Thursday, November 28, 2019
Ford Strategic Management free essay sample
COLLEGE OF TECHNOLOGY LONDON STRATEGIC MANAGEMENT FORD MOTORS STRATEGIC ANALYSIS Lecturer: Dr. John W Lang SUBMITTED BY ALWYN VARGHESE STUDENT. ID:-095945-87 UWL ID:-29002367 UNIVERSITY OF WALES LAMPETER Table of Contents 1. Executive Summary. 3 2. Introductionâ⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦.. 3 3. 1 Reasons behind the acquisitions of Jaguar and land rover by Ford 4 3. 2 Reasons behind the sale of Ford jaguar and land rover group and UK .. 3. 3 Current strategies of Ford motors 7 3. 4 Ford motors generic strategies 9 3. 5 Analysis using five forces 11 4 Market analysis of Ford motors. 13 5. Recommendation. 16 6. Appendix . 16 7. References .. 22 EXECUTIVE SUMMARY Ford motors, one of the most leading automobile industries in the world. Missions and goals of the company made them excel into the automobile sector. Strategies and decisions made by ford motors brought them in front of the many leading automobile manufactures. But the recent economic crisis that hit made and also due to the some false analysis made ford motors many issues. The report deals with the strategic reasons behind the acquisition of JLR motors and also deals with the reason for the sale of JLR to Tata motors. We will write a custom essay sample on Ford Strategic Management or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The present strategies of the ford motors made them to recover from the lose that occurred in the recent decades which is also being discussed here. INTRODUCTION Ford motor company is a global auto motive industry leader based in Dearborn Michagan. They produces and distributes automobiles across six continents with 1,98,000 employees and about 90 plants worldwide . Ford provides financial services through Ford motor credit company. Ford was started their operations in 1903. They principally involved in the production and the distribution of automotive vehicles. The company was founded by Henry ford in 1903. It is one of the worldââ¬â¢s most profitable and the largest companies in the world, it is ranked as the fourth largest automaker being controlled and managed by a family more than 100 years . The company produced their first few models in Detroit ,Michigan. The company started production with the model of A in 1903. Model T was one of the famous model in the early years of company history, it helps the company to boost their operations. (Ford motors,2009) Ford is one of the largest automakers in the Europe. The company ended their operations with a net profit of $2. 7 billion in 2009. The company had a lot of parent companies like Lincoln, Volvo, and Aston martin. Ford sold their UK subsidiaries Jaguar and Land rover to TATA motors of India in march 2008. The company reported its largest annual loss in 2006 of $ 12. billion, it estimated that company would not come to profitability until 2009 but they ended their operations in 2009 with a good net profit. (See appendix revenue and profitability comparison of Ford motors) Ford has been at the centre of many of the acquisitions and divestiture activities over the past 20 years, this was the reason for the development of Premier auto motive group. The recent economic decline saw ford disso lve their premier automotive group leading to the sale of jaguar and land rover, Aston martin and now Geely group based in china signed a contract with Ford to acquire their Volvo car business. On 28th march 2010, Geely signed a 1. 8 billion deal with Ford to get their Volvo car operations. The Volvo brand has been part of ford for many years and they have had certain policies and procedures for developing their vehicles. This report aims to focus the following strategic questions . There are certain reasons for the company to sell their parent companies. (edi. basics . com) (See Appendix 5 for Sale History) 1) What are the strategic reasons behind the acquisition of jaguar and land rover by Ford? 2) What are the reasons behind the sale of Ford JLR group to Tata and UK plant closure? ) What are the strategies does Ford follow now? MAIN BODY 3. 1 REASONS BEHIND THE ACQUISTION OF JAGUAR AND LAND ROVER BY FORD Acquisition history:- Jaguar is a British luxury car manufacturer ,head quarter in Coventry England . jaguar was founded by sir William Lyons in 1922,made motor cycle side cars before they enter in to the passenger cars . company changed their name to jaguar after 2nd wo rld war . The Ford motors made offers to US and UK Jaguar share holders in 1989 to buy their shares . Jaguar became a part of the ford motors new premier auto motive group in 1999. Ford purchased land rover in 2000, it has been closely associated with jaguar. Ford sells fancy versions of jaguar in Britain that bear the Daimler name . Ford paid 3. 3 billion for the Marques, when they bought Jaguar for 1. 6 billion in 1989, and 1. 7 billion for Land rover in 2000. Jaguar employs nearly 20000employees in UK. Ford purchased decision of Jaguar received heavy objections from industry observers . Jaguar never loses itââ¬â¢s as one of the most prestigious beautifully designed cars. The success formula of Ford with jaguar was to keep the image of the brand and retain the classic design of the jaguar. Ford created a team called transition team and appointed some of its executives into the board members of jaguar. The company set three main objectives based on three critical issues. 1) Constant improvement of product quality 2) Increased manufacturing efficiency 3) Existing new model programs. Jaguar vehicles are high quality vehicles that are more popular than luxury car buyers . Jaguar history from 2002 to 2004 says that it made a good sale. it takes jaguar from two model lines and 45000 vehicles to 200000 units of annual production . Jaguar plantas are not Fords plants, but with the assistance of ford jaguar has transformed their manufacturing operations . (auto industry. com,2000) Ford purchased Land Rover from BMW in 2000 for 1. 85 billion . Land Rover was mainly based in Solihull and it has a terrific global brand with wonderful heritage . Land rover employs 9500 and produces Land rover, Discovery, Range rover and free land off road vehicles . when ford takes over Land rover in 2000 the plant recorded the production of 166000vehicles in the previous year . independant business. com) Ford buys Land rover because of the following reason 1) The Land rover brand known throughout the world . it is perfectly fit into the Fords growing family of brands. 2) The acquisition helps the company to boost their luxurary car segments. 