Wednesday, November 27, 2019

Septic Shock Essay Example

Septic Shock Essay Example Septic Shock Paper Septic Shock Paper In this essay septic shock and Its complications will be analyzed wealth the Immunological, gastrointestinal, cardiovascular, respiratory and renal (Including the acid-base) systems. This essay will contain the general discussion of homeostasis and will study the homeostasis responses to septic shock In each system. Sepsis and Septic Shock sepsis may be defined as the state In which a person Is suffering from an Infection that causes a number of important physiological changes: namely high fever and pulse, elevated respiratory rate, and elevated white blood cell count. Sepsis occurs when the body mounts a massive immune response to an infection. Usually the infection is caused by a bacteria that emits a toxin which causes the immune response. The problem is that the same chemicals that the body uses to fight the toxin also cause negative effects on the circulatory system, eventually leading to lowering of blood pressure and hypertension of the vital organs. This is illustrated well in our example with Mrs.. Little who shows the characteristic increase in pulse and fall in blood pressure. This is causing hypertension of key organs, such as the rain and lungs, which is resulting in some of the symptoms of early septic shock such as shortness of breath and confusion. Septic shock is said to exist when the patient is unable to maintain blood pressure despite all resuscitation efforts and the hypertension is causing end organ damage. Unchecked, septic shock can cause numerous problems including multiple organ failure and respiratory failure (Health A-Z). Indeed, Mrs.. Little is in grave danger. In fact, septic shock is the most common cause of death in hospital critical care units. In the United States septic shock counts for 100,000 deaths per year (Traitor Grosbeaks). Ironically, hospital treatment itself may often be the cause of septic shock, as It is often seen In severely Ill patients with suppressed immune systems (for example cancer patients on chemotherapy) who contract an Infection while undergoing treatment. Homeostasis: The human body internal environment Is composed of cells, tissues, organs and other systems (Martini). External surroundings continuously affect the body Internal environment and the human body must use homeostasis control mechanisms to malting a stable environment. The majority of Illnesses which affect homeostasis are mild and temporary (such as a mild or moderate fever however at times, when serious changes in the body occur, the alteration of homeostasis may become Intense and prolonged and in some instances may even fail and result in death. In order to prevent tons Trot unappealing positive Ana negative Teacake systems allow ten DOD condition to be repeatedly monitored, evaluated and changed (Traitor Grosbeaks). Feedback systems include three basic components; a receptor, a control centre, and an effecter. Receptors are an important part in feedback systems because they monitor changes within controlled conditions (blood pressure, body temperature, blood glucose level, etc. ). Any disruption in a controlled system (stimulus) then sends nerve impulses or chemical signals to the control centre. At the control centre the body recognizes the set values that the controlled conditions should be at and that processed information is then sent to the effecter in ways of nerve impulses, hormones or other chemical signals. The effecter then responds to the information sent from the control system and any changes that need to be made to the controlled condition occur. When information is received by the control centre it can send an output to the effecter in one of two ways. It can either oppose the change in the controlled condition which displays a negative feedback loop or it can reinforce the change which occurs in a positive feedback loop (Traitor Grosbeaks). Negative feedback systems are involved in the majority of homeostasis control loops because they stabilize and reverse a change in a controlled condition which is usually what the body wants to achieve in homeostasis (Patten). When a receptor detects a change in a controlled condition it sends an input to the control centre. In a negative feedback system the control centre will recognize the problem that has occurred and will alter the controlled condition back to its regular state. Some examples of negative feedback systems include blood pressure and body temperature. The negative feedback system will regulate blood pressure and body temperature back to its normal state that it should be within the body. However in positive feedback the outcome is the opposite. Although both feedback systems work in the same way positive feedback systems strengthen and reinforce the problem rather then oppose he change (Traitor Grosbeaks). Positive feedbacks are not as common in the body but they still play a very important role. Unlike negative feedback systems that bring the body back to its normal state, positive feedback systems send output from the control center to the effecter that will enhance the change in the body. The action of the positive feedback system will continue until it is interrupted by some mechanism outside the system. Positive feedbacks become important in situations like child birth and blood clotting. In blood clotting platelets are enforced to rapidly stick together. Although this is usually abnormal, it is important that this occurs so that blood can clot and serious bleeding is avoided. Another example of a positive feedback mechanism is child birth, where levels of the hormone extinction are increased by the brain in response to stimulation of the womans cervix by the baby. Extinction causes the smooth muscles of the uterus to contract more forcefully, further stimulating the cervix, causing more oxidation to be released, and so on until the baby is delivered In order to survive, every living organism must maintain homeostasis (Martini). To regulate changes that may occur to the body (Martini). When problems such as septic shock occur, proper homeostasis is crucial to survival. However, in septic shock bacteria and toxins can have a big impact on the human body and if homeostasis can not be maintained and the problem is not caught early enough homeostasis can become seriously altered, and death can ensue. Immune System: Malignantly instantaneous requires ten correlated efforts AT many Day mechanisms and systems. One such system is the immune system, which is designed to ward off millions of disruptive pathogens that may assault our bodies such as bacteria, virus and parasites. The immune system works closely with the lymphatic system in the body fight against infection. The lymphatic system is responsible for three major primary functions; transporting dietary fluid, draining excess interstitial fluid, and carrying out immune responses (Traitor Grosbeaks, 2003). The lymphatic system is a network of lymphatic vessels transporting fluid called lymph and also contains many structures and organs containing lymphatic tissue. Lymphatic vessels transport lipids and lipid-soluble vitamins (A,D,E and K) to the blood that are absorbed by the gastrointestinal tract (Traitor Grosbeaks, 2003). The lymphatic vessels within this system