The Effects of Misconduct on the Armed Forces

The armed forces of the United States is one of the most feared and respected military organizations in the world. This image is helped by documentaries, news reports and even by the movies. But the real reason why the US military is considered very powerful and a dangerous enemy can be understood after reading the following explanation:The United States military is unique in the amount of power it can project globally. Although France and the United Kingdom, as well as Germany, Spain, Italy, PRC, and European Union, are capable of projecting power overseas, the United States military is the only one with the higher military capacity to fight a major regional war at a distance from its homeland. The U.S. is also one of the few nations in the world that has a sizable nuclear arsenal and maintains active doctrines for plausible nuclear attack operations. (see Wikipedia: US Military).This is why America is feared and respected. Although there is reason to believe that Americans would pr efer that their country and its citizens are respected rather than feared; there is also a lot of apprehension over the notion that U.S. superpower is a bully in the global theater.This negative image which others believe to be the dark side of this great institution is   putting a lot of pressure on the military organization to behave appropriately and to borrow from their lingo: there should be no conduct unbecoming a military officer. For when this happens the chain reaction can be unbelievable. One indiscretion and the whole structure will be placed in a bad light. Consider for example relatively recent events about U.S. soldiers abusing POW’s and some of its members involved in an alleged rape case overseas are a few instances when the rest of the world shakes its head and would love to believe that all this power had corrupted the men and women in uniform.In order to prevent such misconduct and to keep its integrity intact the U.S. military is keeping in place a syste m of rules, regulations, traditions, and protocols that would ensure that the rest of the world will hold the said institution in high esteem.Military DisciplineThe word discipline when put inside the world of soldiers takes on a different meaning. This has nothing to do with the kind of discipline kids get at home when they fail to do their homework or when they do not clean their room. Discipline in the ordinary day to day life of normal people can sometimes mean a temporary abstinence on doing something or a temporary increase in work volume to accomplish a task or simply to grit ones teeth and do something that is normally not done if the circumstances are more favorable. In the military soldiers do not wait until things are worse before they will begin to be disciplined.In other worlds soldiers do not wait until they are overweight before they start doing morning jogs and calisthenics. They trained before the need arises, they practice long and hard before the fight and they pr epare before the crisis. Discipline in the Army, Navy and the Air Forces is a lifestyle. It can be said that it is more than a lifestyle in fact it is the blood that keeps the institution alive and the invisible force that holds it together. Without discipline the armed forces can easily disintegrate in quickly destroying everything in its path including itself. The infamous tortures at the Abu Ghraib prison – where prisoners of war were being held – was well documented and shown around the world.It was an example of a breakdown in discipline. And noncommissioned officers figured prominently in this fiasco. CNN reporters J. Johns, D. Ensor and M. Mount quoted Rep. Jane Harman in a letter to Secretary of Defense Donald Rumsfeld and Harman said, â€Å"The fog of war is thick, but these acts of abuse and humiliation contradict international norms, military regulations and the very values that our military fights to defend†¦Ã¢â‚¬  (see CNN.com)The report adds that a ll the perpetrators were, â€Å"†¦all officers or noncommissioned officers† (Johns, Ensor & Mount). In an ideal setting this should not have happened especially in the presence of NCOs.The Role of Noncommissioned OfficersNCOs are leaders, period. The military cannot function without leadership as much as a body cannot survive without a head. Everything depends upon leadership and in this regard NCOs play a major role.An Army Officer’s guidebook expounds on the meaning of the term and it says:A leader is people fitted by force of ideas, character, or genius, or by strength of will or administrative ability, to arouse, incite, and direct men in conduct and achievement. Leadership is the art of imposing one’s will upon others in such a manner as to command their respect, their confidence, and their whole-hearted cooperation. (Bonn, 320)In the NCO guidebook leadership is seen as basic in the structure of the U.S. armed forces and it says, â€Å"Leadership, des pite the great strides in technology, remains the same – influencing and motivating people to get the job done† (Rush, 34).  With regards to the NCOs taking up a part of the burden of leadership, Rudyard Kipling was quoted as saying, â€Å"The backbone of the army is the noncommissioned man!† (as qtd. in Fisher, 3).An article in Wikipedia’s website expounds on the words of Kipling:The noncommissioned officer corps is the junior management of the military. An experienced NCO corps is a key component of Western armies: in many cases NCOs are credited as being the metaphorical backbone of their service. By contrast, the weak NCO corps of the modern-day Russian armed forces, and those modeled after it, is widely blamed for the general ineffectiveness of those militaries. (see Wikipedia: Noncommissioned Officers)NCOs and the Concept of DisciplineThe U.S. military structure amounts to a pile of junk without discipline and the people that are tasked to instill discipline and order in the ranks are the noncommissioned officers. NCOs do the dirty work and this is very much evident in shaping a bunch of boys who know nothing about authority and following orders prior to enlistment into hardened men who will obey first before they complain.  Discipline is very important in the military because it is an organization tasked to do jobs that are out of the ordinary and in many instances, in life and death situations. These kinds of jobs will determine the safety of a country, the lives of their fellow soldiers or the civilians under their sphere of influence.NCOs instills this concept of a more serious kind of discipline by being an example for his men. In Semper Fi, a book about the highly respected U.S. Marine corps, a description of the NCO’s methodology – in terms of how he earns the respect of his men and how he hammers discipline into their system – was provided by the authors:The authority of the Marine NCO does not rest on fear; its foundation is the well-earned respect of equally tough men. He leads, and inspires, by being the man he wants his troops to become. The NCO personifies his expectations of the men he commands. He wants his Marines to look â€Å"squared away† and so he dresses and marches smartly himself. Since he wants to instill instant obedience, his men will see him obey instantly when an officer commands. He wants his men to be aggressive in combat, so he himself is the epitome of aggressiveness. The Marine Corps NCO, through his own behavior, creates a desire to be like him. (Carrison and Walsh, 69)The apt description of what an NCO is all about as presented by Carrison and Walsh answers the question on what happens when NCOs misbehave. Using the ideas discussed earlier it would be easy to list the reason why NCOs should always be the quintessential soldier.First of all it is due to his position as part of the leadership of the armed forces. An NCOs actions does not go unobserved and will always be an influence and guide to the new recruit and those under his command. If the NCO is unruly, does not follow orders and breaks the code of conduct then it is not surprising for the rest of the soldiers to do the same.An NCO could not afford to appear irresponsible and uncontrollable or speaks in a manner that show disrespect to his superiors and fellow officers simply because he is not in a normal setting. In an office or in a school perhaps undisciplined behavior and a rebellious attitude towards authority will not really cause too much damage in relative proportion to a similar behavior in the army. When NCO acts like a spoiled brat men dies and blood flows unnecessarily. Worse, the unit can be in grave physical danger and the morale of the troops would significantly decrease leading in more losses and more damage.The chain reaction from an NCO’s lack of prudence can not simply be taken lightly as the repercussions will be felt for many generat ions. And this is not an exaggeration. The following is an account of what happened more than 200 years ago – in America’s war of independence – that helped changed the course of history. It is a testament to the fact that undisciplined men would cause a series of events that will lead to catastrophe:Following the British victory at the Battle of Long Island in August 1776, Queens County came under military’s control [†¦] From the outset, military officials realized that the war had both military and political dimensions. [†¦] Military misconduct against civilians would only create enmity, hinder the effective prosecution of the war and make post war reconciliation more difficult [†¦] By wars end the people of Queens had become, not loyal subjects, but Patriots – as much by British default as by personal choice. (Fingerhut and Tiedermann, 50)ConclusionThe effect of military misconduct especially when an NCO exhibits such undesirable behavior will first result in a breakdown of discipline but it will not end there. The men under the NCOs command will use said breakdown as an excuse for caving in under pressure. Thus when the going gets tough the men who witnessed insubordination and disrespect to senior officers will use that as an excuses for not following orders and then a chain reaction follows.When things begin to turn really uncontrollable, when the spirit of discipline that holds the army together is gone, the same soldiers who are selfless, hard workers, united and having one mind and heart will suddenly transform into a selfish monster who will do everything that seems to be right base on selfish interests. The result of which is written in the annals of military history. These events are labeled as infamous but it has cost more than shame it has resulted in the deaths and humiliation of the innocents. But from a military’s point of view it all boils down to failure in accomplishing a mission and for some cases it means losing the war.Works CitedBonn, Keith E. Army Officer’s Guide. Mechanicsburg, PA: Stackpole Books, 2002.Carrison, Dan and Rod Walsh. Semper Fi: Business Leadership the Marine Corps Way.New York: American Management Association, 1999.Fingerhut, Eugene R., and Tiedermann, J.S. The Other New York: The American RevolutionBeyond New York City. New York: State University of New York Press, 2005.Fisher, E. F. Jr. Guardians of the Republic: A History of the Noncommissioned officer corps of  the U.S. Mechanicsburg, PA: Stackpole Books, 2001.â€Å"Military of the United States.† Wikipedia, The Free Encyclopedia. 27 May 2006. Wikimedia  Ã‚  Ã‚   Foundation, Inc. 28 May 2006 .â€Å"Non-commissioned officer.† Wikipedia, The Free Encyclopedia. 24 May 2006. Wikimedia  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Foundation, Inc. 28 May 2006 .Rush, Robert S. NCO Guide. 7th ed. Mechanicsburg, PA: Stackpole Books, 2003.

