Case: Pizza Chains of the United States and Pizza Hut Essay

Executive Summary Competing in the market today can be very complicated. â€Å"The Pizza industry is a 30+ Billion per year industry (â€Å"Facts,† 2010)† Maintaining a steady position in this industry is very imperative to us being successful in such a competitive market environment. Deciding when to expand a company is very important. There are decisions to be made for example whether management wants to vertically or horizontally integrate. What Resources will be needed? Other decisions may be to add a new product line to compete with other companies already in the market. Recognizing these issues early on help to eliminate falling behind in the market due to not recognizing competition when as it arises. So far to date Domino’s has done a remarkable job at staying ahead of the game. Being an innovator in deliver, later marketing the HeatWave bag, and even entering into new markets with hot oven subs and pasta bowls. The latest of our strive for excellence has resulted in us revamping our recipe. Just like everyone else we have our weaknesses, but our strengths are where we prevail. We have a great supply chain and have integrated it quite well. Our ability to change and implement these though our franchises have been relatively impressive. This is very unique to us indeed. We have overcome many obstacles. Since 2007 the economy has taken a downturn and has yet to recover completely. We have adapted by reducing prices, adding menu items and integrated a new recipe into our company to achieve more of a competitive advantage in this every changing market. As Trends change so do we. Even though we are doing great with the current changes, we need to take full advantage of the momentum and enter into a new market before a new competitor rises up and blindly and takes us by surprise. The frozen pizza market has almost exploded in the last few years with America trying to get more for the buck. â€Å"The frozen pizza market continues to perform well as consumers continue to seek value and convenience and are trading down from delivery and restaurant pizza companies(Shea, 2010)† to include us and our competitors. This is our chance to get into the frozen pizza market. With brand recognition alone we should be successful and now that we have our new recipe behind us we should be able to be a strong contender. Expanding that even further and not only offering frozen but offering unfrozen pizza as well with fresh topping in my opinion has a recipe for success. Imagine customers grabbing a domino’s pizza while grocery shopping. They would be getting the same over freshness we offer without the need for delivery. We could penetrate that market from customers who normally don’t order delivery. Dominos has made these decisions before â€Å"We made a lot of tough calls in terms of expanding our menu and changing our recipe(Veenendaal , & York, 2010) â€Å"according to Mr. Brandon. This is something we obviously are getting really good with. Without recognizing this new threat of competing with the frozen food isle we are destined to fall behind. Introduction Domino’s pizza first began in 1960 from a pizza store known as DomiNicks. It was purchased by Tom Monaghan and his brother James Monaghan for $900. James later sold his half of the partnership to Tom for a Volkswagen Beetle. In 1965 Tom now the sole owner of the company renames it to the name we recognize today as Domino’s. The first Dominos pizza franchise originated from Ypsilanti, Michigan in 1967. In 1978 the Franchise had grew to over 200 stores. Then again only 5 years later in 1983 we hit another bench mark in our company by reaching our 1000th store and were international. Today approximately 90% of our company’s domestic stores are franchised. We use our company owned stores as a testing ground for our new products and technologies which we then pass onto our franchisees. Over our 45-year history, â€Å"Domino’s has developed a simple business model focused on its core strength of delivering quality pizza in a timely manner. This business model includes a delivery-oriented store design with low capital requirements, a focused menu of pizza and complementary side items, committed owner-operator franchisees and a vertically-integrated distribution system (Reuters, 2010). †In 1993 we had to discontinue a successful marketing campaign for delivery that was well known as the 30-min guarantee and redirected out emphasis on more on the Total Satisfaction Guarantee; â€Å"If for any reason you are dissatisfied you’re your Domino’s Pizza dining experience, we will re-make your pizza or refund your money(â€Å"Our Heritage,† 2008). † In the 1992 we rolled out bread sticks which had significance in that it was our first non-pizza menu item. Shorty after that in 1994 we introduced Buffalo wings to our domestic stores. This another technique used to complement our already thriving pizza delivery business. When compared to others in the industry during this time we were sustaining our competitiveness by offering more of a range of products with speedy delivery. Spinning off into the hot wings market allowed us to grab attention of being more than just a pizza delivery business. We now had more variety with the same great speed and service. With the dot com bubble coming to light in the 90’s, we again led the way by getting in early on the dominos. com. â€Å"The dot-com bubble was a speculative bubble covering roughly 1995-2000(â€Å"W dot-com bubble,† 2010). †We recognized this competitive advantage early and launch our first website in 1996, Dominos. com. Our ability to continue to recognize the importance of adapting to an ever changing market has been the key to us maintaining our current position today. In 1998 we launched another industry innovation by offering the first patented technology bag that keeps the pizza oven-hot to the customer door. It was called the Domino’s Heat Wave and was used heavily in advertisement to gain customer confidence in the delivery of a hot piping pizza directly to their door and is still used today. This added to our already strong brand recognition in the market and continued to add more of a distance between us and our competitors. By taking full advantage of the opportunity to be an innovator to pizza delivery, we not only provided a service that was not yet established in the market place early but established the brand name recognition for pizza delivery which is the key advantage over other competitors in the pizza delivery service. After most of the recent research that has been done today, it has come to our attention in today’s market that customers would prefer a great tasting pizza over a speedy delivery. The fact that we have shifted our ideas to revamping our recipes was a great challenge for us this past year and has worked out rather well. This was big step from our traditional idea of being successful by competing to make a speedy delivery and cheaper pizza. Today we are competing by making a great pizza with the added convenience of delivery to the customer door step hot and fresh as well. We operate out business in three segments, domestic stores, domestic supply chain, and international. Our domestic stores are comprised of 4461 franchise stores and 466 company-owned stores, generated revenues of $493. 6 million and income from operations of 121. 5 million during the fiscal year ended jan3, 2010. Our domestic supply chain segment, generated revenues of $763. 7 million and income from operations of $57. 0 million during 2009. Our international segment generated revenues of $146. 8 million, of which approximately 53% related to franchises royalties and fees, and generated income from operations of $66. 8million, of which approximately 91% related to franchise royalties and fees. This was all data taken from the 2009 dominos 10k. This shows our ability to compete. Our mission statement says a lot about us as a company. â€Å"Exceptional franchisees and team members on a mission to be the best pizza delivery company in the world (â€Å"Bloomburg business week,† 2010)† shows that even though we have focused on selling more pizza than any other competitor in the market we want to encourage a fun atmosphere. By encouraging our employees to work as part of a team, it not only encourages a successful work environment, but also reflects over the counter to our customers. This high energetic atmosphere surrounding our establishments has a great impact on the customer’s perspective and how they perceive us and the value of not only the product we sell but our company as a whole. This is in line with our vision statement as well. One of our international vision statements of being â€Å"number one in pizza, number one is people (â€Å"Inside domino’s,† 2008)† shows our commitment not only to making great pizza but ensuring our customer’s stay happy. Today more than ever people are addicted to fast food. It is a fast growing industry. Fast food is considered by most to be a food that is consumed on the go. Customer’s today love style, taste, and have preferences that we as a participant in the pizza delivery sector must tap into to be successful. â€Å"The Pizza industry is a 30+ Billion per year industry (â€Å"Facts,† 2010)† Maintaining a steady position in this industry is very imperative to us being successful in such a competitive market environment. We have made a significant step forward by changing our game plan and mixing up our ingredients to get more of what Americans are in tune with. â€Å"Americans eat approximately 100 acres of pizza each day or about 350 slices per second (â€Å"Facts,† 2010)†. Understanding the current eating habits of our customers today is the key to being successful in tomorrow world. We have led the way by being an innovator and setting the standard in delivery when we first began and don’t need to stop now only by spicing up our ingredients. We now have the momentum to achieve so much more and I highly recommend we take full opportunity of this push forward to regain our customers and compete not only in pizza delivery industry, but in the frozen food isle as well. There are so many avenues of completion we could look at and I would like to take this opportunity to give you’re my insights and the direction I think we should pursue to take our company far in to the future and deter other from entering our industry. Analysis-Debt Analysis In analyzing our debt, I have discovered that our greatest strength according to standard and poor’s is our ability to continue to have reductions in debt. This gives us a favorable upper hand in the market being that our competitor’s realize that we now have plenty of working capital. â€Å"Our favorable view of DPZ reflects the expected benefits we see from the company’s four-pronged strategy. Namely, its ongoing reductions in debt, the early success of efforts to gain domestic market share via its â€Å"New Inspired Pizza,† a heightened focus on operational excellence and financial strength among its domestic franchisee base, and continuing international expansion. (â€Å"S&p focus stock,† 2009). †Hopefully this will help sustain our competitive differences among our competition. In looking at the financials from moneycentral.com, I have discovered that our net profit margin to be 5. 5% and papa john’s net profit margin to be 5. 44%. This shows that we have a slighter higher return on every dollar we have invested and thus leading us to have a stronger position than papa johns. According to the 10k posted on investing. businessweek. com we have a strong cash flow and earnings stream â€Å"A substantial percentage of our earnings are generated by our committed, owner-operator franchisees through royalty payments and revenues to our vertically-integrated supply chain system(United states securities, 2010). †Our system has produced strong cash flow for us, this had led to our success enabling us to invest in the domino’s pizza brand, our stores, and our supply chain centers, pay dividends, and repurchase share of common stock, and repurchases and retire outstanding principle on our fixed debt notes and deliver a better than average return for our stockholders. Our system is a very diversified franchise system. We have come a long way in our line of business. Being that we not only integrated a new recipe to integrate it into this whole supply chain has been quite impressive. With corporate deciding to change our ingredients in our pizza recipe to regain our customer base has been more than a success and the number reflect on our 10k for 2009. This reflects to an extent that our â€Å"new inspired pizza† for the moment is working. New Inspired Pizza This new strategic decision to ramp up our recipe all came about after a study we conducted a study in 2009. We discovered that a lot of people did not like our pizza. With statement made like â€Å"Domino’s pizza crust, to me, taste like cardboard (burkitt, 2009). † We had no other option but to change the way we made pizza dough and sauce recipes and launched new and inspired pizzas earlier this year. We reformulated our ideas to regain new and old customers. After weighing the fact that we no longer have the lead in delivery and the taste of our pizza is a very important to our customers. This alerted us to the how our old strategic performance measured up. This again gave us a much needed opportunity to give the customers something different. Our competition has decided to stay with their traditional style recipes and we now have the opportunity to surge forward and offer a more value to our customers with our new look and feel. We took a huge gamble in our advertising campaign for our â€Å"New Inspired Pizza† by acknowledging our previous shortcomings of our pizza. This campaign included TV ads giving customers a snapshot of our new ingredients. We have encouraged many to try our new pizza and so far it has been a successful campaign. According to the data we collected I am pretty confident that the new pizzas have been a huge success, leading to 14% sales increase in the first quarter of 2010 at most locations opened more than a year. The fact that the customer realizes we listened to them, and we changed our pizza shows our loyalty to how our customer feel. They reacted by returning. As of the quarter ending march 28th, 2010 â€Å"the company’s domestic same store sales grew 14. 