3) It helps the company to achieve its sales target easily, when land rover and range rover came under their premier auto group. Ford has not been strong in the European off road and luxury uti lity vehicles because of that they purchased Land rover in 2000. Ford paid a big amount to BMW to buy the land rover from them. Land rover has a strong brand name their products have a distinctive look. Ford created a team of its own people ,it includes some of the members from jaguar to analyze the Land rover operations and assist with change in future. Ford used Jaguar template on land rover to capture the European market. (independent business. com) Ford merged operations with Jaguar and Land rover is profitable, land rover sold 2,26,395 SUV ââ¬Ës worldwide in 2007. (See appendix 1 for External factors affecting Ford) 3. REASONS BEHIND THE SALE OF FORD JLR GROUP AND THE UK PLANT CLOSURE The rise of sales in 1998 impress the management of ford motors company in the future success of Jaguar and the whole premier auto mobiles group. Since 2004 jaguar sales downed to 22%. Various surveys founded that the brand had a bad reputation regarding their quality issues dull and out dated designs lack of an suv and it is too expensive . Jaguar was one of the poorest performing part of the Ford, they failed in their efforts to broaden their jaguar sales . Ford motors sold their Jaguar and land rover to Indiaââ¬â¢s Tata motors limited for 2. billion in 2008. It was less than what ford paid to acquire these brands. Ford early steps to improve the sale of jaguar showed positive results but the company invested undisclosed amounts to increase the efficiency at the UK factories . in 2002 Paris Auto show scheele one of the spokes man of ford told to the reporters that jaguar would post a 500 million loss. The company announced in 2004 that it was cutting jobs and reducing the jaguar work force . In December 2005 ford disclosed that it paid 2. 1 billion to jaguar to help their reorganisation. (Bloomberg. om) Jaguar worldwide sales were 60,485 in 2007 compared with a peak of 130,334 in 2002. In 2007 the Ford motors announced their plan to sale their Volvo, jaguar and Land rover brands in Europe because they want to concentrate more on th eir North American plant operations. By selling their different brands ford ended their 20 year effort to widen their sales of luxury cars by acquiring European companies . Among their European luxury brands Volvo and Land rover were profitable brands but Jaguar has unspecified losses. koeing,B. ,Lippert,J. ,2007. ) (See Appendix 2 for Strategic Rationale and Implication of Ford UK Plant Closure) 3. 3 CURENT STRATEGIES OF FORD MOTORS FORD VALUE CHAIN ANALYSIS Michael porter developed the value chain approach in 1980s in his book competitive advantage . all organisations activities such as activities include purchasing activities manufacturing the products distribution and marketing of the company products and services . The vale chain frame work is a power full analytical tool for the strategic planning of an organisation . To conduct the value chain all the activities of the organisation is split into primary and support activities . Primary activities include inbound logistics, operations ,out bound logistics ,marketing and sales it also include procurement ,human resource management, technology development and the firm infrastructure . Tailoring design models Ford motors value chain is not all that different from other manufactures in the automobile industry. Increased demand of the suppliers led to poor suppliers relation ,so the company is taking a new approach to rejuvenate its value chain. In old days the company is always try to reduce their supply chain cost by demanding lower prices from their suppliers . now a days Ford is working closely with their suppliers to avoid their cost and reduce cost for both the organisations . One of the important impact of the Ford value chain is the design phase . Ford has begun to realise the value of the consumer input is successful on latest design technologies . Ford introduced tailoring design models in their vehicles because of the increased demand of the public. Thier design proved that it is highly successful in recent financial periods. Marketing is an another important aspect of the value chain analysis . The company has been working together with their dealers to build up marketing strategies to increase their sales . Caterpillar logistics and sap models Ford is using latest information technology to improve their value chain . It has teamed up with CATERPILLAR LOGISTICS and SAP to improve their warehousing Companies main aim is partnering with cat logistics was to secure a partner with expertise in the auto motive supply chain to develop the new information system. Apart of their cat logistics and sap ford is also using SAS platform that support customer relationship management . It boost fords existing customer relationship database and provide a good base for information analysis ,data mining and predictive modelling . The application of the information technology allowed the value chain to be a cost saving power for the company. Ford decreases their supply chain cycle from 57% to 40%within 37 days in inventory levels in us . Value added lean manufacturing process Ford is also implementing lean manufacturing practice to help the constant development in the value chain . Studies says that there is 30 percentage waste in the manufacturing process . in order to avoid this Ford introduced value analysis centre with these two programs critical data elements are identified in order to determine the best approach to eliminate the waste and add the great the value to all aspect of the value chain. Lean uses different technological tools data collection and manipulation data soft ware to describe base lines . Essentially the value analysis center at ford is its cost management programme 3. 