Tuesday, August 27, 2019
What Is Morality DB Unit 5 Assignment Example | Topics and Well Written Essays - 250 words
What Is Morality DB Unit 5 - Assignment Example It is a concept in which logical reasoning and evaluation is given preference over the ethical concepts. David must acknowledge that no rules have been violated since the president is his bossââ¬â¢s ex-sister-in-law, and hence, he does not need to inform the company about the discovery. No 3. It is a fact that a person ceases to have any legal relation with his or her in-laws after divorce. However, it would have been better to bring this into Sanders knowledge since it would definitely have impressed him, cautioned him in advance, and proven Davidââ¬â¢s efficiency and honesty towards the job and company. No 4. In this situation, by not informing the authorities David has not disrupted the companyââ¬â¢s policy regarding ethical requirements. Hence, there will be no negative remittances whatsoever that he will be facing. Instead, it is likely that by enlightening the authorities about this aspect and further informing about the legalities involved might prove beneficial for him professionally. Fernando, A. C. (2009). Business ethics: An Indian perspective. (p. 9). Pearson Education India. Retrieved from http://books.google.com.pk/books?id=UNKQtwaszhYC&printsec=frontcover&source=gbs_ge_summary_r&cad=0 Reily, N. P., Sirgy, M. J., & Gorman, A. (2012). Work and quality of life: Ethical practices in organizations. (p. 478). Springer. Retrieved from
Childhood Obesity Assignment Example | Topics and Well Written Essays - 1000 words
Childhood Obesity - Assignment Example Obesity not only brings concern about health but it adds to the financial burden too. Obesity augments the health care costs. Estimates reveal that obesity accounts for approximately 10% of yearly medical expenses, increasing the obesity-associated medical costs to $147 billion in 2008. Obesity has reached an alarming position in USA, and two well distinguished categories have been demonstrated namely obese and extreme obese. Findings disclose that over one-third adults of United States adults were found to be obese during the year 2007ââ¬â2008 (Flegal, 2010). According to The National Health and Nutrition Examination Survey (NHANES), the incidence of obesity in the United States could be estimated by means of data for height to weight ratio. The prevalence rate of obesity display that there was a steady increase in obesity equally in both the sexes belonging to all ages from 1976 -1980 to 1988-1994. On the other hand the trend in obesity augmentation between 1988-1994 and 1999-2 000 was significant in other ages except for the males belonging to the age between 40 to 59 years. While data analysis from 2001-2002 to 2003-2004 recommended escalating trends since 1999-2000 in males and not in females (Flegal, 2006).? Complications of Childhood Obesity Reports illustrate that around 7 million American children and teenagers are supposed to have elevated cholesterol concentrations. If LDL concentration rises at young age and when these kids grow as adults they are bound to have prominent LDL cholesterol intensities. Such overweight kids are likely to develop cardiovascular disease and diabetes, these diseases are otherwise associated with adults in their middle-age. A drastic rise in type 2 diabetes have been reported by pediatricians among the children and adolescents (Web: Child Obesity In America). Type 2 diabetes is associated with obesity. Reports reveal that almost 40% of the children are associated with this condition. Beside, the obese child also witnesse s physical health issues and social troubles. Morbidly obese children also suffer from emotional distress as a result they develop profuse eating habits. Observation reveals, obese children are delighted if they get eatables they wish for, thereby develop a tendency to eat constantly and still are not satisfied even after consuming a large full meal. Research reports highlight that that eating behavior of children have considerably altered over the past twenty years or so. Children are consuming greater percentage of their calories from junk food items and snacks, containing high proportion of fat, salt and sugar contributing to the obesity of the child (Ludwig & Ebbeling, 2001). Eating Habits The most favorite food items for kids of present epoch are ice creams, soda pop, hamburgers, cheeseburgers, pizza, French fries made of potatoes that is full of starch, milk shakes that are sugar syrups, chips, and candy bars. These food items are devoid of fibers and are rich in fats and chol esterol. Children find raw fruits and salads icky, as they are
Monday, August 26, 2019
Planning an event Essay Example | Topics and Well Written Essays - 750 words
