the situation would improve considerably in future years. Since Abacus enjoys invoice discounting facilities with the banks, there are reduced pressures for the minimizing the debtors levels. However, there is further need for exercising greater control over the working capital needs, and to bring it down to lower levels once the integration is totally carried out. The financial policy of the company has been to make sure that adequate financial resources are made available in a cost-effective manner. At Abacus, no speculative transactions are carried out and all foreign currency transactions are recorded at their projected levels. Dividends: Dividends: the dividends declared by the Company are as follows: 1. In the year 2002 - 9.7 Pence 2. In the year 2003 -10.2 Pence 3. In the year 2004 - 10.5 Pence 4. In the year 2005 - 7.2 Pence 5. In the year 2002 - 7.2 Pence (Annual Review and Accounts. 2006). The fall in the dividend rate is a major matter of concern for the shareholders. it is found that the dividend rate has remained unaltered in 2005 - 2006. The management feels that with increased operational performance, in future years the rate of dividend could be improved in future years. Question 2 Market Value Added The Market value added could be seen as the difference between the market value of Abacus stock - the equity capital of shareholders. In this case, the market capitalization value is 53. 32M on 13.11.2007. (Abacus Group PLC; Holding(s) in Companies.( 2007). The equity capital available to shareholders is 80.2M Therefore the MVA = 80.2-53.32 = 26.88 (In the absence of market cap. figures for 2005 and 2006 the figures could not be provided) Market Book Values During 2004, EPS stood at 5.4 p (Abacus Group) (Abacus Group plc. 2004). and the Book value of the share price=0.5p, therefore, the Market Book Value would be 5.4 X 0.5 =2.7 During 2005, the EPS stood at 14.1p (Financial review: earnings per share 2005). and the Book value of the share price=0.5p, therefore, the Market Book Value would be 14.1x 0.5 = 7.05 (Note: In the absence of Market Value of Abacus share as on 30.11.2004 & 2005, the calculation has been based on EPS valuation) Again the Market book value could be Market Price per share/ Book value per share In this case it is seen Market

How accurate is it to suggest that the Labour goverment promised much Essay

How accurate is it to suggest that the Labour goverment promised much but delivered little in terms of social policy during their period in office from 1964 - 1970 - Essay Example The lack of delivery and the inability to create the necessary changes to those who were interested in social policy was one which led to expected alterations; however, this changed to theoretical alterations instead of practical solutions for the country. The social policy which took place in the 1960s was based specifically on the alterations which were happening in society and the need to alter what was occurring with the economy and political status. The economic and political alterations led to welfare states that needed to be approached, specifically with the social beliefs that were from the lower class. The social constraints which followed the economic and political status were consistent with unequal rights which were taking place in the work region and which were based on the need to change the status of those in society. The movement from industrialization and into the modern era was the main force which caused the social rights to become a part of the economic and governmental association. The shocks which were occurring during this time led to a combination of economic and social changes, all which were meant to redefine the status of individual’s within society while promoting equal rights within the nation (Scha rpf, Schmidt, 2000: 19). The main association with social policies that were created during this time was a bridge to the modern belief systems that are currently a part of the governmental and economic order. From the 1960s to the 1980s there was a third order and second order change which occurred. The policies were based on taking basic human and social rights and moving them into the main institutions, specifically to protect the rights of workers in the region. The change was one which pushed to develop new tools that would enhance the human rights of those in the work space while adding in goals and alterations for the social movement that

Green Grass, Running Water Essay Example | Topics and Well Written Essays - 1000 words

