Story of My Life Summary Essay Example

Story of My Life Summary Essay This ticket will only be valid along with an ID proof in original. If found travelling without ID Proof,Passenger will be treated as without ticket and charged as per extant Railway rules. Valid IDs to be presented during train journey by one of the passenger booked on an e-ticket :- Voter Identity Card / Passport / PA N Card / Driving License / Photo ID card issued by Central/State Govt. /Public Sector Undertakings of State/Central Government, District A dministrations, Municipal bodies and Panchayat A dministrations.Student Identity Card with photograph issued by recognized School or College for their students / Nationalized Bank Passbook with photograph /Credit Cards issued by Banks with laminated photograph / Unique Identification Card A adhaar. General rules/ Information for e-ticket passenger have to be studied by the customer for cancellation refund. PNR No: 2821756814 Transaction ID: 0738114571 From : FAIZABAD JN(FD) Boarding: FAIZABAD JN(FD) R e sv Upto: DELHI(DLI) Passe ng e r Mobile Num be r: 9953892375 Train No. Nam e : 14205/FD DLI EXP Date of Book ing: 16-Aug-2013 07:02:07 PM Date of Journe y: 26-Aug-2013 Date of Boarding: 26-Aug-2013 Sche dule d Arrival: 27-Aug-2013 09:35 * Q uota: Ge ne ral C lass: SL To: DELHI(DLI) Sche dule d De parture : 21:45 * Adult: 01 C hild: 00 Distance : 0615 KM Passenger A ddress :- E 6/162 GALI NO 6A BLO C K E SANGAM VIHAR ,NEW DELHI Ne w De lhi De lhi 110062 FA RE DETA ILS : S. No. De scription 1 2 3 Tick e t Fare IR C TC Se rvice C harge s# (I nc l. of Servic e T ax) Am ount (In rupe e s) Am ount (In words) R s. 290. 0 R s. 11. 24 R s. 301. 4 R upe e s Two Hundre d and Nine ty and Ze ro Ze ro Paisa O nly R upe e s Ele ve n and Two Four Paisa O nly R upe e s Thre e Hundre d and O ne and Two Four Paisa O nly Total am ount be fore C ance llation # Se rvice s C harge s pe r e tick e t irre spe ctive of num be r of passe nge rs on the tick e t. PA SSENGER DETA ILS : SNo. 1 Nam e Manoj Age 35 Se x Male C once ssion C od e Book ing Status/ C urre nt Status/C oach No. /Se at No C ance lle d 0000/ This ticket is booked on a personal user ID and cannot be sold by an agent. If bought from an agent by any individual, it is at his/her own risk.IMPORTA NT: For details, rules and terms conditions of E-Ticketing services, please visit www. irctc. co. in. *New Time Table will be effective from 01-07-2013. Departure time and A rrival Time printed on this ERS/VRM is liable to change. Please Check correct departure, arrival from Railway Station Enquiry, Dial 139 or SMS RA IL to 139. There is amendments in certain provisions of Refund Rule. Refer A mended Refund Rules w. e. f 01-07-2013. The accommodation booked is not transferable and is valid only if one of the ID card noted above is presented during the journey.The ERS/VRM/SMS sent by IRCTC along with the valid ID proof in original would be verified by TTE with the name and PNR on the chart. If the passenger fail to produce/display ERS/VRM/SMS sent by IRCTC d ue to any eventuality (loss, damaged mobile/laptop etc. ) but has the prescribed original proof of identity, a penalty of Rs. 50/- per ticket as applicable to such cases will be levied. The ticket checking staff On board/Off board will give Excess Fare Ticket for the same. E-ticket cancellations are permitted through www. irctc. o. in by the user. Obtain certificate from the TTE /Conductor in case of PA RTIA LLY waitlisted e-ticket, LESS NO. OF PA SSENGERS travelled, A . C. FA ILURE, TRA VEL IN LOWER CLA SS. This original certificate must be sent to GGM (IT), IRCTC Ltd. , Internet Ticketing Centre, IRCA Building, State Entry Road, New Delhi-110055 after filing on-line refund request for claiming refund. Passengers are advised not to carry inflammable/dangerous/explosive articles as part of their luggage and also to desist from smoking in the trains.Contact us on: 24*7 Hrs Customer Support at 011-39340000 , Chennai Customer Care 044 – 25300000 or Mail To: [emailprotected] co. in. For any suggestions/complaints related to Catering services, contact Toll Free No. 1800-111-321 (07. 00 hrs to 22. 00 hrs) https://www. irctc. co. in/cgi-bin/bv60. dll/irctc/services/printTicket. jsp? [emailprotected]@@@1646364332. [emailprotected]@@@BV_EngineID=cccgadfkkgjkml†¦ 1/2 8/25/13 IRCTC Ltd,Booked Ticket Printing https://www. irctc. co. in/cgi-bin/bv60. dll/irctc/services/printTicket. jsp? [emailprotected]@@@1646364332. [emailprotected]@@@BV_EngineID=cccgadfkkgjkml†¦ 2/2