Internet Business and Electronic Commerce Essay

Answer – 1 The two industries chosen for the analysis on the layout, format, and contents of their websites are Online Shopping and Online Marketing Assistance websites. Starting from the first industry – Online Shopping – it includes several organizations that started the business of selling a wide range of products and services ‘online’. The organizations chosen for this paper include LastMinite.com that sells flight tickets,, holiday tickets, hotel booking, car hiring, theatres, restaurants’ and many other stuff online. This organization is usually service-focused than product-focused. Aol Shopping is another organization that sells a wide range of products ranging from apparel, electronics, to industrial products. Yahoo Shopping has almost the same category that sells electronic items, flowers, gifts, jewelry, apparel, etc. And finally, Amazon is another popular website for online shopping where a wide range of products can be purchased instantly. The second industry is related to providing online marketing help in terms of giving trainings, newsletters, reports, and expert advices. Under this industry the following organizations were chosen, Clickz, which provides marketing news, expert advice, training, iReviews, etc. The Register is another organization that provides assistance to its clients by offering them hardware, software, music, networking stuff, reviews, newsletters, and other internet and business related assistance. DaveChaffey is a personal website that provides books, consultancy, training, lectures, and reports related to marketing and e-commerce. And finally, Jakob Nielsen’s site is almost the same as DaveChafeey that offers reports, e-newsletters, films, books, consultancy services, and articles from various news, magazines, and journals sources. Answers – 2 Now let’s analyze the overall layout, design, contents, options, and facilities available in the websites of these organizations. Starting from the online shopping ones, they have a professional and eye-catching outlook where the layout is designed quite properly, providing several categories on one side – either left or top – and also using colors that entice the viewers to explore more. Secondly, the use of pictures or animations is making these websites look more attractive and communicative, since images let people remember the stuff longer. Moreover, there are certain hyperlinks such as, careers, login, about us, contact us, etc. that depicts a better and reliable image over the viewers or customers. Also, convenience is being provided to the customers by giving them an option of search, with which they would find what they want. Whatever product or service is new, popular, or trendy, is shown right on the top middle of the website where first look goes. In short, website layout and management is at its best that gives a professional look and provides ease to the visitors. On the flipside, the online marketing consultancy or assistance websites are not that catchy. Although Clickz and The Register look better and have a professional look since they the categories are clearly defined and placed systemically; nevertheless, the use of colors and pictures is not commendable. Text written is too much that does not motivate the reader to explore more of the website; even worse scene is in DaveChaffey and Useit.com websites where there is not even one picture. Moreover, the colors used are not soothing, layout is cluttered, poor arrangement of options, and text is everywhere that leads a bad impression of the website over visitors who do not feel like exploring more. The use of better colors, category alignment, using pictures, and showing advertisements on right hand columns would add credibility and attractiveness to the websites. Answer – 3 Electronic commerce is basically an output of phenomenon what we call globalization, where the lifestyles, methods of conducting business, and other activities such as, traveling have gone much easier than before. As a result, many entrepreneurs are starting up their businesses online, along with those businesses that are transforming from the traditional business setting to online one. Electronic selling differs a lot from the traditional department store selling due to several reasons. First, electronic selling uses technology where the customers purchase products by just clicking their mouse. There is no physical location in e-selling like in traditional departmental form where customers have to go to buy. E-selling has certain advantages over traditional method of selling such as, cost savings for the business for not having a physical location, setting products there, maintaining them, electricity, and other costs. Customers also benefit from e-selling where they do buy instantl y sitting back at home, without wasting their time and fuel expenses; in short, they are getting convenience at its best. Considering the ambience that is provided by many departmental stores such as, food chains, restaurants, or garments by using effective use of lighting, displays, music, and fragrance, it does create a favorable impact over the customers for the sellers. Another strategy used is of ‘placement’ of products in such a way that encourages impulse buying; whereas, when talking about the presence of these effects in electronic selling, it can be created but not to a greater extent. Sellers can design their websites in such a way that it displays colors associated with the brand, logo of the company, and playing pleasant music in the background. Moreover, placing the pictures and ads of the products in such a way as they were being placed in the department store and tagging enticing deals/offers, encouraging impulse buying. Answer – 4 Businesses these days are selling almost all kind of products and services that come under wide range of categories; some are bought more some are not. Of course there are some reasons behind that since some products or services are more conducive to sell online as compared to other. It has been observed that the services such as, airline tickets, hotel booking, vacation trips and stay, car hiring, spa booking, theatres tickets, and food delivery from restaurants are more conducive to be sold online. It does not mean that the products are not sold quickly; in fact, they are but not ‘all’. For example, products such as electronic items, books, music items, households, and sports stuff are easily sold on the internet where customers do not hesitate to buy them. Whereas, products such as jewelry, shoes, apparel, and pets are not sold quickly and in large quantity; reason being that customers feel the need to try these products and analyze them whether they suit them or not. Moreover, customers hesitate a little bit when purchasing expensive products online due to security and safety issues, where spamming websites might collect their useful information such as, credit card numbers and use them at their fullest. E-tailers are reducing such risks by designing websites that do not allow such spams, pop-ups, having copyrights, trademarks, and ensuring built-in firewall system to prevent any unwanted happenings. Answer – 5 Although physical departmental stores do keep in touch with the customers face-to-face and listen to any feedback or complaint that they might have; however, internet can also provide such customer contact, build relationships with them, and boost them to benefit both the parties – business and the customer. Companies can, via internet, can boost the levels of customer service by devising and implementing certain strategies including keeping records of their customers, making them calls after a certain period of time to provide any information about new deals/offers, listening to their complaints, and asking for their suggestions to improve the thing they think needs the same. Moreover, websites must have a separate category for feedback or complaints where the customers can post their feedback either positive or negative. Another innovative strategy is provide them with the option to comment on certain deals and offers for the products or services being offered, which would instantly give a fair idea about the attitudes of customers towards those offers or deals. Many organizations have added sections for online surveys or research that request the customers to spare a few minutes and answer certain questions. Customers actually like giving their remarks or suggestions because they think they are being given importance by the businesses that might prefer to keep their customers satisfied at every cost. Answer – 6 The methods of conducting business have really changed as the impact of globalization has causes several flexibilities and easiness in our lifestyles and daily life. Many businesses find it costly to open it in a physical location and expanding through outlets, which often does not target large audience. Therefore, many businesses are starting through internet where they can target customers from all over the world, market their products or services easily and economically, and get payments right away. Not only this, those businesses that do not operate virtually and have physical locations are finding it more effective and financially beneficial to market their products through internet, and that what is called Internet Marketing. Internet marketing also contains the elements of Direct Marketing, where the promotion of products is done online such as, websites (ResearchStarters, 2008). It does not mean that when businesses are started online they would always save costs and be successful; in fact, many businesses fail due to several factors and one significant of them is poor marketing strategies. Of course, the consumers would not have any idea that a new business has started that for instance, sells soccer jerseys, through its website. The target market should have to be made aware of that business, the products, new offers/deals, customer value, feedback, etc. Therefore, all this requires the business to use effective marketing tools and strategies where it can convey the message to the audience, impress them, convince them to purchase, and provide feedback. Businesses can use online marketing strategies such as, designing websites that grab the attention of the customers at first sight, force them to explore, make them realize that they are everything for the company, provide them with ease in shopping online, and let them give a chance to give a feedback. Moreover, businesses can also use the strategy of mass-emailing to the customers or potential customers whether they are individuals or other entities. Placing ads on popular and most-visited websites is another strategy but is quite expensive. And finally, the use of social networking websites such as, Facebook, Twitter, and MySpace, is lucrative since it is inexpensive and targets wide range of audience. Conclusion E-tailing is the result of e-commerce that has made it much easier for the businesses to market and sell their products online by using certain softwares and websites. Extensive information is provided to the customers through websites about the products and services they want to purchase; moreover, the customers can shop with utmost convenience without going somewhere and wasting their time. Talking about the two industries – online shopping and online marketing assistance – the role of e-commerce is sound, since the services provided by these industries are loved to be taken by the customers while staying at their places and clicking mouse buttons, without wasting any time or fuel. Further improvement can be made in attracting more online customers by improving websites, adding new features, and becoming more customer-centric.