also drain excess interstitial fluid from tissue spaces and then return it to the blood. The lymphatic capillaries are unique because they permit interstitial fluid to flow into the capillary but not out. The Interstitial fluid enters the capillaries when the pressure of the interstitial fluid is greater then in the lymph. When this occurs the cells slightly separate allowing the interstitial fluid to enter into the lymphatic capillary. However, if the pressure is high in the lymphatic capillaries the cells adhere more closely and the lymph cannot escape back into the interstitial lid. In the case where there is excess lymphatic fluid cells open more widely so that it is able to flow into the lymphatic capillary. This overload of fluid will result in tissue swelling (Traitor Grosbeaks, 2003). The third main function of the immune system is to carry out immune responses. The blood circulating in our body contains three classes of lymphocytes including T cells, B cells, and natural killer cells. T cells destroy foreign cells directly and stimulate or inhibit the activities of other lymphocytes. B cells differentiate into plasma cells and secrete antibodies that rotate us from disease by attacking foreign cells and natural killer cells attack a wide variety of infectious microbes (Martini). Just as these cells destroy foreign cells, two main phagocytes called interruption and macrophages ingest bacteria and dispose of dead matter through a process called phagocytes. Phagocytes is the process in which foreign agents are ingested and destroyed (Traitor Grosbeaks, 2003). An adequate immune system promptly recruits interruption, macrophages, lymphocytes, and antibodies to the site of infection to prevent host colonization. Through histograms these cells neutralize and eliminate microbes and their toxins. However, if these host defenses are overpowered by pathogens septic shock may follow (Cancer nursing). As the process of septic shock advances, it becomes increasingly difficult for the body to maintain homeostasis. The immune system becomes overwhelmed as it frantically attempts to prevent the spread of infection and toxin to other tissues. Moreover, the bacterial toxins hamper the body immune system response. We see in our example how Mrs.. Littlest blood work indicates an elevated white blood cell count, with increased interruption. This is indicative off significant bacterial infection and subsequent inflammatory and immune response (Traitor and Grosbeaks, 2003). Mrs.. Little is displaying systemic inflammation as her body is trying to restore homeostasis by disposing of toxins and foreign material to prevent their spread to other tissues. When this occurs there is movement of phagocytes from the blood into the interstitial fluid and the normal homeostasis mechanism AT railing Interstitial Toll Ana restoring It to near circulating volume cannot be achieved. Her blood pressure naturally falls as her circulating volume is depleted. This results in tissue hypertension and further inflammation. Gastrointestinal system: Nutrients are needed to achieve homeostasis by building new body tissues, repairing damaged tissues and to gain chemical energy needed for our body to function. In order to attain these nutrients the gastrointestinal system breaks down consumed food into molecules through digestion. In order for digestion to take place the digestive system has six basic processes including ingestion, secretion, mixing and propulsion, digestion, absorption and defecation (Traitor Grosbeaks, 2003). These six major functions take place throughout the gastrointestinal tract of the human body. Through the gastrointestinal tract foods are broken down and then the majority of nutrients from these foods are absorbed through the mucosa of the intestinal villa. These nutrients are then passed into the blood or lymph and circulate to cells throughout the body (Married). Since the gastrointestinal system contributes to homeostasis by absorbing water, minerals, and vitamins needed for growth and function of body tissues and eliminates wastes from body tissues in feces there are many blood vessels that allow nutrients to be delivered and wastes to be expelled (Torah Grosbeaks, 2003). In order to carry out all of these functions, the human digestive system must have an extensive blood supply. Thus, in septic shock, and the subsequent drop in blood pressure that ensues, the digestive organs suffer considerable hypertension (cancer nursing and Medicine plus). Because the gastrointestinal system is highly vascular it is more sensitive to the decrease in blood pressure and blood flow and in result there is a decrease in gastrointestinal mobility, and more ominously there can be actual tissue necrosis as portions of the bowel become chemic and die (cancer nursing). Mrs.. Littlest X-ray indicates that she has free air under her diaphragm which almost certainly is a result of this process as her bowels are likely leaking air as they deteriorate from the lack of blood supply. As well as providing nutrients and expelling wastes to maintain homeostasis the gastrointestinal system actually contributes to homeostasis in the respiratory system. The pressure of the abdominal organs within the abdominal cavity actually exerts a pressure against the diaphragm, which helps expel air quickly during a forced exhalation. Any serious injury to the abdominal organs, such as an chemic one, causes less motility in the bowels and even the leakage of air which can both directly affect their ability to support the diaphragm in respiration (Traitor Grosbeaks, 2003). In our example, Mrs.. Little is experiencing abdominal pain which is likely on the basis of hypertension of her gut with subsequent schemas. There may even be direct infection of her bowels and other abdominal organs, causing inflammation and pain. Cardiovascular system: The cardiovascular system consists of three main components responsible for many homeostasis mechanisms in the body. These three components include blood, the heart, and blood vessels. Blood is responsible for transporting substances, regulating processes throughout the body and protecting against disease. The heart then pumps the blood to the body through blood vessels where the blood then exchanges materials needed for the human body regular function (Traitor). Is composed AT two mall types AT cells, wanly assaults ten allover AT materials useful to the body. These two cells include white blood cells and red blood cells. White blood cells (leukocytes) are the main cells of the body that destroy pathogens and any foreign substances entering the body. Among white blood cells, interruption exposed most quickly to bacterial infection. Interruption normally make up 55%-70% of white blood cells while in a complete blood count the normal amount of white blood cells in the blood is 4. 