4 FORD MOTORS: GENERIC STRATEGY : Ford is a high volume full range vehicle manufacturer . One of the main essence of their market expansion strategy is the producing at highest volumes and lowest prices with a range of the general purpose cars . Ford follows the cost leadership strategy in their business . A firm which follows the cost leader ship strategy attempt to get competitive advantage. A firm which follws the cost leadership strategy attempts to get competitive advantage primarily by reducing their economic cost below its competitors. Ford is trying to remain one of the biggest name brand in American cars without loosing the value of their cars . ost leadership strategy mainly concentrates on efficiency by producing high volume of products. Ford producing products at a low cost and made available to a very large customer base. In order to maintain this strategy the company requires a constant research for cost reduction in all aspects of the business. Companies in the auto motive industry are taking same steps to get advantage ,Ford has their own strategy to get m ost from their value chain. Presently Ford is taking steps to enhance supplier relations. Ford reduces the number of suppliers and giving bigger tenders and longer contracts to their existing suppliers . Company hopes that it helps them to reduce their cost while increasing quality and consistency. Success implementation of cost leadership strategy also benefits from good engineering skills ,designing products for the simplicity of the manufacturing process. Ford achieved unchallenged cost leadership through limiting their models and varieties . Ford motors has completed major cost reduction actions over the past four years to restructure their business . it includes personal level ,facilities and related costs. in 2009 they achieved 5. 1$ billion in auto motive structure cost reductions exceeding their target 4$billion . Ford introduces a new generation of global products, the company one Ford strategy is clearly evident in their assembly plants . 3. 5 THE ANALYSIS USING FIVE FORCE (PORTERS FIVE FORCE) Competitive rivalry: Competition is very much high in the auto motive industry. The biggest players in the auto motive industry by their volume are general motors, Ford, Daimler Chrysler and Toyota . Different companies are providing different incentives to attract their customers. Ford was very successful in their volume of scale and they anticipated that they would be the biggest players in the industry taking the place of GM. Due to the sleek design and price incentives provided by Japanese manufactures Ford is losing their shares while Toyota and Hyundai gained. (reulters,2005) Barriers to entry There are a lot of barriers to entry in the automotive industry. The main 10 giants in the automotive industry have great power in terms of reputation, finances, experiences, technology and existing large product portfolio. The high level of barriers is the research and development capability, investment capability in promotions and new product development. All these minimise the threat of new entrants. Chinese cars are entering the automotive industry they can overcome the barriers because of their low priced cars . Buying power US and Europe buyers experience very strong bargaining power because of the high competition in the global market. The current accessibility of different information channels and the presence of different service providers it further increased bargaining power. Car manufactures are providing a lot of incentives to attract their buyers. Ford is providing free upgrades worth up to $2000 for their customers in the UK. (ford. uk. com) Supplierââ¬â¢s power Supplierââ¬â¢s power has major affect on the firms in the automotive industry. Suppliers provide essential components for the production of vehicles and providing spare parts for future repairs. In order to benefit the economies of production Ford is reducing the number of their suppliers and increasing their orders to their existing suppliers (BBC 2005). Due to the action taken by the auto maker, the competition taken by the auto maker, the competition between the suppliers is also increasing. Suppliers provides the products with a lower price and provide other financial incentives. : MARKET ANALYSIS OF FORD MOTORS Ford motors company sales and revenue over the last 5 years has fluctuated tremendously, 2005 it was 176. 8 billion, 160. 1 billion for the year 2006 and 172. 5 billion for 2007. The ford Europe and premier auto group recorded strong revenue growth in 2005 financial year. The revenue from Europe and premier auto group hits nearly $60258 million in 2005. it shows a grow th 11. 3 % over 2004. Ford motors posted $2. 6 billion profit in the second quarter ,a jump of 13 % compared to same reporting quarter in the financial year 2009. Ford second quarter revenue amounted to $31. 3 billion. It is $4. 5 billion higher than the second quarter of financial year 2009. Ford is now able to repay $7 billion of auto motive debt in the quarter period, which help them to save $470 million in annual intersest. Ford the first time in 12 years beat General motors monthly sales when they posted 43% jump in vehicle sales of 14,285 vehicles compared with 141951 of GM vehicles in February 2010. Ford light vehicle sale increased to 1,42,006 vehicles compared to 99,050 vehicles in 2009. (See appendix 4 for Revenue Comparison ) Region| FY2009 worldwide wholesale unit volumes by automotive segment (in thousands)| North America| 1,959| South America| 443| Europe| 1,568| Ford Asia Pacific and Africa| 523| Volvo| 324| Jaguar, Land Rover, and Aston Martin| 0| Total| 4,817| Ford revenue comparison with GM and Volks wagon 5. Recommendation and conclusion In 2008 Ford announced the sale of Jaguar and land rover operations to Tata motors . Ford ended the operations of their another subsidiary company Volvo to a Chinese based car company called Geely motors . Ford re organized their plans to concentrate core Ford brand . The last few years of the companyââ¬â¢s financial performance shows that Ford parent companies did not gave any good results for the growth of the company, so the company closed all of their operations of the parent companies. Disadvantage of the agreement At the closing Ford paid a massive ammoud more than million to the Jaguar and land rover operations. More than 600 billion to the Jaguar and Land rover pension plans. As part of the agreement Ford has to supply their power train models, plat form technologies and also engineering support including Research and development. Ford faced a lot of challenges because of the acquisition and demerging of their parent companies over the last 20 years . Joint ventures and acquisition played an important role in the performance of the company . It affects both positively in the performance of the company. To conclude this report try to focus the different faces of the strategic alliance and the current strategiesââ¬â¢ of ford motors . 