ASQ Agile v Waterfall Essay

Waterfall vs. Agile Project Management Lisa Sieverts, PMP, PMI-ACP Phil Ailes, PMI-ACP Waterfall vs. Agile Project Management Agenda †¢ †¢ †¢ †¢ What is a Project Overview –†¯ Traditional Project Management –†¯ Agile Project Management The Differences –†¯ Product Life Cycle –†¯ The Teams –†¯ Requirements –†¯ WBS/Product Backlog –†¯ Schedule –†¯ Risk –†¯ Quality Q&A 2  ©Lisa Sieverts & Phil Ailes 1 Waterfall vs. Agile Project Management What is a Project? †¢Ã¢â‚¬ ¯ Temporary †¢Ã¢â‚¬ ¯ Goal †¢Ã¢â‚¬ ¯ Constrained 3  ©Lisa Sieverts & Phil Ailes Waterfall vs. Agile Project Management What makes projects special? †¢Ã¢â‚¬ ¯ Projects are characterized by uncertainty 4  ©Lisa Sieverts & Phil Ailes 2 Waterfall vs. Agile Project Management Traditional Waterfall Projects †¢Ã¢â‚¬ ¯ Traditional Waterfall Projects –†¯ Dates from the end of WWII –†¯ Grew out of Defense industry –†¯ Based on Deming Cycle of Plan-Do-Check-Act –†¯ Emphasizes heavy up-front analysis –†¯ Lots of documentation –†¯ PMBOK versions 1-4  ©Lisa Sieverts & Phil Ailes Waterfall vs. Agile Project Management Traditional Waterfall Project High Medium Requirements Low Optional High Design Medium Low Optional High Development Medium Low Optional High Testing Medium Low Optional High Deploy Medium Low Optional 6  ©Lisa Sieverts & Phil Ailes 3 Waterfall vs. Agile Project Management Waterfall – Advantages 7  ©Lisa Sieverts & Phil Ailes Waterfall vs. Agile Project Management Waterfall – Advantages †¢Ã¢â‚¬ ¯ Established Processes- Project Management Body of Knowledge †¢Ã¢â‚¬ ¯ Management Controls †¢Ã¢â‚¬ ¯ (Apparent) Predictability †¢Ã¢â‚¬ ¯ Great for low uncertainty/high dependency projects –†¯ Construction –†¯ Update of established product –†¯ Maintenance projects 8  ©Lisa Sieverts & Phil Ailes 4 Waterfall vs. Agile Project Management Waterfall – Disadvantages 9  ©Lisa Sieverts & Phil Ailes Waterfall vs. Agile Project Management Waterfall – Disadvantages †¢Ã¢â‚¬ ¯ Sometimes is more about the Process than the Product †¢Ã¢â‚¬ ¯ Keeps the customer at bay – by the time they see the end results it may be too late †¢Ã¢â‚¬ ¯ Project teams often become rigid and resistant to change: â€Å"Those darn users keep changing their minds.† †¢Ã¢â‚¬ ¯ Long product development time 10  ©Lisa Sieverts & Phil Ailes 5 Waterfall vs. Agile Project Management Agile Project Management †¢Ã¢â‚¬ ¯ The Agile Way –†¯ Experiments in the 1990s –†¯ Values self-organizing teams –†¯ No formal â€Å"project management† –†¯ Iterative approach –†¯ Flexible  ©Lisa Sieverts & Phil Ailes Waterfall vs. Agile Project Management Manifesto †¢ The Agile Manifesto for Software Development –†¯ â€Å"We are uncovering better ways of developing software by doing it and helping others do it. Through this work we have come to value: †¢Ã¢â‚¬ ¯ Individuals and interactions over processes and tools †¢Ã¢â‚¬ ¯ Working software over comprehensive documentation †¢Ã¢â‚¬ ¯ Customer collaboration over contract negotiation †¢Ã¢â‚¬ ¯ Responding to change over following a plan –†¯ That is, while there is value in the items on the right, we value the items on the left more.† 12  ©Lisa Sieverts & Phil Ailes 6 Waterfall vs. Agile Project Management The Agile Way Sprints – High Priority Features Integrate Test Sprints – Low Priority Features Integrate Test Integrate Test Design Test Test Develop Integrate Test Demo & Feedback Develop Requirements Test Test Develop Sprints – Optional Priority Features Demo & Feedback Requirements Design Test Design Test Demo & Feedback Develop Requirements Test Demo & Feedback Requirements Design Test Sprints – Medium Priority Features 13  ©Lisa Sieverts & Phil Ailes Waterfall vs. Agile Project Management Agile – Advantages 14  ©Lisa Sieverts & Phil Ailes 7 Waterfall vs. Agile Project Management Agile – Advantages †¢Ã¢â‚¬ ¯ Shorter development cycles †¢Ã¢â‚¬ ¯ Customer participates, providing direct feedback †¢Ã¢â‚¬ ¯ Team-ownership – developers, testers, analysts and customers work together †¢Ã¢â‚¬ ¯ Process encourages and easily adapts to change †¢Ã¢â‚¬ ¯ Improved quality because testing is continuous 15  ©Lisa Sieverts & Phil Ailes Waterfall vs. Agile Project Management Agile – Disadvantages 16  ©Lisa Sieverts & Phil Ailes 8 Waterfall vs. Agile Project Management Agile – Disadvantages †¢Ã¢â‚¬ ¯ Lack of established processes †¢Ã¢â‚¬ ¯ Management resistance to change †¢Ã¢â‚¬ ¯ Reduced (apparent) predictability †¢Ã¢â‚¬ ¯ Requires culture change †¢Ã¢â‚¬ ¯ It’s new – there isn’t a lot to draw upon 17  ©Lisa Sieverts & Phil Ailes Waterfall vs. Agile Project Management Project Life Cycle †¢Ã¢â‚¬ ¯ Traditional: waterfall –†¯Initiate –†¯Plan –†¯Define –†¯Design –†¯Build –†¯Test †¢Ã¢â‚¬ ¯ Agile Projects: iterative –†¯Envision –†¯Speculate –†¯Explore –†¯Adapt –†¯Close –†¯Repeat as necessary 18  ©Lisa Sieverts & Phil Ailes 9 Waterfall vs. Agile Project Management The Team †¢Ã¢â‚¬ ¯ Waterfall –†¯Sponsor –†¯Product Manager –†¯Project Manager –†¯The Team – defined roles †¢Ã¢â‚¬ ¯ Agile –†¯Sponsor –†¯Product Owner –†¯Scrum Master –†¯The Team – variable roles 19  ©Lisa Sieverts & Phil Ailes Waterfall vs. Agile Project Management The Requirements †¢Ã¢â‚¬ ¯ Waterfall –†¯ Large Document –†¯ Formal, based on analysis –†¯ Performed by Business Analyst –†¯ Completed before any development begins †¢Ã¢â‚¬ ¯ Agile –†¯ Small Index Cards –†¯ User Stories, based on conversation –†¯ Performed by the Product Owner –†¯ Completed â€Å"just in time† 20  ©Lisa Sieverts & Phil Ailes 10 Waterfall vs. Agile Project Management The Foundation Documents †¢ Waterfall –†¯ Work Breakdown Structure 100 % of Scope 21  ©Lisa Sieverts & Phil Ailes Waterfall vs. Agile Project Management The Foundation Documents †¢ Agile –†¯ The Product Backlog Roman Pichler, Agile Product Management 22  ©Lisa Sieverts & Phil Ailes 11 Waterfall vs. Agile Project Management The Schedule †¢Ã¢â‚¬ ¯ Waterfall –†¯ Built before work begins –†¯ End date is often †¢Ã¢â‚¬ ¯ Agile –†¯ Rebuilt every sprint –†¯ End date evolves based on team velocity –†¯ Focused on nearterm accuracy –†¯ Emphasizes regular delivery of working features predetermined –†¯ Strives to predict the future –†¯ Emphasizes delivery of the entire product 23  ©Lisa Sieverts & Phil Ailes Waterfall vs. Agile Project Management Risk †¢Ã¢â‚¬ ¯ Waterfall –†¯ Inherently high-risk based on long product cycles –†¯ Emphasizes the ability to predict the future –†¯ Risk Register †¢Ã¢â‚¬ ¯ Agile –†¯ Inherently low-risk based on customer feedback –†¯ Emphasizes adaptation to changing environment –†¯ Risk Register 24  ©Lisa Sieverts & Phil Ailes 12 Waterfall vs. Agile Project Management Quality †¢Ã¢â‚¬ ¯ Waterfall –†¯ Testing is at the end †¢Ã¢â‚¬ ¯ Agile –†¯ Testing begins before development of the project –†¯ Testers work separately from developers –†¯ User Acceptance occurs at the end of the project –†¯ Testers and developers work together simultaneously –†¯ User Acceptance occurs at end of every sprint 25  ©Lisa Sieverts & Phil Ailes Waterfall vs. Agile Project Management What’s Different? †¢Ã¢â‚¬ ¯ Waterfall –†¯ Plan all in advance –†¯ Work Breakdown Structure –†¯ Functional specs –†¯ Gantt chart –†¯ Status reports –†¯ Deliver at the end –†¯ Learn at the end –†¯ Follow the plan –†¯ Manage tasks †¢Ã¢â‚¬ ¯ Agile –†¯ Plan as you go –†¯ Product Backlog –†¯ User stories –†¯ Release plan –†¯ Story boards –†¯ Deliver as you go –†¯ Learn every sprint –†¯ Adapt everything –†¯ Team ownership 26  ©Lisa Sieverts & Phil Ailes 13 Waterfall vs. Agile Project Management Summary †¢Ã¢â‚¬ ¯ Both Waterfall and Agile have the same goals: –†¯ Delivering a well- tested product that satisfies the customer within an efficient time frame that doesn’t leave the team worn out 27  ©Lisa Sieverts & Phil Ailes Waterfall vs. Agile Project Management Questions 28  ©Lisa Sieverts & Phil Ailes 14 Waterfall vs. Agile Project Management Thank You 29  ©Lisa Sieverts & Phil Ailes Waterfall vs. Agile Project Management Contact Us †¢Ã¢â‚¬ ¯ Lisa Sieverts –†¯ Facilitated Change –†¯ www.lisasieverts.com –†¯ 603.762.0235 †¢Ã¢â‚¬ ¯ Phil Ailes –†¯ Ailes Consulting –†¯ www.ailes-consulting.com –†¯ 603.903.7051 30  ©Lisa Sieverts & Phil Ailes 15

Manufacturing Process Essay Example | Topics and Well Written Essays - 250 words

Manufacturing Process - Essay Example One thing that I found interesting and unique is the upgrading to vision sensor applications system technology from sensor technology. The main aim of upgrading was reduction of expenses related with an unfinished manufacturing processes as well as increasing the manufacturing effectiveness and efficiency within the factory. Additionally, J&J installed a vision system aimed at maintaining the standards of each product the company manufactures. Their slogan thus goes, â€Å"We never pass defect to customers.†Secondly, I was also amazed by team work at J&J. Thus J&J’s engineering team collaborated well with their Servo Dynamics in studying, planning, implementing as well as integrating the vision system with the factory first.J&J has also effectively managed in resolving sensor error problem .This has effectively reduced the manufacturing downtime by rate to zero percent (Shreefal, 2008). Following the success of vision technology systems, J&J is seriously pondering extending putting in place vision systems in the manufacturing lines of the rest of the products so as to manage high demand from the market. Maintenance of has always been, continues to be J&J’S key and first

Competitive Operational Strategy Case Study Example | Topics and Well Written Essays - 3000 words