8-10. Xx per liter (traitor). In situations of extreme stress however, such as in a severe bacterial infection, the body releases very immature white blood cells called band cells (named because of their band or horse- shoe shaped nucleus). These band cells will increase the overall number of white blood cells and help to fight the infection. Red Blood cells (erythrocytes), unlike white blood cells, are shaped like biconcave CICS and are highly specialized for oxygen transport. Hemoglobin, which is a major component of red blood cells and serves to assist in the carrying of oxygen, gives erythrocytes their characteristic red color. Hemoglobin is crucial for homeostasis because in order for the body to maintain its regular state hemoglobin must deliver enough oxygen to other parts of the body for proper function. Hemoglobin arises from red bone marrow Just as platelets do. Platelets are also essential to the body because they protect the body by clotting blood after injury so that bleeding stops quickly in a controlled manner (Traitor). Erythrocytes, leukocytes and platelets are all very important to the body but in order for them to reach their targets the heart must pump them through two closed circuits: the systemic circulation and the pulmonary circulation. Pulmonary circulation moves degenerated blood from the right ventricle to the lungs and returns oxygenated blood from the lungs to the left atrium, while the systemic circulation transports oxygenated blood from the left ventricle through the aorta to all organs of the body and then delivers the degenerated blood back to the right atrium of the heart (traitor). In order to pump blood through these circuits there must be a difference of pressure so that blood can flow from regions of high pressure to regions of lower pressure. This force of pressure which is exerted by blood against the walls of the heart is known as blood pressure. Blood pressure is influenced by the elasticity in the vessel walls. The more dilated the vessels are the lower the blood pressure will be (Traitor). The normal blood pressure of a middle-aged adult is 120/might and if it is dramatically decreased or increased blood flow will be disrupted throughout the body (fundamentals). Along with blood pressure, heart rate assists in pumping the blood through the body. The regular heart rate is anywhere from 60 -beats/min. The amount of blood expelled by the heart with each contraction is known as the stroke volume and the amount of blood pumped by the heart in one minute is called the cardiac output. Stroke volume and cardiac output are both directly affected by ones heart rate. In the short term, lowering ones heart rate will lead too drop in blood pressure, while raising it causes blood pressure to increase. In this respect, heart rate is another important homeostasis mechanism (Traitor). In Mrs.. Littlest case, a major disruption of homeostasis within the cardiovascular system has taken place. Shock is a critical medical condition caused by a sudden drop in blood pressure. Septic shock occurs when antitoxins are released from certain bacteria Into ten D stream. I nose toxins Interact Walt our Immune system to cause vacillation and a subsequent drop in blood pressure (Webster). In Mrs.. Littlest case her blood pressure has dropped significantly to 80/might as a result of sepsis. As well, in an effort to maintain homeostasis, her pulse rate has increased to a tachycardia of 120 in an attempt to raise her blood pressure (fundamentals). As hypertension and tissue hypertension continue, the effect on the body organ systems (like we saw with the digestive system) can be profound. We see in our example that Mrs.. Little is confused, has clammy and cold skin and is mildly hypothermia with a body temperature of 35 degrees Celsius. All of these findings can be explained by tissue hypertension secondary to hypertension caused by sepsis. She is confused because her brain is being hypertrophied and is not getting the oxygen it needs to maintain a normal level of consciousness. Her skin as well is hypertrophied, looking mottled and feeling cool to the touch. Her fall in body imperative is likely secondary to skin hypertension, but also to a breakdown in the homeostasis mechanisms in the brain that regulate temperature (cancer nursing). Mrs.. Little is also experiencing some of the characteristic abnormalities seen in the blood as a result of septic shock. While sepsis normally causes an elevation, at least originally, in white blood cell count, often this leukocytes changes to a leukemia, or relative lack of white blood cells, as the disease progresses. Sometimes this interruption is a pre-existing condition, such as with some chemotherapy patients or people with immune deficiency conditions. In other cases the interruption develops as the sepsis worsens and the white cells are used up inn an effort to fight the infection. In any event, interruption is regarded as a serious problem in sepsis since it means that the immune systems ability to fight off the offending pathogen has been overwhelmed. Whereas a normal white blood count is 4. 8-10. Xx per liter Mrs.. Littlest white blood count in our example is 2. , a significant interruption with 70% interruption and 20% bands(Traitor). While the elevated band count does indicate an attempt to fight the infection, because there is a decrease in the white load cells there are still not enough interruption to destroy the pathogens. We also see in Mrs.. Littlest blood that her platelet and hemoglobin levels are falling. This is also a common finding in advanced sepsis and is caused by a varie ty of factors. To begin with, the hypertension and schemas at the tissue level causes a lot of leaking of fluids from the blood vessels and organs. Platelets are used up in an effort to plug the vascular leaks, and hemoglobin is lost as the blood leaks out. As well, the general hypertension directly affects the bone marrow, as do the bacterial toxins. Since platelets and hemoglobin are produced in the marrow, they cannot be replaced at a fast enough rate (Midlines). It is not hard to imagine the significant effect this lack of hemoglobin especially will have on homeostasis as the body systems, already struggling with hypertension secondary to low blood pressure, now have to survive without adequate hemoglobin supplies and thus inadequate oxygenation. Respiratory system: Blood contains many gases that are transported between the lungs and body cells in the cardiovascular system whereas the respiratory is responsible for the exchange of gases, oxygen (02) and carbon dioxide (CA). Gas exchange within our body is very important and occurs in three basic steps: pulmonary ventilation, external respiration, Ana Internal respiration (littoral). Pulmonary ventilation occurs when we inhale and exhale air into the lungs. The air which we inhale is then involved in gas exchange in external respiration. In this process there is an exchange of gases between the spaces in the lungs and the blood in pulmonary capillaries where blood gains 02 and loses CA. After the blood gains 02 through the pulmonary capillaries oxygen is delivered to the tissue cells through the systemic blood in internal respiration. The blood then loses its 02 and gains the CA that is not needed by the body. 02 is a necessity and is used in the body through metabolic reactions where TAP is produced for energy for the body and CA is released. CA may produce an acidic environment toxic to the cells and so it is eliminated right away when oxygen is delivered (Traitor). In order for the blood to deliver oxygen and pick up carbon dioxide it must circulate through the pulmonary circuits as we inhale and exhale. In exhalation as well as inhalation elevation and depression of the diaphragm allows the thoracic cavity to