Planning an event - Essay Example Health and safety programs are also necessary for legal, financial and moral reasons. Health and safety management is the organization of efforts and procedures for the purpose of identifying hazards in the workplace, minimizing occurrence of accidents and reducing exposure to harmful materials and conditions (MANUELE, 2008, pg.6). Health and safety management involves personnel training on prevention of accidents, response to disasters, preparedness for emergencies, and the usage of protective gears and equipment. Healthy and safety management is a crucial factor in events since most events are likely to bring together a large number of people. The safety of these people is a critical issue since a single accident in the event can lead to severe injuries and even death of the people present. Healthy safety management in events helps in ensuring total safety of the particular event is maintained so that as far as realistically attainable, those people tasked with setting up the event, and those in attendance of the event are not in a situation where their health and safety is at risk. Health and safety management involves setting up of appropriate management systems for each phase of the event, thereby ensuring control of health and safety risks. Such management systems include safety precautions before and during the event. Although people maybe fewer, higher risk activities are carried out during the buildup, load-in and load-out (PORTER, 2011, pg.81). Healthy and safety management programs are crucial in events for ensuring cooperation among the workers, and appropriate coordination of all work activities carried on the site (INTERNATIONAL LABOUR OFFICE, 2009, pg.40).These are possible through the use an overall phased program of work that takes into consideration the risk assessments of the contractor and communicates them to all the appropriate parties. Healthy and safety management program, therefore, provides employees with the relevant information
Sunday, August 25, 2019
About Business Personal Statement Example | Topics and Well Written Essays - 250 words
About Business - Personal Statement Example My keen interest on the functionality of the business soared as I began to study Business in my GCSE level. I become more enthusiastic on every aspects of Business across the globe. My father who owns real estateââ¬â¢s with over ten employees has been a bigger inspiration for my zeal for business. He has made me to assist him in the management of the business and this has enabled me to deeply understand the management of business finances and the taskforce required for the business to be successful. My zeal for business has enabled me to own photocopying business at the vicinity of the college. The business is doing well and this demonstrates that I have the correct attitude towards my career. As depicted in my zeal I have always remained focused on harnessing my business developments and I have a deep conviction that the small beginnings and more knowledge on Business studies will enable me to be a key player in the Business
Saturday, August 24, 2019
HRM functions shape employee behaviour Research Paper
HRM functions shape employee behaviour - Research Paper Example EEO and Affirmative Action The federal government has been making efforts for freedom from discrimination on the basis of sex, age, color, religion, nationality and disability through its Equal Employment Opportunity (EEO) mission. Affirmative action plans are deemed moral and social obligations to amend wrongs done in the past while also eliminating the present effect of past discrimination. Computer technology is increasingly being used to eliminate or reduce discriminatory practices. The same technology increases discrimination against the disabled. In certain organizations only computer-based employment selection tools are used but the visually impaired are at a disadvantage if applications are accepted only through computer systems. It is hence absolutely essential that applicants with such disabilities are provided with alternate solution and methods to submit applications. Companies claim to have policies in place which encourages them to contact the HR department in case they have been wronged but when the application procedure itself has flaws, the question of contacting the HR department does not arise. The visually impaired may have talent that goes untapped. Coates Field Service, Inc has a provision that the contractor is obliged to read out the notice to the visually disabled. To some extent this sounds as an affirmative action because the hiring agent would be having applications from the disabled. However, in such cases, the responsibility is passed on to the hiring agent and the organization absolves itself of accountability against discrimination. It really is difficult to ascertain the efficacy of such a method as it depends upon the selfish interests of the agent now instead of the organization. If the organization is not supportive, retention of disabled staff becomes a critical issue. Planning, recruitment and selection It has become esse ntial to keep abreast of changes in the labor market so that recruitment efforts are not wasted or misaligned. Planning entails assessing the future needs, aligning training with requirements, avoiding redundancies, developing a flexible workforce, and controlling staff costs. However, organizations engage in both internal and external recruitment. As far as internal recruitment is concerned, it saves costs but it also stifles creativity (Gros & Sonntag, n.d.). The same resources are shifted from one department to another. Moreover, conflicts among the employees can be expected as promotions are denied based on seniority if they are found to be lacking in skills. Now in this case the employee may be lacking in skills possibly because adequate training has not been provided, perhaps due to discrimination. Work-life balance and flexibility are essential to get the best out of the employees. Organizations that offer such benefits are preferred;