3% as a result of increased store traffic from the successful introduction of its new and inspired pizza(â€Å"Domino’s pizza announces,† 2010). †There has been a lot of noise around the change to our pizza. I feel that it has obviously showed it was successful. Our President and chief executive officer J. Patrick Doyle, has been quoted as stating â€Å"a remarkably better pizza, and our honesty in how we told consumers about it, is paying off with a revitalized overall category – with dominos leading that trend. We couldn’t be more please with the success of our new and inspired pizza (â€Å"Domino’s pizza announces,† 2010). † This is a very important statement in that that not only demonstrates that our president is in full tune with what is going on in our company but he truly understood what we faced and has inspired to our competitors that we will not throw in the towel and that we will be giant to contend with if they decide to get into our market. He later added â€Å"Our international division kept up its phenomenal growth trajectory again this quarter, with continued success in our existing markets, along with new markets expected to open in Europe, Asia and Latin America yet in 2010. I think we have by far the best international story in the sector. (â€Å"Domino’s pizza revenue,† 2010) . † This is very significant in that is relays another message that we not only concerned about one division but multiple ones. We are very good at what we do. We show diversification and show the world we are global contenders. Sub Competition Another strength I see that we recognized approximately 2 years ago and was the idea to add oven baked sandwiches. This has led to our competitiveness in that we deliver not only pizza but hot oven baked sandwiches as well. Prices at just $4. 99 and available in 4 varieties offers competitiveness to more than just pizza hut and papa john’s but other fast food chains as well. Papa johns does compete in this area with chicken strips but have failed to expand any further. They have desert pizza’s but so far that decision has not affected our sales. Customer’s ability to have the convenience of sitting at home and have us deliver their oven baked sandwich versus having to drive not only appeals to them on a convenience level but also that they save gas as well. The president of dominos USA commented on the launch stating â€Å"as of today, we are the largest sandwich delivery company in the nation. This launch springboards dominos in the lunch business by providing a product that is high quality, priced right and aimed at convenience-minded people without a lot of time. Of course, sandwiches are also available any time our stores are open (â€Å"Domino’s pizza extends,† 2008). † Reevaluation We have also reevaluated our domestic franchisee stores to change things up a bit. We have recognized the need for improved performance. We recognized the three dimensions of performance according to the Strategic management by bandford and west â€Å"1) summery measures that reflect the impact of integrated efforts across the entire company, 2) measures that can be compared to competitors and 3) measures that account for longer periods of time(Bamford, West, & Reviews, 2009)† We gave the stores a grade from A to D Based on sales, operating profits, and the strengths of their financials. This analyzed the summary of how the franchise stores measured up across our domestic market. This allows to recognized problems and fixes them without causing damages to our reputation. The franchise’s that scored the lowest were offered assistance and advise on how to regain back their customer base. This big push forward in the implementation of reevaluation and adjustments to our existing stores to how we do business is was much needed. We provided them with the option to be bought out. Due to our ability to repurchase these weaker franchisees locations, this led refranchises to its stronger operators. These were measured we considered important when comparing to our competitors. We did have to shut down a number of stores but the results we hope to achieve are higher sales for franchisees and a boost to company royalties as well. This all played in as a part of return on assets (ROA). After this strategic decision of realigning our stores this gave our existing stores more company profitability, and also focused on each stores strengths and weaknesses. Marketing Campaign Without an effective marketing campaign and getting the word out that we got it, our changes would have been pointless. There comes a time when we realized changes needed to be made. The fact that we discovered customers were not completely satisfied with our pizza and reacted was a great move on our part to recognize it could damage us dramatically if changes were not made accordingly. This led to our drive to become better. In taking advantage of today technologically advances and using YouTube to relay the message that we got the message. It allowed customers to see exactly what we were doing to combat the flaws that they had pointed out. We were aware they were unhappy and this has helped in significantly getting the word out our pizza has changed and we do care about how our product taste. Weakness A huge weakness that I feel that we really need to consider and get on board with today is the entry into the pizza into the frozen pizza industry. This has many potential upsides. This may be one of the best strategic moves we could make using the momentum we have with the revitalizing of our pizza. We need to show we can take on any competitor. Taking full advantage of the opportunity provided by the economy and using this to our advantage not only guarantees that we can be successful in the market but also seals the deal that when the economy picks up that we will remain victorious there. The customers have rushed the frozen food isles in grocery stores since it may be cheaper to purchase and microwave a pizza than ordering from delivery which in general tends to be more expensive. Providing pizza’s cheaper grasp the customer’s attention when deciding where money gets the most for its value. We still provide a superior product but in my opinion we have to compete with price in this market to be successful and to do that we need to be in this market. We have to look further than our traditional competitors and broaden our horizon. This way of thinking and planning ahead assures we continue to be competitive and reestablished our ability to adapt to change. The Competition It is not secret who our biggest competitors are. The tradition pizza wars between us and pizza hut, and papa john’s has been among the greatest. Today we not only compete with pizza hut as a top competitor but Papa john pizza as well. There are some other local establishments that try to compete but for the most part domestically, these are the top two we need to be concerned about and devote our attention to analyzing our marketing approach. We need to remain vigilant and aggressive in assessing our competition and not forget that at any moment they could regain the momentum. So far we have sustained our position but to obtain sustainability in the market takes being very proactive and not underestimating the competition or taking for granted our current position. In comparing ourselves among other in the industry it is no secret that we must compete with papa johns and pizza hut to remain successful in our market. In analyzing the big three, domino’s pizza they reported a â€Å"1. 4% increase in domestic same store sales for the fourth quarter ending jan3rd (Morgan, 2010). †2009, pizza hut reported sales were â€Å"down 9% for 2009(Morgan, 2010)†,and papa john’s â€Å"reported same-store sales were down . 5% this quarter (Morgan, 2010). †These numbers have demonstrated our ability to regain our competitive separation. We have focused more on ramping up our recipe but â€Å"it is hard to gauge how to sustainable it is. Typically you see a few good weeks on any promotion, but this is such a different thing (Morgan, 2010). †This approach should prove to be a successful market campaign but time will tell. Pizza hut has elected to go with more of a traditional approach focused on price competition, with a â€Å"$10 any way you want it(Morgan, 2010)† promotion. This shows their ability to at least acknowledge the market in that with a weaker economy customer want more the buck but in long term our ability to take time now to focus more on taste and excitement surrounding our company is a long term solution. Competing with price is fairly easy to implement but recipes take time and focus more on were a company want to go. Papa johns have also got caught up in this price war with pizza hut. Offering same price comparisons similar to what pizza hut offers. Frozen Pizza In comparing ourselves with the frozen food industry which I feel we should consider a competitor, I have noticed a market that is quickly being dominated by a company Nestles(PK) who I think could soon be considered a serious competitor. By recognizing this threat now we can jump ahead of our traditional competition by entering into the market. Nestles add such brands as DiGiorno, Tombstone and California pizza kitchen when they recently acquisitioned Kraft(KFT) . They now own more than 50% of the frozen pizza market.â€Å"this is more than there twice the share of their next major frozen pizza competitor Schans foods, maker of red baron, tony’s and freshmetta brands, who slightly hold less than 25% share of the category(Shea, 2010). † When analyzing and looking at the total sales generated in the 52 week ending august 9th, 2010 the brand digiorno generated sales of $591,262,700 and for the week ending may 17th,2009 generated $534,356,200. The following charts are referenced from (â€Å"Pizza sales 2009,† 2010) Top 10 Frozen Pizza Brands (for the 52 weeks ending August 9, 2010) DiGiorno| $591,262,700|. Tombstone| $270,412,700| Red Baron| $256,308,000| California Pizza Kitchen| $175,750,800| Totino’s Party Pizza| $152,630,700| Top 10 Brands of Frozen Pizza (for the 52 weeks ending May 17, 2009) Brand Name| Dollar Sales| Unit Sales| DiGiorno| $534,356,200| 100,464,200| Tombstone| $254,147,400| 69,809,980| Red Baron| $245,141,600| 62,940,960| California Pizza Kitchen| $175,838,600| 32,818,720| This shows that the frozen pizza industry is having a huge impact on our society today and they are demonstrating that they can achieve a significant growth of sales in a relatively short amount of time. Recommendations In researching out company and analyzing our success to date, and the current market conditions, I see a great opportunity for us to consider entry into the frozen pizza market and not only offer frozen but offer unfrozen daily made fresh pizza’s as well. This will allow the consumer to take our pizza home and get the oven freshness that we can offer without delivery as well. This not only will complement our ramped up recipe but will take less time to cook when a customer is not interested in delivery but rather take advantage of the convenience of cooking it themselves. Unfrozen pizza and made daily with fresh toppings will be a great advertising campaign as well. â€Å"the frozen pizza market continues to perform well as consumers continue to seek value and convenience and are trading down from delivery and restaurant pizza companies(Shea, 2010)† to include us and our competitors. For us to assume that this market doesn’t affect us may be a big mistake on our part. I have seen no reason why we couldn’t penetrate that market effectively, especially with our brand recognition. So far we have done a great job at anticipating the market the knowing when to make changes and adapt or market to make successful changes that keep us on top of the market. We obviously understand our ability to adapt to change and get into other markets rather easily. From hot wings to now hot oven sandwiches our implementations are rather efficient and are easily transitioned to our stores. I have explained that the market is very intense and failure for us to expand into other parts that affect our industry may be a big mistake. I also think that we can take advantage of reducing our prices as well. There is no reason why we cannot bundle our advertisement campaigns together and run them consecutively. Competing with pizza huts price not only may regain customers but also gives customer that otherwise shop for the cheapest delivery service a chance to taste our new pizza. With the time and effort we have put in the new taste of our pizza, I feel that we need to not only get the word out though commercials but through word of mouth as well being not only competitive with taste but price will be our another one of our tools to success. Citations. Facts. (2010). Retrieved from http://www. pizzaware. com/facts. htm http://www. dominosbiz. com/Biz-Public-EN/Site+Content/Secondary/About+Dominos/Diversity/ Inside domino’s. (2008). Retrieved from http://www. dominospizza. co. nz/corporate/inside/visionmission. aspx Our Heritage. (2008). Retrieved from http://www. dominos. com/Public-EN/Site%2BContent/Secondary/Inside%2BDominos/Ou r%2BHeritage/ W dot-com bubble. (2010). Wikipedia, the free encyclopedia. Retrieved (2010, May 31) from http://en. wikipedia. org/wiki/Dot-com_bubble Reuters, T. (2010). Domino’s pizza inc. marketwatch, Retrieved from http://www. marketwatch. com/investing/stock/dpz/profile S&p focus stock of the week. (2009). S&P The Outlook, Retrieved from http://www. spoutlookonline. com/NASApp/NetAdvantage/FocusStockOfTheWeek. do? &context=Company&docId=15485805 Domino’s pizza announces first quarter 2010 financial results. (2010, may 04). Retrieved from http://finance. yahoo. com/news/Dominos-Pizza-Announces-First-prnews-3155025210. html? x=0&. v=1 burkitt, l. (2009, Dec 22). Domino’s launches massive $75 million ad blitz. Forbes.com, Retrieved from http://www. forbes. com/2009/12/21/dominos-pizza-recipe-ad-campaign-cmo-network-dominos. html Veenendaal , P, & York, e. (2010). After Tumultuous year, new domino. Advertising Age, Retrieved from http://adage. com/article? article_id=141334 Bamford, Charles, West, Page, & Reviews, Cram101. (2009). Outlines & highlights for strategic management. Academic Internet Pub Inc. Morgan, s. (2010, April 12). The Pizza portfolio. Smartmoney, Retrieved from http://www. smartmoney. com/investing/stocks/the-pizza-portfolio/? cid=1186 Shea, R.(2010, April 12). Nestle: the new 800 pound gorilla in frozen foods. Seeking Alpha, Retrieved from http://seekingalpha. com/article/207736-nestle-the-new-800-pound-gorilla-in-fr ozen-foods Pizza sales 2009. (2010, Feb 18). Retrieved from https://www. aibonline. org/resources/statistics/2009pizza. htm Domino’s pizza extends its menu. (2008, 2009 09). Retrieved from http://www. franchisekey. com/us/franchise-news/Domino-s-Pizza-extends-its-menu-. htm. Bloomburg business week. (2010, may 31). domino’s pizza inc 10-k , Retrieved from http://investing. businessweek.com/research/stocks/financials/secfilings. asp? ticker=DPZ:US United states securities and exchange commission washington, d. c. 20549 form 10-k. (2010). [Commission File Number 001-32242]. (web), Retrieved from http://investing. businessweek. com/research/stocks/financials/drawFiling. asp? docKey=136-000119312510045334-2CPIO5V2KAG3763AONFHFPD3VN&docFormat=HTM&formType=10-K Domino’s pizza revenue up 18. 4 per cent. (2010, may 06). New Statesman, Retrieved from http://www. newstatesman. com/business-food-and-drink/2010/05/quarter-store-international.