Book Report on Fast Food Nation

Book Report on Fast Food Nation Free Online Research Papers When reading a novel there are many expectations that come to mind before even opening it up. Is the book going to capture my interests? When reading this book am I going to understand the concept that is it trying to tell the reader? That is what I said to myself when before reading the novel â€Å"Fast Food Nation,† by Eric Schlosser. This book breaks down the dark side of the all- American meal. It goes through each topic one by one that many people may wonder about the fast food that they are eating. When I found out that I was going to have to read this book for my class I thought that it would just the book version of the movie, â€Å" Super-Size Me.† But then after reading the first chapter I realized it was something completely different. While reading this book there was some information that was disturbing to read. When finding out what they do to the cows and how they slaughter them was sad to hear. The chapters of the book cover many different topics. These topics range from the founders of the first fast food stand, how they make the fries, working in the slaughterhouse and the dangers that it causes to its workers, and global realization (how fast food has changed the world). Every time I read this book I learned more information that I never knew about the fast food industry. If I were to give this book a rating I would give it a ten. This book may not be welcoming to readers but it is very insightful. Who knew that the fast food industry is the largest place for teenagers to get jobs? I found out in this book that most teenagers once in their lives have worked in the fast food industries. Also I found out that the McDonalds brothers were the ones who began the first Speedee Service System. When reading this novel the author provides a historical backdrop of the fast-food nation. Each chapter of this book has to deal with different people. I was most interested in learning about Ray A. Kroc. I found that interesting because I live in San Diego and he used to be one of the physical education teachers at my middle school and the Kroc Center is just minutes from house and I have spent some time there in their activates department participating in pool and their indoor ice skating rink. The author also talks about Walt Disney, and his complicate relationship with Mr. Kroc and his rise to fame. Learning about these important characters was very interesting to me. Of course both these men became very successful businessmen but I enjoyed hearing about their struggles before entering the light of fame. Reading this book did not really affect my way of eating fast food. Actually while reading this book I began to get hungry for some sort of big mac and fries. I found this book more interesting then disgusting. I was upset reading one part of the book though. Hearing about the workers at the slaughterhouse made me sad. This chapter of the book is to consider how workers in the meatpacking industry are damaged because of the way the plants are managed. The author talks about the specific hazards that is included when working here. Such as the dangerous machinery, the impractical expectations for production, the poor working conditions, and the fact that the supervisors do not bother to help the injured workers, instead they just move them to an easier job until they are better to go back to their original job. â€Å"Schlosser also places blame on the Reagan administration for undoing the advances that had been made for worker since the beginning of the twentieth century,† (Fast Food Nation). Interviews are done in this book; the author talks to some of the late night clean up crew and tell the readers the horrors of working the midnight shifts. The late night cleaning crew consists of mostly illegal immigrants. These immigrants suffer the most pain when working but reporting their injuries could result in being deported back to their country. One worker stated that he has lost two fingers and went into shock, the next week he returned to work and said that if one hand was not working he had another one to use. (Fast Food Nation). The smells that come with working in the slaughterhouse are awful, many workers say they come home smelling so powerful it takes days to go away no matter how many showers they take. As you can see being in the fast food industry is stressful, whether you are working behind the counter or in the slaughterhouse. I would recommend this book to anyone. I think all high school students should read this book and get educated on the pros and cons of working for their local fast food industry. Reading this book did impact my life . I know that getting a good education can result in a good paying job and a job that will not send me to the hospital or have a hot oil burn from French fries being cooked. I would not take out any information form this book because it is full of so much information that anyone reading would want to know. Learning about the products that are in the meat and the fries may interest many people so they know what kind of things they are putting into their bodies. I enjoyed reading this book and I would do it again if it was necessary. Research Papers on Book Report on Fast Food NationBook Review on The Autobiography of Malcolm XTrailblazing by Eric AndersonHarry Potter and the Deathly Hallows EssayStandardized TestingEffects of Television Violence on Children19 Century Society: A Deeply Divided EraThe Hockey GameNever Been Kicked Out of a Place This NiceMind TravelQuebec and Canada

The Career of a Manager Essay Example | Topics and Well Written Essays - 1000 words - 8

The Career of a Manager - Essay Example At present, I possess certain skills that would be helpful in pursuing my career as a manager. For example, I am quite proficient in the field of accounting and statistics. These skills are vital for becoming a manager as accounting would help me in managing the financial resources in a better way and statistics would aid in forecasting demands efficiently. However, as a manager, my prime concern would be generating profits for an organization. Creation of sufficient profits is concerned with the better management of risk and proper investment (Saville Consulting, 2008; Pollak, 2011). However, I do possess certain limitations that can hinder my career progression. In this similar context, it is to be mentioned that managing a big organization would be a quite challenging task for me. The significant amount of time and effort must be devoted to the proper management of a business linked with such organizations (Amtek Engineering Ltd, 2010). Thus, according to my viewpoint, I need a st rong and capable team, which can assist me to undertake various duties and fulfill the organizational objectives. I will require developing team management skill and other vital managerial skills in order to become a manager. At present, I did not decide to which field of management I would prefer to pursue my career. Among various fields, I am planning to become a marketing or financial manager. This career has attractive potentialities and opportunities in the modern era. Thus, an effective plan has been made in the following based on which I could successfully pursue my career and at the end become a potent marketing or financial manager. In order to pursue my career, I would like to understand regarding the world of business and administration. Thus, I will enroll in Foundation degree in business from Warwickshire College. Furthermore, I will learn about the nature of business organizations and the environment wherein they operate.