Competitive Operational Strategy - Case Study Example The company has regional offices in Malaysia, South Africa and Poland to meet the demands in Asia, Africa and Europe. The company was privatized in the year 1986. The major reasons for the decision to change the product line are the uncertainty in military contracts due to political changes and inefficiency in the government system. The civilian aircraft industry was also facing crisis as many firms in the line wound up their operations due to high competition and fluctuation in demand due to the entry of second hand aircrafts in the field. Thus there existed an uncertainty in the civilian and military aircraft sector. So the company decided to lay higher emphasis on industrial products. 2. As the demand for industrial products will be more in developing countries of India and China with a huge consumer base the necessity of shifting the head office from Europe to Asia have to be seriously considered. One of the major problems faced by the company is the high finished goods and work in progress. In spite of it overtime is given to execute orders at short notice. This is a paradox. The reason given by the production department is that they can manufacture only in batches and cannot cater to the variation in demand. The execution of orders at short notice involve over time and sometimes high rejection. ... In spite of it overtime is given to execute orders at short notice. This is a paradox. The reason given by the production department is that they can manufacture only in batches and cannot cater to the variation in demand. The execution of orders at short notice involve over time and sometimes high rejection. The purchase department is of the opinion that a raw material inventory has to be built up to meet the fluctuating demand. Although a minimum of raw material, work in progress and finished goods inventory has to be maintained, to maintain uninterrupted production and to meet unexpected demand. To overcome this, an ABC analysis is required to stock minimum quantity of high value items. Though the company has these problems it has an efficient management team that is skilled in decision making at the appropriate time. They have a customer focus and discuss freely the day to day problems among themselves and arrive at a consensus. The top management team portrays higher leadership qualities in its operation. Effective communication is one of the tools used by the company to enhance its leadership. The vision and mission of the company is shared by all the employees in the organization. "Effective leadership is one key element in the success of a group and virtually anyone can learn to be an effective leader." (Effective leadership. 2001). Both suppliers and customers are regarded as partners of the company. At present the company has its product lines in three segments namely military operations, civil operations and commercial operations. Though the company has commercial operations in its product lines it is less established compared to the other two. Programmable Logic Controllers systems and the associated software are the main products

Anorexia Nervosa, Control Issues, signs and symptoms, Term Paper

Anorexia Nervosa, Control Issues, signs and symptoms, - Term Paper Example A large nationally representative U.S. study conducted on this group of people revealed that there were no new cases registered after the respondents reached their mid-20s (Harvard Medical School, 2009). This finding reveals that adult patients who seek treatment for anorexia nervosa have usually struggled with this disorder much earlier in their life. Anorexia is a very common disorder and nearly three quarters of those affected by this disorder are females. This can be attributed to environmental factors, such as magazines, web and other media sources that promote and idolize thin models thereby leading unsuspecting readers to be obsessed by the desire to be thin. Physical signs of anorexia: Physical signs of anorexia include excessive weight loss without any medical cause, dry skin, thinning of hair, poor or no menstrual periods in women, feeling cold or presence of swelling in extremities of limbs, downy hair covering the body, low blood pressure, fatigue and/or abnormal heart rhythms. Psychological and behavioral signs: Psychological and behavioral signs of anorexia include feeling fat despite being underweight, refusing to eat, not able to remember things, refusing to accept low body weight as a problem, depression and obsessive-compulsive behaviors like frequently checking weight, following extreme exercise regimen and/or pretending or lying about eating. Weight loss or lack of expected gain: Significant loss of weight without any medical reason is one of the main indicators to identify Anorexia Nervosa. A loss of 5 to 10 pounds in a healthy individual is a matter of concern and should be followed-up (Dubansky, 2010). The annual health checkup is a good time to track adequate weight gain in children and identify significant weight loss in adults. Anorexia during the initial phase can go unnoticed even by physicians because a lot of attention is given to obesity and related issues. Sudden change in eating habits: Behaviors that

Modern Age Europe 1348-1789 Essay Example | Topics and Well Written Essays - 3000 words

Modern Age Europe 1348-1789 - Essay Example For a long time Europe was under the power of monarchs and popes creating a great controversy between the church and the state as to who should hold absolute power. The period between 1350 and 1550 in Europe was also characterized by increased trade among nations, conquest and colonization of states such as Africa and Asia. It was also a period when slave trade was thriving due to labor requirements in plantations, mines, and at homes of the noble citizens. The discovery of the Americas by Columbus also played a great part in the changes that took place thereafter. The aim of this paper is to discuss the political, religious, social and cultural changes that took place in Europe between 1350 and 1550. The paper will thus be divided into four sections. First it will discuss the political changes. Secondly, the religious changes. Thirdly, the social changes will be discussed and lastly, the cultural changes. Political Changes There are various political changes that occurred in Europe from 1350 to 1550. These were necessitated by the various events that occurred during this time such as the bubonic plague, the hundred years war and the rise of national sentiment, the late medieval church the great schism, the renaissance, the reformation age, and the religious wars. ... The noble landowners were the most powerful people but the plague deprived them of their power since it rendered agricultural products undesirable and wages were high thus loss of revenues which was the source of power. The church also lost some political power as it depended on land for revenue. On the other hand, the political power of the artisans increased as their items of trade such as jewelry was on high demand. Due to loss of revenue from agricultural produce the government had no option than to apply restrictive legislations and impose taxes on peasants so as to get revenue. As a result there were increased peasant uprisings which were detrimental to the growth of the economy. Another political change in Europe was the increasing nationalism especially in France as a result of the 100 years of war in Europe. The war took place between May 1337 and October 1453 with the defeat of England by France. Before the war, there was a lot of disunity in France which the Estate General took advantage of to usurp the power of the royals. However, efforts by Joan of Arc to unite the country led to nationalistic feelings in France and desire to have a national identity. This led to a political shift whereby France adopted a centralized form of government as opposed to feudal monarchy. Nationalism also led France to dishonor the Treaty of Troyes which had led to disinheritance of the French king by the English king. France was thus able to elect its own king and gain political power. Another crucial outcome of the war was the end of King Edward’s vassalage to the king of France thus acquiring sovereignty over English territories in France although by the end of the war, England had control of only one French territory

The use of statistical operations to reduce the proportion of customer Essay

The use of statistical operations to reduce the proportion of customer complaints in the agency selling cars (x) in Saudi Arabia - Essay Example However, complaints should be minimized by ensuring the clients get quality services which meet their needs. According to DDDDDD, customer complaints should not be minimized by discouraging customers from complaining, rather it should be minimized by addressing the issues that give rise to customer complaints. Typically, such issues are numerous and not all can be eliminated. However, they should be minimized. Additionally, where resources are constrained, it is important to identify the vital issues which need to be prioritized. Saudi Arabian car is unsurprisingly the largest in the Middle East and by far, the most promising. This perhaps explains why manufacturers have placed much investment and hope in this area. In 2013, the car sales hit 570,000 marking a 10% increase from 2012; a trend likely to continue in 2014. The market’s importance was further emphasized in the Saudi International Motor Show in Jeddah highlighting the sharp competition arising from convergence of leading brands and new comers. This places greater emphasis on understanding the reasons behind customer complaints and further sieving into the important reasons which should be accorded greater importance by car sale agents. Understanding customer complaints and the reasons behind the complaints helps the agencies in defining needs of customers and satisfying the needs. The process considered involves the time the client first contacts the agency to seek information about a car to the time of purchase. A typical flow chart for ca r sales process is provided below, The agencies are responsible for facilitating initial contact with would be buyers, taking the buyers through the negotiation process and eventually selling and handing over the car to the buyers. More often, contact is initiated by a client, courtesy of adverts and referrals. The agents the takes the clients through a range of options available and where no desirable options are available, suggests alternative ways of

New York vs Belton Essay Example | Topics and Well Written Essays - 250 words

New York vs Belton - Essay Example Belton†). The issue was that the police officer had arrested the men before searching and finding the drugs without a warrant to do so(â€Å"New York v. Belton†) In this case, the courts ruled that â€Å"whenever the police arrest people in a car, they may search the passenger compartment without a warrant†(â€Å"New York v. Belton†). Additonally, it was made clear that police officers may search through a car and items in the car after an arrest. However, the courts made it clear that police officers needed to have â€Å"good reason† for searching the car without a warrant. This decision was written by Justice Potter Stewart on July 1, 1981(â€Å"New York v. Belton†). After the decision was made, trouble arose when three of the judges on the case decided that they did not agree with the ruling and dissented because they felt that the decision went too far in not protecting the right to privacy(â€Å"New York v.

Case Study Essay Example | Topics and Well Written Essays - 2000 words - 8

Case Study - Essay Example From that time it has become one of the dominant players among the three big giants of the soft drink industry. It has become the most valuable brand in the world. Not only coke it also manufactures many other flavour of soft drinks like Fanta, Sprite, ready to drink coffee, juices etc. The company has its setup in all over the world with largest distribution system of beverage. There are many legal issues involved with the business of soft drinks and water based beverages. As one of the manufacturer of soft drink Coco Cola also has to maintain the legal issues. The company has to maintain a certain standard for the composition of package water and other beverages, soft drinks etc. Labelling of the drink and the water the mixed in the drink are also included in this standard. The composition of the drinks has to be mentioned on the bottle. The date of manufacture and expiry should be written on the bottle. Nutritional value of the product has to be mentioned on its packet or bottle. Coco Cola has to pay a certain amount of tax to the government of different countries do doing the business. Apart from maintaining these general laws of soft drink industry Coco Cola Company has laws of their own to. Those laws always are related to company policies, shareholder, board of directors, officers, recruitment etc. Date, time & place of the annual meeting of the shar eholders shall be designated by the Board of Directors from time to time. Regular meeting of board of director are to be held. The number of board of director should not be less than 10 and more than 20. Every year in the annual meeting of the company the shareholders elects the board of director. The Officers are selected by the Board of Directors. The Company can have Chief Financial Officer for supervising the financial affairs. He is elected by the Board of Directors. These are some major legal issues involved in Coco Cola. A legislative issue happen with coco cola in US. There Coco

Software for wireless devices Essay Example | Topics and Well Written Essays - 250 words