Green Grass, Running Water - Essay Example What is that â€Å"authentic† Indian behavior? Does progress and modernity of the Native Americans mean that they need to say farewell to their original cultural traits? â€Å"Green, Grass, Running Water,† by Thomas King depicts what true Native American spirit is about. What is the nature of struggles of Northern Aboriginal people trying to keep in touch with their culture and/or move towards a more modern western culture—what are its limitations and how far influences of whites in some areas are inevitable? Lionel and his aunt Norma are engaged in an anxious and spirited conversation that has an undercurrent of racial tension. Norma represents the typical Native American in her thinking and she has great apprehensions about the change that she identifies in Lionel as for the white culture. Does she basically hate the white leanings of Lionel? The answer is both yes and no! Rather than hating the whites, she is deeply interested that Lionel should retain the Nat ive identity. They are in a car, and the casual comment by Lionel regarding Indian Council paving a dirt road, is seriously taken up for a racial debate buy Norma. Thomas King writes, (1994, p.7-8) â€Å"Lionel, if you weren’t my sister’s boy, and if I didn’t see you born with my own eyes, I would sometimes think you were white. You sound just like those politicians in Edmonton. Always telling us what we can’t do.† This indicates Norma’s deep-rooted dislike for white dispositions towards which she believes Lionel is moving. Her comparison of Lionel with politicians in Edmonton, gives the clear picture about how the whites perceive the Native American and have poor estimate of their abilities. Thus an unbridgeable gap is established between the Native Indians and White Americans. She sincerely wishes that Lionel remain associated with their heritage and she is apprehensive about his moving towards the other side of the cultural fence that div ides the whites and blacks. The argument between the nephew and the aunt thickens and reaches wider horizons as Norma picks up more issues concerning Lionel. She recalls, when Lionel was a boy, his tonsils were operated upon by a white doctor. She remarks, â€Å"Indian doctors weren’t good enough.†(p.32)This has an element of sarcasm, as well as worry for her about Lionel imitating the white traits, as his life was shaped and influenced by white culture. Her latent resentment towards all that is white is also evident. She doesn’t wish to â€Å"lose† Lionel under any circumstances, and desires to remind him that they should be proud that they belong to the heritage of Northern Aboriginal people of America. Her resentment towards the white race is evident when she sarcastically says addressing her nephew, â€Å""As if they [white men] were something special. As if, there weren't enough of them in the world already" (37) This is almost like a policy stateme nt of Norma as for her attitude towards the white race. It is evident that her concern has assumed serious proportions and she emphatically tells Lionel the desirability to retain his Native American heritage, and not try to imitate the white. Norma dominates in the conversation, speaks without intermission, and hardly gives any chance to Lionel to explain his viewpoints. In defense of her position, Norma gives one more argument from which she desires that Lionel take lessons. She gives the examples of his sister Latisha, who has stuck to the native roots, in establishing and running a good Indian restaurant