Health and Social Care Communication Essay

The communication cycle was discovered by Argyle in 1972. The cycle consists of six areas, all of these six areas are important during communication, if any of these areas of the cycle are disrupted then the receiver would not understand or may interpret the message wrongly. The first stage to this cycle is to have a starting idea or the code of the message; in this stage the mind processes on how the sentence is going to be told, such as the tone of the voice and also what words will need to be used so that the receiver will interpret the message correctly. The thoughts will be put into the language or into some other code such as sign language. The second stage of how to say what you want to say to make sure the receiver understands what you are saying and interprets it how you are meaning them to. see more:promoting effective communication and relationships in health and social care This means what non-verbal language you are going to use as you are talking so they understand what you mean, also the tone. The tone is the key to how the receiver is going to interpret your message. The third stage to the communication cycle is to say it or to send the message, during this stage you will speak or sign or communicate in some way as long as the message is sent. During this stage the environment around you is the key to making sure the receiver can understand the words that you are saying. For example if you are in a loud room, and you are trying to communicate with another person the receiver is more than likely going to get the message you have sent, wrong because the receiver might not be able to hear all of the words that are said. This means that they will have to assume what words were said to make the sentence make sense. The fourth stage is message received, the receiver here hears or sees the words that you have said, and they have heard you properly and not missed any words out because if they have then this is where the communication goes wrong. The fifth stage is message decoded the receiver now has to interpret your message, e.g. what you have said. This is not always as easy as it seems as the other person will make some assumptions about your body language and the words that you have used. The final stage of the communication cycle is message understood, the final stage is the receiver has to understand what your message is through all the correct non-verbal language, and verbal response, if all goes well the cycle is finished. Tuckman made a theory about group discussions in 1965.Tuckman suggested that nearly all groups go through a process involving four stages when they first meet. The stages are called forming, storming, norming and performing. All these stages make the group become stronger and make sure that they are in the correct group. Forming is the first stage of the theory, so when a group gets together, they introduce themselves to the group. Most people have their best faces on and are polite; people do this because of first impressions. First impressions are important to people in the group because the impression a person sets is what other people expect from that person all of the time. Storming is finding out about each other, find out more about each other what people interest and strengths is, this is also the stage where people brain storm. But this is the stage where most people drop out because they find out that this is not the correct group for them. Norming is where the trust begins, this is the stage where team members support others and listen to other team member’s opinion. Everyone seems to get a sense of belonging and the group is now recognised and identified as a group. The final stage performing is where group members can rely on others on helping them if they are needed, where loyalty is high now. People can go in sub groups to get the work done faster. â€Å"Tuckman then added a fifth stage (Adjourning) in the 1970s to cover the end-game in his explanation of how groups develop.† Adjourning was added to end the group when the group finishes and separates as eventually all groups will separate, when groups separate they might have a party, or they might make plans to what they want to do next in life. Tuckman said after completing his theory: â€Å"Groups initially concern themselves with orientation accomplished primarily through testing. Such testing serves to identify the boundaries of both interpersonal and task behaviours. Coincident with testing in the interpersonal realm is the establishment of dependency relationships with leaders, other group members, or preexisting standards. It may be said that orientation, testing and dependence constitute the group process of forming.† (Wolfwise, 2012) It is important to have effective communication in the work of health and social care because if there isn’t effective communication between doctor and patient then the patient will get confused and overwhelmed. They will just want to walk out. It is important that doctors or nurses do not use jargon whilst talking to a patient as this will affect communication dramatically. If the doctor talks in jargon to a patient in the cycle they will only get to stage four because the patients won’t be able to decode what the doctor has just said this means that this communication is ineffective and this will have affected the patient. But if the doctor used language she understood then the patient would understand and would complete the conversation. There are lots of different types of ways to communicate in a health and social care environment there is: one to one, group, formal, informal, verbal, and written and loads more. All of these ways of communicating is great for health and social care all depending on how you use them all. If you use all these but you use them poorly then this is poor communication but if you use them all well then this is obviously good communication. (Developing effective communication in Health and Social Care. June 2011) Developing effective communication in Health and Social Care.

How can rio olympics accomodations(hotels, and so on) be reused Research Proposal

How can rio olympics accomodations(hotels, and so on) be reused - Research Proposal Example One of them will surely be the quality and quantity of accommodations. Based on the experiences when London hosted the latest Olympics in 2012, it became clear that an appropriate accommodation is a vital part of the successful international event. For example, there was a remarkable shortage of rooms, which led to unreasonably expensive room prices that surprised and eventually turned off many foreign visitors. To prevent these types of problems from happening again in 2016, an adequate number of rooms should be ready by the beginning of the event. The International Olympic Committee (IOC)  has recommended at least 40,000 hotel beds with three stars or more, while Rio de Janeiro, the host city, currently has only over 26,000. To fill the gap by the beginning of the games, construction should begin no later than the end of 2013. According to the report prepared by  the hosting situation Municipal Planning Department, there are currently 9116 rooms under construction and 8693 unde rgoing analysis or consultation.  Another concern is how to maintain the occupancy rate of accommodations after the Olympic games are done. The surplus of the rooms will lead to lower prices and eventually put pressure on the local economy of the post-Olympic Rio de Janeiro. The purpose of this paper is to conduct a research to find the equilibrium number of rooms to be additionally constructed, and what governmental actions should be taken to cope with the possible room surplus after the Olympic event. In order for this to be properly done, the data of the regular occupancy rate in Rio de Janeiro should be collected and a prediction on how it will be changed based on the new number of rooms should be made. The equilibrium number will be that is sufficient to accommodate all the delegations, athletes, journalists, and employees of companies linked to the event, but not too huge so the surplus is minimized when the city is back to normal status. An idea is that the newly built hote ls will be used more like apartments after the Olympic Games. That will require both constructional consideration and a more flexible licensing process on the part of the government. Tasks This study has two fundamental objectives, which are: 1) to determine the appropriate number of facilities to be constructed for accommodation; and, 2) to identify such facilities’ utility when the sporting event is over. For these purposes, the research is proposed to undertake a comprehensive comparative review of previous literature and documents. The aim is to determine a theoretical framework that would finally identify important evidences that will support successes and failures in the issue being investigated. For example, why were the facilities in the Beijing Olympics and the Athens Olympics before it, were left to rot or were never effectively reused? Or, what are the differences in such failures or successes? The theoretical framework that will be developed should be able to not only provide background information to augment the discussion and analysis sections of this study but also yield credible evidences and experiences that the Rio Olympics in 2016 could learn from. This research activity can also take the form of a documentary analysis