Apple Company Essay Example | Topics and Well Written Essays - 1000 words

Apple Company - Essay Example It took Apple only five years from 2003 to 2008 to have the market value of its shares increased by as many as 25 times, as the value of Apple’s share in 2003 was $7.5 which increased to $180 in the year 2008. â€Å"At July 2008 prices, before the US Financial Crisis, Apple stock market capitalization was $160 billion. In January 2010 Apple shares topped the $210 mark† (Vertygo Team, 2011). The case study of Apple Company provides an excellent practical example of how the theoretical marketing principles can be brought to life by incorporating them into the business strategies, and their benefits can thus be obtained. This paper discusses the potential ways of integration of the marketing theory with practice, and explores the comprehensive marketing strategy adopted by the Apple Company that has led it to the profound success. The secret of Apple’s success lies beyond the design standards of its products as well as the core philosophy of Apple which suggests tha t â€Å"the user doesn’t always know what they want† (Tiojanco, 2012). ... potential hurdles in the way of integrating marketing theory with practice, and recognition of the measures that can be taken to overcome those obstacles. Subjectivity in the knowledge of marketing theory is introduced by the conflicting and complimenting marketing theories of different scholars and educationalists. There is not a single established way of marketing that has gained mutual consensus of all scholars and authors. In fact, different good practices have been explained in different books and literatures depending upon the context, circumstances, organizational objectives, and internal and external environmental and cultural factors that vary from one case study to another. However, there is a need to generalize certain marketing practices and principles that have been approved by a vast majority of scholars. Such marketing principles include but are not limited to improving the brand image by fulfilling corporate social responsibility, incorporating innovation and diversit y in the product design so that the product addresses the needs of a vast majority and diverse population of consumers, and selecting the right medium and the right time to advertise the products. Application of the marketing theory in practice requires understanding of difference between the role of advertisement and promotion. â€Å"[A]dvertising-like messages are used for longerterm strategic efforts to build brand awareness and attitude while promotion-like messages are designed for shorter-term tactical needs to stimulate an immediate sales response† (Percy, 2008, p. 28). Some of the hurdles in the integration of marketing theory with practice include lack of consistency between the organizational structure and the scope of work and organizational objectives, lack of involvement of

International Corporate Reporting Issues Essay Example | Topics and Well Written Essays - 2000 words

International Corporate Reporting Issues - Essay Example The Objective of Financial Reporting The major elements of the financial statements are the Asset, Liabilities, Equity, Income and Expenses. The financial statements are prepared on the accrual basis of accounting and ‘going concern’ concept both being the fundamental principles for recognition, measurement and reporting. The objective of financial reporting could be achieved only if the decision-usefulness aspect maintaining the principle of stewardship is fulfilled in financial reporting. The information provided should be useful to the existing investors and the other stakeholders and relevant in decision making. Qualitative aspects should enhance the financial statements’ usefulness in predicting the future while confirming the fair and true view of the current status of the company and the statements are required to be understandable and comparable. A - Decision Usefulness Stewardship information is historical in nature and they are subjected to various types of analysis to assess the performance during a particular year for taking decisions. The comparison of the information over a period of time reveals the trends in the operations and the business. But, in most of the cases these could not be extrapolated to assess the future of the company as they are dependent on various internal and external environmental factors. The other statements and the reports like Chairman’s Report or Directors’ Report to the shareholders would be useful in assessing the future performance. Information regarding Stewardship objective The data available from the Income Statement and the Balance Sheets are useful for working out various financial ratios for the purpose of analysis with reference to various parameters such as efficiency in performance, profitability, leverage, interest cover or return on capital employed. For example we can work out operating margin from the Consolidated Income Statement as below: 2011 2010 2009 Sales 13,232 12, 958 12,283 Operating Profit 2,595 2,574 2,418 Operating Margin 19.61% 19.86% 19.68% The comparison for the past three years suggests that though there is increase in sales during 2011 by 2.11% in 2011 and 5.5% in 2010 over the previous years it is not reflecting in gross margin. This is mainly because there has been slowdown in the economy during this period and there has been increase in excise duties, marketing and other operating expenses. Similarly, we work out the current ratio from the balance sheet. 2011 2010 Current Assets 7161 6952 Current Liabilities 4915 3944 Ratio 1.46 1.76 Though the current ratio is better than the generally accepted level of 1, the ratio has come down during 2011. This is mainly because of the increase in overdraft from 587 in 2010 to 1447 in 2011. Stewardship oriented cash flow statement would indicate the movement of cash in the operations of the business. The details given in the Annual Report serves the decision useful objective in the areas such as efficiency in working capital management or plough back of profits accrued for long term capital investments. Elliott and Elliott (p. 16) state â€Å"Cash flow accounting provides objective, consistent and prudent financial information about businesses transactions. It is