Exercise Treatments for PD Symptoms

Exercise Treatments for PD Symptoms The Exercise Rx Besides drugs and surgery, researchers are looking into using exercise as an intervention therapy to tame the symptoms of PD. In 2003, Dr. Jay L. Alberts, a PD researcher and accomplished cyclist, entered the seven-day RAGBRAI bicycle ride across Iowa. He rode on a tandem bike for two days with Cathy Frazier, a 40-year-old woman with PD. He discovered that Cathys handwriting was beautiful. Prior to the ride, her handwriting displayed classical micrographia, a cardinal sign of PD. Each year for the next four years, when he did the RAGBRAI tandem bike ride with parkinsonian stokers, he noticed similar phenomena. His stokers parkinsonian symptoms disappeared. As he went through scientific literatures, Alberts discovered that there was a lot of research on animals that reported similar results. Typically, in these studies, one group of animals is put on a motorized treadmill that forces the creature to run faster than it wants. A sedentary group serves as a control. Then, after a few weeks, both groups are given a neurotoxin such asÂÂ   MPTP. The sedentary group suffers immediate damage to the substantia nigra and develops parkinsonism; the exercise group partially resists the toxin. But research on humans had not found comparable benefits. Alberts thought it was because the human experiments test voluntary exercise while the rates are doing forced exercise. The rats are forced to run at a faster rate. The same thing is going on with the tandem bikes where the stokers are pedaling faster than they were pedaling on their own. To test the theory, Alberts carried out a pilot trial that took ten PD patients and randomly assigned them to one of two groups: a treatment group receiving forced exercise and a control group voluntarily exercising. The forced-exercise group was given three 60-minute workouts for eight weeks in which a trainer pedaled at 80 to 90 revolutions per minute. The control group did three 60-minute session each week on a bike by themselves. Each group was evaluated before and after the experiment using the Unified Parkinsons Disease Rating Scale (UPDRS). After eight weeks, the forced-exercise groups symptoms had improved reducing their average UPDRS part 3 score by about one-third. Thats almost as large an effect as the one brought about by levodopa. The control group saw no benefit. Two weeks later, these gains were still there in the tandem group. But four weeks after treatment, the forced-exercise group was back where theyd started. So force-exercise is like levodopa, the benefit will stop if you stop taking it. Albertss concept of forced exercise is just one of many options out there. Other options such as tai chi, kickboxing, and progressive strength training exercise is as effective. It is more important to select an activity that will address your specific needs and be sustainable. *** But most neurologists are still skeptical about physical therapies. The one exception is the Dutch neurologist Bastiaan Bloem. Bloem believed physical therapy would be a better treatment of gait and balance than just the levodopa therapy. In 2004, Bloem and Marten Munneke, a physical therapist, started the ParkinsonNet in the Netherlands. Today, the program has 66 regional networks, 2,970 trained professionals and over fifty thousand patients. *** Over the past decade, several companies have been developing technology capable of tracking the PD symptoms outside the clinic. These companies are working on various combinations of advanced wearable sensors to track multiple domains round the clock tremor, bradykinesia, gait, balance, walking, cognition, and more. One technology, Kinesia HomeView, designed by Great Lakes Neuroechnologies, comprises a small computer and a finger sensor. Sitting in front of a screen, you perform a set of exercises, that takes about five minutes. Then you will get a report of thirteen metrics, listing the severity of three forms of tremor, dyskinesia, the speed, amplitude, and rhythm displayed during the finger-tapping, hand-movement, and hand-flipping exercises. The main advantage is that you can use it 24/7. It can reveal any changes in motor performance over time, providing a much more detailed picture of your disease than that obtained in an evaluation every six months. The other system is a set of sensors developed by Portland-based APDM. You wear three small devices, one on your wrist and one on each of your ankles. The wrist sensor detects tremor and dyskinesia. The ankle sensors measure multiple aspects of walking. Your daily activities generate masses of data. When the data are averaged over time, they reveal emerging asymmetries in your gait. Key Takeaways Dr. Jay Alberts discovered force-exercise can relieve PD symptoms. Force-exercise is like levodopa, the benefit will stop if you stop taking it. Bastiaan Bloem believed physical therapy would be a better treatment of gait and balance than just the levodopa therapy. Several companies have been developing technology capable of tracking the PD symptoms outside the clinic.

Scarface, Directed by Brian De Palma Essay -- Scarface Al Pacino

Scarface, Directed by Brian De Palma Tony Montana has taken just so much shit his whole life. He’s been oppressed and repressed and mocked and called a spic and turned on by his own country (Cuba) that he’s just not going to take any shit anymore. He’ll shoot someone just for pissing him off, which is almost admirable, or at the very least understandable. I’m not advocating violence; all I’m saying is that we all have our limits and if someone treated me the way Tony Montana had been treated his whole life – if they spit on me, and degraded me, and mocked me and doubted any power I might have, I might want to prove them wrong. Of course, it’s a movie, and we know it well; Scarface with Al Pacino as the Cuban immigrant turned drug lord with his mountains of coke and his beautiful but, basically dead, wife, Elvira, living what he believes is the American dream. Elvira, Tony’s wife, played perfectly by Michelle Pfieffer, is beautiful and so cool she’s ice cold, whose only job is to be an ornament, and who comes from somewhere in Baltimore, we’re told, and whose only goal, it seems, is to just be taken care of by all these rich and violent thugs. She doesn’t seem phased by all the guns and underworld thugs that hang around the house, but then, her nose is so packed full of coke that this is not really a surprise. Most of the time, she’s got this false cocaine-calm aloofness that lends itself to comparisons with a mannequin. Her power and her trump is that ultimately, we get the sense that it’s a role she’s chosen – not one that was ever put upon her. That it’s all within her control. Men like Tony Montana are brought to their knees by her cool beauty and icy aloofness. She’s like coke they can’t buy or trade or snort or get enough of, but surely as powerful . But ultimately, she’s just some middle-class chick form Baltimore who was probably really bored and moved to Miami for some excitement. She’s a bitch. As Tony says to her, â€Å"You got a look like you haven’t been fucked in a year.† And it’s true. Maybe she knows her power is in the withholding, but this can only last for so long; a tease works because ultimately, there has to be something at the end of it. If it’s all attitude and cock tease, after a while, that gets boring and the furthest thing from sexy. Something’s gotta give. Tony Montana wants, as he says, â€Å"what’s coming to me,† which is â€Å"t... ...e power of all this seduction so that at the critical moment we can say â€Å"No†. We choose power over fucking and engaging with another human being, and we do this because of fear. Because in this age of psychotherapy, were everything is a fucking issue (pun intended) as if our boyfriend cheating or leaving us would cause a complete breakdown, as it has and does for so many girls today. Girls today, with few exceptions, don’t get back out there like Carole King or Carly Simon and belt out our anger and pain in some healthy way in a song with scathing lyrics. Instead, young women today run for the shelter of pastel pills and their standby bottles of Xanax and Zoloft and frantic calls to their therapists and lock themselves in their Back Bay apartments with their cats because we’re all so fucking fragile. It’s pathetic. Carole King and Carly Simon and so many others went through the same heartache but they didn’t run away; they belted it out in songs like â€Å"You’re so Vain† or â€Å"Total Eclipse of the Heart† (sang by Bonnie Tyler by written by Meatloaf), and Abba and Fleetwood Mac who made a life-style of heartache and fucking – because that is life. These women seem a lot braver to me.