6. Appendix 1. The external factors affecting the operations of Ford motors Opportunities * The huge expansion in the devoloping Asian pacific market * Additional expansion in the US luxury carââ¬â¢s market Synergy saving and cost sharing of different premier auto group. Threats * Intensive competition on the major market of operations * Demand decline in various models * Liquidity problem (massive investments related with the development of new models and existing models and technology) * Changes in consumer trends * Share holders dislikes in the approval of Jaguar recovery. (The poor financial performance made more pressure on the Fords management in their further h Strengths * Good history of jaguar brand * Ford motors operating capabilities. Weakness * Absence of transparency regarding the role of PAG in the strategy of Ford. * Lack of finance for aggressive marketing campaign. * Product positioning problems . * Problems related with quality. 2. Strategic rationale and the implications of Ford UK plant closure 1) The review of macro factors Political factors: One of the distinguish factor of the auto motive industry is that it is not country bound, various and events are inter related the events take place in one country may directly affect the operations of other country. Ford manufactured their certain models in specific countries. Ford produced most of their Jaguar models in Europe even though the markets for the jaguar cars were in America. European customers put higher preference on small engine cars . British labour union pressure was one of the major cost increase factor of Ford operations . The closing decision forced to cut the job of 2000 people . Global political stability that is free trade flows, oil prices, exchange rates deterioration of economic and technological cooperation between countries forced to close the jaguar operations in uk. Mackintosh,2004) Economic factors: The market size and the maturity of the target market ,potential growth of the market are the key factors to determine the location of production. The cost factors and the direct and indirect costs are the key issues obtain the competitive advantage over the industries. One of the important issue that influence the operation location decision is the specific labour cos ts. The cost factors and the relationship between the direct and the indirect cost become one of the main issues in maintaining the competitive advantage , Specific labour cost is an important issues which affect the production locations . According to the survey (KPMG 2004) industry specialist put a major emphasis on the specific cost saving . Massive increase in the labour cost in UNITED STATES and EUROPE directly affect the fordââ¬â¢s operations . High wage rate of employees directly affect the JAGUAR UK operations . the data provided by the Macintosh says that Ford UK plant output is lower (130000) than output of BMW plants in Germany ( 166000). Fluctuations in the price of oils in the oil market directly affect the Jaguar operations . A hike in the oil price added the difficulty to sale the luxury cars . Majority of the jaguar cars have big sized engines ,greater than 2 litters . This table shows that United states will be the largest markets for vehicles accounting 23% of global sales upto 2010. Sales in the western Europe will be high after the futher expansion of Europe zone , but the current maturity of market ,excessive competition and demand trends suggests that the share of Europe will be drop. Special attention shall be given to the present and the potential rate of Asian pacific market. One of the major threat for the fierce competition is the US Europe and the Asian pacific market . Ford has to compete with US and Japanese firms ,they follows aggressive customer switching strategies Fluctuations in the currency rate is an another important factor which affect the Jaguar operations . weak positions of the US dollar against various currencies especially the British pound reduced the price competiveness in US market. BBC says that it was weak us dollar that affect the reduction in jaguar sales by 20%, it directly affect the overall performance of the ford group and Jaguar sales (BBC. com) SOCIAL FACTORS One of the important feature of the automotive industry is that the demand sequences is not homogenous . Customers change and preference towards more fashionable ,sport type ,suv equipped cars slashed the jaguar sales because the jaguar brand had old fashioned cars and they are always struggled because of their quality features . TECHNOLOGICAL FACTORS Technological factors are the important factors which affect the performance of the jaguar cars . The ford company invested more in their e business technologies which affect the Jaguar operations. Consumers choice for various technological improvements made a gap in the architecture of supply chain. 4. evenue comparison 2009 2010 5. Ford sale history of its parent companies REFERENCE: * Culpan , R . 2002. Global Business Alliance: Theory and Practice, Quorum Books, USA. * Hitt, M. Ireland, D Hoskisson , R . 2009, Strategic Management Competitiveness and Globalization: Cases, south western Cengage learning, USA. * Dobson, P. Starkey, K Richards, John. 2004, Strategic Management: issues and cases, Black well publishing Ltd * McAfee , P. R. , 2002 . Managerial Economics: How Toyota invaded the American Car Market, P. 4-8. * Koeing,B. Lippert,J,2007: [online ] available from URL (retrieved on 5-8-2010) * Ford motors ,n. d. financial results [online ] available from URL (retrieved on 3-8- 2010) http://www. ford. com/doc/ir_20100723_2q10_financial_results_presentation. pdf * BBC news ,n. d. ,Fordââ¬â¢s jaguar sale plan [online ] available from URL (retrieved on 25-7-2010) http://news. bbc. co. uk/1/hi/business/6741809. stm * Uk ,Returs ,n. d . ,Fordââ¬â¢s sale of Volvo cars [online] available from URL (retrieved on 28-7-2010) http://uk. reuters. com/article/idUKTRE62Q1EH20100328 * Times onlie,2007. fords sale of jaguar and land rover [online] available from URL(retrieved on 2-8-2010) http://business. timesonline. co. uk/tol/business/industry_sectors/engineering/article1917825. ece * Course work, Porters generic strategic mode [online ]available from URL (retrieved on 5-8-2010) http://www. coursework4you. co. uk/e ssays-and-dissertations/porter-generic-strategies. php * Ford motors 2008-09,value chain and impacts [online ]available from URL( retrieved on 7-8-2010) http://www. ford. com/microsites/sustainability-report-2008-09/operations-value
Sunday, November 24, 2019
Book review on The things they carried