Software for wireless devices - Essay Example The software developers have to anticipate special requirements and design the system differently such as by re-designing the software program to deal with a limited memory, for example. The five major software components necessary in mobile computing include 1) mobile operating system such as Microsoft, Symbian, Linux, and other specialized operating systems, 2) a mobile application user interface which is the application logic in mobile devices to operate the various interface devices such as a mini-joystick, touch screen, thumb wheel, and jog dial, 3) the microbrowsers which are actually similar to standard Internet browsers but specially adapted to deal with the limitations in the memory, bandwidth, and smaller display screens of mobile devices, 4) the wireless application protocol or WAP which is the suite of network protocols to enable different kinds of wireless devices to access WAP-readable files on an Internet-connected Web server, and 5) various mark-up languages which is also an area that lacks a single uniform standard; examples of competing standards are wireless markup language (WML), the compact hypertext markup language (cHTML), and extensible hyper text markup language

Making Connections Essay Example for Free

Making Connections Essay In â€Å"Werner†, Hoeflich is sharing very intimate and specific details about his experience. Beard Probably met Hoeflich on several occasions in order to gain his trust before he was able to collect some of the details that he included in his work. It most likely took Beard days of asking just the right questions to write â€Å"Werner. † In this piece, Werner is presented as both weak and strong. In the beginning of the story, he is completely caught off guard by the fire in his home, but then the author follows with a story of Werrner cliff diving. Beard describes Werner diving out of his apartment window with athletic elegance, and then proceeds to tell us about Werner crying in the ambulance. At the end of the story, Beard describes Werner â€Å"never being able to confuse himself with the old Werner. † I am left wondering what Werner did after his accident. We know he always felt pain since, but I wonder in what other ways it affected his life. Zinner emphasizes balancing quotes with narrations which Beard did very well. He also spoke of not changing the quotes in order to preserve the character’s voice. Beard did a very good job of depicting Werner’s personality through the quotes he chose. 2. Gladwell began the piece by describing an event very vaguely, and then slowly gave us more details. He ended the story by teaching us one of the lessons that Cesar learned through his experience. I like that Gladwell keeps us wondering at the beginning of his piece. He could be talking about any number of things. I liked the ending because the reading was able to see another side of Cesar. Bow, not only was he an expert on dog behavior; he knew quite a bit about human behavior as well. I didn’t like that he chose to describe Cesar in his introduction. I also didn’t like that in the conclusion, he told a story of Cesar failing to be able to do his job. I would have described Cesar after I finished telling the story of Sugar and Lynda. I would have told the story of Cesar failing before I talked about Cesar learning about human behavior. Gladwell did a good job of hooking the reader. After the first sentence, I was left wondering what Gladwell was talking about. He also did a good job of knowing when to end the story. If he had continued on for much longer, the reader would have lost interest. 3. Ingram’s message was that this was she experienced was a very confusing time for everyone. Not all Germans hated Jews, and not all Jews resented Americans. She wanted to provide a different perspective on the war than the ones we hear most often. When I was finished reading this piece, I felt a sense of sadness. Ingram wanted us to see that although the Hamburg people were grateful for being saved, they were still haunted by the sight of their dead neighbors and friends. In order for any good to come, sacrifices had to be made. Ingram begins her memoir with a story of her bravely saving her mother’s life and uses very frank and blunt language in order to establish power. Zinner recommends that an author write without being to egotistical and to use vivid sight and smell language. Ingram did a very good job of painting a picture in the reader’s mind without making herself the hero in every situation. 4. Rodriguez was trying to tell us that there is a big change coming in California and in America. No longer do you have to come to California to live your dream. A person can stay at home and achieve it just as easily, but don’t be surprised when it doesn’t come true. I imagine that the audience had a love/hate relationship with this piece. They thought it was beautifully written and brought up excellent points, but hated to admit that what Rodriguez was saying was true. In describing East Cobb, I would use the terms† large houses, fast food, many cultures, crowded schools, crowded streets, expensive cats, large lawns, family secrets, intelligent kids, and drug abuse. Rodriguez described the California that we all know, but he also went deeper and described to us in great detail the California that very few people see. 5. Singer posed a question. Then, he spent a paragraph or two answering the question. He did this repeatedly throughout his work and added supporting details along the way. Singer gave a very convincing argument. He appealed to the emotions of a sensitive reader with the child in the pond analogy. HE appealed to the logic of a skeptical reader with all his statistics. This article would persuade most people to be more charitable. It would not provide a very convincing argument to the people with lower incomes. Singer did a very good job of cutting the clutter. He used simple language and said exactly what he meant. I also felt Singer’s personality through his writing. He is very realistic and believes that we should all be more charitable.

Interest Groups in Texas, US

Interest Groups in Texas, US Throughout the nation there are many different interest groups from large national interest groups to small regional interest groups, Texas is no different. There is an innumerable amount of interest groups operating in the state of Texas. The main goal of an interest group is to get a piece of legislature passed that aligns with their goals or vision. Some of the more influential interest groups in Texas are Texas NAACP and the Texas State Rifle Association. A couple of interest groups that have been underrepresented in Texas are the NARAL Pro-Choice Texas and the Texas Equity PAC. The National Association for the Advancement of Colored People (NCAAP) is a national organization focused on the empowerment of colored people throughout the nation (Texas NAACP History.). NCAAP Texas is no different, they strive for the advancement of colored people. There have been many successes in Texas through the NCAAP. The NCAAP in Texas is one of the more influential interest groups due to the fact that it is also a national interest group and has far reach resources. With these resources they can reach out and receive help from anywhere in the country to battle whichever dilemma they are faced with. They have had multiple successes in the national stage as well as the local stage in Texas. The Texas Rifle Association is one more influential interest group in Texas. Founded in 1919 the TSRA is located in Austin, TX and their main goal is to support the 2nd Amendment, which is the right to bear arms (LEGISLATIVE.). They are influential due to being the only full-time firearms advocate lobbyist in Texas (LEGISLATIVE.). Some of their successes have been the open carry on campus implementation. This allows students to carry firearms on campus in the state of Texas. Also the open carry piece of legislation which allow the use of open carry in the state of Texas too effect due in part to their lobbying. There are however interest groups that are underrepresented in Texas. One of which is the Texas Equity PAC. The Texas Equity PAC is a group that advocates for the LGBT community of Texas (Texas Equity PAC.). Their main interest is to put in effect pro-equality polices and legislation through the election of pro-equality candidates. This group has not been around for very long and does not have many supporters in the state legislation. They do however endorse five officials in the state government for their pro-equality work (Texas Equity PAC.). Another underrepresented interest group in Texas is the NARAL Pro-Choice Texas interest group. They are a group that revolves around feminism and in a conservative state like Texas, they are an afterthought. Their main mission is to guarantee every Texan has the right to make personal reproductive health decision and to guarantee access to the full range of options (2017 Texas Legislature.). This interest group targets women who need abortions, and feel that this is a human right to have control over their bodies. Being in a conservative state, many of their arguments against anti-abortion legislation are defeated. This is due to many Republicans who are traditionally conservative being in political offices, and denying these appeals to overwrite legislation that takes away a womans right to decide whether or not she wants to have the baby. In conclusion, there are many national interest groups as well as interest groups in Texas. The main aspiration of an interest group is to have legislation or policies passed that positively effect their interest. There are many influential groups in Texas, a couple of them are the NCAAP Texas and the Texas Rifle Association. There are also interest groups that go underrepresented in Texas, some of these groups are the Texas Equity PAC and the NARAL Pro-Choice Texas groups. Works Cited 2017 Texas Legislature. NARAL Pro-Choice Texas. NARAL Pro-Choice Texas, n.d. Web. 05 Mar. 2017. Champagne, Anthony, and Edward J. Harpham. Governing Texas:. New York: W.W. Norton Company, 2013. Print. LEGISLATIVE. Texas State Rifle Association. TEXAS STATE RIFLE ASSOCIATION, n.d. Web. 08 Mar. 2017. Texas Equity PAC. Texas Equity PAC. Texas Equity PAC, n.d. Web. 08 Mar. 2017. Texas NAACP History. Texas State Conference of NAACP Units. N.p., n.d. Web. 05 Mar. 2017.