A report on two options for David Mackenzie & Co

David Mackenzie’s case is that of a typical entrepreneur started and family run business that experiences success and outgrows its existing set-up. Hitherto, Mackenzie thrived on one-off contracts and other local businesses, and his two other companies ran more or less the way it did before he acquired them.All three diverse companies have done financially well, but problems arise when David Mackenzie tries to integrate the operations of these three diverse companies to secure a wider range of orders. The problems relate to the diverse structures and problem of co-ordination among between, hindering the implementation of projects in a smooth and seamless manner.The options mulled by David Mackenzie is first, float a group of companies in the stock exchange, and second merge the three companies into one company. Both these options have their advantages and disadvantages.Advantages and disadvantages of floating the companies in the stock exchangeThe major advantage of floating t he Mackenzie group of companies in the stock exchange, which entails converting the hitherto private limited company into a public limited company (plc), is the ability to raise funds and capital through the sale of securities.The company would be able to sell their shares in the market, and secure large loans easily. Although Mackenzie does not have cash-flow problems at present, it might need infusion of finance as it expands and secures more large overseas orders. Mackenzie could purchase Clyde Electric Ltd only because the company lacked sufficient capital to sustain its growth, and there is every chance that the situation can repeat itself. Mackenzie does not seem to have huge cash reserves to finance possible expansions through internal accruals.Another advantage of listing the company in the stock exchange is infusion of professional corporate governance that Mackenzie group of companies hitherto lacked. Most of Mackenzie’s existing orders were possibly on the basis on personal efforts and one-off relationships, and highly centralized on the David Mackenzie.As the company grows and secures more international and large orders such a structure would not only fail to appeal to large institutional clients, but also fail to sustain the enhanced requirements such as professional decision-making, autonomy, responsibility and the likes.In the present set up all operations would most likely come to a standstill and the company might even fold up in David Mackenzie is not able to involve himself in the active running of the company for a length of time for any reason.A listed company becomes an independent entity and the board of directors would run the company even in the absence of the Managing Director. An added advantage of listing the company in the stock exchange is better visibility for the company, which in turn might lead to more orders. An increase in share prices would also add to the wealth of the shareholders, which would include David Mackenz ie.Floating the David Mackenzie group of companies in the stock exchange has its set of disadvantages also. In the present set up, Mackenzie is under no obligation to disclose financial information. A public listed company would have to publish its financial statements on a regular basis, and this can lure in competition to Mackenzie’s lucrative market.The need to disclose financial records and other compliance policies requires certified public accountants, and entails a lot of bureaucratic paperwork.The time, money and effort spend on such activities could be better spend on marketing and operations if the company is not made public. Share values tend to reflect the current financial gains, and most public listed companies thereby tend to take decisions that lead to short-term gains even at the cost of long-term interests. The Mackenzie group of companies may also fall into this trap once it goes public.In the initial stages of floating a public listed company, David Macken zie is likely to retain a huge majority of shares. As the requirement for cash to fund expansions and large scale operations increases, he might be tempted to sell more of his shares in the open market. This raises the possibility of a hostile takeover, or another party who has purchased a large number of shares from interfering and trying to influence the operations and decision making of the company.The advantages and disadvantages of merging the three companies into a single entityThe second option before David Mackenzie is to merge the three companies into one single entity. The main advantage of such a merger is removing duplication in works and efforts. At present, each of the three companies has their own marketing, human resource and finance departments, and the administrative functions and expenses duplicate.A merger could avoid such duplications and not only result in significant savings, but also increase efficiency and better coordination. A single marketing department t hat takes care of the three units, for instance means that the complaints regarding customers having to contact two or three separate marketing departments for a single project would cease.The marketing department would be able to tap into clients in a more effective manner, without duplicating efforts and providing a wider range of service and commitments. An integrated accounts department would likewise solve the issue of duplicate or missing invoices, and lead to better financial control and analysis of profitability of each project.The merger would likely result in the retrenchment of some redundant staff, but this also gives an opportunity to cut down on low-performers, and redeploy performers in a better manner.Another major advantage of mergers is the ability of these three companies to pool in their resources in the form of client database, office space, infrastructure and the like, all of which would facilitate growth.Mergers however come with their own disadvantages. Altho ugh there would be savings on fixed costs, a merged monolith is likely to have a higher per unit operational cost compared to the per unit operating cost of three separate entities.This will not be a cause for concern when times are good and there are plenty of orders, but when economic times go bad and orders diminish, this will have a negative effect and the higher unit cost could make the organization uncompetitive.The merger would also make it difficult to hive off a unit if, in future the unit becomes non-profitable and cuts into the profitability of the entire organization. Three different entities ensure that failure, mismanagement or shortcomings of one unit would not have a significant impact on the other two units. Merger will ensure that activities of one unit would have a significant on the other two units.The administrative act of effecting a merger is relatively easy. The main challenge in the case of the Mackenzie group of companies would relate to integrating the thr ee diverse companies, with three different modes of operations and internal systems.Another challenge is ensuing integration and co-ordinations of the operations of the three diverse units. While a merger would reduce duplication, unless the operational activities re-orient towards the three different sub-units of the new company working towards a common goal, the redundancies and delays in commissioning are likely to persist.