Friday, August 23, 2019
'There is no longer room for the labour, skill and judgement standard Essay
'There is no longer room for the labour, skill and judgement standard as the originality criterion under UK copyright - Essay Example Emphasis is given on UK copyright law but reference is also made to the approaches used in other countries also, especially the Common law countries that share a common framework of principles and rules. A specific aspect of the UK copyright law is explored: the labour, skill and judgement standard, as related to the originality criterion of UK copyright law. At a first level, the following assumption can be made: the rules of UK in regard to this type of law are not extensive, at least taken into consideration the similar frameworks of other countries worldwide. Still, the applicability of these rules is carefully monitored because of the following reason: even if the labour, skill and judgement standard need to exist as elements of the UK copyright law, their potentials to survive in the global market cannot be secured. In addition, the content and the requirements of originality can be different in UK law, compared to other laws, even those incorporated in the same legal framework , such as the countries of the Common law. The literature and the case law developed in regard to this issue are used in order to show that labour, skill and judgement in copyright cannot secure the uniqueness of a work. It seems that such difference is justified using the different explanations of originality, as held in countries worldwide. Also, the potential inability of creators to understand the requirements of copyright law can lead to delays in the recognition of the uniqueness of a work as the result of the labour, skill and judgement of its creator. At this point, the following problem appears: should labour, skill and judgement continue to be used as standards for deciding the originality of works in the context of the UK copyright law? The above question is critically discussed below using relevant literature and case law, as appropriate, so that the credibility of the assumptions made is secured. It should be noted that the findings of the literature, as compared with t hose of case law seem to promote two different trends: in certain cases, the labour, skill and judgement standard is used as the sole criterion for evaluating originality while in other cases a trend for replacing, even partially, the above standard with other elements, mainly quantitative, has appeared. The particular contradiction is critically discussed above in order to evaluate whether the elimination of the standard would be feasible and whether the simultaneous use of other standards would help to improve the performance of UK copyright laws. 2. The ââ¬Å"labour, skill and judgementâ⬠standard as the originality criterion under UK copyright 2.1 The originality criterion as related to copyright In order to understand the potential involvement of labour, skill and judgement standards on UK copyright law, it would be necessary to refer primarily to originality, as a criterion for awarding a property right in regard to a specific work. Originality, as related to the copyrig ht law sets the following condition: ââ¬Ëthe work must originate from its maker so that it can obtain protectionââ¬â¢1. The concept of originality has been clearly described in the case University of London Press Ltd v University Tutorial Press Ltd (1916) where the originality of a work has been used for showing that ââ¬Ëa work is originated by the authorââ¬â¢2. In addition, it seems that originality, as explained above can have
Thursday, August 22, 2019
Total Knee Arthroplasty Essay Example for Free
Total Knee Arthroplasty Essay Etiology and Pathology à à à à à à à à à à à The knee functions as a type of biological transmission whose purpose is to accept and transfer range of loads between and among the femur, patella, tibia, and fibula without causing structural or metabolic damage. Arthritic knees are like living transmissions with worn bearings that have limited capacity to safely accept and transmit forces. Arthritis of the knee can be restricted to a monoarticular clinical manifestation, or it may be a part of an oligo-or polyarticular disease. A careful anamnesis and clinical examination will allow the clinician to classify the clinical presentation of arthritis of the knee into disease groups such as osteoarthritis, rheumatoid arthritis spondyloarthropathy, or miscellaneous arthritic diseases. Infectious arthritis presents typically as an (sub) acute inflammatory monoarthritic disease. Up to 90 % of infectious arthritis cases present as monoarthritis. The only exception is gonococcal arthritis, which presents more commonly as a migratory polyarthritis. If the condition is unrecognized, joint destruction will occur rapidly. In confronting the athlete who will undergo the operation it is important for me to discuss a working hypothesis and