Cleft Palate Microflora- Normal and Pathogenic

Cleft Palate Microflora- Normal and Pathogenic A REVIEW OF LITERATURE Abstract Oral cavity is a house for more than 300 species of microorganisms which includes aerobic, non aerobic, spores, fungi etc. Though many microorganisms are commensal only few microorganism involve in pathogenic process due to predisposing or initiative factors like poor oral hygiene, medically compromised patients, dentate and non dentate mouth, dietary habit, clefts, etc,. Cleft palate is one of the conditions in which commensal microorganisms can become pathogenic over time. There will be communication between nasal and oral microorganisms, which makes the habitat more suitable for few like Staphylococcus species. Even after the closure of due to exchange of microflora between oral and nasal cavity it can lead to wound dehiscence, which further leads to post operative complications. Key words: cleft palate, oral microflora, wound dehiscence, staphylococcus, streptococcus, commensal, fistula Introduction Clefts of the palate comprise a range of disorders affecting the oral cavity, the causes of which remain largely unknown1. Affected children have a range of functional problems which include feeding difficulties at birth due to problems with oral seal, swallowing and nasal regurgitation, hearing difficulties due to abnormality in the palatal musculature and speech difficulties due to nasal escape and articulation problems (Mossey and Little, 2009)2. Cleft may also predispose to alteration of normal flora at nose and oral cavity. Viridans streptococci were the first persistent colonizer of the human mouth and Streptococcus, Staphylococcus, and Neisseria spp were consistently found toward the end of the first year of life (Arief et al, 2005)3. NORMAL ORAL MICROFLORA The world we live in contains unimaginable numbers of bacteria, representing the major diversity of life on our planet. The commensal bacteria are present on the epithelial surfaces of the skin and on the mucosal surfaces of the oral cavity, respiratory tract, esophagus, gastrointestinal tract and urogenital tract. An estimated 300 to 500 bacterial species (sp) coexist within the oral cavity, of which approximately 50% are currently uncultivable.4 In spite of this, only a relatively small number of bacteria cause infection in man (Henderson and Wilson, 1998)5. Establishment of a normal flora occurs in a sequential manner: (1) the first exposure of the mucosal surfaces of a sterile neonate is to the maternal genital microflora during its passage through the birth canal, (2) a few hours later the organisms from the mothers (or the nurses) mouth and possibly a few from the environment are established in the mouth, usually Streptococci spp, which bind to mucosal epithelium, (3) oral flora on the childs first birthday usually consists of Streptococci, Staphylococci, Neisseriae and Lactobacilli, (4) the next evolutionary change in this community occurs during and after tooth eruption when two further niches are provided for bacterial colonization, (5) when all the teeth are lost as a result of senility, bacteria that colonize the mouth at this stage are very similar to those in a child before tooth eruption6,7,8. The oral cavity, upper respiratory tract, and certain regions of the ears and eyes have an indigenous microflora. Because of the close anatomic relationship of these structures, the resident flora of these regions shares many common pathogens. Within a given microenvironment, however, certain microbes that constitute the normal flora are associated with distinct anatomic sites. Thus, the normal flora exists within complex ecosystems at different sites and interacts closely with different bacterial spp and with the host epithelial layers. This indigenous microflora is known to change over time and host age, congenital malformation, underlying disease and chemotherapeutic agents affect its composition4. Microbial counts have been reported to vary from day to day9. A variety of conditions affect successful colonization of the mucosal surface in the oral cavity, including factors such as epithelial cell turnover, salivary flow, reduction in the oral pH environment following food intake and dentition. The predominant components of oral flora are Streptococcal spp, most commonly members of the Streptococcus group4,7,8. Increasing the amount of sugar intake would encourage growth of certain Streptococci that are able to tolerate a lower pH environment and also presence of teeth (Arief et al, 2005)3. Organisms generally considered as commensals including palate are coagulase-negative staphylococci, nonhemolytic and viridans streptococci, Corynebacterium spp, Neisseria spp Candida spp and other cultivable and not-yet-cultivable spp of Streptococcus.10,11,12 Candida albicans (C. albicans) is the most prevalent yeast isolated from the human body as a commensal or as an opportunistic pathogen13. The presence of C.albicans in the oral cavity is not indicative of disease. In many individuals, C.albicans is a minor component of their oral flora, and they have no clinical symptoms. In healthy individuals, a large number of sites in the oral cavity can be colonized by C.albicans14. A number of bacteria which populate the normal oral microflora are opportunistic pathogens capable of injuring or even killing the carrier, if conditions permit- organisms like Staphylococcus aureus (S.aureus), ÃŽ ²-hemolytic streptococci, Neisseria meningitides, Streptococcus pneumoniae,5 Klebsiella spp, Escherichia coli (E.coli) and Pseudomonas spp (Roscoe and Hoang, 2007)10. (Table 1) MICROFLORA INVOLVED IN WOUND DEHISCENCE Any wound is at some risk of becoming infected. One school of thought is that the density of microorganisms is the critical factor in determining whether a wound is likely to heal. However, a second school of thought argues that the presence of specific pathogens is of primary importance in delayed healing, while yet others have reported microorganisms to be of minimal importance in delayed healing15. Wound contaminants are likely to originate from three main sources: (i) the environment; (ii) the surrounding skin; (iii) endogenous sources involving mucous membranes. The normal microfloras of the oral cavity are both diverse and abundant, and these supply the vast majority of microorganisms that colonize wounds15. Bacterial infections after cleft palate surgery increase the risk of wound breakdown, palatal fistulas, poor speech, poor growth, poor aesthetic results and death. As the commensal oral bacteria in a normal young child change from birth as the child grows, factors that affect oral bacterial colonization include presence of antibodies that inhibit bacterial adherence, presence of teeth, formation of a biofilm, bacterial load in the saliva of attendants and frequency of exposure, prolonged hospital care and exposure to antibiotics (Chuo and Timmons 2005).3,16,17 The risk of infection is generally based on the susceptibility of a surgical wound to microbial contamination. Clean surgery carries 1 to 5% risk of postoperative wound infection and in dirty procedures that are significantly more susceptible to endogenous contamination, a 27% risk of infection has been estimated15. Though, infection is not a very frequent complication following correction of the palate, when infection occurs, partial or complete dehiscence may be the consequence. All wound infections were diagnosed on the second to sixth postoperative day while most patients leave the hospital on the third postoperative day. However, the strong relationship with preoperative cultures and dehiscence indicates that pathogens causing infection do play a role. Moreover, patients