Federalism essays

Federalism essays Federalism is a concept that started many years ago during the times of the ratification of the document we live by called the Constitution. This concept basically states that there will be two levels of government, the national and the state. Federalism states that the national and state governments are separate entities and have formal authority over the same area and people. With its largest effect was during the Civil rights movement. Civil rights are freedoms and rights guaranteed to a member of a community, state, or nation. Freedom of speech, of the press, of religion, and of fair and equal treatment are the basic civil rights. The constitution of the United States contains a Bill of Rights that describes simple liberties and rights insured to every person in the United States. Although the Bill of Rights is the first ten amendments to the Constitution, civil rights were not always respected to all human beings, especially women and blacks. When the constitution was first written, many Americans understood the meaning of the famous inscripture "all men are created equal" to mean that all white males were created equal, likewise with other civil rights guarantees as well. As a result, blacks were enslaved, and women were persecuted throughout the late 1700's and early 1800's. During the 1850's abolitionists in the North questioned the morality of southern slavery by writing and preaching about the rights blacks were denied. Abolitionists such as William Lloyd Garrison, Fredrick Douglass, and Sojourner Truth, paved the way for the first civil rights movement that occurred after the Civil War, during Reconstruction. In the 1950's and early 1960's, whites in the South lived in segregated societies, separating themselves from blacks in every humanly way possible. The old Jim Crow laws governed all aspects of their existence, from the schoolroom to the rest room. Southern blacks faced new discrimination every day ...