ultimately critical to arrive to the most likely diagnosis. The clinical history of the patient is to be well studied it is a demanding task and a lot of circumstantial evidence can evolve from a full history of the current problem , past medical conditions, and the family history. Kinds of Pain The nature of the pain that he might encounter and the reason he needs to undergo TKA belongs to ââ¬Å"the basicsâ⬠, whether it is mechanical, inflammatory, neuropathic, or poorly defined. à Mechanical pain occurs when the joint is used; walking becomes difficult and especially climbing stairs causes problems. On resting, there is less pain. Starting pain and stiffness are very characteristics of a more advanced mechanical pain pattern. Inflammatory pain typically presents at night. More specifically, the second part of the night become troublesome, and patients need to go out of bed and move. They experience morning stiffness for at least one hour, and this stiffness diminishes progressively as the pain begins to move. When pain is neuropathic in origin, a typical distribution pattern corresponding to the innervationsââ¬â¢ is found. Psychosomatic pain has no typical presentation or distribution. Complaints are always more impressive than the clinical findings. à à à à à à à à à à à Consider asking the patient of how long the knee problem has existed, when pain and swelling have been present for less than 6 weeks, the problem is acute. Beyond 6 weekââ¬â¢s duration, the term chronic is used and implies that spontaneous healing of the arthritis is unlikely. à It is also important to look for circumstantial evidence. Did the trauma occur just before the knee swelling began? Did the patient have an episode of fever such as angina, gastroenteritis, or arthritis? Does the patient have other clinical conditions that could be linked to the knee arthritis, such as skin problems (psoriasis, erythema nodosum), chronic diarrhea as seen inflammatory bowel disease, and eye problems such as uveitis or scleritis? In this setting a complete familial history can also add useful information. Advantages of Total Knee Arthroplasty Consistent reproducible results Correction of mechanical alignment Addressing all knee compartments Long term (greater than 90%) 10 year survivorship Drawbacks Postoperative pain which can endure for months Prolonged recovery sometimes inferior Patient satisfaction With extensive exposure required to align and implant the total knee arthroplasty, there is significant damage to the quadriceps muscle both in cutting into the musculature itself as well as damage with eversion of the patella and prolonged stretch to the quadriceps mechanisms intraoperatively. Muscle damage is permanent and can limit postoperative strength and/or function. Surgical Procedure à à à à à à à à à à à Before the surgery is performed usually blood count, electrolytes, APTT and PT to measure blood clotting, chest X-rays, ECG, and blood cross matching for possible transfusion. Accurate X-rays of the knee are needed to measure the size of components which will be needed. Medications such as warfarin and aspirin will be stopped some days before surgery to reduce the amount of bleeding. The athlete may be admitted on the day of surgery if the pre-op work up is done in the pre-anesthetic clinic or may come into hospital one or more days before surgery. Recent improvements in technology have led to a confusing spectrum of choices for both the patient and surgeon in treating monocompartmental knee arthritis. The obvious need to get the surgery done right, there are now pressures to ââ¬Å"do it quicklyâ⬠and with a minimal scar and reduced disability time. The combination of patientââ¬â¢s demands and expectations with actual surgical possibilities may be challenging. To this end, a logical structuring of options is in this order: Osteotomies Unincompartmental knee arthroplasty Total knee arthroplasty The indications and more importantly, the contraindications of the surgical procedures often results in overlap of options that must be considered for any given clinical situation. The appropriateness of any of these procedures should be considered in light of their relative indications and problems. These include patient age, activity level, expected longevity of the procedure, reliability of the procedure to bring about the expected goal, and ease of revision in the event of failure. Of equal importance are the contraindications to the procedures including contracture, deformity, ligament contracture or insufficiency, and bone deficiency. The relative value of an osteotomy stands in inverse proportion to the patientââ¬â¢s age. Younger patientââ¬â¢s demands on an implant that will not stand the test of time, with failure due to wear or fixation failure. Considering that the patient is an athlete, athletic activities after the operation such as jumping and running are associated with surface loads in excess of the limits of the polyethylene. à The hazards of heavy or repetitive loading, deep knee bending and the lifting activities that accompany a variety of occupations and activities may loosen or damage prosthesis. Research Probability on Different methods on Knee Surgery Long term results of osteotomy show a gradual decline in function and recurrence