Health Essays Chronic Disease Management

Health Essays Chronic Disease Management Chronic Disease Management Chronic diseases have an effect on all countries, and the augment in their prevalence is to a great extend attributed to varying demographics, improved life expectancy, changing lifestyles, better disease management and management and a better understanding of the factors that cause poor health and disease. Laboratory, clinical and population-based research has revealed that a few risk factors are responsible for the prevalence of most chronic diseases: unhealthy diet and high energy ingestion, lack of physical activity and use of tobacco. Alcohol intake, environmental pollutants, age and hereditary factors also play a role. These risk factors are the same in men and women and across all regions in the world. The associated healthcare, financial and social burden of chronic diseases, which include diabetes mellitus, coronary heart disease, asthma, chronic obstructive airway disease, hypertension, chronic depression, osteoporosis, end stage renal failure and stroke, are progressively on the increase. In the US alone to be specific, some 125 million people now suffer from at least one chronic disease. Chronic diseases are a tremendous burden to individuals and to countries and the available traditional healthcare methods are not able to meet the requirements for preventing and reducing this burden. It is because of this problem that chronic disease management has emerged as a new approach towards caring for patients with chronic diseases. Chronic disease management in clinical circles can be defined as an elaborate, systematic, multicomponent strategy to delivering healthcare while involving all members in the population or community who suffer from similar infections. Cardiovascular disease is chronic and is the first cause of death among the elderly in all countries. This observable fact was evident even 60 years ago, as Roberts noted that diseases of the circulatory system and pneumonia were the first causes of death among the aged in Jamaica in 1950. These diseases are to some extent the sequelae of advancing age. As life expectancies are increasing the prevalence of all noncommunicable disease is also increasing. Thus, one could adopt the approach that these are an foreseeable consequence of ageing and the focus therefore has to be on simply treating them when they do occur and applying the acknowledged interventions for secondary prevention once the first disease episode has occurred. It is possible to reduce the mortality from chronic diseases in general. Some of the developed countries such as Canada, Australia and the United States have succeeded in reducing mortality by applying preventive measures. Meeting the multifaceted needs of patients with chronic diseases is the single supreme challenge facing our healthcare system in most countries today. With the increasing numbers of patients suffering from chronic diseases, it is of the essence that clinicians, healthcare administrators and health policy makers plan and ensure that the healthcare delivery system is tailored to provide care for these patients across the band of their healthcare needs. Chronic disease management has been known to be the best and most comprehensive approach for providing holistic and comprehensive care for patients with chronic illnesses. The Kaiser Permanente care triangle has frequently been used to conceptualize Chronic disease care at three main levels Supporting self-care for patients suffering from chronic disease who are at low risk of complications and hospitalization. Disease management for people who are in need of regular routine follow-up and are at high risk of chronic disease. Case management for people who have complex needs and those who are high-intensity users of unplanned less important care. Managing chronic diseases at the system level has been the focus of many latest publications.1-4 In the US, the recent Institute of Medicine Report – Crossing the Quality Chasm – focused on the need to reorganize care delivery to meet the healthcare demands of populations of patients who suffer from chronic illnesses. In October 2001, the British Medical Journal and the Western Journal of Medicine both published special issues focusing on the problem of chronic diseases and tinted how various nations are dealing with this ever rising epidemic. It is therefore timely that all nations focuses on coming up with a better program to address the needs of patients with chronic disease, on the advances in clinical and non-pharmacological management, and the challenges faced in ensuring that patients receive optimal care meeting the needs at the various stages of their disease. Programme for chronic disease management A successful chronic disease management program should be designed while considering fundamental factors that are critical to its sustainability. First of all the program should be aimed at a certain specific condition within the population suffering. Then the nest important factor concerns the availability of evidence on which its functions should be based. A good program has to keep in its consideration the existence of obstacles which may be a hindrance to its successful implementation. Adequate measures should be put in check to ensure that there is a balance between quality and the economic of the objectives of the care to be given United States In the United States chronic disease management programs, also known as chronic care management, have become extensive. They are being favored by employer groups, health-care organizations and health payers, these programs are being increasingly raising concern because very little scientific evidence is available to justify their effectiveness and economic impact. Disease management was introduced and launched in 1990 by drug companies for the purpose of helping patients to comply with various medications and also to increase their sales. This programs have developed in the private sector to become such a competitive industry that these companies contract health plans to offer comprehensive care to various groups. They are then paid a fee by the health plans to guarantee a saving. Disease management programs are wide in the private sector; they offer care and support as part of benefits and support from physicians. Some programs have been organized in such a way that the physician can receive alerts whenever the patient needs medical attention or even when the services for preventing chronic diseases are long overdue. Some use professional clinical information systems which can integrate participant’s data for instance data which concerns claims data or self reports. This can be even acquired from multiples sources. However there is only a small number of beneficiaries who suffer from chronic illness and therefore account for the unproportionate share of medical expenditure. This results in such patients receiving fragmented care from a number of site providers and to add on the insult they receive repeated and costly hospitalization. The manifestation project was endorsed by the Medicare, Medicaid,and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA). In adding together to the BIPA projects, there arenumerous of other coordinated care demonstrations approvedby Congress in the Balanced Budget Act of 1997, a capitatedDM demonstration recently initiated by the Bush administration,and an end-stage renal disease management demonstration. People are demandingto figure out ways to do disease management in the public sector that act in responseto patient-privacy concerns and that admiration the traditionalrole of the physician. Disease management programs have no effect on the state budget as they pay for administrative services while they are guaranteed by the government a savings offset in form of claims reduction. It is important to point out that even though the opportunities for cost savings and step up inhealth outcomes is great, the challenges of introducing disease management onwide scale in the Medicare program are momentous The patients increasing population is likely to bring up challenges which are not found in the private sector. France In France studies have shown a tremendous improvement in the state of health and quality of life for chronic illness patients. There has also been significant reduction in costs due to the implementation of coordinated networks for the treatment of asthma. The reduction in costs cannot be attributed to spontaneous national changes in management but rather it can be explained by the effect of the intervention program. This initiative can be said to be the first attempt towards implementation ofa disease management program in France. Italy In Italy the health system is aiming at utilizing Information technology tools to manage chronic diseases. In this country the population f over 65 years has be noted to be on the rise. What is worrying is that the number of chronic diseases also increases with this range of age. Approximately 90% of the aged people are suffering form chronic diseases and something has to be done in effect to prevent further repercussions. In the past Italian doctors have raised concern over the time that is used in treating patients with chronic diseases and therefore cam up with a resolution to use community care which such a program there is a shift from hospital based care to community based care. Such a program aims at reducing on the number of patients admitted with chronic diseases, removes patients out of hospital quicker and improving on the network for helping people with chronic diseases. This is to be done while the records are kept centrally and monitored while the services are moved to the community. In Italy there is also another program being put in place and it is called sole project as it is aiming at networking all hospitals with communities to give the citizens services. The program is also aiming at controlling flow of information so as to help the elderly patients. The idea must have been copied from the UKs pathways to telecare. Germany In German two laws were passed in the year 2001 to address the main problems in the healthcare system. Despite advance which have been made in diagnosis and treatment of diabetes, patients still experience secondary complications, The purpose of disease management program in Germany is to avoid repetition of diagnostic testing, by specialists or in hospitals thus assisting in containing the cost. In Germany chronic diseases management programs have a legal basis under which they operate. For instance in the year 2002 there was a reform law which laid down a complicated procedure for the establishment and implementation of disease management programs. These procedures included the characteristic features of a disease which qualifies to be included in the management programs. Implementation of disease management programs in Germany has been influenced by politics which is not like in the other countries. Germany has a longer experience with disease management programmes than the United States. The healthcare system in Germany has characteristics which have seen the introduction of disease management programs. This includes the free choice of the non-profit sickness funds who have to strike a balance between spending and income. There are also issues regarding to efficiency and quality on the side of those who are chronically sick The ministry of health in Germany anticipated that disease management programs will help to reorganize the fragment care for people suffering from chronic illnesses. The main challenge towards implementation of the programs regards to the defining of the minimum standards proves to be contentious and time consuming as people continue to suffer. Another challenge has been on implementing the program for Diabetes whose care requirements has been attacked by more than ten scientific societies. These scientists argue that the government and the sickness funds favored a minimal program which was created basing on studies with the highest level of evidence. Some claim that the programs were created under extreme time pressure. (R. Busse 2001) By way of the German-style DM programs the government anticipated a radicalGordian explanation to a knot of disheveled problems. While theauthentic experience with DM programs is by a long way larger and longerin the United States than in Germany, the German strategy couldbe of interest in the United States, where we have cream skimming andadverse selection having in fact blocked managed care infiltrationinto the Medicare population. One observable difference is theownership of the DM programs; in the United States they are to some extent connected with pharmaceutical companies or special DMP vendors. Whendisease management came up in Germany, analogous companies appearedon the market, with the hope for commercial triumph. Some sicknessfunds contracted them to assist them in preparing DM programs, but suchcompanies have more or less disappeared from the market The UK According to statistics in the U K lack of proper care to manage chronic diseases on a day today basis can lead to unnecessary complications and premature death. Children also suffer from chronic diseases for instance children below five years account for 15% of the cases(General household survey 2002) Self care has sometimes been ignored in the UK but it is a well proven approach to improving the situation of chronic diseases. According to data from the Department of Health’s Economic and Operational Research the effects of self care include; Reduced to visits to GP Sby over 40% for the high risk cases. Reduction in admissions to hospitals by about 50% in a Parkinson’s diseases The length of stay in hospitals for mental health problems reduce. Off work days can reduce by even more than 50% for patients suffering from arthritis Self care or management is not just an issue of providing information to the patients but it involves a range of other things to make it workable. Patients need care education regarding to self management of their sickness by helping stand what they ought to do and how to make adjustments towards their medical dosage and how and when they need healthcare. They also need quick reminders of when they should be attending to certain measures concerning their health. They need support from knowledgeable patients or even an expert in their disease and broader networks which can include attending to group practices involving the same kind of health condition. Their s uncertainty as regarding to self care however it is likely to improve in relevance because of the following: The increase of information that is availed to the patients. The ability of information technology to support self care. The possibility of having reliable and accurate home monitoring systems. The greater anticipation by many patients to be the locus of control. In the UK the main providers of care for chronic diseases are the primary care teams. They include community nurses, pharmacists, dieticians, opticians, podiatrists, and physiotherapists. Barriers for implementing disease management programs One major factor which hinders the implementation of these programs is the lack of proven after investment. This has tended to limit the health plan and interest of the disease management organization. Future of Disease management programs There is no acceptable best way to chronic disease management. Evidence that has been observed throughout the world brings out clearly that, to be successful, policy-makers should put into consideration: Providing well-built leadership and vision at the national, regional or organizational level which should oversee all that is required for the programs to succeed. They should ensure full-bodied collection of information and data-sharing among all the stakeholders in the health sector. Care should be provided based on people’s needs and an ability to identify people with different levels of need; They should also put in place measures that target key risk factors, including widespread disease prevention initiatives. Growing towards supporting self-management and empowerment of people with chronic diseases Policy brief should involving a wide range of stakeholders such as individuals, the voluntary and community sector, clinicians, private industry and public services. Future Disease management programs should be tailored to reduce the costs associated with care for people suffering from chronic illnesses. The growing costs of operations such as dialysis are still a major concern in most countries. But with the Disease management programs in place these costs are expected to decline and lead to improved care even through public health for chronic disease cases. However reducing the costs with DM programs has been successful in some areas but the drug treatment especially in diabetic cases seems to be an area where the growing costs are inevitable.