SOAP Notes Coursework

SOAP Notes Coursework Coursework on Soap Notes for New Patient: S: subjective O: objective A: assessment P: plan (S) SUBJECTIVE CC): Chief Complaint: Runny Nose John O’Shea is a 32 year-old single white male. He presents a â€Å"Persistent head ache for 5 days† and â€Å"Sore throat for the last 2 to 3 days.† He also complains of â€Å"Right facial pain† which he aan over the counter â€Å"Tylenol† which gave him some relief but the running nose persisted. History of present illness (HPI) This 32 Year old man presents with a chief complaint of a runny nose for six days with accompanying head ache and sore throat. Patient has been experiencing severe headache for over 5 days on the sides of the head, right behind the eyes. The first onset of the pain was five days ago, after the pt retired home from work with a fleet of sneezes and runny nose. Pain was relieved with painkillers (ibuprofen) for the best part of the night only for the pt to wake up with a serious purulent drainage through the nasal passages. The drainage subsided by itself after the pt had taken breakfast and plenty of water only to appear again within a matter of hours. The runny nose is aggravated by any form of dust and coldness. Pt reports slight pain above cheekbones which he uses over the counter Tylenol which offers some relief to the pain. Pt would sometimes experience mild pain behind their eyes when they strain their sight or when they try to roll their eyes sideways. Running nose is intense du ring the night and in the mornings. Pt has experienced nausea especially during the day. With nausea, pt denies vomiting. For 2 days now, pt has had a bad sore throat accompanied by fever. Pt also denies skin rashes or hives, abdominal pains, pain above cheekbones, joint pains or coughing. The mild pain above the cheekbones subsided upon use of OTC Tylenol. Allergies: Pt reports Allergic rhinitis – Headache, diarrhea, frequented urination, sneezing, runny, stuffy nose, itchiness and difficult breathing. Food allergy for meat and fish Generalized rashes, abdominal, diarrhea, skin itching, vomiting, cramps, swelling of soft tissues and the lips, and breathing complications. Denies allergies to latex and medication. The patient reports Acute Sinusitis. Current Medication Patient reports taking a dosage of 1 gram of Excedrin by mouth in duration of 5 to 6 hours up to 4 grams daily for 3 days, as it has been prescribed over the counter by a pharmacist. The patient has also been taking OTCs; pseudoephedrine nasal decongestant in form of tablets by mouth for 2 days. A total of 12 tablets had been taken so far following the pharmacist’s prescription of â€Å"a total of 2 tablets every 4 to 6 hours without exceeding a max of 8 tabs in 24 hrs. The patient had labels for both medications as noted. Pt denies any alternative or complementary treatment and Vitamins with similar specifics. The patient also reports oral tablets o Tylenol 6 tablets a day or the last 3 days. PMH / PSH Past Medical History (PMH): Pt reports history of hypothyroidism and HTN. Pt also reports history of allergic rhinitis and Acute Sinusitis Past Surgical History (PSH): Pt reports appendectomy, 1994; TA, 2005. Fam Hx (Family History) Patient reports family history of HTN (Father diagnosed with HTN at the age of 39); CAD (mother with stent at age 43); hypothyroidism (sister). Denies family history of nasal allergies, and Migraine headache. Family history therefore is non-contributory and not useful for Chief Complaint (CC). Soc Hx (Social History) Work History: The patient has worked as a coal miner for 15 yrs. currently unemployed. Pt. single, lives alone in a rented flat house, never married. Pt. reports a history of cigarette smoking 1 PPD for 15 YRS. Cessation 2009. Pt. reports a history of consuming a pack of beer over the weekends for 15 yrs. Reports 1 beer weekly since March, 2011. Pt. denies current use or history of illicit drugs. ROS (Review of Systems) CS (constitutional systems): Reports fever. Pt. denies weight loss, night sweats, lethargy/fatigue, and change in appetite, rash or itch. Eyes: Report headache and pain beneath the eyes. Pt. denies visual changes, double vision, and eye pain, floaters or blind spots (scotomas). Neuro: Pt. denies weakness, dizziness, numbness or changes in mood, sleep or memory. Ears, nose, mouth and throat (ENT): Reports runny nose, sinus pain, pain with swallowing, sore throat. Pt. denies stuffy or painful ears, toothache. Cardiovascular: Pt. denies shortness of breath, loss of consciousness, oedema, chest pains or palpitations. Respiratory: Reports cough. Pt. denies haemoptysis, exercise intolerance, wheezing, sputum or Trouble with breathing. States asthma is