with dehiscence showed pus and fever, both signs of an infectious complication18. One might also argue that wound tension contributes to dehiscence and other causative factor. For example, too close to the incision edges may prevent the tissue from meeting and binding together properly. Sutures that are too tight can result in strangulation of the wound edges and poor blood supply to the wound, causing necrosis or sutures are removed too early.18 Wounds undergo a predictable alteration in microbial flora over time. Early on, the wound is colonized particularly by ÃŽ ²-hemolytic Streptococci and S.aureus, within the first 1 to 4 weeks, these are soon accompanied by that often infect wounds together in a synergistic fashion. After approximately 4 weeks, chronic wounds are more likely to become colonized by Pseudomonas spp Infections in older wounds are polymicrobial mixtures of aerobic pathogens usually associated with tissue necrosis, undermining and deep structure involvement (Gordon Dow, 2009).19 Invasive group A Streptococcal infections, once thought to be mainly a problem of the preantibiotic era, continue to be reported in many countries. In a multicenter general practice study in Denmark (1983 and 1984), group A ÃŽ ²-hemolytic streptococci detected in the throats of 10.9% of 99 asymptomatic children younger than 15 years old. Also the throat carrier rates of groups A, C and G ÃŽ ²-hemolytic streptococci decreased with increasing age of the individuals’ studied.16 The carrier ship of group A Streptococcus may predispose to infection and S.aureus ranks second among spp cultured from infected wounds18. Whilst the importance of Staphylococci as medical pathogens has been recognised for many years, it is now suggest that Staphylococci can be isolated frequently from the oral cavity of particular patients group such as children, elderly and in ill patients. Therefore, it is apparent that the oral cavity may present a hitherto poorly recognised reservoir of Staphylococci, some of which may, under appropriate conditions cause local or systemic infection.17 Nasal bacteria may be transmitted through an oronasal cleftfistula to the oral cavity, and it may be able to survive in the oral environment in children with cleft lip and palate (CLP) (Mims et al., 1993). S.aureus were identified in 53.1% of saliva samples and 40.6% of nasal samples. The oronasal fistula area was significantly higher in children who had S.aureus colonization in their oral cavity (Tuna et al, 2008).20 Recent data have shown that S.aureus is more frequently found in the oral flora of cleft patients than in normal children. Using saliva swabs, Arief et al. found that children with cleft palate showed more colonization by S.aureus compared to normal children of 3–39 months, which decreased significantly after operation.3 According to Aziz, Rhee, and Redai (2009), 5.5% of patients had nonlife-threatening complications (infection or wound dehiscence)21 and according to Hupkens and group (2007), they encountered 6.0% of wound dehiscence.18 The microbiological studies comparing flora between cleft and non-cleft sites in children with CLP by Brennan et al. (2001) determined that the oral bacteria colonize the cleft nasal floor in patients with unilateral oronasal fistulas. They reported that oral bacteria were not cultured in the nasal floor of the cleft in the majority of patients with oronasal fistula. The Investigators claimed that oral bacteria might occur only when the fistulae are sufficiently large to maintain a similar environment to the oral cavity.20 The study by Tuna et al. showed bacterial transmission was proven for large oronasal fistulas and a correlation was found with S.aureus counts in the children with CLP. It appears that as fistula size increases, significantly higher colony numbers of S.aureus were found in saliva samples. In addition, S.aureus tends to survive in the oral cavity as a result of transmission through the nasal passages as long as an unrepaired cleft exists.20 One study by Myburgh, and K.W. Butow (2009), swabs taken from their soft palates were made for days 0, 2, 4 and 6. The pathogenic organisms were: C.albicans, E.coli, Klebsiella pneumoniae, S. aureus, Pseudomonas aeruginosa and others.22 Another study from Finland showed that, Viridans Streptococci were the first persistent oral bacteria in babies (Kononen, 2000). Staphylococci were prevalent in more than 25% of children aged 0 to 6 months. The prevalence of Staphylococcus was lower in older children.16 Klebsiella spp are ubiquitous in nature and probably have two common habitats, one being the environment and the other being the mucosal surfaces of humans which they colonize. In humans, Klebsiella pneumoniae is present as a saprophyte in the nasopharynx and in the intestinal tract. Klebsiellae are opportunistic pathogens, can give rise to severe diseases such as septicemia, pneumonia, UTI, soft tissue infection and nosocomial outbreaks. The detection rate in the nasopharynx range from 1 to 6%, which differ considerably from study to study; Klebsiella spp are rarely found there and are regarded simply as transient members of the flora.23 According to the statistics of the Centers for Disease Control and Prevention, Klebsiella spp account for 8% of endemic hospital infections and 3% of epidemic outbreaks. The mortality due to Klebsiella spp bacteremia approaches 27–34% in adult patients. This data also showed a marked overall increase in the incidence of this infection during the study period and are in agreement with previous reports regarding the dynamics of gram-negative and Enterobacteriaceae bacteremias.24 During the 1980s and 1990s, the frequency of nosocomial Candidiasis has increased dramatically. Data from the USA National Nosocomial Infections Surveillance System shows that C.albicans was the most frequently isolated fungal pathogen (59.7%) in hospital environments. Transfer of Candida between individuals often occurs via the hands of health care workers, and nosocomial transmission can occur without Candidiasis outbreaks.14 Approximately 60% of the isolated recovered were gram-positive cocci (coagulase-negative Staphylococcus, ~31%), S.aureus (20%), and Enterococcus (9.5%). Over the past 5–10 years, most commonly isolated were gram-negative rods, such as E.coli, Klebsiella pneumonia, P.aeruginosa, and Enterobacter spp.23,25 It could be hypothesized that patient characteristics are primarily responsible for these differences. For example, genetic predilections, underlying diseases, social factors and economic factors and also differences in the virulence of individual microorganisms may be responsible for the manifestations of infection observed in cleft palate patients after surgery.26 (Table 2) Conclusion S.aureus and ÃŽ ²-hemolytic Streptococci are the commonest microflora which are responsible for wound dehiscence, it is always advised to do preoperative and postoperative culture. Though wound dehiscence is not always but frequent complication patient should be under proper care especially children. Alongside attention should be give to the other commensal microflora like Klebsiella, Candida, etc., which can become pathogenic over time in cleft patients. Despite advances in preoperative care, the rate of surgical wound dehiscence has not decreased in recent years. Recognition of risk factors, prevention of wound infection and mechanical stress on the incision are important. Management of dehisced wounds may include immediate surgery. If surgery is not needed, management is essentially the same as that of any other wound through maintenance of a moist wound environment, reduction of bio burden and pain, and promotion of granulation tissue.

