Too Busy Coursework Example | Topics and Well Written Essays - 250 words

Too Busy - Coursework Example Quality control evaluation of the new product line is the task of product manager. Attending local trade show featuring new technology products is up to the specialists in technology or/and some of our salespersons who might also establish new contacts there. I would delegate returning phone calls to my secretary or PA asking them to find out all information I should know and report it to me. The reason why I picked up the listed 4 tasks are as follows: doing new employee evaluation is strategically important because I need the right people in my team, so whereas my HR manager will do initial recruiting and selection, the final stage of evaluation before he or she starts working with us would be my responsibility. Reviewing strategic goals for the next two months is certainly something I have to do being a manager. I would also try to make time for meeting my business partner for afternoon golf game because business relationships need to be maintained same as personal ones, and we’re always doing business with people – so have to build relationships with them. And of course I would attend the regular weekly meeting I have been scheduling, although of course this would depend on what exactly the topic of the meeting is. If I skip it, this would give a bad impression to the people present at it, but I can make it shorter if I need to do lots of other

Obesity, Sleep Apnea and Cognitive Functions in Children Research Paper

Obesity, Sleep Apnea and Cognitive Functions in Children - Research Paper Example Obstructive sleep apnea is caused when the airways are significantly narrowed, and again increased neck weight can contribute to this narrowing and the subsequent breathing problems (Chan et al, 2004). Although the links between sleep apnea and obesity are well-researched, the links between impaired cognitive function, obesity and sleep disruption are minimal, although studies have been done comparing two of the above. The article in question (Clark, 2005) illustrates the possible links found between all three of the conditions. The purpose of this paper is to examine the biology behind the research and investigate the possible reasons for the connection. The structure of the pharynx is illustrated in figure 1. From this diagram, it is evident that the windpipe is a narrow structure and any further narrowing could cause a lowered ability to receive sufficient air into the lungs. Obstructive sleep apnea is categorized by a cyclic closing and opening of the pharynx during sleep, which can lead to disrupted gas exchange and disturbed sleep (Strohl, 1996). Evidently, any disruption in sleep is going to cause excessive fatigue/sleepiness, but research suggests that the effects of sleep apnea go beyond this and cause behavioural problems (such as impulse control and hyperactivity) and cognitive deficits. It has been suggested that these are caused by intermittent states of hypoxemia as well as reductions in brain metabolism (Clark, 2005). Figure 1 – Diagram of the neck illustrating the pharynx (Clark, 2005) There are also suggestions that obesity is linked to cognitive deficits. Learning, memory and abstract reasoning were all shown to be lower in people suffering from obesity and hypertension, although the effects were seen in men only (Elias et al, 2003). Despite this evidence, it is unclear whether obesity is a result of or a cause of these impaired cognitive facilities. People who have taken part in cognitive skill building exercises as younger children ar e shown to have less chance of developing obesity as adults (Hill et al, 2003), but this could be partly due to socioeconomic factors. Other suggestions have been made that show that impaired cognitive function is a result of obesity. The glucocorticoids (GC), for example, are implicated. Figure 2 shows the chemical structure of cortisol, an important example in this group of steroid hormones. GCs are found in almost every vertebrate cell, and bind to the glucocorticoid receptor (GR). GCs are important in several areas of the brain, including the hippocampus, the amygdala and the frontal lobes (Clark, 2005). In obesity, individuals may be exposed to an abnormally high amount of glucocorticoids (Masuzaki et al, 2001), and evidently if they play an important role in brain function, obesity could well be a cause of impaired cognitive function. Image 2 – The Chemical Structure of Cortisol (Clark, 2005) Obesity has also been linked to a number of neurological conditions, primarily stroke. A stroke is characterized by a swift loss of brain function because of a blockage or other disturbance of the blood supply to the brain (Clark, 2005). Thrombotic stroke is the most common type of stroke in obese individuals (Clark, 2005). Blood supply in

