Wednesday, November 13, 2019
Migraines: A Complex Disorder Essay -- Headaches Medical Neurology Pap
Migraines: A Complex Disorder If I can only make it to my bed, I'll be fine. My head hurts terribly. I would do anything to stop the pain. I've taken three extra strength Tylenols and the pain hasn't diminished at all. My head is spinning. Ever so often, the world around me turns dim and then bright. I close my eyes. I need to lie down, but I am driving. I feel nauseous. The pain that started on one side of my head is spreading as it pulsates. I squeeze my head and rub my temples, but the pain remains. I wish for a lobotomy. I wish somebody could stop the pain. I'm home. I run to my room. I tie a rag tightly around my head. It doesn't help. I press my head against a wall. I feel like vomiting again. I know relief is coming soon. I pass out. I am a Migraineur, and have been ever since I can remember. Migraine headaches are a type of vascular headache that affects 28 million Americans, 75 percent of whom are women 1) "http://www.ninds.nih.gov/health_and_medical/pubs/migraineupdate.htm">National Institute of Health, a good source of general information on migraine headaches. Annually, migraines cost the American taxpayers $13 billion in missed work and reduced productivity 1) "http://www.ninds.nih.gov/health_and_medical/pubs/migraineupdate.htm">National Institute of Health, a good source of general information on migraine headaches. Migraines are not a disorder unique to overworked Americans. In fact, the World Health Organization identified migraine among the world's top 20 leading causes of disability name="2">2) "http://www.w-h-a.org/wha/info.asp">World Health Alliance, a source of current articles about migraine headaches. According to the World Health Organization, aside from the physiological exp... ...lth Alliance, a source of current articles about migraine headaches 3) "http://archneur.ama-assn.org/issues/v57n8/ffull/nhn8476.html">Archives of Neurology, provides a historical perspective on topics related to neurology (3) 4) "http://www.achnet.org/understanding/">American Council for Headache Education, provides information on all types of headaches 5) "http://www.wfubmc.edu/neurology/migweb2/introduc.htm#INTRODUCTION">Wake Forest University Baptist Medical Center, lecture notes of a professor at the medical school 6) "http://www.migraines.org/myth/">MAGNUM, a good site for individuals who suffer from migraine headaches 7) "http://www.intelihealth.com/">Intelihealth, a site sponsored by Harvard Medical School 8) "http://www.neurologychannel.com/migraine/">Neurology Channel, provides a comprehensive look at migraine headaches
Monday, November 11, 2019
Case Study One- Rio Tinto: Redesigning HR Essay
1. Synopsis Rio Tinto, an international London based mining and mineral company was severely impacted by the global recession in 2008. Such an impact forced unprecedented workforce reductions worldwide and decentralized HR management had to be brought in under a single umbrella to insure an orderly and efficient system that would support the organization’s future productivity. This new proactive approach to management, utilization of technology, and preparation of the employees proved to help save the company and set the stage for continued future operations. 2. Answer the Questions Q1. How did Rio Tinto’s revamping of HR help with minimizing the potential problems with the reduction in force? The entirety of management to engage in strategic human resource planning is what had been revamped in the Rio Tinto organization. Engaging in centralized global planning, maintaining effectiveness, awareness in serving the best interests of the entire organization, and not carrying out decentralized single focused HR at all sixty individual business sites was a positive, yet necessary culture shift leading to increased efficiency. The intention to control issues and serve the best company interests were to maintain integrity, hold down costs (which could have been in legal fights and time), sensitivity to those affected persons and business units, and establish a data management system that handles international staffing and succession planning. What role would an HRIS have to play in managing a RIF? The role of Human Resource Information System(s) in any organization is to give employee asset visibility to enable management decisions and planning easier. In a perfect world, all employee records from hire to decision time would give a more complete picture on all employees past, present, and future value to the organization. The comprehensiveness of a database with all the intricacies loaded in to handle future plans, regional requirements, training and education, critical skills, performance data, and succession planning allows managers the ability to see exactly where to eliminate positions and personnel that do not add to organizational productivity. Q2. Without a consistent philosophy, policies, and approaches to reduction in force (or any other disruptions in the future) what would the likely reactions from employees be? The first collective employee reaction management will see, whether the entire reduction in force plan is revealed, would be that of the union(s) being up in arms that there will be any employees getting the pink slip. The on the job efficiencies and reduction in productiveness could occur if employees become disenfranchised and are left wondering on whether they have a job tomorrow. Managers and employees who generally have a minor trust issue normally will withdraw from each other, which will result in work team dysfunctional behaviors and creativity will stalemate. If left to its own devices, strikes, walkouts, or employee sabotage could become the extreme results of poorly constructed philosophy, policies, and management approaches. 3. Describe a Similar Personal Experience During the mid-to-end of the 1990s, during my career in the US Army, we had a reduction in force (RIF) that was conducted very poorly. The perceived best interests (Washington politics) for the organization and centralized decisions were implemented without regard for the work units spread across the globe. There was no real use of a common sense approach to succession planning and ultimately we lost an unacceptable amount of mid-level managers that caused a knowledge gap that took nearly ten years to correct. At the time, the HRIS was not fully in place with management understanding the capability of the tools possible in making decisions. Changes since that time have improved in teaching management to leaders and in the near future, a RIF is on the way with the drawdown after we get our forces back here from the Middle East. We should watch and evaluate the historical lessons of the past.