Problematic Marriage in Much Ado About Nothing Essay example -- Much A

Questioning Marriage in Much Ado About Nothing       Much Ado About Nothing raises many important issues concerning the institution of marriage. Perhaps Shakespeare's purpose in writing this play was to question the existing approach to relationships and marriage. Shakespeare reveals the faults of the process through the characters of Hero and Claudio and also Hero's father, Leonato. Shakespeare also may be suggesting an alternative approach to marriage and relationships through the characters of Beatrice and Benedick.      Ã‚  Ã‚  Ã‚  Ã‚     Shakespeare does this through the characters of Hero and Claudio. Claudio suddenly becomes very enamored with Hero when returning from the war. Rather we should say that he has become quite enamored with her money. And hints it very obviously to other characters in the book by saying things like, "Hath Leonato any son, my lord?"(1.1.262).   Who, although these characters know he wants her for her money, which is seen by Benedick saying, "would you buy her that you enquire after/her?"(1.1.159-60) and Pedro saying, "That she is worthy, I know"(1.1.204) do nothing to stop the upcoming union. In fact, they encourage it because at this time, it is not at all unusual for a man to marry a woman for her money. In fact, it was quite commonly practiced.   Shakespeare uses lines such as these to bring attention to the requirements a gentleman has when looking for a wife. He throws these kind of lines in to make the audience aware either subconsciously or consciously so that maybe they will question whether or not two people should be married on the basis of how much the bride is worth. Pedro woos Hero for Claudio and it would seem that she would have one as just as well as the... ...marvelous job of trying to open the audience's eyes to the faults in the institution of marriage. He has done it a way that the audience cannot leave the play with consciously or subconsciously questioning the things with which they were just presented. Perhaps Shakespeare hoped these questions would lead to further contemplation on the issues of marriage and it's current conventions.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Works Cited and Consulted:    Lewalski, B. K. "Love, Appearance and Reality: Much Ado About Something" Studies in English Literature, 1500-1900 8 (1968): 235-251.    Rossiter, A.P. "Much Ado About Nothing."   William Shakespeare Comedies & Romances. Ed. Harold Bloom. New York: Chelsea House Publishers, 1986.    Shakespeare, William;   Much Ado About Nothing;   Washington Square Press;   New York, NY;   New Folger Edition May 1995

Stylistic Analysis of the Poem “Meeting at Night”

The Love Song of Hair Dyal Rudyard Kipling Alone upon the housetops to the North I turn and watch the lightnings in the sky– The glamour of thy footsteps in the North. Come back to me, Beloved, or I die. Below my feet the still bazar is laid– Far, far below the weary camels lie– The camels and the captives of thy raid. Come back to me, Beloved, or I die! My father's wife is old and harsh with years, And drudge of all my father's house am I– My bread is sorrow and my drink is tears. Come back to me, Beloved, or I die!Stylistic Analysis of the Poem â€Å"Meeting at night† â€Å"Meeting at Night† Robert Browning The gray sea and the long black land; And the yellow half-moon large and row; And the startled little waves that leap In fiery ringlets from their sleep, As I gain the cove with pushing prow, And quench its speed I’ the slushy sand. Then a mile of warm sea-scented beach; Three fields to cross till a farm appears; A tap at the pane , the quick sharp scratch And blue spurt of a lighted match, And a voice less loud, thro’ its joys and fears,Than the two hearts beating each to each! ]  Ã‚  The Theme of the Poem This poem written by Robert Browning is a poem of love that describes clearly the man’s sailing on the sea to the bay on the beautiful night to go to the girl she loves and meets her at night. In here, it is said that the readers can feel the excitement and happiness of the couples on their meeting at night. It is very clear at the end of the poem that the woman is somehow nervous and afraid while waiting for the man she loves.But, upon hearing the man’s tap on the window pane, she is very happy and relieved to see him, which only shows how deep their love and missing is. ]  Ã‚  Linguistic Analysis of the Poem by  Liu Yueqin Liu Yueqin has presented five linguistic presentation of the poem. Here is the following linguistic analysis he had in this poem of Robert Browning: a. Phono logical features 1. End rhyme The rhyme scheme is, in the first stanza – abccba, in the second -dedded. There are five end rhymes as follow: a. [  ? nd]  land, sand; b. [? ]row, prow; c. [I:p]leap, sleep; d, [I:t ]beach, scratch, match, each; e, [i? s]appears, fears 2. Alliteration long-land in line 1;the-that in line 3; fiery- from in line 4; pushing-prow in line 5; speed-slushy-sand in line 6; sea-scented in line 7; to-till and field-farm in line8; less-loud in line 11; than-the and two-to in line 12. 3. Repetition And the  repeats 3 times in the poem, and there are totally 8  and  in the poem. The repetition shows that the man is making long-time effort step by step to meet the woman, his lover.However, the effort is worthy since the man loves the woman and expects fiercely to see her, no matter it’s at night or at day. The refrain occurs at the close of a stanza, where it helps to establish meter, influence the mood of love, and add emphasis. With the usa ge of end rhyme, alliteration and repetition, the poem creates aesthetic pleasure and shows the feeling of the couple. b. Graphical features The description of the scene on the sea and on the bay and about the meeting is vivid, elaborate and attracting.Through the different angles of vision (the gray sea,  the long black land, the yellow half-moon, etc. ), auditognosis (two hearts beating, etc), olfaction (scented), the readers can just feel like being in the situation, and appreciating the charming of meeting at night. c. Lexical features The poem is relatively brief; consist of simple specific concrete words, mainly adjectives and nouns, just like casual and gentle narration between lovers or dramatic monologue.There are 4 adjective words about color; they are  gray, black, yellow and blue, to make the scene at night vivid to the readers. The readers can clearly know that the meeting is at night. The beautiful scene symbolizes the wonderful mood of the couple. In line 6, words of  speed, slushy, sand  have alliteration [s] for imitate the sound of the prow decreasing its speed and gently scrapping in the bay. d. Syntactic features All the sentences in the poem are statement just like dramatic monologue, what the author is very famous with.Many short sentences are linked into long sentences with devices of coordination with the usage of  and. There are totally 5 lines beginning with  and. Coordination gives clauses equal syntactic status, and establish peaceful mood. It seems that the man has met the woman at night many times, and gets very familiar with the process. e. Semantic features In first stanza, the author uses  startled  and  fiery  instead of  surprising  and  hot. The personification gives human form or feelings to the waves and ringlets, inanimate objects to show that the man’s feeling is startled and fiery.In second stanza,  tap, scratch  and  spurt  are gentler, lovelier, and shorter in time thanknock, s crape, and spring. These words can vividly to describe the feeling of the couple. The man arrives at just outside of the house, and taps the glass with the love in his heart. When he is waiting for the appearance of the woman, he is very nervous and upset. The woman is also nervous and upset. After hearing the tap, she lights a match to lights the place and feels happy and fears to meet her lover.