Mouth care to reduce ventilator-Associated pneumonia Essay

Mouth care to reduce ventilator-Associated pneumonia - Essay Example However, in most of the patients, the VAP is caused by a combination of organisms. The diagnosis of VAP is difficult, making it difficult to account for VAP incidences. The endotracheal tube increases the risks of VAP by prevention of cough, prevention of upper airways filtering and inhibition of epiglottis and upper ways reflex actions. The most risk patients are patients over the age of 65, with underlying chronic illness. This condition is also prevalent in patients with immunosuppressant and previous pneumonia infection. Oral hygiene The significance of a patient’s oral and nasal hygiene is overlooked in most cases, even though it is the most basic of all the nursing interventions. The use of closed suction system (CSS) contributes significantly to the reduction of these cases (Rello et al., 2010). The mouth is a host of both the normal flora and the pathogenic organisms. Most of the studies advocate the use of chlorohexidine. However, it is important to understand that ov eruse of this oral rinse could result in the reduction of the oral bacterial load. This could lead to the development of chlorohexidine resistant organisms. The common suction program can be used to reduce colonization. The installation of the endotracheal tube prevents the glottis closure. ... Oral hygiene is significant in prevention of ventilator associated pneumonia (VAP) due to the oral factors, encouraging the colonization of the bacteria (Hutchins et al., 2009). For example, mechanically ventilated patients in neurological and intensive care units are at a higher risk of development of VAP due to factors such as decreased levels of consciousness, dry open mouth and the increased levels of micro aspiration of secretions. Several interventions could be adopted for the prevention of VAP. However, oral hygiene is one of the most important and significant intervention. The oral care includes timed tooth brushing, in combination with the other measures can be effective in the control of this condition. Some of the best practices include education of the staff on the effectiveness of oral hygiene in reduction of VAP incidences. The study should surround the factors surrounding the reduction of colonization and aspiration. In addition, avoidance of unnecessary antibiotics an d nasal intubation in addition to oral hygiene can contribute significantly to the reduction of colonization. Maintenance of a clean healthy mouth through the prevention of plaque buildup biofilm on the teeth helps in reducing the risks associated with the development t of VAP. Oral hygiene care involves the use of mouth rinses, gel or toothbrush in combination to the aspiration of different mouth secretions can increase reduces the risk of infection with VAP. Previous studies revealed that the use of chlorohexidine mouthwash or gelled contributes to approximately 40% reduction in the chances of development of VAP (Reagan, 2011). Some of the best practices include education of the staff on effectiveness of oral hygiene in reduction of VAP