expand during inhalation hen 02 is inhaled into the lungs and contract in exhalation when CA is expelled (Traitor). Abdominal cavities in the GIG tract assist in respiration because it supports the diaphragm so in instances where there are problems in the GIG tract such as in septic shock it may affect breathing if the abdominal cavity can no longer support the diaphragm. Respiration is controlled by respiratory centers that are regulated by nerve impulses being carried to respiratory muscles. This is so rhythm can be modified when certain chemical stimuli measure how quickly and how deeply we breathe (Traitor). Sensory neurons that are responsive to these chemicals stimuli are competitors which monitor CA, H, and 02 levels to ensure they remain constant and respond if they dont (Traitor). If we are not getting enough oxygen to the body or carbon dioxide out of the body these receptors react by either increasing our breathing or decreasing our breathing to stabilize it. The respiratory system is very important in homeostasis to make sure the body is getting the proper amount of gases needed. However, since Mrs.. Little is suffering from septic shock her Apace levels and Papa levels within her arteries are greatly affected. Since septic shock causes hypertension an increased heart rate results. Due to Mrs.. Littlest increased heart rate it is causing an abnormal deficiency in the concentration of 02 in the arterial blood which is also known as hyperemia (Webster). Hyperemia is evident in Mrs.. Littlest 02 sat which are 89% opposed too regular 100% (fundamentals). In her case her Papa levels have become might from her regular McHugh and she is in desperate need for oxygen (traitor). In order for her body to receive the amount of oxygen necessary homeostasis mechanisms cause her to hyperventilate (increased reheating) causing an excessive intake of 02 while eliminating CA. Since CA is being eliminated from her body her Apace levels have also decreased from might to might. Mrs.. Littlest hyperventilation becomes necessary for survival and due to her hyperventilating her respiratory rate is increasing a large amount to breaths/ min from a regular adult respiration rate of 12-breaths/min (Traitor). Hypertension and heart rate have a big impact on Mrs.. Littlest oxygen rates however if there is a fluid build up that develops in the lungs it also inhibits the passage of oxygen from the air into the blood stream. Through Mrs.. Littlest breath sounds few crackles have been heard which shows that she has a liquid build up in her lungs also Known as pulmonary edema. Pulmonary edema can result Trot septic smock due to the increased permeability of the pulmonary capillaries. In septic shock toxins and bacteria are trying to leave the blood through interstitial fluid. Since there are so many toxins and bacteria causing inflammation there is an increase of interstitial fluid which the lymphatic system can not handle. In result the liquid seeps through the pulmonary capillaries which become more permeable due to the toxins and seep onto the lungs (Merck Manual). This fluid in the lungs can become crucial resulting in adult respiratory distress syndrome which is a life-threatening condition. Renal System including acid-base: Acid-base balance within the body is one of the most crucial elements of the homeostasis mechanisms because it regulates pH levels of the body, which is necessary for survival. One main organ of the body that helps maintain pH is the kidneys which are a part of the urinary system. The urinary system consists of two kidneys, two Reuters, one urinary bladder, and one urethra (Traitor Grosbeaks, 2003). The kidneys contribute greatly to the regulation of blood pH which is a (Traitor). The pH of the body indicates the acidity of a solution according to the number of hydrogen ions. The greater amount of hydrogen within a body the more acidic state it is in (below 7. 35) and as the hydrogen count lowers the more basic the solution becomes (above 7. 45) (figure pig. 873 Patton). However, through homeostasis mechanisms the level of pH within our body tries to stay at a stable state between acidic and basic between 7. 35 and 7. 45. These homeostasis mechanisms participating in the regulation of pH include buffer systems, exhalation of carbon oxide and kidney excretion of H+. The buffer systems bind excessive hydrogen ions and prevent acidity within the body (Traitor). If the pH in the body is low and acidic extra hydrogen ions are secreted from the blood into the urine and eliminated from the body. However if the blood pH is to high less amounts of hydrogen ions are excreted through the urine (Patton). As well as hydrogen ions regulating pH HECK also does this by acting as a weak base. With a regular pH of 7. 4 HECK concentration is about meek/liter however Mrs.. Little only has 14. Therefore her pH may be more acidic because her decrease in HECK will not allow any excess basic ions to help regulate the PH. As well as maintaining pH within the body the kidneys are also responsible for regulating blood volume and blood pressure, maintaining blood similarity, producing hormones, regulating blood glucose levels and excreting wastes and foreign substances. Regulating blood volume is very important in homeostasis because adjusting the blood volume in the body also causes a change in blood pressure. The kidneys are able to adjust blood volume by releasing particular amounts of rennin or by conserving or eliminating water in the urine. Therefore if the load volume is to low the kidneys will conserve water to help increase the blood volume as well as the blood pressure which occurs in septic shock (Traitor). Mrs.. Little who is experiencing septic shock is facing the side affects of decreased urinary output because of the result of low blood pressure that occurs in this disorder (medicine). Since blood pressure is so low in the human body during septic shock the kidneys within the renal system conserve liquid to increase the blood volume which in turn will increase blood pressure trying to achieve homeostasis. In result, the kidneys conserve as much liquid as possible causing Mrs.. Little to nave no water to excrete tongue ruler. Mrs.. Little Is also experiencing a slight decrease in her pH level at 7. 15. This is caused in relation to her decrease in urine output. Through homeostasis extra hydrogen ions which cause a decrease in pH are usually eliminated from the body through the urine. However, since Mrs.. Little has no urine output because she is trying to conserve her blood volume as well blood pressure hydrogen ions can not be excreted resulting in her lowered pH (Patton). PH regulation is very important and in result she will be given treatment in order to help he body try and reach a regular homeostasis state. It is very important that she receives treatment immediately because kidney failure may occur which will only decrease urinary output even further (Merck). Conclusion: In conclusion, when external environments affect the body Just as bacteria affects the human body in septic shock homeostasis mechanisms become crucial for ones survival. Through positive and negative feedback systems homeostasis mechanisms must regulate conditions throughout the immunological, gastrointestinal, cardiovascular, respiratory, and renal and acid-base system.