Book review on The things they carried The Things They Carried- Book ReviewIn The Things They Carried, author Tim O'Brien conveys his experience and feelings about the Vietnam War through a collection of stories. Each narrative is comprised with vivid description telling us about one of the soldiers of the Alpha Company in Vietnam. One of the significant concepts in this novel is the importance of certain objects or feelings carried and used by the soldiers to survive the war. Several of these things are intangible, including guilt and fear, while others are specific physical objects, including matches, morphine, M-16 rifles, and MM's candy. Tim O'Brian releases his fear, sadness, and anger felt due to the war, and illustrates to us the power ordinary objects may have on one, solely through sentimental valueTim O'Brien was born on October 1, 1946 in Worthington, Minnesota. After graduating in 1968 from McAlester College in St. Paul with a degree in Political Science, O'Brien was drafted into the army.If I Die in a Combat Zone, Box Me Up and Ship Me H...His college years, however, were spent trying to ignore the Vietnam War or railing against it he attended peace vigils and war protests, and aspired to join the State Department. This was a horrid, confused, and traumatic period for Tim O'Brian. While serving at the South Vietnamese village of My Lai, he was wounded and returned home with Purple Heart, a Bronze Star for Valor, and a Combat Infantry Badge. After his return, O'Brien entered a Ph. D. program in Government at Harvard University. During the time he spent at Harvard, O' Brien spent two summers working as a reporter for the Washington Post. In 1975, O'Brien published his first novel, Northern Lights. Since then, he has published quite a few fictional novels based on the Vietnam war including, If I Die in a Combat Zone, Box Me Up and...
Thursday, November 21, 2019
Operations management Essay Example | Topics and Well Written Essays - 1500 words - 4
Operations management - Essay Example It improved workflow by 100% efficiency and 0% delay. The time of performance for each task and requirements of sequence needs the assembly line balancing tool of analysis for proper amount of workstations and workflow that is most efficient. The tool calculates the number of workstations required, in this case 5. The maximum time a workstation can operate is 10 minutes and time needed for every cycle is 46 minutes. The calculations guarantee 100% efficiency. The assembly line balancing decision tool helps achievement of highest efficiency in production and reduction in floor space production. When the assembly balancing line is properly balanced, there will be an increase of production and lower cost of production. The Maui sandal will take 4 months to be produced with a total of 20126.97423 hours of labor and costs 20121.71 at a labor rate of $1.08 every hour. The first month requires 3737.741 hours of labor at $4036.76. The second month requires 4775.66988 hours of labour at $5154.62. Third month requires 5511.74336 hours in labor at $5950.10 and month 4 6101.82 hours of labor at $6589.97. The hours for production of the Maui sandal decreases at a slower rate with increase in sandal production. Total labor cost decrease at a slower rate as the line continues to be produced. The information helps determine the levels of employment cost, capacity and product pricing in the market. The decision used here is the learning curve decision tool applied to help formulate strategic decisions of levels of employment cost, capacity and product pricing in the market. Less time is expanded as a result of repeating the same operations. It proves there an increase in time for product production as it takes less time for production. The resources available and changes in process alters the learning leading to the company pursuing the learning curve to gain maximum saving cost, therefore, the
Wednesday, November 20, 2019
What Should Eastern European Migrants to UK Do In Order To Be More Dissertation
What Should Eastern European Migrants to UK Do In Order To Be More Gainfully Employed - Dissertation Example What Should Eastern European Migrants to UK Do In Order To Be More Gainfully Employed? According to European Commission website (European Commission, 2011 http://ec.europa.eu/enlargement/5th_enlargement/index_en.htm), in May 2004 Poland, the Slovak Republic, the Czech Republic, Latvia, Slovenia, Lithuania, Hungary and Estonia joined European Union. The United Kingdom was only one of three European countries to allow the free migration of workers. The ability to work and to live in abroad made thousands of people leave their home and go to look for a better living in UK. Hull like other UK cities experienced rising number of immigrants coming from East and Central Europe. According to Department for Work & Pensions, the total number of immigrants coming to Hull between 2004-2008 from east and central European countries was 6.780. Most of the people coming to Hull are from Poland, Lithuania, Latvia. Migrant workers come with a broad range of qualifications and skills. They intend to choose low skilled jobs through recruitment agencies and take a low- income employment. This research will look into the reasons why migrant workers have a tendency to take vacancies in low skilled jobs market despite the level of skills they have. The immediate aims of this research are: â⬠¢ To explore skills and qualifications of East European workers; â⬠¢ To clarify primary obstacles faced by immigrants wanting to access better employment; â⬠¢ To look into reasons why East European workers donââ¬â¢t adapt in English labor market. ... In order to achieve these aims, in the course of researching, a survey would have to be done to know the hopes and needs of Eastern European (EE) migrant workers in the UK. The laws and regulations affecting those Eastern European Migrant workers have to be scrutinized and summarized to see how they can affect their hopes and needs. The survey questionnaire should gather some information about their strengths and weaknesses as Eastern European Migrant workers. A review of their opportunities, rights, and privileges will then shed light on the usefulness of those strengths in the UK. Finally, in order that this formal research can contribute some insights to the existing body of knowledge about Eastern European Migrants in the UK, and to the improvements in productivity with the UK, an attempt to recommend plans will be done for the conversion of Eastern European Migrant workers at Hull into becoming more productive for the UK. Overview The UK government is committed to its Equality A ct 2010 which serves as an anti-discrimination law. It gives equal treatment in trying to access employment regardless of race, religion or belief, gender, civil status. By December 2010, the government (GEO 2010) ââ¬Å"announced that it will bring into force section 159 of the Equality Act 2010 in April 2011. This will help employers achieve a more diverse workforce by giving them the option, when faced with candidates of equal merit, to choose a candidate from an under-represented group.â⬠In 2005, Hull had a sluggish economy in 2005. Growth was low. Productivity was low. Earnings were low. So the Local Authorities of Hull developed a strategy and called it NDC or New Deal for Communities Sanderson, I., Green, A., and