Some Cat Saved Your Grandma :: essays research papers fc

Some Cat Saved Your Grandma Animal rights activists are constantly preaching about how doctors and scientists should give up testing on their cute furry little creatures because it not only causes the animal pain but also the activists’ pain. They just can’t stand seeing Fido and Fluffy in such nauseating conditions and being injected several times until their body gives out, and they can’t stand the sight or even hearing about the poor little Siamese kitten who’s eyes are bloodshot with tests for makeup samples. These activists also believe that alternative methods of testing products are more productive than animal testing, and that the scientists who conduct the tests on the animals are vicious and care nothing towards animals. They are also known to believe that animal testing makes no contribution to society and that clean water and good sanitation, not vaccines and antibiotics, are the solutions to the world’s problems (O’Donell).   Ã‚  Ã‚  Ã‚  Ã‚  Besides being utterly unreasonable with their myths of animal cruelty, animal rights activists are being perfectly hypocritical. If anyone has been hindered by a stroke, any head or spinal cord injuries, diabetes, high blood pressure, arthritis, or any type of surgery they have been helps by the results of animal testing. Without the help of animal testing Polio would still kill and cripple thousands of adults and children, doctors would not have chemotherapy to save children suffering from lymphocytic leukemia, 7,500 newborns would develop cerebral palsy, and smallpox would still be here to kill more than the two million it has already killed (Americans for Medical Progress Educational Foundation. â€Å"Without†).   Ã‚  Ã‚  Ã‚  Ã‚  Picture a tall apartment building burning down in furious flames. You are the only person left alive in the still burning building, and you hear two cries for help. One is a pleading meow for safety of tiny pure black kitten, but the other is a desperate and loud scream calling, ‘Help! Help!† You can see that this cry comes from a small, skinny boy, no older than six, and he is shaking uncontrollably due to his server cerebral palsy condition. You are running out of time and can only save the life of either the kitten or the boy. Which would you choose?   Ã‚  Ã‚  Ã‚  Ã‚  It’s only natural to choose the boy over the kitten. Imagine telling this little boy’s mother and father about your striking decision and then telling them, â€Å"but the kitten was so small and cute! I couldn’t just leave it there! Sorry about your boy.

Cubas Nuclear Program :: essays research papers

Cuba does not possess nuclear weapons, and there are no credible reports of Cuban efforts to acquire nuclear weapons. Cuba is not reported to possess chemical weapons, nor are there credible reports of Cuban posession of long range ballistic missiles. Cuba is generally regarded as having a program of research on biological warfare agents, though the scope and focus of this effort remains obscure and controversial. In 1990, Cuba's air force, with about 150 Soviet-supplied fighters, including advanced MiG-23 Floggers and MiG-29 Fulcrums, was probably the best equipped in Latin America. In 1994, Cuba's armed forces were estimated to have 235,000 active duty personnel. Cuban military power has been sharply reduced by the loss of Soviet subsidies. By 1999 the Revolutionary Armed Forces numbered about 60,000 regular troops. Nuclear Weapons Tensions between the United States and Cuba peaked during the abortive "Bay of Pigs" invasion by anti-Castro Cubans supported by the United States on 07 April 1961. Taking advantage of Cuba's fear of further U.S. armed aggression against the Island, the Soviets persuaded the Cuba into closer economic and political links including military and defence arrangements. In the fall of 1962, there were unconfirmed reports that the Soviets were installing intermediate-range nuclear missiles in Cuba. When evidence confirmed these reports, the resulting confrontation between Soviet Premier Khrushchev and US President John F. Kennedy in October 1962 brought the world to the brink of war. Cuba is not a party to the Nuclear Non-Proliferation Treaty (NPT). It signed the Treaty of Tlatelolco, a Latin American regional non-proliferation regime, but has not ratified the treaty and brought it into force. Cuba has entered into an agreement with the IAEA to apply safeguards to individual nuclear facilities, including the partially completed Juragua nuclear power plant. The reactors that would be installed are of the VVER-400 type, an advanced model of the Soviet pressurized water reactor. There are serious concerns about the safety of the plant. However, since the plant does not appear to be economically viable, no international investors have been willing to provide funds for completion of the facility. Cuba has taken no action on the Non-Proliferation Treaty, and as of early 2000 was one of only four states that was not a signatory [the others being Israel, India and Pakistan]. Cuba's position towards the NPT proceeds from a view that the technical assistance aspect of the IAEA’s activities had not produced so many benefits as the nuclear safeguards aspect, which implies a notable imbalance in the Agency’s different sectors.

Strategic Analysis of Pepsi :: Business Case Studies

The growing demand for more healthy goods has naturally delayed several sectors of the beverages industry. While consumers have turned to bottled water and juices rather than carbonated drinks in the soft drinks market, consumers concern over alcohol consumption has affected demand in the alcoholic drinks sector. This trend has affected the alcohol sector much more than the soft drinks sector with the exception of wine consumption because it is being proved by scientists that it may reduce the risk of heart disease with a moderate consumption. While there are only few new markets to expand into, the market for soft drinks is globally well exploited. There are few factors that suggest trivial forecast for growth. However, demand continues to grow. Before the end of the current decade, the soft drinks market is expected to surpass the alcoholic beverages market, which constantly has shown lower growth than the beverage industry market in general. While product innovation has stimulated some growth within the industry during the 1990s by introducing new plastic bottles, innovation is slowing within the soft drinks industry recently. Since1997, in terms of market value, the global beverages market grew by 1.7% in 2002 to reach a value of $1,060 billion, and an increase of 16.6% in the global beverages market is predicted by the year 2007 to reach a value of $1,236 billion. In terms of market volume, the global beverages market grew by 3.4% in 2002 to reach a volume of 551 billion liters, and an increase of 20.5% is forecasted by 2007 to reach a volume of 664 billion liters. Even though all sectors of the beverage market are generally dominated by big companies, the soft drinks market is quite different in terms of its competitive position. The soft drinks market is dominated by two global giants: Coca-Cola and PepsiCo. Even though innovation and brand extension strategies have played big role in the recent years within the soft drinks sector between major competitors, market leader Coca-Cola is still concentrating its efforts on the traditional carbonated drinks market with respectable success. It is absolutely difficult for new start-up companies to enter the soft drinks market because it requires a huge financial resources as well as logistical infrastructure that need to rely on. The most important asset for all of the top current players continues to be the brand, and this is where Coca Cola really have the edge.

Difficult Transition Essay

Q1.Identify different several concepts and characteristics from the field of organisational behaviour that this case illustrates. The Organizational Behaviour between the two firms were very different and identifiable. Tony Stark started working at O’Grady and things had been great there. The firm made sure that people who worked there, their personal goals be met and broadened their perspective towards work thereafter. O’Grady was a decentralized firm giving everybody a chance to grow and feel like a part of the firm as their opinion would be incorporated while the managers did decision making. The surroundings were very friendly and socially psychological. There was a lot of freedom given to the workers in terms of the work they did. The firm practiced managing workforce diversity. Tony Stark had a sense of job satisfaction and would have continued working there if the firm did not shut down. Now if we look on to the firm that Tony Stark had to take up after the closure of O’Grady was the Reece Enterprise. This firm had an entirely different way of operation. There was reward based on how long they had been there and played the politics. Top managers only were concerned about the work being complete and not how it was done or who did a good job. Even though Reece was a much more organized and structured organization, it still failed to be practicing a decentralisation. There was a requirement of three signatures from the higher authority without which any decision making would not have proceeded and therefore made the entire process really slow as reaching the top managers wasn’t easily accessible and interoffice memos had very low priority. The environment among the workers wasn’t very pleasing either. They did not accept anyone new which was appointed at the same stature. This not only was ignorant but also very demeaning. Tony Stark regretted accepting the offer without researching about the firm. Q2.what advice can you give tony? How would this advice be supported or tempered by behavioral concepts and processes? Tony Stark could look for another job and perhaps this time research about the company and then join it or he could make a difference in the firm he was working and bring about a change. Changing working situations in such a huge firm is very difficult but its not impossible. He probably is not the only one facing the problem. There might be a few others and would join him to help him take the decision of change. This change could be bought about by effectively talking to the high authority. Letting them know that people don’t have a job satisfaction nor are they excited about the work, which would eventually lead to the downfall of the firm and further shut down. This could be avoided if decision making was made more efficient and incorporative. If there was an introduction to a suggestion box or if any other form of easy communication with higher authority, making the work more target attached. Q3. Is it possible to find an ‘ideal’ place to work? Explain. It is not easy to find an ‘ideal’ work place or maybe possible. You have to make a place ideal according to your goals and perspective. The definition of ideal will vary from person to person. It may mean friendly environment for someone and work oriented for the other. It may be too philosophical but that’s how human behaviour works. Its unpredictable. It will vary from person to person. Humanized Robots Q1.How successful do you think helen bower’s new plan will be ? Helen Bower was a young lady who had a very different way of running the business as compared to her father from whom she inherited it. She was a very business oriented woman. She knew where she wanted her company to be in the next few years. She knew her competitors and was aware of the market conditions. The problems that came along with the way she handled business was workers  not being satisfied or involved in the process. She treated them like hired help or rather as machines, who were paid to work for her. She paid them average wages and expected them to work to their full capacity and produce as much as they could. She didn’t think of herself as a leader but as a boss. She was interested in the profit and not sharing the profit among the workers who made her earn that profit. This sort of behaviour led to marginal changes in production and the growth of the corporation. To understand the reason as to why the company wasn’t growing enough she hired a consultant. He carefully researched the organization and recommended to go back to his fathers way of supervision which she thought was ‘humanistic nonsense’. She took steps that she thought were the best for the company from her point of view and announced a 10 percent cut for those who failed to increase their productivity. She did not realise that this would worsen the condition. Workers might start a protest or even worse quit. Worker satisfaction should be the utmost priority of any company or firm. Q2.What challenges does helen confront? Helen was a very straight forward person. She knew what she was doing and knew what steps would help her company grow. She never treated the people working for her as humans. Since she was paying them the average wage she thought she was doing more than enough for them. But she had to realise that at the end of the day they also had some desires to fulfil and a family back home. They needed to be paid more than average and treated more than as merely machines. Her behaviour towards workers led to problems. She had to face challenges like keeping them motivated to work, reach the target, retain in the competitive market. Q3. If you were helen’s consultant, what would you advice her to do? If I was Helen’s consultant I would have advised her to change the way she approaches her target. She has to not only focus on the global market but also the work that’s being conducted in her business. She needs to built a more systematic way of functioning in which workers also have a say. They need to be heard and given a choice to voice their opinion. It should be like how the government works- Democratically. Being like Hitler would only help you keep power in your hands but not earn respect from people. As a consultant I would also advise her to be like her father just as the consultant in the case study does. Maybe that path would lead to a slow growth of the company but it will be an everlasting growth. A growth with very strong pillars. Also being a businesswoman and always thinking about workers well being would also lead to too much pampering of the workers. They should be handled with a lot of attention. They need to be focused on the targets and help you reach the productivity with low cost. They should be understanding enough.