Frederic Chopin's Contribution to Music Research Paper

Frederic Chopin's Contribution to Music - Research Paper Example Although he got tuition from numerous famous teachers, Chopin was fundamentally a self-taught pianist whose heretical and highly individual technique contributed to the manner in which he composed. Because of his unique talent, Frederic Chopin is recognized as a great improviser and one of the main figures in nineteenth-century classical music and the Romantic period even if he transcribed his extempore inventions-often with some difficulty (Chen 2). In addition to a pianist, his talents were beyond emulation and had an effect on other musicians exclusively as compared to the number of his performance, for instance, he performed only 30 public performances in his 30 years as a performing artist. As a result, no artist has come before, and after him has had several important works of the piano’s repertoire, or captured its soul. Therefore, in order to understand the logic behind his life, one should learn Frederic Chopin's contribution to music as compared to other artists of h is time. Chopin's musical production was entirely dedicated to his preferred instrument, the piano; therefore, at his dearth at the age of 39, Chopin’s influence on music and his effect on later authors were massive. For example, pianists currently play their music under the influence of Chopin as a great pianist, hence, a pianist without Chopin’s music is not nor recognized as a pianist, and is absurd. This is compared to English literature without Shakespeare or the Italian renaissance without Michelangelo. Thus, if Chopin had not live, there would be no Rachmaninoff, Scriabin, or even Debussy; moreover, Brahms' piano music would not be what it is currently (GagneÃŒ  76). ? 76). There are several motives that make pianists love Chopin's music, which include Chopin’s music satisfies and rewards, also the payoffs are big; in addition to that, studying it as well as breaking it down has its own recompenses as well. Moreover, Chopin’s music pleases a wide range of listeners because it is easily available and beautiful at all levels. Several pianists like Liszt’s works though advanced cannot compare their work with that of Chopin because he was the poet of piano and no artist has ever existed like him because their work lack the beauty of Chopin. Another benefit definite to Chopin’s own music is that Eigeldinger has been capable of using Chopin’s handwritten notations to verify that the tempo signs on the engraver’s manuscripts of his two books of Etudes were undeniably in his own hand. This matter of massive significance to pianists, and one had been under some discussions (Bellman 622). Generally, Chopin produced various diverse types of piano pieces, which were often used by other composers despite the fact that he created his own form of music that were original and of high standard. some artist have tried to copy Chopin’s work, for example, Beethoven’s greatest work lies on the manner in which rewrote the piano sonata in which he did only the sonata for solo piano. On the other hand, Schubert wrote something close to Chopin because he typically stuck to sonatas but also had impromptus and moments musicals, shorter and freer works whereby he at times took a musical form that already existed and reworked

Norwegian Cruise Lines Case Study Example | Topics and Well Written Essays - 1250 words

Norwegian Cruise Lines - Case Study Example In case of NCL, multifactor productivity measure is used. Yes, productivity measurement is extremely essential for NCL in order to judge the efficiency and effectiveness of the renowned brand in the market. Along with this, it also helps to determine the cost effectiveness and return on investment of the organization of a specific financial year that might be used for the planning the level of investments for the next financial year. Other than this, with the help of multifactor productivity measure, we might also judge the requirements of innovative technology and equipments to cope up with the changing trends of the market. By doing so, it might prove effective for NCL to enhance its financial position and brand image in the market among other rivals of the market. In order to make the customers fully satisfied, NCL tries to offer varied types of service packages. It helps in improving the reliability and trust of the customers over the brand resulting in amplification of the entire portfolio and revenue as well. Keeping these dreams in mind, NCL tries to offer fleet-wide services, cabin service, room service, dining service and bar services to its customers. It is done to enhance its image and position within the minds of its customers so that they might return again and again in long run. Other than this, the charge of fleet-wide tipping is very low and affordable for all and so it is highly preferred. Apart from this, varied other services are also offered by NCL like, guest services, hotel services, technical support services along with shopping services for the customers as well. Moreover, extremely beautiful casino services are also offered by NCL to its customers to retain its image within the minds of the customers. Hence, due to the presence of such wonderful service package facilities, NCL is highly preferred by maximum extent of the customers in the entire market. The competitive priority of NCL is to remain reputation