Causes and Prevention of Burnout in Human Services Staff

Burnout is a condition that can affect people in different ways and in all career choices. Burnout is also a condition that is brought on by stressors that have built up in an individual’s professional and personal life. Burnout can cause employees to become disillusioned and develop a non-caring attitude about work-related and personal issues. This paper will explore the definition of burnout, factors that cause burnout and methods to prevent burnout. The writer will also examine his own personality and share how to react and respond to personal and work-related stress. Lastly, the writer will discuss how a human service manager will be alert and assist staff with burnout. Burnout Helpguide (2010) describes burnout as a state emotional, mental, and physical exhaustion caused by excessive and prolonged stress, which occurs when you feel overwhelmed and unable to meet constant demands. In a situation where an employee used to display extreme high energy towards a job along with motivation and commitment, burnout causes them to lose interest, feel useless, and incompetent. This condition is found in individuals who work in high-stress workplace environments. Lewis, Lewis and Packard (2007) describe three major factors of burnout as emotional exhaustion, a feeling of low personal accomplishment with clients, and a sense of depersonalization. When this occurs human service workers have a dehumanizing, uncaring attitude toward clients (Lewis, Lewis and Packard 2007). When the human services worker’s attitude toward the client is affected, then his productivity within the organization is affected also. Burnout ffects the workers as well as well as the organization. An organization suffers from burnout by having high turnover rates, employees calling in sick and low productivity. If an employee quits a job due to burnout, the organization has to then shovel out more time and funds to train new employees. This behavior can then cause burnout or anxiety among the other employees because their workload has increased due an employee quitting and training of a new employee. An organization’s awareness of burnout can elimination the problems that are caused by burnout. Causes of Burnout Lewis, Lewis and Packard (2007) wrote that it wasn’t until 1974 when Herber Freudenberger posited the concept of burnout as an occupational disease. The author also believes that possible causes of burnout happen at the individual, organizational, and cultural levels. Individual burnout occurs when a human services worker sets unrealistic high career goals. A human services worker burnouts trying to reach the goals. At the organizational level, burnout occurs when competition is present along with conflict. Lewis, Lewis and Packard (2007) states burnout occurs at this level when the norms are bureaucratic rather than flexible management philosophies. An individual will also experience burnout at this level when he or she is overloaded with work. Supervisors have to show support to employees otherwise burnout will occur. Cultural differences within an organization can cause burnout in employees. The workplace environment has to be staged in a manner that respects all cultures to avoid burnout. Avoidance of burnout takes some serious organizational and people skills for the upper level management team, supervisory staff, and employees. Awareness and Prevention of Burnout If the warning signs of burnout are present, they will only worsen if avoided. Careful observation of self and from supervisory staff will prevent total burnout. An individual can start his or her day with a relaxation ritual such as meditation, inspirational writing or reading. Healthy eating and boundaries are also ways an individual can prevent burnout. Supervisors an reduce caseloads by welcoming volunteers into the organization to assist with the work. Flextime, part time and job sharing can also provide relief from demanding jobs (Lewis, Lewis and Packard 2007). The individual and supervisors have to work together to make the workplace environment non-stressful as possible. The work the employees complete is beneficial to the organization and clients. Without the employees in the right state of mind, the productivity will be low quality. Personal Observation After careful evaluation of the writer’s personality, she reacts to work-related stress by talking about the issues at hand. Communication is a key element for the writer when dealing with work-related stress. Evaluation of an issue with a plan for organization is one of the first steps the writer takes in finding a solution. At different times of the year, beginning and end of school year, the writer experiences a high stress level at work due to the high demand of productivity at these times. The writer works on weekends when the other staff is not in weekends when the other staff is not in to take advantage of the quiet work environment. At different intervals during the school year, the writer has to re-evaluate the situation, reorganize and re-group to gain control and calm in order to be a productive employee. The writer never allows a total burnout to occur. The situation always comes to a halt when the need is recognized through careful observation. Staff Burnout Assistance Human services managers can intervene with staff burnout by offering assistance to reduce caseloads and provide in-service training on topics such as time management and organizational skills. Organizations can offer peer support groups that are common in some high-stress level jobs that have an increased number of caseloads. Peer support groups give employees an opportunity to share ideas and solutions. Employee counseling programs can offer employees an opportunity to talk about their problems with a professional before the burnout level is reached. Manager assistance with burnout is an important part of a supervisor’s responsibilities. A trickling effect of burnout can occur without positive support from supervisors. Conclusion With the recent changes in the workforce, this has contributed to the burnout of employees. Organizations laying off employees. Organizations laying off employees has caused an increased workload on the remaining employees. In turn, this can cause increased stress on employees. Managers should be aware of the signs of burnout and be ready to assist employees in whatever way necessary. Burnout can play a major role in the decrease of productivity in an organization. The writer has discussed pertinent information that can help employees and organizations become aware of and prevent burnout among employees.