The Environment and Human Health Coursework Example | Topics and Well Written Essays - 1250 words

The Environment and Human Health - Coursework Example This can lower the concentration of oxygen to a level that is immediately dangerous for human health; (2) Frostbite. Solid carbon dioxide is always below -78 oC at regular atmospheric pressure, regardless of the air temperature. Handling this material for more than a second or two without proper protection can cause serious blisters, and other unwanted effects. Carbon dioxide gas released from a steel cylinder, such as a fire extinguisher, causes similar effects; and (3) Kidney damage or coma. This is caused by a disturbance in chemical equilibrium of the carbonate buffer. When carbon dioxide concentrations increase or decrease, causing the equilibrium to be disturbed, a life threatening situation may occur† (Lenntech, 2009, par. 29). b. Environmental Impact of Tire Discard The Tire Conversion Technologies (2008) indicated that the environmental impact of discarded tires range from â€Å"the aesthetic (ugly piles of tires stockpiled on a parcel of land) to the hazardous (poten tial for fire and toxic chemicals from smoke) to public health concerns (carelessly discarded tires are an excellent breeding ground for mosquitoes)† (par. 1). ... However, if recycled, tires are proven to be beneficial to the environment as it has been validated to give at most seven times carbon reduction and therefore reduce greenhouse gas emissions. c. Chinese to Attempt to Control High Air Pollution in Beijing for 2008 Olympics Howard (2008) reported in The Daily Green in his article entitled â€Å"China’s Olympic-Sized Clean Air Plan† that â€Å"Beijing is further cracking down on pollution by yanking cars off the roads, expanding mass transit and staggering work hours† (par. 1). Details from the report indicated that of 3.3 million private car owners in the city, scheduling depending on the last digit of the owners’ plate numbers would be allowed on the road alternately, odd or even. Working hours for employees have been staggered and more public buses, totaling an additional 2,000 would ply the city, in conjunction with â€Å"improved bus routes, extended the hours of operation for mass transit, opened a new subway and light-rail line and banned the dirtiest freight trucks. Also, many of the buildings for the Olympics are being built with green features† (Howard, 2008, par. 4). The report confirms the acknowledgement of the China government and the Olympic promoters for the need to control high air pollution in Beijing and therefore resorted to drastic and immediate methods to curb pollution, hopefully, not only in the short term, but in the long run. 2. a. International and Intranational Water Conflicts A report authored by Shamir, a contribution from UNESCO’s International Hydrological Programme to the World Water Assessment Programme contained relevant information that provides examples of international and intranational water conflicts. One conflict exists between India, Nepal and Bangladesh

BHS 414 Cross Cultural Health Perspectives (Mod 3 SLP) Essay

BHS 414 Cross Cultural Health Perspectives (Mod 3 SLP) - Essay Example come and the complications showed that Female Circumcision does not provide significant positive hygienic and attitude changes expected by the culture. Instead it calls many complications such as infections, deaths, chronic pain and obstructions in the urinary tract. Further it was proved that some women increase the sexual sensitivity after the process. Reveling of these findings might change the behavior in societies that are much open to the world, but do a little to the societies with are not open. ( Ferguson, 1995) Some countries allow to perform female circumcision only by a qualified person or a doctor with anesthesia where the complications are relatively low and generally safe. This provides cultural requirements while reaching the objectives of health care by limiting illegal unsafe procedures which violates human rights. However this has a problem with human rights. Women who refuse female circumcision might have been forced do it since they are not protected by the law. Many of these communities have deep-rooted strong justifications on the advantages of the female circumcision. (Gruenbaum, 2001). Although they are not agreed with modern medical and health practices they bend facts to match with what they believe which makes someone stand for it. Some of justifications are as follows: Women who have undergone circumcision are considered as spiritual and are given higher recognition in political and cultural context. This is why women in countries where the female circumcision is legally banned still chose to undergo the

Anti-corruption Efforts in Nigeria Essay Example | Topics and Well Written Essays - 4000 words

Anti-corruption Efforts in Nigeria - Essay Example Corruption is characterized as a â€Å"global phenomenon†, and only capable of being understood in â€Å"its social context†.5 In the case of Nigeria, there is a range of complex and deeply-seated institutional and social factors contributing to corruption, most of which emanate from the experiences of colonial and post-colonial Nigeria. Corruption emerged as the primary method by which to survive during the period of decolonisation and with no other viable means of survival, corruption ultimately informed political conduct and â€Å"competition† in post-independent Nigeria.6 The corrupt reputation of Nigeria corresponds with post-colonial Africa’s long series of political and economic let downs. To begin with, colonial rule created conflicts among ethnic groups, alienated Nigerians from the country’s resources, exploited Nigerians and their natural resources and essentially deprived Nigerians of representation. Colonialism in all of Africa involved the use of â€Å"material inducements† as a means of compelling chiefs and African administrators to support and cooperated with colonists’ projects characterized by exploitation.7 Corruption in post-colonial Africa, including Nigeria is merely a learned and inherited political policy acquired during colonialism.8 During decolonization, Nigerians were left struggling to regain control of a deeply divided nation and continuously confronted significant economic and political chaos.9 Thus the post-colonial chaotic state of Nigeria’s socio-political and economic systems, together with the corrupt and dehumanising political experiences of colonialism created and perpetuated corruption in Nigeria. Nigeria is described as among the world’s most corrupt countries and is often associated by outsiders with fraud and dishonesty. However, it has been argued that just as political and economic degradation contributes to corruption, corruption likewise results in poli tical and economic degradation.10 Regardless of whether corruption is an obstacle to development or contributes to underdevelopment, corruption is so widespread throughout Nigeria that the country is perhaps a unique case. Arguably there is no real rational explanation for the link between corruption and underdevelopment in Nigeria. Since corruption is so widespread in Nigeria and has persisted for so long it is impossible to know with any degree of certainty whether or not corruption is responsible for underdevelopment in Nigeria or underdevelopment is the cause of corruption. The only rational conclusion is that that corruption has become a learned way of life in Nigeria. It is argued that corruption has become so entrenched in the political and social spheres, that even the members of society who may be victims or critics can hardly go around it and so, they are also prone to reproduce and perpetuate corruption.11 Therefore, despite efforts to counter corruption via anti-corrupti on policies and laws, corruption in Nigeria continues on unabated.12 Building on the central idea of its topic which suggest that ‘

Saving Californias Surf Breaks Research Paper Example | Topics and Well Written Essays - 750 words - 1

Saving Californias Surf Breaks - Research Paper Example   With the advent of surfing environmentalism also came the task of educating both the surfing and non-surfing public of how waves are created, how rock formations in the sea and its other natural resources aid wave formation and how human interference, such as coastal developments and road constructions, affects the process. Educating the public about surfing basics is not complete without talking about surf breaks, which are crucial in creating wave breaks that surfers ride (Butt, 2009). â€Å"A surf break is defined as a permanent obstruction, such as a reef, headland, bombora [and] rock or sandbar, which causes waves to break† (Silmalis, 2007). Although what constitutes the actual wave that surfers ride involves a more complex combination of weather, wind direction, tides, and ocean current, an integral part of this fusion are surf breaks (Diel and Menges, 2008, p. 84). The texture and shape of the sea floor determine the height of the wave (p. 87). Hence, beaches rich in coral reefs—which are considered to be the best surf breaks—and blessed with great bombora and other rock and sand formations are considered to be prime surf spots (Almond, 2009, p. 93). California is home to some of the world’s best surf spots, and preserving the state’s surf breaks is a huge task that involves more than the occasional â€Å"Save the Beach† rallies. For instance, in 2008, about 3,000 surfers and environmentalists expressed their opposition to an $875 million toll road project that would â€Å"block sediment that creates world-class waves at San Onofre State Beach† by showing up for the marathon commission hearing (Flaccus, 2008). The Save the Waves Coalition is a prime example of a non-profit surfing environmentalist organization that teams up with local, national and international agencies to â€Å"preserve and protect surfing locations around the planet and to educate the public about their value† (Kampion, 2009, p. 117).     