well-controlled. Lungs are not clear to auscultation and are not resonant to percussion. Abd: Pt denies abdominal pain, constipation or diarrhea, N/V, or changes in stool pattern. (O) OBJECTIVE PE (Physical examination) VS: P 85, B/P 127/82, HR 69, RR 18, height 6’5’’, Weight 182lb: pt is overweight, VS seems to be fine. General: Alert oriented x3, well nourished, well groomed, appropriate affect, in no acute distress (NAD), responds appropriately to interview and questions. HEENT (head, eyes, ears, neck and throat): Normal Skin: Dry and warm, no rashes or skin lesions, Lungs are CTA bilaterally. Cardiovascular: Femoral pulses 2+, RRR having S1, S2, no murmurs, gallops or rubs. Respiratory: Bilateral breath sounds (BBS) clear to auscultation, absence of adventitious breath noises. Abdomen: BS present x 4 quads, normoactive, soft, non-distended, non-tender. Neuro: Cranial Nerves Intact and functioning well. Neck: Supple, no lmphadenopathy, no bruits, and trace evidence of thyromegaly. Lab/Xray/Procedures Recent labs, X-ray, procedure and special test results Ex: Na+ 136, K+ 4.2, BUN 9, Cr 0.8, glucose 82 (17/7/2011); Normal screening colonoscopy (10/05/2011); Abdominal ultrasound (18/6/2011) – single 10mm gallstone. No supportive treatments. Pt advised to use hand wash regularly to avoid transmission of germs in future infections. (A) ASSESSMENT Allergic rhinitis Tearing or runny nose not accounted for sinuses or cold symptoms. Early hypothyroidism and HTN Tympanic membranes pearly grey with a sharp reflex of light. Right maxillary tenderness. Acute Sinusitis Preventive care should be observed. Pt should use hand wash and clean handkerchief all the time. Patient should avoid alcohol or any other drugs when under medication. Pt should keep a clean environment within the house. Avoid dust and other allergens. Always use prescription drugs and avoid over the counter medicines. (P) PLAN This is a plan based on all the symptomatic conditions presented by the patient. Examine nasal secretions to determine allergic or infectious infections. Repeat labs, X-ray and tests for Ex, K+, BUN, Cr Gluc Allergies: Give dosages for allergy antihistamines (Beclomethasone, cromolyn, or triamcinolone) + cough suppressants as well as oral decongestants (tablets). For antihistamines consider tabs or injection. Apply fluticasone nose spray allergy symptoms when noticed. Runny Nose: Cough suppressants + decongestants to be taken by mouth following the right prescription. Treat with Amoxicillin 500 mg per day three times and a decongestants for a whole week. Follow up if symptoms persist. Sore throat: mild antibiotics will be given to the patient. Supportive treatment to pt such as taking plenty of fluids and having a good rest should also be incorporated. Advice pt regarding preventive measures for runny nose in adults e.g. frequent hand wash to cleanse germs which may cause cold flu, avoidance of nose, eye and mouth touch. Pt is advised to avoid allergens whenever possible. Provide pt with referrals and consultation contact information incase of any issues that may arise from worsening condition and reaction on medication; this could be allergy or intolerance. In this case, signed pharmacy student name and contact information. Pt follow up will have to take place in three days to assess the progress of the prescribed medication on the condition. Narrative The patient is a 32 Year old man who presents with a chief complaint of a runny nose for six days with accompanying head ache and sore throat. Pt has been experiencing severe headache for over 5 days on the sides of the head, right behind the eyes. Based on my assessment of the patient’s condition and response to the previous modes of treatment, my advice to the pt would be to take the prescribed doses of allergy antihistamines. I will also offer a cough suppressant and tablets for oral decongestion. For the case of the antihistamines there is a choice between tabs and injection. The pt is also advised to keep off alcohol and any other drugs not prescribed for the period of treatment. Pt must also ensure clean house environment free of dust and other allergens that might aggravate his situation. Pt advised to install window screens and vacuum clean house always. Pt should avoid outdoors in the woods when its sunny or windy. I urge the pt to take plenty of fluids and rest. Avoid touching the nose, eyes and mouth as this could lead to infection with germs which cause cold flu. Alternatively you can be sure to use hand wash regularly to cleanse germs capable of causing such infections. The pt is also advised to seek medical follow up if symptoms persist. If the pt agrees to this mode of treatment, he is on a sure path to recovery.