of deformity. Hungerford et al reported that on ninety-two knees with a good or excellent rating after osteotomy at two years. At ten years only fifty-eight knees (61%) maintained this level 13. Parvizi et al reported on fifty-eight patients with a mean fifteen year follow up. There were only 55% good to excellent results. Twenty-six patients formed subsets that have been reviewed previously. At eight years, there were 73% good to excellent results, declining to 46% at eighteen years. Technical Problems à à à à à à à à à à à Technical problems of total knee arthroplasty after closing wedge osteotomy include: difficulties in gaining exposure, bony deficiencies necessitating grafts or wedges, difficulties in attaining ligament balance, prolonged surgical time and increased blood loss. Lonner et al recommended reserving the procedure for young, active overweight patient only 15. à à à à à à à à à à à Justification for the procedure in high demand patients is more difficult. Bellemans and Co author have reported range of motion between 120 and 130 degrees with enhanced functional potential for activities of daily living including stair climbing and transfer function. à à à à à à à à à à à Osteotomy has some contraindications including: various deformities greater that 10 degrees, flexion contracture more than 20 degrees, limited range of motion, ligament insufficiency including the anterior cruciate, and patellofemoral (Kurtz, 2004). Unicompartmental arthroplasty shares similar contraindications. Surgical treatments include tissue repair approaches, arthroscopic lavage and debridement, osteotomy, and unicompartmental and total knee replacement. There is little or no evidence that surgical reconstruction of torn cruciate ligaments or the meniscus prevents the development of the knee OA. It remains to be seen whether cartilage repair procedures prevent or slow down knee OA. The combination of tissue repair, such as the repair of cartilage defects, with an osteotomy, performed on the right patient and by a trained surgeon. In the case of knees with advanced degenerative arthrosis which undergo joint replacement surgery, the principle of functional restoration may be more properly stated as maximization of the functional capacity of the knee. As effective as current joint replacement techniques are at achieving pain relief and often associated increases in muscle strength and control, knees that have had joint replacement surgery do not replicate the functional status of a healthy, uninjured, adult joint. After the joint replacement the patient should avoid in running marathons or play tackle football. The structure of the knee is complex, and its behavior can be unpredictable even in the most experienced hands. However, the task of replacing the bone surfaces and balancing the ligaments can be made manageable by following a logical plan based on correct alignment throughout the arc of flexion and ligament release based on the function of each ligament. Optimal knee function requires correct varus-valgus alignment in all positions of flexion. This requires reliable anatomical landmarks for alignment both in flexion and extension. The long axes of the femur and tibia and the anterior and posterior axis of the femur are highly reliable and provide the guidelines for establishing stable alignment of the joint surfaces by placing the tibia and patellar groove correctly in the median anterior-posterior plane trough the entire arc flexion. à Knowing their function and testing their tension provides the information necessary to release only the ligaments that are excessively tight, leaving those that are performing normally. Fractional release does not destabilize the knee, because other ligaments are retained, and because the peripheral attachments of the ligament to other soft tissue structures such as the peristeum or synovial capsular tissue allow the released ligament to continue to function. Ligament release does not cause instability. Failure to align the knee and release the tight ligaments, however, does not cause instability, unreliable function, and excessive wear. With this knowledge, good instruments, and sound implants, the surgeon can align, balance, and stabilize the knee even when severe bone destruction and ligament contracture are present. CT scanning is an accurate way of measuring the component malrotation. Assessment of the rotatory alignment of the femoral component and the axial rotational relationship of the femoral and tibial components is part of the Perth CT protocol which is used routinely in total knee replacement surgery. The athlete will have preoperative clinical investigation and a radiological examination with standardized coronal long leg stance X-ray and standard lateral X-rays, adapted from the technique. Intraoperative complications will be recorded. The radiological evaluation was repeated between the 6th and 12th postoperative weeks by an independent observer at each center. The athlete should perform straight leg raises by the first postoperative day, by the second postoperative day research shows that 90% of patients have straight leg rise which suggest s good control of the quadriceps mechanism. On the third postoperative day the athlete should be able to independently