As a whole, the Internet of today is more open than closed Essay

As a whole, the Internet of today is more open than closed - Essay Example Unlike in the past, people have access to the internet through a variety of technologies such as broadband services, cable, and other wireless connections. In addition, advancement in technology has enhanced availability of devices such as PC and mobile phones, through which people can access the internet (Julie 387). Availability of these devices and networks has lowered the cost of accessing the internet considerably and, hence made it available to multiple users. This is incomparable to the past, when such devices were a preservation of the upper and the middle class societies. Thus, increase in technology has a direct correlation with increase in internet accessibility. The next factor that has made the internet more open than before is the nature of the current government policies and regulations. Unlike past governments, modern governments consider access to information as basic human rights. This has made most governments across the world to relax and restructure their policie s on internet access. However, the government has the overall responsibility of ensuring that people use the facility productively. The government has the mandate to control the usage of the internet. Arguably, 90% of countries around the globe have relaxed their restriction on internet access and, their citizens have the right to access web content. On the contrary, some conservative countries such as China, North Korea and Arabian countries still have restriction on internet usage among their citizens. However, this does not provide a full restriction on access to web content. The world is continuously becoming a global village. Although the element of a global village is more of a hypothetical element than a reality, leaders across the globe are more concerned with the implication of the hypothesis. It has been proved that the proposed global village will be sustained through unlimited communication among people. Thus, the internet remains the most advocated system or form of com munication. The evolution of web 2.0 technology based system that allows users to post their views and thoughts has made the internet become an essential element of communication. Social networks such as Facebook, Twitter, and MySpace have taken a center stage role in global communication. People have become so fond of the social media, eliminating them from their lives would be impossible (Cass web). Other than the social Medias, the internet hosts other communication forums such as blogs and wikis, which allow people with similar interests to hold discussion on critical issues. The blogs have revolutionized access and development of knowledge across the globe. As the world continuously becomes integrated, the internet has become an opportunity for various aspect of life. A recent report on the usage of social media indicated that Facebook users have hit the billionth mark (Paul web). This indicates that if the social network were a country it would be the most populous country in the world of course with an exemption of China and India. The world of business considers the statistic as business opportunities and, hence the need for open internet. Modern business environment is operating under a wave of globalization, which requires business to have a global scope in terms of operations and production (Paul web). The need for market sustainability has necessitated the need for an open market forum with a global consumer base. Through advertisements, the internet has

NURSING HEART FAILURE Essay Example | Topics and Well Written Essays - 3250 words

NURSING HEART FAILURE - Essay Example A diastolic heart failure is characterized by the impairment of filling capacity of the ventricles and no change in the ejection fraction. Congestive heart failure is characterized by circulatory congestion and resulting transudation, particularly in the pulmonary tissue. Decompensated heart failure is an exacerbated heart failure usually due to the non compliance of the patient to pharmacotherapy or suggested behavioral modifications. Symptoms of heart failure include dyspnea, orthopnea, paroxysmal nocturnal dyspnea and history of oedema (Scottish Intercollegiate Guideline Network, 2009). The symptoms of heart failure depend upon the side of the affected ventricle. If the right ventricle is affected, symptoms will include peripheral oedema that involves thighs, sacrum and abdominal walls, ascites, anorexia, engorgement of facial veins, tricuspid regurgitation that manifests as pulsations in neck and face, epistaxis and depression. If the left ventricle is involved, the symptoms incl ude dyspnea, impaired exercise tolerance, orthopnea, paroxysmal nocturnal dyspnea, nocturnal cough with or without pink frothy sputum, cold peripheries, cardiac asthma and muscle wasting. The lifetime risk of developing heart failure in an otherwise healthy 40-year old individual is approximately 1 in 5 in the general population (Djousse, 2009). The prevalence of this disease is rising across the world and this places an extra burden on the healthcare systems. While pharmacotherapies are very important, heart failure patients benefit greatly from the behavioral modifications that are a part of standard counseling sessions. This is where the nursing staff plays a key role in managing the patient. Part 2- consider an individual who has the diagnosis of heart failure. Discuss how the nurse can enable the patient to make alterations to his/her lifestyle to improve his/her health. Within your discussion you should examine the use of relevant models/theories that can improve the process o f behavior change. Introduction Chronic heart failure has multiple risk factors and the number of patients suffering from chronic heart failure is increasing by the hour. While genetic propensity in the development of cardiovascular disease is currently under a lot of light, the elimination of risk factors has shown to prevent heart disease and delay the onset of disease in patients with a genetic tendency towards heart failure. These factors include alcohol consumption, smoking tobacco, inactive lifestyle, high intake of food rich in salts and animal fat and stress. The disease may be further aggravated by non-compliance to pharmacotherapy. None of these factors are isolated factors and one person may be exposed to more than one or all of these factors. What is even more important is the fact that these factors, as harmful as they are, are socially accepted activities and therefore, it is imperative to derive a policy and structure that not only deals with this acceptance while mak ing people aware of the hazards that these factors pose but also to take steps that translate into optimal behavioral changes that lead to better cardiac health. Behavioral change theories have been gaining a lot of importance when it comes to planning and implementing public policies as well as designing programs that maximize the number of beneficiaries in the shortest possible time. These theories

Communication in careers, and The Self Essay Example | Topics and Well Written Essays - 1500 words

Communication in careers, and The Self - Essay Example I thought he is the right candidate for he is very friendly and open in his views. I was also interested in how hospitals are run; and Paul’s experience in this domain made him the ideal candidate. Paul is 47 years of age and works as a Human Resources Manager in a private hospital and what follows is the interview I had with him. Q. What were the greatest challenges you’ve met in your career so far? A. That’s an interesting question, for there is no straight-forward answer to it. I’ve risen to the current position as a HR Manager through a lot of hard work and perseverance. I began my career as an office assistant in a private hospital. From those humble beginnings I’ve now risen to a position where I am completely responsible for ensuring proper management of Human Resources in the hospital. It has not been an easy ride. There were times when I seriously doubted my compatibility to the profession. There were phases in which the monotony and drudge ry of work got the better of me and I seriously thought of quitting. In this respect, the biggest challenge I faced was finding creative ways of making work interesting. And by successfully managing to do so, I learned to apply creative thinking in other facets of life too, which is again a rewarding experience. Q. How important are communication skills to be a successful HR Manager? A. Very important. Indeed, clear and proper communication is essential in almost all professions, but its role is accentuated in the domain of HR. My responsibility as a HR manager is to communicate the vision and mission statements of the organization to all my subordinates. While textual dispersal of this information in the form of pamphlets and brochures is important, it is equally important to convey such messages in everyday interactions. In my years of experience, I learnt that leading by example is the best way to communicate the core philosophy of the hospital. In the private hospital that I wor k for presently, this philosophy is to put the interests of the patients ahead of profits. So the accounts department is notified of this priority, and thereby they are a bit lenient in billing patients from poor backgrounds. Q. How do you manage to make team members work in unison? A. I understand the importance of team ethic and try to inculcate it into my team members. There is an inherent contradiction here, for employees join the organization for fulfilling their personal needs, wants and aspirations. It would then be necessary that such personal motives do not overpower the needs of the hospital; and that employees try to synchronize their goals with that of organization’s goals. My job as a HR manager is to help them in this process, by suggesting and showcasing common ground between these two seemingly opposing tendencies. Q. What is the biggest change you’ve seen in communication methods and mediums in the last twenty years? A. There has been a tremendous chan ge in the way communication takes place these days. When I started out, telephones were the cutting edge in communications technology. But so much progress has happened since then. Today, we integrate personal medical records of all patients into an online-database, which can be cross accessed by physicians down the line. Technology has affected the diagnostic and prognostic procedures as well, making the quality of healthcare much improved.

Organization and Culture Essay Example for Free

Organization and Culture Essay Provide a brief (one 1 paragraph) description of the organization you chose to research. The company that I chose to research is the company Google. Everyone is aware of Google. It is the most widely used search engine in the world. Google is considered to be one of the best, if not the best search engine of all time. The company Google is considered to be a technological giant and a threat to other tech giants, for example Microsoft. Google’s creators Larry Page and Sergey Binn, started this company in 1995. Google was first developed to be a search engine, but it has crown to the point where it can be used as an internet browser also. Unlike its competitor Microsoft Internet Explorer, it has to be compatible with certain browsers in order to function at its fullest potential. Examine the culture of the selected organization. Google’s corporate culture began with its founder’s philosophy, the famous 10 tenets. (Lisa Jackson 2013). And since Google is still controlled by its founders, that means that the culture in part of the company’s mantra. Google’s founders Larry Page and Sergey Binn believe that trust is one of the most important aspects for the culture at Google. Google mission is a culture of choice. That is they are not a conventional company in the sense that they are not a slave to Wall Street, and that allows them to build a culture that will deliver on this mission and that is principally organized to drive innovation. (Jeff Jarvis, 2013). Because of this trust that Google foster’s to their employees, they are allowed to take risk, while being innovative. And with innovation comes feedback and collaboration. With this type of corporate culture at Google, their employees are much more enthusiastic about the ideas that they present to the founders. There is not right or wrong way at Google, they are visionaries and as such can implement and idea, and if it works, that fantastic, if the idea does not work, then  back to the drawing board. Again, it all stems from the trust ideas from the founders. Google’s culture is very unique. At Google, they believe that if you focus on the user, all else will follow. They also believe that democracy on the web works and also that there is always more information out there. These are three out of the ten tenets that the founders of Google stand by. With these types of statements from one of the largest technological companies, it is no wonder that Google is considered the number 1 place to work in the United States. It’s because the founders allow the staff to develop ideas, make mistakes and they celebrate the failure instead of reprimanding or terminating the staff. This seemingly laid back culture fuels the imagination of the staff and gets them always looking for ways to improve not just the company, but themselves as well. Explain how you determined that the selected organization showed the signs of the culture that you have identified. When I decided to do rese arch on Google, and their culture, I decided to look at why this company is considered one of the best places to work in the United States. I asked myself, why is this company so popular? Why are their employees always happy? First you look at the culture. The founders believe in letting their employees be free to be innovative. They have a t-shirt and jeans work atmosphere, freedom to make mistakes and start over again, etc. This is only part of the culture. Another aspect of the Google environment is ensuring that their employees are adequately compensated. Their benefits are also excellent. Google’s employees enjoy free health and dental, free breakfast lunch and dinner. They also have an organic chef that caters to the needs of the employees. Google found that women were leaving the company at twice the rate of everyone else. In particular, this occurred with new mothers. Google’s maternity leave plan was 12 weeks paid time off. Human Resources changed the plan so new mothers could get 5 months paid time off with full pay and benefits. They were allowed to split this time up however they want. The result after the change in policy? A 50% reduction in attrition for new mothers. Google tries to hire and retain the best employees. They do this based on data. When this data is collected, they u se this information to gauge employees and improve their productivity.   Determine the factors that caused the organization to embody this particular culture. For Google, it seems as if the corporate culture that they have right now is doing just  fine. Google was name the top place to work in 2012. But if for some reason, they did decide to change their corporate culture, I think it would be to continue to enhance on the 10 tenets that was there from conception. Of course as time, and concepts changes over time, innovators such as Larry Page and Sergey Brinn will have to change as well.But, with a new CEO, Larry Page who is excited about leading the team into product development and technology strategy, but also keeping the core of the company for what it was when they first started. Google is efficient and effective. Fortune magazine reported that Google does more business than their entire competitor combined, plus they do it at a lower cost. Because Google has a casual and democratic atmosphere, resulting in its distinction as a â€Å"Flat† company. The company does not boast a large middle management, and upper management is so hands on, it’s hard to qualify them in a separate category. Teams are made up of members with equal authority and a certain level of autonomy is maintained.   Determine what type of leader would be best suited for this organization. Support your position. The type of leader that would be best suited for Google is a Transformational Leader. Transformational leadership is a type of leadership style that can inspire positive changes in those who follow. Transformational leaders are generally energetic, enthusiastic, and passionate. Not only are these leaders concerned and involved in the process; they are also focused on helping every member of the group succeed as well. Through the strength of their vision and personality, transformational leaders are able to inspire followers to change expectations, perceptions, and motivations to work towards common goals. They have the ability to garner trust, respect and admiration from their followers.   Imagine that there is a decline in the demand of products or services supplied by the selected organization. Determine what the change in culture would need to be in response to this situation. If for some reason there is a decline for the products and services supplied by Google, I think that the founders will continue to have the same culture that they originally started the company with. And I say that because, so far that culture seems to be what has Google as one of the top tech giants in the world. Of course, the founders Larry Page and Sergey Binn, being the visionaries that they are, as times and concepts changes over time, they will have to change as well. They will always have to be one  step ahead of the competition, if intend to last in the technological game. References The Real Secret of Google’s Corporate Culture: by Lisa Jackson, July 2013. https://www.web-ebschohost-com.libdata.strayer.edu/ehost/deliveryArticle: Refreshing Google. By: Saporito, Bill. (2011) Vol. 177 Issue 5, p48-49. https://www.web-ebschohost-com.libdata.strayer.edu/ehost/deliverySearch and Destroy. (Cover Story) Authors: Vogelstein, Fred. Source Fortune 5/2005 Vol. 151 Issue 9, p72-82. (Article) https://www.web-ebschohost-com.libdata.strayer.edu/ehost/deliveryThe Real Difference between Microsoft and Google by: Dana Blankenhor (February 2008) http://www.corporateculturepros.com