Frederic Chopin's Contribution to Music Research Paper

Frederic Chopin's Contribution to Music - Research Paper Example Although he got tuition from numerous famous teachers, Chopin was fundamentally a self-taught pianist whose heretical and highly individual technique contributed to the manner in which he composed. Because of his unique talent, Frederic Chopin is recognized as a great improviser and one of the main figures in nineteenth-century classical music and the Romantic period even if he transcribed his extempore inventions-often with some difficulty (Chen 2). In addition to a pianist, his talents were beyond emulation and had an effect on other musicians exclusively as compared to the number of his performance, for instance, he performed only 30 public performances in his 30 years as a performing artist. As a result, no artist has come before, and after him has had several important works of the piano’s repertoire, or captured its soul. Therefore, in order to understand the logic behind his life, one should learn Frederic Chopin's contribution to music as compared to other artists of h is time. Chopin's musical production was entirely dedicated to his preferred instrument, the piano; therefore, at his dearth at the age of 39, Chopin’s influence on music and his effect on later authors were massive. For example, pianists currently play their music under the influence of Chopin as a great pianist, hence, a pianist without Chopin’s music is not nor recognized as a pianist, and is absurd. This is compared to English literature without Shakespeare or the Italian renaissance without Michelangelo. Thus, if Chopin had not live, there would be no Rachmaninoff, Scriabin, or even Debussy; moreover, Brahms' piano music would not be what it is currently (GagneÃŒ  76). ? 76). There are several motives that make pianists love Chopin's music, which include Chopin’s music satisfies and rewards, also the payoffs are big; in addition to that, studying it as well as breaking it down has its own recompenses as well. Moreover, Chopin’s music pleases a wide range of listeners because it is easily available and beautiful at all levels. Several pianists like Liszt’s works though advanced cannot compare their work with that of Chopin because he was the poet of piano and no artist has ever existed like him because their work lack the beauty of Chopin. Another benefit definite to Chopin’s own music is that Eigeldinger has been capable of using Chopin’s handwritten notations to verify that the tempo signs on the engraver’s manuscripts of his two books of Etudes were undeniably in his own hand. This matter of massive significance to pianists, and one had been under some discussions (Bellman 622). Generally, Chopin produced various diverse types of piano pieces, which were often used by other composers despite the fact that he created his own form of music that were original and of high standard. some artist have tried to copy Chopin’s work, for example, Beethoven’s greatest work lies on the manner in which rewrote the piano sonata in which he did only the sonata for solo piano. On the other hand, Schubert wrote something close to Chopin because he typically stuck to sonatas but also had impromptus and moments musicals, shorter and freer works whereby he at times took a musical form that already existed and reworked

The outbreak of war in Europe in 1914 was due to an aggressive German foreign policy which had been waged since c.1900 Essay Example for Free