Saturday, November 9, 2019
5 Words from the Kitchen
5 Words from the Kitchen 5 Words from the Kitchen 5 Words from the Kitchen By Mark Nichol Words most people associate primarily with the kitchen have multiple nonculinary connotations as well. Here are five words you may find useful in other contexts. 1. Apron This name for a garment worn to protect the wearer’s clothes from food stains (or one that is purely decorative) also applies to similar protective attire. From this usage stems meanings for structures with similar form and/or purpose, including a piece of wood under a windowsill, an extension of a bathroom fixture, the part of a pier or wharf along its edge, an erosion barrier, or the part of a stage that extends past the proscenium arch (the opening between the stage and the audience area). 2. Cook This is not just a verb for the action of preparing food and a noun describing a preparer; it also refers to a process for producing a substance or a material, such as the act of cooking methamphetamines. It’s also a slang term used a as a synonym for happen or occur (â€Å"What’s cooking?†), for doing well (â€Å"That band is really cooking!†), or for falsifying documents, especially financial records (â€Å"He was caught cooking the books†). 3. Glass The word for an often tall, narrow container for drinking liquids from, regardless of material, also applies to the mixture of materials used in making clear or tinted glass. Glass may also apply to another item made wholly or in part from glass or a similar substance, such as a mirror (or looking-glass), a basketball backboard, an hourglass, a telescope (or spyglass), or eyeglasses; a barometer is often called a glass. The word also denotes a container full of a liquid (â€Å"Have a glass of beer†). 4. Plate A plate is a shallow, mostly flat dish for serving food, but it also refers to other usually flat, thin items such as a piece of armor or a body part that is similar to armor, any flat structural piece, a part of Earth’s crust, and precious metal, and has other meanings, including the figurative reference to matters and responsibilities â€Å"I have a lot on my plate right now.†5. Table In addition to the meaning of a piece of furniture with a flat surface, often used for dining, table refers to any such surface, such as a geographical feature (tableland). It also has figurative meanings for eating (â€Å"Sit down to table†) and assembling (â€Å"Sit at the bargaining table†). Table also refers to a list or an arrangement of data. Table is used as a verb to describe entering data in a table. It also refers, in American English, to remove from consideration during a formal meeting or other procedure; in British English, curiously, its meaning is the opposite: It denotes placing an item on an agenda. There’s also a small but rich list of idioms that include table, including â€Å"lay (one’s) cards on the table†(â€Å"to be candid†) and â€Å"under the table†(â€Å"intoxicated,†or â€Å"secretive†). 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 Vocabulary category, check our popular posts, or choose a related post below:Punctuating â€Å"So†at the Beginning of a SentenceHang, Hung, Hanged30 Nautical Expressions
Wednesday, November 6, 2019
French Passive Voice †La voix passive
French Passive Voice - La voix passive Voice is a grammatical term which indicates the relationship between a subject and verb. There are three different voices in French and English. In the passive voice, the action described by the verb is being done to the subject by an agent, which is usually introduced by one of two prepositions:1. When the verb expresses an action, the agent is introduced by the preposition par:Active voice   David fait le mà ©nage.   David is doing the housework.Passive voice   Le mà ©nage est fait par David.   The housework is done by David.Active voice   Lise lit le livre.   Lise is reading the book.Passive voice   Le livre est lu par Lise.   The book is read by Lise.2. When the verb expresses a state of being, the agent is either introduced by de or left out entirely:Active voice   Tout le monde le respecte.   Everyone respects him.Passive voice   Il est respectà © de tout le monde.   He is respected by everyone.   Il est à ©minemment respectà ©.   He is highly respected.Active voice   Mes amis aiment ma mà ¨re.    My friends love my mother.Passive voice   Ma mà ¨re est aimà ©e de mes amis.   My mother is loved by my friends. How to Conjugate the French Passive Voice The passive voice is formed with the conjugated verb à ªtre the past participle. The past participle has to agree with the subject, not the agent, in gender and number, just like à ªtre verbs in the passà © composà ©Ã‚ (more about agreement):   Le livre est à ©crit par des lycà ©ens.   The book is written by high schoolers.   La vaisselle est faite par Henri.   The dishes are done by Henri.   Les enfants sont nourris par Luc.   