The Woman Warrior by Maxine Hong Kingston

The Woman Warrior by Maxine Hong Kingston The theme of finding one s own personal voice is the central aim of Kingston in her memoir The Woman Warrior. She makes various references to the physical and emotional struggle of this aim throughout the text by exploring the silence of the women in her family and Chinese culture. By adding her experience as a Chinese-American woman she discovers her voice. Kingston uses autobiography to create identity and therefore breaks out of the silence that has bound her culturally to discover a resonant voice of her own (Wong 58). Kingston supplies a voice to many voiceless women enabling them to discover their identities as individuals. In The Woman Warrior, Kingston utilises her different voices to depict the stories of her ancestors. Through these stories told to her by her mother and her aunt, she is able to express a part of her which her own experiences cannot explain as a Chinese-American female. Her memoir is an intensely autobiographical work, yet her first person presence ranges from constant to, at times, almost non-existent. Overall , throughout the five chapters of The Woman Warrior, there is a movement from the theme of silence in the first line of the first chapter You must not tell anyone to a voice in the final line and the last chapter It translated well (Hong Kingston 3, 209). For Kingston, silence equates to a lack of voice, which she associates with the loss of identity as a woman, which is her main aim of the text. However, she is also aware of the risks involved in asserting independence from her own Chinese community. This idea is explored in the first chapter of the memoir, No Name Woman , where Kingston s aunt acted against her community s standards of suitable behaviour and the villagers punished her for acting as if she could have a private life, secret and apart from them (Hong Kingston 36-37). However, Kingston fear that in staying silent and not finding her own voice, she risks becoming a substitute for her nameless aunt, who remained silent her entire life. Kingston s anxiety is increased by her mother s warning: Don t tell anyone you had an aunt (Hong Kingston 18). But in writing the No Name Woman story, Kingston reacts against the family imposed silence and tells everyone of her aunt. Her aunt s silence, by refusing to name the father of her child, protects the man and simultaneously oppresses her. Kingston gives a voice to the silence woman by writing the aunt s story and theorising how her aunt became pregnant. In doing this, she removes her aunt s guilt and solidifies her identity as a Chinese-American woman. She feels that to remain silent about her aunt would be the same as rejecting her own sense of self. The theme of silence in the text is also linked to the cross-cultural problems that Kingston comes across throughout her own life. Kingston notes that The Chinese I know hide their names; sojourners take new names when their lives change and guard their real names with silence (Hong Kingston 6). The mention of silence not only refers to the hiding of names but also to the confusion of Chinese culture to first-generation Chinese-Americans. Although the women of traditional Chinese culture do not have voices, the stories and myths that female family members pass onto their daughters may contain subversive messages. For example, in the chapter entitled White Tigers , the legend of the Chinese woman warrior Fa Mu Lan is a constant reminder to young Kingston that women can transcend socially enforced limitations. Kingston discusses how as a child, she imagined herself to be like Fa Mu Lan, who saves not only her family but her community: the villagers would make a legend about my perfect filiality (Hong Kingston 45). It is in this chapter that we see how, even as a child, Kingston dreamt of transcending a life of insignificance. Brave Orchid s story of the woman warrior proves how stories and legends of tradition Chinese culture can create alternative, subversive voices for women who otherwise would spend their life in silence due to the dominance of a patriarchal society. Kingston extends her empowerment of women, by providing them with individualised voices, to her own mother. Brave Orchid, her mother, is effectively voiceless in America as although she has lived in America for many years, she does not speak English. As with all the lives of the women in The Woman Warrior, Kingston vocalises and records her mother experiences. The memoir displays Brave Orchid s sacrifices and distinguishes her from the nameless Chinese women living in America. In the chapter At the Western Palace , Kingston s aunt Moon Orchid, reveals how costly remaining silence can be. Moon Orchid relays the tale of a woman, deserted by her husband, who has completely submitted to the patriarchal view that woman should always remain silent and never question male authority. The voicelessness of s Chinese woman living in a traditionally patriarchal society is shown when the woman reluctantly confronts her Americanised husband and is unable to voice her years of rage and grief: But all she did was open and shut her mouth without any words coming out (Hong Kingston 152). Ironically, her loss of speech is the deciding factor in her husband s decision that she has no place in his American life, stating, I have important American guests who come inside my house to eat You can t talk to them. You can barely talk to me (Hong Kinston 153). However, by Kingston writing Moon Orchid s story in her memoir, she is also providing Moon Orchid with an individual voice. In the final chapter of The Woman Warrior, A Song for a Barbarian Reed Pipe , Kingston deals with the generational and cultural conflicts as regards the voice of Chinese-American women. Through her American education, Kingston imagines that Americans hear the language of Chinese as chingchong ugly (Hong Kingston 199). In order for a young Kingston to feel even partially accepted by her American peers, she retracts her voice: We American-Chinese girls had to whisper to make ourselves American-feminine (Hong Kinston 172). However, even as a child, Kingston is aware of the consequences of being without a voice. She describes the hatred she felt for another Chinese girl who refused to speak and how she physically bullied the girl to make her talk. Her hatred for the unspeaking girl is highlighted be her similarity to the girl. The young Kingston fears becoming like this silent girl, who functions as Kingston s alter ego. In this last chapter, Kingston simultaneously questions the customs of the Chinese and the indirect way in which the Chinese speak through observing their code of silence towards Americans regarding their cultural origins and history. This lack of a voice further marginalises Kingston and other first-generation Chinese-Americans as during Kingston s discovery of her voice; she resists putting herself in a state of submission but does, however, purposely present herself poorly to her peers. In Kingstons final look at her past, she tells the story of the poet Ts ai Yen to represent the possibilities of two cultures coming together harmoniously. Kingston identifies with Ts ai Yen s strength in expression and sees them both as women warriors symbolically fighting to link the cultural gap between America and China. In conclusion, Kingstons different voices culminate to constitute the voice of her own subjectivity, to emerge from a past dominated by stories told to her into a present articulated by her own storytelling (Wong 59). The writing of The Woman Warrior, an outlet for her to explore her past, becomes Kingston s remedy for silence her way of discovering her own personal voice and a place as a Chinese-American woman in society.