Saturday, November 23, 2019

The 9 Worst Pieces of Advice for College Graduates

The 9 Worst Pieces of Advice for College Graduates When you’re a new graduate, everybody and their uncle has advice for you. And everyone you talk to will assure you that their advice is the key. They can’t all be right. Avoid getting advice fatigue by keeping a keen ear out for some of these clunkers. They’re usually well-meaning, but can often knock you off your path. Here are  9 of the worst (and yet very common) bits of advice to  college graduates.1. â€Å"Go to grad school†Do not pass â€Å"go.† Do not collect $200. Delay the inevitable. Stay in school and get more degrees and be guaranteed more money when you graduate the next time. Sound good? For some, it is. For some fields, a Master’s or even PhD will be required. But for others, it’s just an expensive place to hide out from the real world. Unless you’re truly passionate about a career or field of study that requires advanced degrees, do a bit of soul searching to make sure grad school is right for you before you decide to apply automatically and end up wasting years and thousands upon thousands of dollars on something you won’t use in your future career.2. â€Å"Just show up and ask for a job!†You’ve got a dream job or a dream company. Right? Everybody has a goal. But sometimes the well-meaning grandparent or drunk uncle will tell you just to go on into that office and show them what you’ve got! They’ll have to reward your gumption and enthusiasm with a job! Right? Wrong. This is a rookie move which will betray your lack of experience and knowledge of how the work world works. The more conventional job search route, albeit slow and sometimes frustrating, will work out better for you.  3. â€Å"Hide your tattoos†It probably used to be true that tattoos could disqualify an applicant. But that’s not necessarily the truth now. There are plenty of industries and more creative fields where your individual style could be an asset in showing how we ll you’d fit into a company culture. Use your discretion, obviously. But on occasion, it’s okay to bare your ink.4. â€Å"You need to get a job in your industry right away†In other words: if you get an interim job that doesn’t have anything to do with your chosen profession, you’ll have killed your chances before you’ve even begun. Not true. If you can’t find a job in your dream field right away, then you can and should look for jobs in other industries or fields that will give you a boost in skills or experience that can easily translate into the job you ultimately want. Learn as much as you can, realize that diversifying your talents and experience might even make you an asset someday, and keep an open mind.5. â€Å"You should teach†Did you study humanities in undergrad? Does no one understand why? Think you have no viable career prospects? Write you off before you’ve even begun your professional life with the assumpti on that teaching is the only job available to you? Unless teaching is actually your calling, smile and nod and walk away.6. The Get Rich Quick SchemeAgain with the drunk uncle. Or the corner-cutting acquaintance who tells you about that opportunity just too amazing to pass up. Avoid any shortcuts that people dangle under your nose. There is no instant wealth or renown to be had without hard work and perseverance. Don’t stop chipping steadily away at your goals, and don’t put all (or even most) of your savings into an investment opportunity, no matter how enthusiastic your bro is that it’s the next big thing.  7. â€Å"You have to give it your all all the time†100% or 110% all day every day for the rest of your career is actually impossible. Certainly there are times when you’ll need to go all out, and times when you’ll have to work even harder than that in pursuit of a particular project or goal. But there are other times when you’l l need to take your foot off the gas and catch your breath. It’s okay to slow your pace now and again to avoid burnout. Just choose your moments carefully so as not to interfere with your goals and progress toward meeting them.8. â€Å"Follow your bliss†Do what you love and love what you do, right? Well†¦ sometimes it’s not quite so easy as that. While following your dreams is always a good idea, don’t just expect that everything will fall magically into place because you’re pursuing something you care deeply about. You still have to be smart. Save money. Strategize how to be on solid financial footing and don’t get lazy. Risks are one thing. Being stupid and expecting the money will just fall out of the sky is another†¦\9. â€Å"Get a stable job and stay there†This is the advice of a dying generation. A stable job is great. Job security, benefits, good money. All great. But settling isn’t. If you get stuck in a job y ou don’t really enjoy and which doesn’t challenge you too soon in your career, it could really hurt both your productivity and your earning potential. Not to mention your qi. Find a balance between following your bliss and providing for yourself and your future. If you hit that sweet spot, then you’re good to go. Steady sailing from here on out.

Thursday, November 21, 2019

Organizational Culture Analysis Research Paper Example | Topics and Well Written Essays - 750 words

Organizational Culture Analysis - Research Paper Example It is the hope of this author that such a level of discussion will be beneficial to the reader in terms of helping them to gain a greater understanding, not only the particular store in question, or the retail chain, but the way in which culture is oftentimes represented America. Firstly, with respect to the observable artifacts, it was clear and apparent from day one that the level and type of interaction with the consumer was the primary drive that all of the human resources literature and media consisted of. I distinctly remember the hours of video training that were required prior to even beginning the job in question. For instance, each and every situation that was presented, with the exception of those situations that involved fellow coworkers, was concentric upon maximizing the satisfaction of the consumer and minimizing the difficulties or negative emotions that an employee might represent. In retrospect, it is obvious that all of this was performed as a means of ensuring that profitability remained at a maximum. As the old saying goes, â€Å"the customer is always right†. Ultimately, this particular quote was incorporated within the training literature and served as a backbone with respect to the way in which the employees/stakeholders sought to go about their daily tasks. An espoused value that was promoted heavily within the organization was with respect to the ethical conduct that employees represented. Whereas it is oftentimes the case that individual employers hammer home such issues as the need to come to work on time, the importance and relevance of abstaining from racist, sexist, or ageist language and actions, or the need to give more time and energy to the details of one’s labor, the particular workplace in question had an espoused value system that was almost entirely concentric upon ethics (Baack, 1998). Although it is true that they engaged with the other topics that have been referenced above, the

Tuesday, November 19, 2019

Special education students revenue, analysis that shows compartive Research Paper

Special education students revenue, analysis that shows compartive costs of educating those students inside the district as opposed to outside the district - Research Paper Example Since each special child has their own way of understanding, the school system tends to provide more learning hours for them. This caring includes adding to the budget of the school what is needed by the child therefore receiving provisions from the federal government. A child with the development disorder will need a tutor for most of their life in order to be self-dependent and the school has to provide. Although intellectual giftedness can benefit from a different program, the term special needs education refers to those that are underprivileged and this reduces their ability for learning. Special education has institutions, but it is also under integration in the education system in developed countries and each school has a program for special needs students. This modification tries to see that the most number of students, even with special needs, receive service from the general education environment for more inclusive learning activities. Some special cases, however, have to receive handling in special schools, which have specific programs for severe cases. Schools in Saddle Brook school district have approval from the New Jersey department of education. The following is a table showing the average enrollment of the school for the past five years ending with the fiscal year June 30 2012. Saddle brook district is financially well off with residential homes occupying most of it. The district is almost 95% developed which means further development is quite hard to implement. With such a huge residential population, it means that the district funds the schools via the local tax base. This means that for all developments in the district, the community is directly responsible and they determine how much the school has to upgrade the programs. The district has several schools despite its consideration as a small suburban district. It has three K-6 elementary schools; long, Smith and Franklin, the Washington school; houses the special