Sunday, November 17, 2019
How do the benedictine oblates enable the witness of Monastic Essay
How do the benedictine oblates enable the witness of Monastic Spirituality to be expressed in secular society - Essay Example The Benedictine vocation is not carried out primarily by cloistered, celibate monastics. The vast majority of Benedictines in our age are oblates, married men and women from many different Catholic Churches. The spiritual values embodied by the age-old Benedictine monastic tradition is today dispersed among people of the modern society by those chosen few ââ¬â whose numbers nonetheless are on sharp rise ââ¬â who have found their calling in the way shown by St. Benedict barely a few centuries after Jesus Christ. Benedictine oblates today represent a promising movement of bringing forth lofty spiritual principles out into the open and amalgamating them into our everyday humdrum existence. This they do by virtue of their thought, word and deed being permeated by the spirit of Christ. : Faith is like love, a very personal and intimate matter. It has a profound beauty and sublimity that cannot be so easily understood by cool rationality. The values and principles that Benedictine monks and oblates cherish and uphold can be best understood from the point of view of deep empathy. This point can be illustrated by a simple example. Some anthropologists study primitive tribes as if they were strange creatures steeped in a culture of ignorance. More mature anthropologists, on the other hand, often try to identify with the subjects of their study, by mingling and living with them, by becoming almost like one of them, by trying to look at the world from their eyes. Benedictine culture and tradition too ought to be ideally studied in the latter manner. 1. Oblates in the Context of Modern Society The Benedictine vocation is not carried out primarily by cloistered, celibate monastics. The vast majority of Benedictines in our age are oblates, married men and women from many different Catholic Churches. Benedictine oblates are lay persons affiliated with a Benedictine abbey or monastery who strive to direct their lives, as circumstances permit, according to the spirit and Rule of St. Benedict. (Our Sunday Visitor's Catholic Almanac 2005, p.490). While yet living "in the world," as ordinary members of society, they join themselves spiritually to a particular Benedictine community and seek to observe in the particular circumstances of their lives the important aspects of the Rule of St. Benedict. In the recent years, there has been a renewed interest among laymen and laywomen in associating themselves with religious communities as oblates or members of secular 'third orders'. Oblates do not take monastic vows but choose to live in close connection to a monastery, while integrating the spirit of the monastic rule into their daily lives. Groups of such "secular oblates" have in fact multiplied today in various forms. The term 'third order' generally has been a category for laity who seek to follow a way of life in the world but under the inspiration and spiritual guidance of a canonically approved religious institute.(Seasoltz, 2003, p.248). These groups often are the lay counterpart of particular religious orders. The First Order of the community was its professed male members, the Second Order, the professed female members, and the Third Order, the nonprofessed male and female affiliates (Wynne, 1988, p.164). People of these third orders seek to deepen their Christian life an d apostolic commitment in association with and according to the spirit of various religious institutes. Considerable numbers of people, most of them lay people with family and work commitments and with many involvements which keep them busy, are today turning to the monastic tradition. The main reason for this is perhaps that in monastic approach to life, in its essence though not in the outer form, they are finding practical help in making the ordinary and the everyday life a way to a higher reality. Monastic tradition began as a lay movement, and remained so until its intertwining with priesthood much later on
Friday, November 15, 2019
Elderly Care: Proposal on Hospital Admittance and Discharge
Elderly Care: Proposal on Hospital Admittance and Discharge A proposal of change to improve the quality of care for vulnerable older people who after being admitted into hospital and on discharge do not have a lot of choice in services that they receive. They are either sent home with a care package which does not meet all needs of the older person or moved to a residential home. It has been said that independence and mobility are the two most precious commodities that the elderly, as a group, need to nurture as a significant decline in either will significantly increase their dependence and reliance on others, either in the family or in the community. (Whitely, S. et al 1996) In general terms, the plight of the elderly in hospital is probably the most precarious of all of the age ranges, irrespective of the illness for which they were admitted. Any form of debilitating pathology, even if it only puts them in bed for a few days, may very well weaken their already tenuous grip on independence. The result may be either a prolonged stay in a hospital bed, home discharge with a care package which may not be totally satisfactory and all too often dependent on the ministrations of a group of overstretched healthcare professionals, or discharge to some form of residential care ââ¬â which, although possibly seen by some as being the best option for the debilitated or infirm elderly, has an enormous impact on both the independence and the lifestyle of the elderly person. Let us briefly consider this last option which is not as straight forward an option as may appear at first sight. Let us personalise the discussion by referring to a hypothetically representative Mrs J., a 78 yr. old lady who has lived alone since her husband died some ten years previously. She is fiercely independent but has been getting progressively more frail as the years have gone