The kids are fed by Luc. To use the French passive voice in any other tense or mood, just conjugate à ªtre accordingly: Active voice Passive voice prsent Anne fait la tarte.Anne makes the pie. La tarte est faite par Anne.The pie is made by Anne. pass compos Anne a fait la tarte.Anne made the pie. La tarte a t faite par Anne.The pie was made by Anne. imparfait Anne faisait la tarte.Anne was making the pie. La tarte tait faite par Anne.The pie was being made by Anne. futur Anne fera la tarte.Anne will make the pie. La tarte sera faite par Anne.The pie will be made by Anne. subjonctif Je veux quAnne fasse la tarte. I want Anne to make the pie. Je veux que la tarte soit faite par Anne.I want the pie to be made by Anne. How to Use the French Passive Voice Now that you know about prepositions and agents and how to conjugate the passive voice, its on to more practical matters. The French passive voice may be used for two reasons:A) To put more emphasis on the person or thing performing the action:Active: Un enfant a à ©crit ce livre. - A child wrote this book.Passive: Ce livre a à ©tà © à ©crit par un enfant. - This book was written by a child.B) To focus on an action without identifying the performer:    Jean a à ©crit ce livre. - Jean wrote this book.   vs    Il a à ©tà © à ©crit en 1927. - It was written in 1927. How to Avoid the French Passive Voice The French passive voice has a slightly formal or literary tone and is used less frequently than in English. There are several alternatives to the passive voice (besides the active voice): A) To focus on the performer, use cest:    Ce livre a à ©tà © à ©crit par un enfant. Cest un enfant qui a à ©crit ce livre.   This book was written by a child. Its a child who wrote this book.    Le record a à ©tà © battu par une femme. Cest une femme qui a battu le record.   The record was beaten by a woman. Its a woman who beat the record.B) To avoid identifying the performer, there are two options:    1. On (impersonal subject pronoun)    Ce livre a à ©tà © à ©crit en 1927. On a à ©crit ce livre en 1927.   This book was written in 1927.    Ils ont à ©tà © pardonnà ©s. On les a pardonnà ©s.   They have been excused.    2. Se (passive reflexive)    Ce livre est souvent lu. Ce livre se lit souvent.   This book is often read.    Les mà »res ne sont pas vendues ici. Les mà »res ne se vendent pas ici.Â Â à ‚ Blackberries arent sold here.
Monday, November 4, 2019
Orginizational Development The Process of leading Organizational Essay
Orginizational Development The Process of leading Organizational Change Case Study 6 & 7 - Essay Example The new Hire will work under the Human Resource Management officer generalist. The new employee will focus on career planning, compensation, etc. each group. The client feels the change culture has been managed well at this point. The client, Susan, segregates the Human Resource employees under different functions. The functions include sales and marketing (Paula Washington), Linda Andrews (Software Engineering), and Matthew Williams (Distribution). Each group is helped by a subordinate support team. The new model serves the different internal departments running the entity’s ASP Software business. Each group will have more focus on different assigned tasks. Susan focuses on people reduction to save on salary and other related expenses (Anderson, 2011). In addition, the management team feels happy with the organizational design and culture, especially employee reduction. The company is able to save on salary expenses. The company will save on other related exp enses. Management will increase profits with the reduction. However, the employees have anxiety over the reduction. They feel they may be included among the â€Å"retrenched†employees. The fear change may disadvantage them. The job change will cause stress as the employees learn their new job responsibilities. Susan has done segregating the employees under one homogenous function to improve the quality of its services. One department is called Corporate Functions. Another department is Distribution. A third department is Sales and Marketing (Anderson, 2011). However, Susan should have done differently. Susan should have instituted a brainstorming session. The brain storming session allows all affected persons to contribute their suggestions. Everybody is free to contribute their criticisms and disappointments. An intervention strategy is highly recommended to Susan to improve the current organizational chart’s effectiveness and
Saturday, November 2, 2019
Auditing Essay Example | Topics and Well Written Essays - 2000 words - 2