Sunday, November 17, 2019

Saxenian’s Argument Essay Example for Free

Saxenian’s Argument Essay Saxenian conducted a comparative study of two regions that focused on electronic industry; Silicon Valley and Route 128. Between these two, reports showed that as of 1990, Silicon Valley emerged as more competitive and successful than Route 128. Saxenian conducted interviews in the area and found out that the employee mobility in Silicon Valley was higher. To argue that such mobility is the reason why Silicon Valley succeeds was something that defies the common knowledge and principles of economics. Such action would inevitably lead to a leakage of information across different organizations and might affect competition. When one company get holds of the other company’s innovative knowledge, they would apply the knowledge to their own company or use it towards their own advantage. Another observation that was made by Saxenian was the prevalence of collaboration in their network-based system and the promotion of â€Å"open-markets that encourage competition and entrepreneurship†. Through network-based system, knowledge was spread horizontally. The presence of new organizations or corporations are welcomed and supported. On the other hand, in Route 128 wherein companies are integrated to the point that competition becomes limited to the largest firms. Knowledge and authority â€Å"flows vertically† or stay within the firm. Nonetheless, through the development of the internet and other telecommunication technology, Saxonian’s argument no longer holds for a similar comparison today. The internet permits employees and employers among different firms or agencies to communicate. Cluster networks in a particular regional economy can communicate or exchange information with firms or companies abroad. Knowledge is retrieved more promptly and more accurately today through internet search engines. Job hopping or employee mobility was not a major factor today than before since information are more readily available than 20 years ago.

Thursday, November 14, 2019

The Authentic Movement of the 1960s Essay -- Peace, Love, Rock n Roll,

Peace, love, and rock ‘n roll. To some people those three words are the first thing to pop into their minds when they think of the 1960s. In reality, these words represent something much more significant. In the 1960s people started expressing their beliefs freely changing society in the United States forever, through media, protests, the hippie movement, and even music. The majority of the country’s drama in the 1960s was a result of the Vietnam War. Many citizens weren’t happy about being at war once again, and this time, it seemed like a never ending war. As time went on the citizens grew more desperate for an end to this war. One reason that citizens were disgusted with the idea of the war was because of the Pentagon Papers. The Pentagon Papers contained private information about the Vietnam War. Daniel Ellsberg, who worked for the Department of Defense Study of the U.S. political and military involvement in the Vietnam War, got ahold of this private information. Daniel decided that what was going on wasn’t right, and we wanted the rest of the country’s citizens to know what was really going on. He copied and sent these papers to the New York Times and had them release the information for the public to read (networks). Once the citizens realized the truth about Vietnam, they were ready to start fighting for a change. The American citizens took matters into their own hands and decided to rebel. Although the rebellion against the leaders of the U.S. was nationwide, most of it started on college campuses. One of the first groups known to take a stand was a group of college students that joined forces. They called themselves the Students for a Democratic Society. This group contributed greatly to the expansion of the movement... ... listen to, and where to go with their futures. In the 1960s individuality was born, and continues to grow every single day. Works Cited Cheese. Cheesybirdmess. 5 October 2014. 4 October 2914 . Erickson, Jill. "WHY did the counterculture movement develop?" The Counter Culture: Hippier Movement 1965-1971. Findlay: Mrs.Erickson, 4 May 2014. Mazells, Fred and Patrick Martin. World Socialist Web Page. 4 May 2010. 25 April 2014 . networks, A&E televison. History.com. 2011. 24 April 2014 . staff of History.com, History.com. History.com. 2010. 24 April 2014 . Yagi, Randy. Examiner.com. 29 March 2012. 25 April 2014 .

Tuesday, November 12, 2019

Reflective Personal Diary_Default Routines

I was presenting the last three months of performance of the Supply Chain department covering major achievements, Kepi's, risks and opportunities. As this was the year end as well therefore I was trying to Influence the Head of Business Unit and the CEO of the company. My team had already given me their presentations and I compiled those in to the main powering presentation. All the senior managers and business units heads were present and I was going through the slides one by one and explaining each of hose in detail.I sounded very confident and was trying to explain the technicalities and calculations related to each of the slides. All the members present were listening carefully and following me. I was not interrupted and there were no questions asked during the presentation. I felt very confident as I was able to explain all the details and as the performance of my department was well up to the set targets therefore I felt very enthusiastic while presenting the slides on the Kepi 's.I was most aware about the department Kepi's and their calculations. Reflections: After the presentation was over our CEO asked me questions on the implementation of the ERP/MR. for the Supply Chain function, the time frame in which it is supposed to be implemented and fully running and why was this not part of the challenges or risks as part of my presentation. Initially I tried to ward off the question by saying that as the ERP/MR. Phase-I implementation falls under the IT department therefore this was not part of our presentation.But he was not convinced so I stated that this was not a part of the previous quarter and therefore not in the presentation which as another failed attempt to not answer the question. Then I stated that this will be covered in the next quarter with IT department and if required a time frame can be set within one month. I was using my core strength of communication and my knowledge about the ERP/MR. systems. I was trying to end the presentation on a po sitive note as this was linked to the yearly appraisals for the whole team.I was avoiding accepting that the point raised was very critical and was a mistake to be missed in the presentation. The impact was not very good; other people were Just mute spectators probably agreeing with the point raised by the CEO. The most challenging was to accept that even after a brilliant performance In the quarter the whole presentation ended showing that an Important challenge/rolls was missed to be addressed.The important thing I missed was to look at the presentations from the previous three quarters with Q-2 presentation had the MR./ERP Implementation as a challenge for 2013 and a risk in 2014. I think the last point which I did by accepting the mistake straight forward and immediately providing a time frame for solution dominate the whole presentation and why wasn't I prepared for this or aware that here could be questions which could have been outside the scope of my presentation.