by to the extent that it is a struggle to get her shopping. As a result her diet is becoming progressively more inadequate. Her personal hygiene, which was meticulous a few years ago, is now also failing, and she spends a great deal of her time alone and in bed. She has developed a low grade chest infection which required her to spend three days in hospital. When it came time to discharge her, her daughter could not look after her and took the decision that she would be better in a residential home. Mrs.J. had virtually no choice in the matter and on the fourth day she found herself in a residential home, surrounded by people with an average age rather greater than hers, many of whom were suffering from varying degrees of dementia. The home had a completely imposed and inflexible regime which was a major imposition on her as she had previously been able to do what she wanted when she wanted. There was virtually no privacy and never a time, day or night, when there was silence or quiet. Her house had to be sold to pay the fees, so she knew that there was no possibility that she would ever go home again and any money that she had, she was not able to spend as her savings were also taken to pay the fees. In the space of four days her life had been overturned and although she was warm, fed and cared for, by any rationalisation her quality of life had changed for ever. Mrs.J. is quoted as being fairly typical of many and her case used to illustrate the enormity of the life changing impact of admission to a residential home. Critically examination the need for the proposed change The particular change that we shall highlight in this particular essay is the need for multidisciplinary discharge planning, a move which is highlighted in the National Service Framework for the elderly (Standard Two). As we shall discuss later in this essay, the National Service Frameworks have been conceived and drafted in response to the perceived need for change. It therefore follows that it is a self-serving argument that it is a recognition of a need for change in this area that has prompted its inclusion in the National Service Framework .This rather tautological argument is given credence by a number of studies that have both looked at, and demonstrated the need for change in this area. The paper by Richards (et al 1998) was a first rate examination of the problem. It covered a number of areas, but, with specific relevance to our considerations here it highlighted how the patient outcome could be improved by a timely multidisciplinary pre-discharge assessment by a team which included social workers. This paper, if nothing else, underlines the need for change and provides a model for how improvements in the multidisciplinary discharge function can produce potential benefits for patients Evidence to support this view can be found in anyone of a number of recently published papers (such as Ham C 2004) which has specifically surveyed patient and carer satisfaction levels in the area of welfare and associated services after hospital discharge for the elderly. An outline and critical discussion of how change can be implemented Change can be a trophic factor in any organisation but no matter how good the intentions and aspirations, if it is badly managed, then the end result can be a catastrophic mess. One only has to consider the debacle of the implementation of the Griffiths Report (Griffiths Report 1983) in the NHS in the 80s to appreciate how a major management change could be badly implemented. The Government even set up its own commission to see what lessons could be learned from the episode. (Davidmann 1988) If we consider the overall implications of the report in terms of change management, the innovations failed because they were imposed rather than managed. (Davidmann 1988) Another fundamental concept in the field of change management is expressed by Marinker (1997) who points to the rather subtle difference between compliance and concordance. He suggests that human beings generally respond better to suggestion, reason and coercion rather than direct imposition of arbitrary change. The management of change is perhaps the most critical of the elements in this discussion. There is little point in having vision or ideas if you cannot successfully implement them into reality (Bennis et al 1999). The whole study of the Management of Change is built upon a set of constructs known as the General Systems Theory (GST). (Newell et al 1992). The process is both general and adaptable and can be summarised in the phrase ââ¬Å"Unfreezing, Changing and Refreezingâ⬠or in simple terms, assessing a situation changing it, and then making the changes stick. (Thompson 1992). All changes, but particularly health and welfare related ones, should only really be made after careful consideration of the evidence base underpinning that change (Berwick D 2005). In specific terms one should evaluate the need for implementation of a multidisciplinary discharge procedure by considering the evidence that the current situation could be improved, make managers aware of the findings of need and than be proactive in encouragement in terms of support of any decisions that are made to implement such moves. The Political context If one considers the pre-2000 structure and organisation of the NHS, one could come to the conclusion that there were three major problems which, some observers stated were not consistent with what was required of a 21st century care provider, namely: a lack of national standards old-fashioned demarcations between staff and barriers between services a lack of clear incentives and levers to improve performance over-centralisation and disempowered patients. (Nickols 2004) There have been a number of reforms in the NHS which potentially impinge on the cases of the dependent elderly. Arguably the most important was the NHS Plan (DOH 2000). This is a lengthy document which calls for some fundamental changes in the working practices, and in some cases the actual roles of a number of healthcare professionals. An analytical assessment would have to conclude that, although there is a lot of detail in some areas of the plan, there is actually comparatively little detail in just how these changes should be actioned and arguably even less detail in what it expected the changes to be (Krogstad et al 2002). In the context of our discussion here, we should also note the natural ideological successor to the NHS Plan, was the Agenda for Change (2004). The National Service Frameworks were then introduced after seminal guidance from the National Institute for