Auditing - Essay Example The Big 4 dominate the auditing industry to such an extent that policy makers are worried about the effects of a possible reduction in their number. Questions such as pricing power, bargaining power, quality of audits, the independence of audited financial reports and other matters that usually attend to an oligopoly has bedevilled government regulators and industry experts alike. This paper looks at some of the outstanding issues facing an industry with few market players, especially on the possible scenarios when any of the Big 4 exits the market altogether for whatever reason. The Big 4 auditing and accounting firms, together with professional and accountancy organizations, are actively promoting positive reforms in both their accounting and reporting standards to improve credibility and confidence in audited financial reports. At present, these big four comprise an oligopoly that dictated prices for their services. In classical economic theory, this is an imperfect competition where a few sellers can manipulate prices if they want to. Economists call it as the concentration ratio or C4 in which the four biggest firms control more than 60% of an industry similar to aircraft manufacturing and telecommunications. In fact, a report by the General Accounting Office (GAO) of the US (renamed now to General Accountability Office in 2004) indicated concentration to be higher, approximately 78% of all the publicly-listed companies that constituted 99% of all public company sales (Bloom & Schrim 2005) and has serious implications with regards to the risks for collusion. The GAO report was commissioned in response to the passage of the Sarbanes-Oxley Act the previous year and also due to concerns about the effects of audit mergers and consolidation on competition, cost, quality, pricing and the cherished principles of auditor independence. Due to the few market players in an oligopoly, the action of one market participant tends to be known by
Thursday, October 31, 2019
Foreign Policy Essay Example | Topics and Well Written Essays - 1000 words - 1
Foreign Policy - Essay Example Either way, there is more to consider when gauging the situation in Iraq than casualties and tax dollars. In section VI Ignatieff addresses a major issue that has divided the nation internally and raised comparisons to Vietnam. Recruitment is down and it appears that the price to preserve and spread American ideals may be too high. (Ignatieff, 2005, Section VI, par. 5). Another view presented by journalist William Greider is that Iraq is already worse than Vietnam. He believes that "the war in Iraq is different from Vietnam in one fundamental respect: A substantial portion of Americans (and others around the world) were in the streets protesting this venture before the shooting startedvirtually every element of what has gone wrong in Iraq was cited by those demonstrators as among the reasons they opposed the march to war (Greider, 2004, par. 7). While Ignatieff may not full agree with such a statement, at the very least it outlines the foundation of realist sentiment. Thomas Jefferson is introduced as a fitting reference point for the reader. His questionable morals and apparent contradictions to American freedom reflect the current situation in the Middle East. It also quickly addresses the internal struggle of idealism versus realism that is threatening to further divide the nation (Ignatieff, 2005, Section IV, par. 5). Jefferson's idealism and his legacy present a problem on a global level and is one reason for the international dissention over the situation in Iraq. Also, this Jeffersonian idealism or more specifically, later President's striving to achieve it has made the situation in the Middle East volatile and has challenged the universal of acceptance of American democracy as ideal democracy. Ignatieff suggests that Iraq and the perceived democratization of the nation is an extension of Jeffersonian idealism. He further notes that Jefferson exemplifies the contradictions that continue to plague American freedom (Ignatieff, 2005, Section I, par. 3). One other point of interest is when Ignatieff states, that "until George W. Bush, no American President - not even Franklin Roosevelt or Woodrow Wilson - actually risked his presidency on the premise that Jefferson might be right" (Ignatieff, 2005, Section I, par. 4). Herein lies the crux of the article, are Jeffersonian ideals and American democracy at this point, the same thing Looking at the reaction of the Middle East, most of Europe and Canada, this seems doubtful. Over the past 60 years in the Middle East, America has consistently become close to tyrants in the region (Ignatieff, 2005, Section I, par. 6). This in turn has caused a certain degree of instability in the region and certainly does not embody the democratic vision of the founders of the United States. This threatens to further alienate America on an international level, which can be a problem. Also noted as a sign that American democracy may not be universal democracy, is that while other powerful nations have shifted left on the political spectrum, America has moved further right. This is shown by among other things a huge divide in rights for homosexuals, concern for healthcare and America's willingness to use God's will as motivating factor behind foreign policy (Ignatieff, 2005, Section III, par. 3). Overall, this article does an exceptional job of
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