Sunday, November 10, 2019

Reflection of Freakonomics

Isaac Pack Mrs.. Buchwald AP com/microeconomics-chapter-4/">Microeconomics 18 August 2013 Freakishness Reflection/Response Initially, I was intrigued by the book based on its odd cover, an image of what appears to be a granny smith apple on the outside and an orange on the inside, and I found the contents far more interesting. The â€Å"catchphrase† used is â€Å"a rogue economist explores the hidden side of everything†, and no other phrase could be more accurate.Steven D. Levitate, a professor of economics at the University of Chicago, roved the various uses for his field that I had never before realized. The first example of a use for economics that piqued my interest was the very first one in the book: criminology. Before reading this, I had assumed that the subject of economics was involved with nothing more than concepts like the elasticity of prices and interest rates. I was utterly shocked when Steven D.Levitate was able to conclude that the cause of the decrease in the crime rate was attributable to not the increase in gun laws, not the increase in policing, and not the aging population, but the Roe v. Wade case that eventually led to the legalization of abortions. Anyone could easily guess that unwanted children are much more likely to become criminals, but to link that fact to the idea that people could avoid having unwanted children and create a logical and reasonable statement regarding the decrease in crime was absurd yet brilliant.The second use for economics that caught my eye was the idea of the value of roared information. He used the instance of the ASK with the facts regarding real estate astoundingly well to prove a point. Not only were the random bits of facts [such as the mention of Clansmen calling a conversation a â€Å"collaboration†] hilarious and entertaining, but they proved an impressive point: withheld information can drastically raise or lower value with ease. I never really pondered upon it before, but upon r eading and analyzing this statement, I came to be conscious and aware of it.

Friday, November 8, 2019

Potato chips Essays

Potato chips Essays Potato chips Essay Potato chips Essay Global Variations in the Potato Crisps and Potato Chips Market Its fair to assume that consumer snacking habits are likely to differ from country to country, particularly across different regions and cultures. A clear example is the consumption of potato crisps / potato chips which can be seen in the bar chart below. 86% of consumers throughout the USA and France consume potato crisps / potato chips closely followed by 84% of GB consumers. On the other end of the scale is the Chinese market with only 28% consumption. Potato Crisps/Potato Chips* Consumption per Country 84% 72% 43% 28% USA France source: Global TG 2012 Egypt Brazil South Africa China Base: Total population But do Chinese consumers simply snack less? Data from Chinas TGI (CNRS) show that (66%), candy (64%) and chocolate (44%) in the last year. As the best known potato crisps and potato chip brands are Western-owned such Kettle, Pringles and Lays and Walkers, this may explain their lack of popularity in China and their huge appeal to Western markets. Attitudes towards diet and health can also vary between different markets with the hart below offering a direct comparison between consumer attitudes in America and China. Only 25% of American consumers agree that it is worth paying more for organic foods, whereas 60% of consumers in China agree with this statement. A further difference can be highlighted as 46% of Chinese consumers agree that they always think of the calories in what I eat compared with a much lower level of agreement throughout the USA of 27%. Any Agree with the following statements: 25% 27% 39% Its worth paying more for organic food l always think of the calories in what I eat l consider my diet to be very healthy diet to be Very healthy. So, peoples perception of what they consider to be a healthy diet is likely to vary across different markets. In this case Chinese consumers are much more consistent in their perceptions of healthy eating and what this constitutes. *USA; Potato Chips France and 6B; Potato Crisp, Tortilla Corn Snacks Egypt; Potato Chips/Crisps Brazil; Potato Crisps South Africa; Potato Sticks and other Crisps China; Crisps

Tuesday, November 5, 2019

With All Due Respect

With All Due Respect With All Due Respect With All Due Respect By Maeve Maddox A reader wonders why the word due precedes the word respect in the expression â€Å"with all due respect†: Every time I hear it, I mull over the possibility of this  quotation being better phrased as with all respect due. I think it not only sounds better butimproves its usage. â€Å"With all due respect† and its variations â€Å"with all respect† and â€Å"with great respect,† are condensed ways of saying, â€Å"with all the regard that is owing [to you].† As formerly used, it was a way of politely disagreeing with someone of equal or superior social status, as illustrated in these examples from the OED: At one point Arthur said, ‘With great respect, Mr Prime Minister, I must say I think your policy invites aggression.’ 1940,  C. Brooks Journal It is, with the greatest respect to His Grace, very little use to say that the book has ‘caused more hubbub than it is worth’. 1977, Church Times 22 July 10/1  Ã‚   With respect, admiral, we should not be building boats for any other purpose than for sinking enemy shipping. 1980,  lJ. Follett Churchills Gold The expression’s use as a conversational lubricant for polite disagreement can already be seen to be slipping in this citation from 2004: Ambassador, with all due respect- that explanation is getting pretty stale! –Duty, Honor, Redempt In 2014, writer Janet Burroway used the idiom as an expression of deference in an interview archived at the Chicago Manual of Style site: Although I hadn’t been an editor before, I had been edited a gazillion times, often well and a few times badly, and I had an inkling of how to make a suggestion or elicit a change, with due respect to the author and her process.   But in popular culture, the expression has become associated more with insult than with respectful deference: Bill, with all due respect, you’re an idiot. –Stephen Colbert to Bill O’Reilly Amanda Marcotte With All Due Respect, You Are A Moron. –Blog headline. When do you plan on submitting your resignation? I ask this with all due respect. –Blog reader responding to request for questions for Senator Richard Durbin. The 2006 movie Talladega Nights: The Ballad of Ricky Bobby, may have influenced the popularity of â€Å"with all due respect† used to introduce a blatantly disrespectful and offensive comment. At least twice in the movie, Ricky Bobby says something extremely vulgar to his team owner. He has the mistaken notion that prefacing a remark with the expression â€Å"with all due respect† gives a speaker license to insult and offend. As for the reader’s question about word order, the idiom â€Å"with all due respect† is a set phrase like â€Å"a stitch in time,† â€Å"better late than never,† or â€Å"about face.† Changing the word order is possible, I suppose, but it would no longer be the same idiomatic expression. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Expressions category, check our popular posts, or choose a related post below:Dialogue Dos and Don'tsâ€Å"As Well As† Does Not Mean â€Å"And†Woof or Weft?