transfer from a bed to a chair and on fourth postoperative day the athlete is able to navigate up and down stairs with assistance, and the mean postoperative discharge is 2.8 days. à The athlete is discharged to physical therapy which he will perform on his own home. Athlete should be averaging 10 days on a walker, 1 week on a cane, and independent ambulation is averaging approximately 3.5 weeks. à Rehabilitation Protocol To have the ability to perform physical actions task, and activities related to self-care is improved: Care is coordinated with patient, family, and other professionals. à Case is managed throughout episode of care à Integumentary integrity is improved à Knowledge of behaviors that foster healthy habits its gained Placement needs are determined à Risk factors are reduced à Risk of secondary impairments is reduced à ROM is increased à Standing balance is improved, stress is decreased To achieve this outcome, the appropriate intervention for this patient is determined. This will include coordination, communication, and documentation. à Is there evidence of total contact? If the person has a pelite liner, total contact maybe checked by putting a little ball of play dough at the end of the socket, the patient stands and bears weight and the displacement of the play dough indicates the extent of total contact, Too little contact may cause may cause distal end skin problems and a stretching pain. Too much may cause excessive pressure at the end of the stump and pressure pain. Is suspension maintained when patientââ¬â¢s lifts leg off the floor? Check that there is no excessive movement of the prosthesis away from limb when weight is removed. On weight bearing, make a small pencil mark at the anterior socket brim or, if sleeve or shuttles locks suspension, place lightly at edge of socket. Too much movement between residual limb and socket creates abrasions and may lead to toe drag on swing. CONCLUSION à à à à à à à à à à à Joint replacement surgery is designed to expand the entire envelope of function of symptomatic arthritic knees as safely and predictably as possible. Properly utilized, total knee replacement surgery is capable of substantial increases in the functional capacity of a given arthritic joint, but it is not designed to restore the full physiological function of a normal, uninjured adult knee. Future developments in the therapeutic management of arthritic knees may eventually involve biological approaches that could result in further improvements in maximizing the post treatment envelope of function over what can be achieved with the current technique of using artificial components. By tracking the loss of osseous homeostasis in knees starting at a time prior to the development of overt radiography identifiable degenerative changes Most patients can easily readily grasp the concept of the envelope and therefore can have a better understanding of what function is to be expected postoperatively. By this method they can more readily understand the joint replacement surgery is not designed to restore a knee to full, normal physiological function. Patients have responsibilities, as well to do all they can ( by participating in pre- and post operative physical therapy, for example_ to maximize their envelope and, once3 this is achieved, to not exceed the functional capacity of the joint following surgery by avoiding activities associated with supraphysiological loading. Cited Literature Hungerford MW, Mont MA. 2000. Nonoperative treatment of knee arthritis. In Insall JN, Scott NA (ed.). The Knee. CV Mosby, NY. Robertsson O. 2000. Unicompartmental arthroplasty. Results in Sweden. Orthopade 2000; 29 Suppl 1:S6-8. Lonner JH, Hershman S, Mont M, Lotke PA, 2000.Total knee arthroplasty in patients 40 à à à à years of age and younger with osteoarthritis. Clinical Orthopedic pp. 380:85-90. Mont MA, Chang MJ, Sheldon MS, Lennon WC, Hungerford DS, 2002. Total knee arthroplasty in patients less than 50 years old. J Arthroplasty 17: pp. 338-343. Romanowski MR and Repici JA. 2002. Minimally invasive unicondylar arthroplasty. Eight year follow-up. J Knee Surgery 15: pp. 17-22. Parvizi J, Hanssen AD, Spangehl MJ, 2003. à Total knee arthroplasty following a prior proximal tibial osteotomy. A long-term study identifying risk factors for failure. J Bone Joint Surgery (In Press). Hungerford, D. S. Kenneth A., Krackow, Kenna R.V. 1994. Total Knee Arthroplasty: A Comprehensive Approach. Williams and Wilkins. Kurtz, S.M.à 2004. The UHMPE Handbook Ultra-High Molecular Weight Polyethylene. Academic Press. Rodriguez, E. C. 2003. The Haemophilic Joints: New Perspective. Blackwell Publishing. Delloye, C. and Bannister, G. 2004. Impaction Bone Grafting in Revision Arthropplasty. Published Informa Health Care. Bono, J.V., Scott, R.D. 2005. Revision Total Knee Athroplasty. Springer. Dutton, M. 2004. Orthopedic Examination, Evaluation, and Intervention. Mc Graw Hill Professional. Sculco, T.P., Martucci, E.A., 2001. Knee Arthropplasty. Springer Publising. Moffat, M. Rosen, E. Rusnak-Smit S., 2006. Muscuskeletal Essentials: Applying the Physical Therapist. SLACK Incorporated. Callaghan, J.J., 2003. The Adult Knee. Contributor Harry E. Rubash. Lippincott Williams Wilkins.
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