The outbreak of war in Europe in 1914 was due to an aggressive German foreign policy which had been waged since c.1900 Essay How far do you agree with this opinion? Explain your answer using the evidence in Sources V, W and X and your own knowledge of the issues relating to the controversy. It’s debatable whether Germany’s foreign policy created long term tension which led to the outbreak of World War 1 in 1914. The argument commonly raised is whether this movement was aggressive or defensive and how this stemmed from c.1900. Berghahn’s representation argues that it was both domestic and foreign policies which led to war however not from as early as c. 1900. Blackburn’s representation counters this and states it was in fact international tensions prior to c.1900 which created the war; despite the fact it states their actions were defensive. Lastly Moses’ representation suggests it was not just Germany to blame and Austria were also partly responsible. Berghahn’s argument is the strongest as it has a clear argument and both supports and challenges the claim. Overall it’s clear the outbreak of the war was caused by Germany’s aggressive foreign policy in the long term since c.1900. The strongest representation agrees with the given statement in that the aggressive foreign policy was responsible. Blackbourn states that long term aggression since the 1890s did lead to the war, and that the admiral Tirpitz built the battle fleet, purposely ‘aimed at the British’ suggesting an aggressive attitude. In 1898 a new naval law proceeded through Flottenpolitik by Tirpitz suggesting a larger navy is necessary to defend and prevent war with opposing fleets. This competition with Britain continued and in 1906 the naval race reached a new level when the British created the HMS Dreadnaught, a new battleship which carried 10, 12 inch guns. This suggests long term international tension created through the naval race which stemmed prior to 1900, agreeing with the statement. Secondly Berghahn states that the Army Bill of 1913, had ‘unleashed yet another major conflict’, another aggressive move imposed by the Germans. The Army Bill was created from the Balkans War of 1912 when the Germans aimed to increase troops by 170,000 and although the French and Russians also improved their troops by increasing the length of compulsory service; the entente powers were also rapidly developing. This supports Blackbourn’s representation through the long term aggression methods originally developed to protect themselves, which could be seen either aggressively or defensively. However by 1913 it was apparent a war was near which indicates an aggressive plan to defend. Lastly Moses’ representation suggests that Germany planned to ‘unleash a war’ only a month previous to the Sarajevo murder. This overall indicates only to a short term planned aggression which both agrees and challenges the claim. The Schlieffen plan supports this idea, acting as the first aggressive move played by the Germans in 1914. This attempted to remove France before Russia mobilises to further help Germany when the war proceeded. Moses representation supports the idea of an aggressive German foreign policy however only from a much shorter time scale. To summarise Blackbourn’s idea of long term aggression is the strongest representation out of the three, due to support from other sources as well as further evidence. Another viewpoint is that of Berghahns, which suggests that Germany used the ‘escape forwards’ plan as a way of solving all domestic issues and thus being able to resolve foreign issues too. ‘The diplomatic isolation of Germany which started in 1904 had worsened the generals could only think of further rearmaments expenditure as a remedy’. Germany had many domestic problems which led to them being divided both politically and socially. Unemployment was high in Germany at this point and the industrial revolution also meant that strikes were occurring often. And in 1912 election the SPD challenged the Elites, which led to further division within society. These domestic issues involved over time which suggests that Germany were looking for a way out of their isolation, however it challenges the claim as this result wasn’t intentionally violent. Moses’ representation counters this as he states it was more so international tensions which caused the controversy , the shorter time period mentioned of summer 1914 also suggests that the domestic reasons had little or no involvement behind the planning as they had stemmed prior to this. The weakening of the Triple Alliance supports this and shows the tension between Austria /Hungary and Germany. Blackbourn’s representation agrees with Berghahns and states that ‘they would have preferred to get what they wanted without war’ and also that Tirpitz ‘professed peaceful intentions’ regarding the battle fleet. This suggests all aggressive actions were completed in a defensive manner in order to protect and maintain Germany. Blackbourn agrees that all Germany wanted was peace however the only way they managed this was through war. Overall it’s clear that part of Germany’s intentions were for resolving domestic problems; however it’s debatable that this wasn’t the primary reason for Germany’s outbreak of war in 1914. The final viewpoint of Moses suggests that it was the role of other powers and primarily Austria and Hungary. The friction between the two allies persisted during the entire war and ‘flared up every time there was a military crisis’ Immediately before the war the heir to the Austrian throne Franz Ferdinand was shot by a member of the Serbian Black Hand gang, this conflict between Austria and Serbia increased when several ultimatums issued by Austria were declined. This assassination in Sarajevo was the breaking point and the last stage before war broke out. Berghahn agrees and suggests that Germany felt isolated and encircled and that ‘the weakening of the position of the Dual Alliance’ caused another major conflict. The friction initiated from the feud in the Balkans which challenges the claim as this occurred only in 1912. However the alliance between Germany and Austria was created in 1879. The Balkans war caused a lot of new conflict and increased old friction, emphasising the time for war was near. This suggests that it was Germany’s aggressive foreign policy which led to the war, but also the role of international aggression too. Blackbourn’s representation strongly agrees with Moses and states that ‘German actions going back to the 1890s had done much to create international tension’. This agrees with the claim that not only was it a long term aggression but also that it was mainly international. Although a few years later, this is supported by the Moroccan Crisis which saw tensions rise between France and Germany who fought for half a dozen years over the possession of Morocco. Germany failed numerous times at claiming the country despite many aggressive attempts. Overall its clear many viewpoints believe that Germany wasn’t singly responsible for the aggressive outbreak of war in 1914 and much evidence prior to c.1900 supports this. To conclude it’s clear that Blackbourns main argument of an aggressive outbreak due to Germans foreign policy is the most supported response. Both Moses’ and Berghahn’s representations support this claim and argue that although Germany had many domestic problems these weren’t the factor which led to the outbreak of war in 1914.