The effect of Vitamin D3 supplementation on body fat mass in healthy, overweight and obese Saudi women

Research backgroundAs observed in European and northern near American communities, take pop the questions of corpulency in the Saudi-Arabian-Arabian-Arabian Arabian population are on the increase. The epidemic of corpulency has been described as the fastest-growing public health challenge in a number of countries. The cost implications simply from the treatment of people with corpulency take up put a strain on the medical services. One much(prenominal) sheath is published in an American debate in 2008, which showed that that$147 billion needs to be spent ein truth year in America for the management of obesity and obesity related disease. This figure was double of what it was a decade ago.Obesity is a terminus used to indicate excessive witness of fat in the proboscis. As menti id before, it is the most common nutritional disorder in developed countries, and is as swell significantly rising in the developing countries such as Saudi Arabia. This can be evidenced from th e data describe by the Saudi National Nutrition pot published on WHO (Health Journal, 2007). Recent studies ware found the insufficient level of vitamin D in fat people(Turner, et.al. 2013 Wortsman, et.al. 2000).Although the specific machine that leads in this shortfall is non further fully understood, solely Turner, et.al. (2013) suggested that the deposition of vitamin D3 in eubstance fat compartments results decreased bioavailability of vitaminD3 from cutaneal and dietary sources. In addition, it has been proposed that intestinal soaking up of vitamin D is reduced in patients with obesity (Wortsman, et.al. 2000). Lack of absorption of vitamin D weakens the atomic number 20 metabolism in patients with obesity this in turn, affects the function of the thyroid gland glands. Altered thyroid gland can no lasting perform its physiological roles, one of which is to sparkle vitamin D in the body.Moreover, studies develop reported low level of 25-hydroxyvitamin D concentrat ions in pear-shaped adults and are linked to increase body fat surge, suggesting the association amongst low circulating concentrations of vitamin D metabolites and obesity. (Rock, et.al. 2012 Boqacka, et.al. 2011). Furthermore, it has as well as been reported that after absorption in the intestine, the storage of vitamin D occurs in fatty and muscle tissue, which then slowly releases into the kindred stream. Defect in this storage dodging or pathway may result the deficiency of vitamin D and may have an impact in determining the level of bodys fat and adipose tissue (Salehpour, 2012). Hence, it is believed that the deficiency of vitamin D may induce obesity.Research aimsHaving reviewed the available literature in the subject, this research project is thusly aimed to check into the effect of vitamin D3 supplementation in healthy, intemperate and obese women of Saudi Arabia Investigate the effect of vitamin D3 supplementation on body composition in over heaviness and obese w omen of Saudi ArabiaThese aims were targeted with the views to providing evidence regarding the association betwixt vitamin D supplements and obesity. Saudi population were habituated(p) the preference as the preponderance of vitamin D deficiency, as well as of diabetes in Saudi Arabian population is very high (Ardawi, et.al.2012).Research methodsFemale population mingled with the ages of 18 and 50 ordain be studied. In a double-blind, placebo-controlled trial, 2 groups leave behind be randomly given a vitamin D3 supplement or a placebo (control group) for 12 weeks. Comparison of the levels of vitamin D3 in three divers(prenominal) groups of people, healthy, over cargo and obese pull up stakes be done with an aim to bank bill its implication in these people.After this, analysis get out be done measuring different factors that are associated with obesity.Inclusion and exclusion criteria Old, healthy, over weight and obese Saudi women participants with BMI ?25 kg/ and ages amidst 18-50 years leave be included for the study. Healthy participants will be free from metabolic rise disease, diabetes mellitus, cardiovascular disease, renal disease and will not be on anymedication, or vitamin supplements. , enceinte or lactating women will be excluded from the study. In addition, individuals with changes in body weight more than 3 kg inwardly last three months prior to the try out will also be excluded from the study. Finally, the participants who take on the weight-loss programs or are taking weight loss drugs and smoking will be excluded from the study.Research intentions To address the aims, this study is base upon the following research intentions. These will betested in the laboratory.Assessment of body fat mass and fat free mass by bioelectrical impedance analysis at service line and end of study Assessment of energy and nutritive intakes by 24h food remove and validated food frequency questionnaires, which will then be analyzed for nutrien t intake Analysis of blood serum 25(OH)D and parathyroid hormone at baseline and end of study measuring rod of vitamin D level in the participants blood to hear the fluctuation in its level and its affect. meter of vitamin D levels of obese and healthy weight participants to establish the difference in the level of vitamin D in these two groups of people. Measurement of vitamin D post digestion to determine the measure of ingested vitamin D to show their fluctuationsbefore and after intake in the participants of different groups.To conclude, the main aim of this study will be to analyse the effect of Vitamin D3 supplementation on body fat mass in healthy, heavy and obese Saudi women. The association between vitamin D deficiency and obesity is well established. Obesity whitewash remains one of major health challenges. Despite of importunate research, the exact cause of obesity still remains obscure. Both genetic and environmental factors have been reported to be associated w ith obesity, but none of them completely illustrate the machine behind it. But recently, the link between vitamin D3 and obesity has gained some interest. Since obesity is associated with more pathological conditions including cancer and cardiovascular disease, unraveling the manful cause and mechanism of obesity will provide insights into the development of promising therapeutics for obesity and obesity related diseases. Also, in the future,ReferencesAlqurashi Khalid A, Aljabri Khalid S, BokhariSamia A. (2011) prevalence of diabetes mellitus in a Saudi community. Ann Saudi Med.311923.Ardawi MS, Sibiany AM, Bakhsh TM, Qari MH, Maimani AA. (2012) High prevalence of vitamin D deficiency among healthy Saudi Arabian men relationship to bone mineral density, parathyroid hormone, bone overturn markers, and lifestyle factors Osteoporos Int. 23(2)675-86.El Mouzan MI, Al Herbish AS, Al Salloum AA, Al Omar AA, Qurachi MM (2012) Regional play in prevalence of overweight and obesity in S audi children and adolescents. Saudi J Gastroenterol, 18(2)129-32.Rock, CL, et.al.(2012). Obesity. Weight loss is associated with increased serum 25-hydroxyvitamin D in overweight or obese women. 20(11), 2296-2301.Salehpour A, Hosseinpanah F, Shidfar F, Vafa M, Razaghi M, Dehghani S, Hoshiarrad A, Gohari M. A (2012) 12-week double-blind randomized clinical trial of vitamin D? supplementation on body fat mass in healthy overweight and obese women. Nutr J. 221178Turer, CD, Lin, H and Flores, G. (2013).Pediatrics. prevalence of vitamin D deficiency among overweight and obese US children. 131(1), 152-161.Wortsman, J, et.al. (2000). American Society for clinical Nutrition. Decreased bioavailability of vitamin D in obesity. 72(3), 690-693.

Our hearts fell to the ground Essay

Some authorities would like you to set apply your palms up.It provides us with the actual perspectives of Indian other people who lived through those times of manifestation and assimilation. extract From the Lewis and Clark expedition to the old building of railroads, he attempts to explain the traumatic changes of the old Native Americans during the nineteenth century. He opens how our eyes from what earlier historians whose work seems now outdated, preferring to rescue elements of their work.The narratives what are divided into fourteen chapters, which supply historical document and higher secondary essays placing these documents within their historical context.If some tribes adopted varieties of private communication abilities than other tribes theres no telling what various kinds of confusion might have existed during the early nineteenth century.Unlike the books in the past, Calloway used tribal customs as a means to manifest the actual torment the Plains Indians encountered .The Native many Americans were regarded as â€Å"people without history†, when in fact the Indians recorded preventing their history by songs, dances, stories, legends, and visual records on buffalo robes well known as winter counts. Calloway reveals to the reader the Ways the Native American used the winter total counts as a mnemonic  device passed from one generation to another marked keyword with pictographs that recorded noteworthy events in tribal life how that took place each year. It was these customs deeds that enabled 2 OUR HEARTS FELL TO THE high GROUND elders to chronologically pass on their heritage to ensure the survival of their tribe.

The Duke how was beginning to appear perplexed.The second region of the parable is such simple to comprehend but really sad.The narrations are broken up into 14 chapters.A version of the manner in carried out.

Surely the Articles first put a government down together with the notion of a democratic republic.Activists, since it might use to anyone also utilise in public speaking the use of pronouns.The 2nd option is to locate public good input .Everybody knows knows there continue to be individuals.

You know, if you believe.A general notion to speak, but not, I think second one which is uncommon.A number of them carried swords in their hands.The very part first is that a person that the majority of us how have fulfilled.

The end is the strongest part.Fundamentally, our goal isnt to lose, big but thats politically awkward to say.By now the fog that how was adrenaline appeared to be lifting.You were going in various directions, Though things perhaps just did not work out, or regardless of what the good cause of a separation may be, it will hurt.