Classroom Management and Discipline

Classroom Management and Discipline Nowadays, lot of teachers in our country are facing problem in managing their classrooms in schools. Â  Perhaps the single most important aspect of teaching is classroom management. The students are described to be different and some of them tend to act superior to the school management system, even to the teachers. They show less respect to the teachers, refuse to get involve in the learning sessions and even misbehaving in the schools. In order to make sure the learning environment go well, the teachers have to come up with certain guidelines in managing their classrooms. Classroom management is a term used by teachers to describe the process of ensuring that classroom lessons run smoothly despite disruptive behavior by students. The term also implies for the prevention of disruptive behavior. It is possibly the most difficult aspect of teaching for many teachers, indeed for some who experiencing these kind of problems already leave the teaching profession altogether. This problem is not only faced by our local teaches but it is believed to be happening world wide. In the year of 1981, the US National Educational Association reported that 36% of teachers said they would probably not go into teaching if they had to decide again. A major reason was negative student attitudes and discipline.(Wolfgang and Glickman). According to Moskowitz Hayman (1976), once a teacher loses control of their classroom, it becomes increasingly more difficult for them to regain that control. Also, a research from Berliner (1988) and Brophy Good (1986) shows that the time that teacher has to take to correct misbehavior caused by poor classroom management skills results in a lower rate of academic engagement in the classroom. From the students perspective, effective classroom management involves clear communication of behavioral and academic expectations, as well as a cooperative learning environment (Allen 1986). Classroom management is related to issues of motivation, discipline and respect. Many teachers establish rules and procedures at the beginning of the school year in order to control the students. According to Gootman (2008), rules give students concrete direction to ensure that our expectation becomes a reality. They also try to be consistent in enforcing these rules and procedures. Many would also argue for positive consequences when rules are followed, and negative consequences when rules are broken. Sometimes, this application is working in order to manage the classroom effectively but at the same time, failure also happens. Classroom Management and Discipline Classroom management is the reflection of the learning environment of a group of individuals within a classroom setting. A teachers classroom-management system communicates information about the teachers beliefs on content and the learning process. It also represents the kinds of instruction that will take place in a particular classroom. A classroom in which the teacher is completely responsible to guide the students actions by encouraging ands teaching them to be responsible for their own behaviors. The nature of classroom management and classroom instruction is especially easy to be seen and understood from a student perspective. Students have at least two cognitive demands on them at all times: academic task demands which is understanding and working with conten and also social task demands by interacting with others concerning that content. This means that students must try to understand the content and find appropriate and effective ways to participate in order to demonstrate t hat understanding to the teacher and the whole class. The teacher must facilitate the learning of these academic and social tasks. Therefore, the students perspective on the need to be successful, management and instruction cannot be separated. A teacher needs to cater all actions in order to create, implement, and maintain a learning environment within the classroom. Everything a teacher does has implications for classroom management, including creating the setting, decorating the room, arranging the chairs, speaking to children and handling their responses, putting routines in place, developing rules, and communicating those rules to the students. These are all aspects of classroom management: Creating a Learning Environment Creating and implementing a learning environment means careful planning for the start of the school year. The learning environment must be supervised in both physical space and cognitive space. The physical space of the classroom is managed as the teacher prepares the classroom for the students. These questions should be entertained by the teachers Is the space warm and inviting? Does the room arrangement match the teachers philosophy of learning? Do the students have access to necessary materials? Are the distracting features of a room eliminated?. It helps a lot.Teachers must also consider the cognitive space necessary for a learning environment. Effective teachers create and implement classroom management practices that cultivate effective classroom environment for their students. Setting Expectations The establishment of the teachers expectations should be expressed through rules and procedures. Rules indicate the expectations for behavior in the classroom, and procedures have to do with how things get done. Rules can be developed with the students helps in the classroom. The teacher must have the knowledge on which rules and procedures should be used for different environment. It is proven by certain researchers that students who demonstrates high task engagement and academic achievement implement a systematic approach toward classroom management at the beginning of the school year by the teachers. Therefore, one of the critical aspects of managing classrooms effectively, or managing classrooms in ways to enhance student learning, is setting expectations. Motivational Climate An essential part of organizing the classroom is to encourage students to do their best and to be excited about what they are learning. There are two factors that are critical in creating such a motivational climate which are value and effort. To be motivated, students must see the outcomes of the work that they are doing and the work others do. Effort ties the time, energy, and creativity a student uses to develop the the works hold. Teachers also can encourage the students by praising them verbally. It can motivates them to learn more. Maintaining a Learning Environment Classroom management also involves maintaining the learning environment through decision-making concerning students and the classroom. Maintaining a learning environment requires teachers to actively monitor their students. Active monitoring includes watching student behavior closely, correcting inappropriate behavior before its getting worse, dealing consistently with misbehavior, and attending to student learning. In terms of monitoring both student behavior and learning, effective teachers regularly survey their class or group and watch for signs of student confusion or inattention. Maintaining effective management involves keeping an eye out for when students appear to have problems in any field while learning. When Problems Occur Though effective teachers anticipate and monitor students behavior and learning, misbehavior and misunderstanding do occur. When inappropriate behavior occurs, they have to handle it promptly to keep it from continuing and spreading. Depending on the seriousness of the missbehaviors, teachers have to use different techniques to cater them. When students have problem academically, the teachers have to make sure the objectives are clearly given, precise instructions for assignments, and appropriate responds to students questions. In order to create and support a learning-centered environment, students must be very comfortable and feel that their contributions are valued. In addition, students must know how to value the contributions of others, value the diversity within the classroom, and give their best effort because they see it as the right thing to do or something that they want to do. In each classroom there will be a variety of skills, backgrounds, languages, and levels of cooperation. Teachers need to have experiences and skills to teach diverse classes, along with the administrative support in schools. There are many philosophies and styles of discipline applied by different teachers in the whole wide world. It can be hard to decide what works best for a particular teacher. What works for one teacher may not work for another. The best thing a teacher can do is to pick one that he/she think will be successful and make adjustments later if they face problems. Following are some of the most common discipline methods can be used by teachers in classroom: Assertive Discipline. It was created by Lee Canter. Canter believes that if you catch a student being good by recognizing them when they behave, they will work harder at behaving. He also believes that there should be consistent consequences of breaking the rules that are very clear. During early of the class sessions to begin, the teacher comes up with no more than five rules for the classroom. Each time a rule is broken, a consequence is given. If the misbehavior continues, the consequences get more severe every time. At the same time, students are rewarded for behaving properly. This can range from giving them verbal praises or even things such as sweets or foods. A Primer on Classroom Discipline- An article on this manual has been published by Thomas R. McDaniel. There are eleven techniques that are explained that help you achieve control. The methods are Focusing, Direct Instruction, Monitoring, Modeling, Non-Verbal Cuing, Environmental Control, Low-Profile Intervention, Assertive Discipline, Assertive I-Messages, Humanistic I-Messages, and Positive Discipline. Discipline With Dignity This controversial discipline program, created by Richard L. Curwin and Allen N. Mendler, is based on the premise that students are treated with dignity at all times. It is created to build self-esteem and encourage responsible behavior. Typically a contract is created by both the student and the teacher. The contract includes prevention, action dimension, and resolution. The teachers rules must make sense and be fair. At the same time, prevention is also done by the teachers with preplanning to eliminate possible areas of problems. Most important thing is to make sure students are aware of what is expected from them. The action consists of record keeping and classroom management. Finally the resolution component for the teachers is dealing with the continual rule breaker in the classrooms. But, teachers have to remember that discipline should not interfere with motivation and therefore, the students should be taught responsibility rather than being obedience for their own actions in the classrooms. There are some dicline with this method. It is believed that teacher is ought to protect student dignity and the fact there is no punishment. Students frequently select their own consequences rather than the teachers who decide. Teacher responses to severe discipline problems is unusual. Many believe that this should be the last resort for teachers to be used in classrooms when others have failed. Reality Therapy (RT)- This program was created by William Glasser. The emphasis of this program is to help students connect behavior with consequence. This is done with class meetings, clear rules, and contracts. This also includes Positive Approach to Discipline (PAD), which is based on Reality Therapy. Conclusion In conclusion, sometimes even teachers can actually make the problems occur in classrooms become worse, not the students. Therefore, it is important to consider some of the basic mistakes commonly made when implementing classroom behavior management strategies. For example, a common mistake made by teachers is to define the problem behavior by how it looks without considering its function. Interventions are more likely to be effective when they individually commit one of the problem behavior. Two students with similar looking misbehavior may require entirely different intervention strategies if the behaviors are serving different functions. Another common mistake is for the teacher to become deeply frustrated and feeling negative when an approach is not working towards the students. The teacher may raise his or her voice or increase the level of punishment in an effort to make the approach work. This type of interaction may impair the teacher-student relationship. Instead of allowing this to happen, it is often better to simply try a new approach. To avoid this, teachers should have an effective communication with the students. Communication is the key point here and with good approach and mentality, the students problem behaviors can be catered. By times, the classroom environment can be improved all together, for both teachers and students.

Microorganisms Essay -- Biology, Bacteria, Biotechnology

Microorganisms play an important role in our life: helps us to digest our food, decompose wastes and participate in various life cycles. They are diverse and have adapted to inhabit different environments including extreme conditions, such as hot vents under the ocean to ice caps; hence known as extremophiles. There are more microorganisms present in us than there are cells, and the various microorganisms are bacteria, viruses, fungi and protozoa. Many people associate microorganisms as death and diseases causing agents; also frequently compared to dirt. Although some microorganisms are responsible for causing diseases, most microorganisms’ original hosts are not the human body so are not pathogenic, but commensal. This essay will discuss the numerous beneficial microorganisms that carry out processes in biotechnology, agriculture, industries and environment; necessary to sustain life. First of all, essential uses of microorganisms are seen in the environment, as they play a vital role in many of the nutrient cycles. For instance, carbon fixation from the atmosphere during the carbon cycle by autotrophic bacteria, such as cyanobacteria; synthesizes organic molecules for other organisms and release oxygen for our consumption. In addition, microorganisms are vital participants of the food chain since they act as decomposers; breaking down dead organisms and organic materials and releasing minerals for uptake by living organisms and CO2 back into the atmosphere for photosynthetic organisms. Microorganisms, known as methanogens, influence the carbon cycle by converting CO2 in their cells to methane and releasing it into atmosphere; thus increasing methane concentration whereas methanothrophs consume methane from the atmosphere, lead... ...ate minerals from ores containing low-levels of minerals (Hofkin, 2010). Microorganisms have been beneficial to humans in the past too - the Weil-Felix test for typhus. A patient infected with Rickettsia prosecute will have antibodies to this bacterial species circulating in their blood which can bind to Proteus OX19, harmless soil bacterium. Physicians used to diagnose typhus by mixing patient's blood serum with Proteus OX19, positive test for typhus is confirmed when Proteus OX19 is clumped together (Hofkin, 2010). Overall, microorganisms are vital for life on Earth and are more than disease causing agents. Few microorganisms are pathogenic, but many more has an important role in various ecological and industrial processes, maintaining human health; and every day new discoveries are made that shows microorganisms are crucial for scientific advances to be made.