Sunday, November 3, 2019

Law & Criminology Case Study Example | Topics and Well Written Essays - 4500 words

Law & Criminology - Case Study Example While the employers' range of freedom has been curtailed to some degree, they can benefit from proper documentation, following procedures which have now become quite strictly defined, and ensuring that they enforce the terms of the Employment Contracts in an evenhanded way. In either a criminal or a civil case, an employee has certain rights which are assured by law under ACAS or under the PACE laws of 1984, and as amended and clarified by subsequent court cases. A disciplinary process allows similar rules of interview, recording and evidence as required under PACE. Few employer actions against employees result in criminal proceedings; of those that do, the due processes outlined in the following pages are relatively the same. A potential criminal prosecution can be followed by an interview, but rules of evidence are required. As outlined in PACE (1984) 67(9), an individual representing a company or a government body can have the same rights and obligations as a police inspector. The obligations include informing the interviewee that his/her declarations can be used in a subsequent prosecution, that the interview minutes be noted in writing and shared with the interviewee, and that certain rules pertaining to recording (if present) are applicable. In the case of an interview for disciplinary purposes, there is also a procedure outlined by the Department of Labor that requires a set series of written documentation. This process refers to the Employment Contract, and to the Employment Policies of the employer, which must be given to the employee within 60 days of the commencement of his or her employment. The elements that must be put in the Employment Contract have grown over the past twenty years, as has the unenforceability of some of the clauses which had existed in Employment Contracts written at an earlier period. Employers should be particularly chary about imposing changes (real or implied) in the work contract without the explicit, and usually written, consent of those employed. Failure to garner the employees' agreement can result in a rupture of contract and a cause for action against the employer in the future. This paper will outline the procedures in both cases, and the differences. It will also present a way to decide which process should be pursued, i.e. whether an employee should be treated as a potential defendant in a criminal case, or whether the employer intends to keep the person in his/her employ, but would like to address certain deficiencies through a disciplinary process. The Disciplinary Process Employees who are not meeting the terms of their Employment Contract can be subject to disciplinary hearings. It should be noted that, by the time the formal procedure is followed, there may have been some previous conversations between the employee and his/her supervisor. The substance of these conversations should be noted by the supervisor, as these notes may become part of a subsequent disciplinary process. Although a conversation between the employ

Friday, November 1, 2019

Logistic Challenges When Bussineses Expand into the BRICS Market Research Paper

Logistic Challenges When Bussineses Expand into the BRICS Market - Research Paper Example This objective should be accomplished when the policies are associated to multicultural knowledge. This research paper further aims to emphasize the significance of the logistics transport system and the infrastructure to achieve economic development. Additionally, it signifies other challenges including the political instability, fewer mediums of transportation, in-advancement of IT and much more. Possible solutions to these problems are also recommended. Background BRIC is generally portrayed as Big Four, BRICs or BRIC markets. A grouping acronym, BRIC is a group of four countries namely, Brazil, Russia, India and China which are believed to be at a similar stage of economic development. BRIC markets are one of the most emerging markets and are of great interest to the companies around the world (Dash, 2007). According to A. G. Canen & I. Tammela, logistics portrays the administration of the movement of services and goods from point of production to the point of consumption to meet customer requirements. It is a medium of supply chain which helps to put in the worth of place utility and time. Logistics involves the amalgamation of transportation, packaging, inventory, information, material handling, security and warehousing. 1.1 Significance of the Study Through this research I attempt to find out numerous logistics challenges faced by the businesses while their expansion into the BRIC markets. 1.2 Research Questions and Objectives Research Questions Research Objectives 1. What are the logistics challenges faced by the businesses while expanding into BRICs markets? 2. Why are these challenges said to be relevant? 3. What are the types of solutions to these challenges? 1. To identify the logistics challenges faced by the businesses while expanding into BRICs markets. 2. To work out the relevance of these challenges. 3. To recognize the types of solutions to these challenges. 1.3 Scope of the Study The data was mainly collected from secondary sources including books, articles, internet and journals. 1.4 Critical Review of Literature I am succeeded in illustrating the literature consisting of articles and journals on the research subject matter. The reviewed literature refined my knowledge concerning the m atter of the study and provided me with a number of study materials published prior related to the research matter, thus supported the significance of this study. 1.5 Hypothesis The research objective is to test the following hypothesis: H1: IT for logistics management is the most important challenge faced by the businesses. H2: The economic growth of BRIC markets relative to G7 countries is inferior. 1.6 Research Method Only qualitative approach was employed to investigate the matter. 1.7 Data Collection Methods For qualitative research, secondary data has been used including articles, internet and journals. 1.8 Ethical Considerations Efforts were made to minimize errors. Complete responsibility was taken to produce work without any bias. Confidentiality, integrity of data, errors and negligence, social responsibility, non-discrimination legal were given prior consideration during execution of this study. 1.9 Limitations The major limitation of this research is that it is relying o n secondary data only. Moreover, the data collected might be biased and provide restricted information due to distinctive perceptions of the authors included in the literature of the research. CHAPTER TWO: LITERATURE REVIEW 2.0 BRIC Markets BRIC is generally portrayed as Big Four, BRICs or BRIC markets. A grouping acronym, BRIC is a group of four countries namely, Brazil, Russia, India and China which are believed to be at a similar stage of economic development. BRIC markets are one of the most emerging markets and are of great interest to the companies around the world (Dash, 2007).