Responsible Government In The Canadian Regime Essay

Responsible Government In The Canadian Regime - Essay Example Soon, people began to agitate and rebel seeking "reform" of the constitutional system. As a result, Lord Durham was sent to Canada to investigate the cause of the rebellions and to figure out a solution. Lord Durham stressed that "the complete assimilation of French Canadians" (Malcomson and Myers 2005) was necessary and proposed the Act of Union. Further, he stated that a responsible government was needed to handle the situation and the British Government eventually acknowledged the idea. Canada's constitution has therefore been under the principle of responsible government, based on the fusion of power, which is distinct from a separation of powers. This fusion of power is the most important and fundamental factor in the responsible government system that helps the Canadian government remarkably efficient. It also increase voters' accountability, and imposes strong influence over the confidence in the House of Commons. The responsible government which depends on the fusion of power, allows the cabinet not only to acts as an executive but also to take a role in legislative action. There are no "standstills of the sort[and] once the cabinet backed by a parliamentary majoritythere is nothing to stand in its way." (Malcomson and Myers 2005) Because the same group is responsible for legislating, practicing and enforcing the law, they can take decisions without transferring the proposal from one branch to another for permission. Moreover, in a responsible government, the "power is married to responsibility". (Kam, Sept 19, 2006) Under separation of powers, it is hard to blame a particular branch or a person for unsatisfactory political events. However, in a responsible government, the power is fused into one system, and therefore, the responsibility for positive or negative events lies on one entity alone. This also influences the voters' evaluation of their elected servants. The fusion of power increases the accountability to the voters much more than separation of powers. Under the principles of responsible government, the prime minister and the cabinet's legitimacy solely depend on the confidence of the House of Commons which generates unique characteristics for the government. The prime minister and the cabinet are not directly elected by the people. Because of this, their democratic legitimacy depends on the confidence of the House of Commons. Consequently, if the members of the party do no support each other and cooperate in order to endorse the ministry, they will soon lose the confidence of the House and their right to rule would be taken away. For this reason, the party discipline in Canada is pretty strong. Furthermore, it prompts MPs to vote in support of their party instead of their constituents' desires. The dependence on the confidence of the House of Commons also influences the date of the election in Canada. Under the principle of separation of powers, each branch and the president are elected separately. Once they are elected, they each have their own mandate. However, in Canada, "the timing of parliamentary elections is normally decided by the prime minister". They "canlose that confidence at anytime,[so] it is essential to be able to hold elections at any time." (Malcomson and Myers 2005) The responsible government system originated from the British, but soon percolated into the Canadian government, creating distinctive features in the

Management of Human Resource Assignment Example | Topics and Well Written Essays - 250 words

Management of Human Resource - Assignment Example A company with a good HRM that ensures recruiting the best employees, retaining the best performing workforce and awarding them may have an edge as far as competitive advantage is concerned (Jackson, Schuler & Werner, 2012). Companies such as Apple have been able to retain their best employees and ensuring competitive compensation. This has made the company have a competitive advantage in the mobile phone industry. Planning is essential to gaining a competitive advantage. Human resource management ought to proficiently make strategic plans that will sustain the firm for decades. Planning is essential since it ensures building of the capacity and capability of the employees (Jackson, Schuler & Werner, 2012). This may play an integral role in achieving full potential. Planning may further help in achieving a competitive organization behavior, making significant decisions such as hiring experienced professionals, determining competitive pay and tactics, determining competitive training programs and ensuring employee relations. To members of the organization, human resource management should deal with issues that may improve employee compensation, creating a good working environment and issuance of long term contracts hence boosting employees’ morale and raising their confidence (Jackson, Schuler & Werner, 2012). Further, human resource management should work towards the business continuity, boost financial returns and build an attractive business name that can impress or rather reward the company owners or investors. In addition, customers’ issues should be prioritized by the human resource management by encouraging innovativeness, lowering prices of products and ensuring both reliability and quality (Jackson, Schuler & Werner, 2012). Human resource management should also strive to adapt an organized problem solving ability among employees as well as raising trust among the employees. This may have an overall advantage on the company