VIOLENCE IN THE MEDIA: DO WE REALLY CARE? :: essays research papers

The TV is designed to show images more than to go deeply into the information, where the written press takes the baton because it is a way for nature reflexively: the reading. The radio, in turn, has the gift of entertaining and to make reflect because of being a way that is transmitted, in general, live and that does not need the whole attention of the listener. The opposite thing happens in the television which audience is attracted by the magnets of the explosions, the fire, the pursuit, the shots, this means: scenes full of violence... it is enough to see to raise the "rating" of the newscasters when there are brutal notes compared with the information of the long speeches in political discussions considered boring because the image stays static in a certain speaker and lacks of dynamism. The TV is a way for the action, not the reflection. It is done to optimize the entertainment, it means, to be relaxing and to manipulate, not to think, not even to grow... This leads us to the following questions: Is the people who asks for violence?, or with what purpose the media offers it? The climate of hostility has been intensified?, or it is a faithful reflex of a social decomposition due to the unemployment, the shortage of money and the radical political changes through which the nations cross? Nobody knows the answers of these questions, but the television stays as the only window opened a world supposedly better. The addiction to the TV and the lack of communication in home prohibit the people the balanced development of their capability to have relationships and the acquisition of qualities as the ease, the good deal, the affability, the comity; the nobleness in the males and the thin sensibility in the women. The people who remain a lot of time in front of an electronic equipment, the TV or a computer, lose the necessary talents to be with other human beings and those people who shelter and construct themselves a perspective of the world across the television world, have much more hostile vision of the reality. For this reason, they behave with more hostility and less solidarity. The viewer has the trend to increase consuming and every time worse. He prefers being isolated; each one looks at the TV in his/her own place: father, mother, son and daughter.

Essay --

â€Å"Life puts obstacles in one’s way for a reason, so you can’t give up when there comes one you can’t fight through.† This quote was once said by a great grandpa to his granddaughter. The main point of the quote is that life is full of challenges and one has to find a way to move around it or defeat it. Kaye Gibbons, an outstanding author, suffers from a disorder call bipolarity. Even though the creative, thinking outside the box, and intelligent author fought through many obstacles throughout her life she still managed to never give up, accomplish her goals, and make the best out of her disorder. Childhood is described as the early stage of existence of something. Bertha Kaye Batt Gibbons was born on May 5, 1960, she lived in an old broken down home that lacked heat and electricity (Snodgrass p35). Kaye was born in Nash County in North Carolina. She was the youngest child of her family; however, she was mainly raised by her grandmother, Martha. Kaye was raised by her grandmother because in March 1970, her mother committed suicide by an overdose of pulse suppressing drug digitals (Snodgrass.p35). Her father was not much better than her mother, because he was a self-beating alcoholic. Kaye’s mother killed herself soon after she found out she was suffering from cyclical bipolarity, which is a manic depression (Snodgrass p35). When Kaye was eight she got put into a foster home because her grandmother was extremely ill and the doctors did not think she was going to make it. A woman named Mary Lee, became Kaye’s selected mother (Snodgrass p35). At the age of twelve Kaye was working in tobacco fields and attending the Childrens Bible Mission Camp at Falls of the Neuse River (Snodgrass p35). Kaye was never one to put herself out ther... ... and make the best out of her disorder. Kaye Gibbons, the woman she had become throughout her childhood years, her struggling adulthood, and now, she had wrote amazing novels even when she was bipolar. In this research, one has learned a million facts about Kaye Gibbons. One learned that it is never too late to keep fighting to accomplish your goals and to make miracles happen. Kaye lived a rough life; however, she managed to pick out positives of her disorder. Even though, she went down hill with the painkillers she was prescribed, and prescribed herself, she put them to the side and lived her bipolar eating life the way she should even if there was an obstacle in her way she still goes around it and fought through it because she knew what the right thing to do was. Til this day, Kaye Gibbons is still writing outstanding novels and putting herself out there.

The Ten Plagues of Egypt

TAKE HOME SHEET After hearing the full version of this song in class your challenge is to memorize and/or remix it!!!! First God sent, Plague number one, Turned the Nile into blood. All the people in Egypt were feeling pretty low, They told Pharaoh â€Å"Let them Go! † Then God sent, Plague number two, Jumping frogs all over you. All the people in Egypt were feeling pretty low, They told Pharaoh â€Å"Let them Go! † Then God sent, Plague number three, Swarms of gnats from head to knee. All the people in Egypt were feeling pretty low, They told Pharaoh â€Å"Let them Go! â€Å"Then God sent, Plague number four, Filthy ? ies need we say more? All the people in Egypt were feeling pretty low, They told Pharaoh â€Å"Let them Go! † Then God sent, Plague number ? ve, All the livestock up and died. All the people in Egypt were feeling pretty low, They told Pharaoh â€Å"Let them Go! † Then God sent, Plague number six, Boils and sores to make you sick. All the p eople in Egypt were feeling pretty low, They told Pharaoh â€Å"Let them Go! † Then God sent, Plague number seven, Hail and lighting down from heaven. All the people in Egypt were feeling pretty low,They told Pharaoh â€Å"Let them Go! † Then God sent, Plague number eight, Locust came and they sure ate. All the people in Egypt were feeling pretty low, They told Pharaoh â€Å"Let them Go! † Then God sent, Plague number nine, Total darkness all the time. All the people in Egypt were feeling pretty low, They told Pharaoh â€Å"Let them Go! † Then God sent, Plague number ten, Pharaoh's son died so he gave in. All the people in Egypt were feeling pretty low, Finally Pharaoh let them go. *Parents the original song is to the melody of â€Å"This Old Man†

Colloids Versus Crystalloids Fluid Resuscitation Health And Social Care Essay

Fluid resuscitation is one of the cardinal basiss for the direction of critically sick patients to cut down the mortality ( Schierhout and Roberts, 1998 ) . The fluids for resuscitation are chiefly categorized as either colloids or crystalloids. Owing to the high cost related with the colloids such as albumen, hydroxyethyl amylum, modified gelatine, dextran etc. , the effectivity and improved endurance associated of their usage for unstable resuscitation is still controversial ( Perel et al, 2007 ) . It was shown that the usage of colloids was instead associated with higher mortality rate when used in patients with traumatic encephalon hurt ( Myburgh et al, 2007 ) . Against this background of high cost and increased mortality in some instances, their usage has become really limited. Justification of the Topic The pick of fluid for resuscitation fluid used has a important impact on both patient endurance and related costs. Therefore, there is a demand to place a cost-efficient fluid with improved patient endurance in assorted critically sick patients. The purpose of the assignment is to reexamine the available literature on comparing between colloids and crystalloids as unstable resuscitations in critically sick patients and to measure its impact on clinical pattern and the consequence on short term and long term result for the patient in different clinical scenes. This will be done through critical analysis of the available grounds on the usage of these fluids. Search Scheme: The hunt for articles will affect electronic databases viz. PubMed, Medline, OVID, Cochran database and Google bookman. Merely randomised controlled tests carried out between 2000 to 2010 will be included in the literature reappraisal. The mention lists for all selected surveies will besides be explored to happen any more relevant tests and reappraisals. Keywords: Colloid, Crystalloid, Fluid resuscitations, dextran 70, hydroxyethyl starches, modified gelatins, albumen or plasma protein fraction. Search will be limited to adult topics and English linguistic communication. The literature will be critiqued utilizing the tool Critical Appraisal Skills Programme ( CASP ) and the strength of grounds will be considered based on CEBM hierarchy of grounds. Literature Reappraisal: Fluid Resuscitation: Albumin is Associated with Greater Mortality than Saline solution after Traumatic Brain InjuryLiterature ReviewThe Saline versus Albumin Fluid Evaluation ( SAFE ) Study Research workers[ I ]carried out double-blinded, randomized, controlled test to compare the consequence of fluid resuscitation with albumen or saline on mortality rates in a population of critically sick patients. This was done in ICU units of 16 infirmaries in Australia and New Zealand between November 2001 and June 2003 Intervention patients divided to two groups ; one received 4 % albumen and 2nd received normal saline for all unstable resuscitation. They were observed till decease, discharge or 28 yearss after randomization.The survey found no important difference in mortality rates between the two groups. To farther widen the survey, the research workers carried out a sub analysis i.e. a blinded, follow-up survey of 515 patients with TBI ( Traumatic encephalon hurt ) from the SAFE survey databaseaa‚ ¬ † randomized either to a saline group ( 260 ) o r to an albumen group ( 255 ) .Main intent was to measure mortality rates and functional neurological results in the albumen and saline groups at 24 months after randomisation. At 24 months after randomisation, 71 out of 214 albumens group patients had died ( 33.2 % ) vs. 42 out of 206 saline group patients.As respect to the neurological results at 24 months found in the albumen group ( 96 out of 203 ; 47.3 % ) vs. the saline group ( 120 out of 198 ; 60.6 % ; comparative hazard of 0.78 ; P=0.007 ; and a 95 % CI of 0.65aa‚ ¬ † 0.94 ) . The strengths of this survey ( SAFE ) included transporting out this survey as a RCT which enabled the research workers to hold a comparing between the two groups with High-level conformity with over 97 % of patients acquiring their allocated fluid, limited concurrent intercessions, and a web-based direction system. It was a blinded survey which minimizes any allotment prejudice. This determination was consistent with consequence of systemic reappraisal and argument sing colloids vs. crystalloids for unstable resuscitation in critically sick patients which was triggered by a big meta-analysis ( by Cochrane Injuries Group Albumin Reviewers ) that suggested colloids to be associated with higher mortality rates, The failings are the patient population is significantly smaller for bomber analysis. Furthermore, this included retrospectively collected post-hoc informations and the possibility of increased intracranial force per unit area within the albumen group might be a confounder. The mortality rates were indistinguishable to the old epidemiological surveies on patients with traumatic encephalon hurt and may be merely a coinciding determination. Finally, why the mortality rates should be so affected is ill-defined and it was beyond the range of the survey. Decision: This is a well-designed survey supplying adequate grounds about the high quality of saline fluid resuscitation over albumen in patients with TBI, but surely no adequate grounds to back up that this the instance in other patient groups in the critical attention unit.As mentioned above this survey was non designed ab initio to look at this subgroup and the population is comparatively little but the consequence is surely deserving farther research. The other inquiries as why albumin fluid does ensue in such inauspicious consequence and whether the different group of patient will act and respond in same manner will originate farther argument and treatment non merely in Clinical pattern but besides on academic base. Harmonizing to CEBM hierarchy of grounds will be Level 2. Subheadings Colloids and crystalloids ; does it count to the Kidney?