A Personal Experience Defining Who I Am Essays

A Personal Experience Defining Who I Am Essays A Personal Experience Defining Who I Am Essay A Personal Experience Defining Who I Am Essay ?At an early age, I had the audacity to stand up to a bully, though this bully is generally, to many, a safety and guardian. Ever since I could remember my mother and biological father had violent fights that would be put on display to my older sister and I. The fights would induce blood and heavy bruising. My mother has only cried a few times in front of me, and at the age of six that was the first. It was a spring afternoon, just coming back home from my morning kindergarten. There I turned on Blue’s Clues and got a juice-box. Relaxing because it was quite throughout my house, my grandmother having worked her late night nursing job went to sleep in her room since I was able to handle myself. After a short little while, I was greeted by my biological father days after being fired from yet another job reeking of alcohol. He started rough housing with me and getting annoyed that I didn’t acknowledge his very existence. Then there was a knock on the door, and I went to answer since my biological father was too inebriated to function like a decent human being. To my sheer amazement, it was a fellow classmate from school, Dequan, who had to walk down a mile-long hill to reach my house. He asked if he could play, and to my enjoyment, I said sure and ran to get my shoes. As I turned to sprint, the protruding gut of my biological father blocked my path. He shouted in a slur, â€Å"We don’t play with your kind, n*****!† then followed by slamming the door on the little kid’s face. I crumbled to the ground as it wasn’t the first time he had damaged friendships of mine because it wasn’t to his standards. That was the last time he’d ever do that. I grabbed my shoes and hurled them at him, shouting out his name, â€Å"David! David! David!† This enraged him and he hurled a fist at my face. As I laid on the ground, he proceeded to tell me that I was a mistake. All I did was stand up and told him and at that moment he’ll regret ever sa

Survey analysis Research Paper Example | Topics and Well Written Essays - 1000 words

Survey analysis - Research Paper Example In this survey The AC Nielsen Online Consumer Company aimed to determine the confidence levels in consumers and conducted a worldwide survey in 42 markets. The results from the survey indicated that in markets with a sample size of 500, the error margin was plus or minus 4.4% and in markets with a sample size of 1000 consumers, an error margin of plus or minus 3.1% was likely to occur. In this confidence survey, over 23,500 people were interviewed in 42 markets word wide in : Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, China, Czech Republic, Denmark, Finland, France, Germany, Greece, Hong Kong, Hungary, India, Indonesia, Ireland, Italy, Japan, South Korea, Malaysia, Mexico, Netherlands, New Zealand, Norway, Philippines, Poland, Portugal, Russia, Singapore, South Africa, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey, UAE, United Kingdom, and the United States. The market sample in each market was approximately 500 but in China, France, Germany, the United Kingdom, and the United States it was 1000. About 57% of the respondents admitted to cut down on out of home entertainment and 53% claimed to spend less on buying new clothes to sustain their budgets. About 48% said that they would delay upgrading their technology in order to stay within their budgets. In the five regions surveyed worldwide, the priorities given by the consumers varied among the consumers. Out of home entertainment was the first thing that 61% of consumers in Latin America would cut down on, 58% in Asia pacific and 54% in Europe. In North America, 70% of Canadians and 66% of Americans would be the takeout meals as compared to out of home entertainment. In addition, saving on gas and electricity was a priority among the North Americans. A survey on the political situation in the United States of America regarding the popularity of American presidents namely The presidential job approval was conducted and

Charlemange as a ruler and diplomat Essay Example | Topics and Well Written Essays - 250 words

Charlemange as a ruler and diplomat - Essay Example Charlemagne’s rule was essentially feudal – structured in a hierarchical fashion, with lesser rulers bound by acts of fealty to higher ones.† (Cunningham and Reich, 2009, pp. 185-6). Therefore, it is fundamental to comprehend that Charlemagne was a great ruler who brought back the glory and legacy of the Roman Empire in a substantial way. It is also essential to relate here that Charlemagne, as a Christian ruler, was greatly concerned with improving the administration of the empire as well as influencing the church affairs. As a ruler and diplomat, Charlemagne holds a legacy which lives even in the modern world and the Carolingian Empire has played a crucial role in the history of the Roman Catholic Church as well as the history of the Western Europe. Significantly, the quality of Charlemagne’s rule contributed to his legacy and reputation as the most powerful Christian ruler of the Western Europe during the medieval age. â€Å"A defender of the papacy and a patron of learning, he helped lay the foundations for medieval European civilization†¦ The Carolingian Empire profoundly influenced the history of western Europe and the Roman Catholic Church.† (Testa, Lemoine, and Strickland, 2001, p. 35).