Clinical Excellence (NICE 2004) The other reforms that have a bearing on our considerations are Choosing Health: making healthier choices easier (2004) and Building on the Best (2003). Both of these have considerable implications for the care of the elderly. The Choosing Health paper outlines the Government proposals for giving patients greater choice in the implementation of their health care and Building on the Best examines ways of improving and modifying current practices. There are specific references to the discharge procedures which are relevant to our discussions here. The Health context In the context of this essay the NHS Plan called for a number of reforms including: Increase funding and reform Aim to redress geographical inequalities, Improve service standards, Extend patient choice. Each of these areas has a bearing our Mrs.J. The geographical inequalities were primarily due to the historical context in which each area had implemented their own services together with the balance between funding and demand in each area. The improvement in service standards is mainly driven by the National Service Frameworks and he extension of patient choice clearly has a bearing on Mrs.J. although the choices available may well be less in practical terms than the complete spectrum of what is actually available and may well be constrained by factors such as available funding and the patientââ¬â¢s own physical state. (Wierzbicki et al 2001) The National Service Frameworks (amongst other things) sets out to reduce inequalities in service provision between providers and also to set standards of excellence, together with goals and targets that are nationally based rather than locality based. (Rouse et al 2001). National Service Framework Standard Two has as its stated aim to: Ensure that older people are treated as individuals and that they receive appropriate and timely packages of care which meet their needs as individuals, regardless of health and social services boundaries. It is formulated within the concept of ââ¬Å"Person Centred Careâ⬠. This is intended to allow the elderly (and their carers) to feel entitled to be treated as individuals, and to allow them to be responsible for their own choices about their own care. The Social Care context If we accept that a patientââ¬â¢s discharge from hospital is dependent on many disparate and variable factors including (apart from their obvious health considerations), for example, their financial, dependence and support network status. It therefore follows that before a considered decision can be made to discharge the patient, a full and careful assessment of these various aspects should ideally be made. (Gould et al. 1995). The input of the social worker to the multidisciplinary pre-discharge team is therefore vital in this respect as it is unlikely that other healthcare professionals will be in a position to make an assessment of all of these factors. If one reads contemporary peer reviewed literature on the subject, the term ââ¬Å"seamless interfaceâ⬠is a concept that frequently appears. (Dixon et al 2003). This reflects the moves towards the dismantling of the ââ¬Å"Empireâ⬠concept of each health and welfare related subspecialty. (Lee et al 2004). And the positive integration of each, for the overall benefit of the patient. Central to this process is the advent of the Single Assessment Process (SAP) which is arguably the most important new work practice to facilitate good multidisciplinary working practices. This reduces the duplication of work, derivation of facts and paperwork that hitherto was commonplace (Fatchett A. 1998). In specific consideration of our Mrs.J. we could find that she was visited by one member of the discharge team (typically the social worker), and an assessment of all of the factors that we have discussed could be made and recorded in a single central document or reference point (computer). It is the stated aim of the SAP that the needs and wishes of the elderly patient will remain at the heart of the whole process. (Mannion R et al 2005) To consider the requirements of the National Service Frameworks and in the context of social work we should also mention the concept of the carerââ¬â¢s or patientââ¬â¢s ââ¬Å"Championâ⬠that has been specifically encouraged. (Bartley M. 2004). These are designated workers (often specially trained or experienced social workers), who would stand up for the need of the patient or their carers. In Mrs.J.ââ¬â¢s case we could postulate that such a champion could assess her needs as being more appropriately dealt with by an intensive course of both physiotherapy and an occupational therapy input rather than necessarily being arbitrarily placed in a residential home. The social worker is ideally placed to assess and indeed to action interventions such as that of the occupational therapist, who can be shown to produce considerable impact on the ability of the infirm elderly to remain at home. (Gilbertson et al 2000). We should not leave this area without a demonstration that the evidence base in this area of social worker input as being both positive and beneficial by quoting the Logan paper (et al 1997) References Agenda for Change, 23 November 2004,à Government White Paper:à HMSO 2004 Bartley M. (2004),à Health Inequality. An Introduction to Theories, Concepts and Methods.à Cambridge: University Press 2004 Bennis, Benne Chin (Eds.) 1999,à The Planning of Change (2nd Edition).. Holt, Rinehart and Winston, New York: 1999. Berwick D 2005 Broadening the view of evidence-based medicine Qual. Saf. Health Care, Oct 2005; 14: 315 316. Building on the best 2003,à Department of Health:à HMSO: London 09/12/2003 Choosing Health: making healthier choices easier 2004 Government White Paper,à HMSO: London 16.11.2004 Davidmann 1988,à Reorganising the National Health Service: An Evaluation of the Griffiths Report,à HMSO : London 1988 Dixon, Holland, and Mays 2003 Primary care: core values Developing primary care: gatekeeping, commissioning, and managed care BMJ, Jul 2003; 317: 125 128. DOH 2000,à NHS Plan,à HMSO; London 2000 Fatchett A. (1998),à Nursing in the new NHS: Modern, Dependable.à London: Bailliere Tindall Gilbertson, Peter Langhorne, Andrew Walker, Ann Allen, and Gordon D Murray 2000 Domiciliary occupational therapy for patients with stroke discharged from hospital: randomised controlled trial BMJ, Mar 2000; 320: 603 606 ; doi:10.1136/bmj.320.7235.603 Gould MM, Iliffe S. 1995,à Hospital at home: a case study in service development.à Br J Health Care Manage 1995; 1: 809-812. Griffiths Report 1983 NHS Management Inquiry Report DHSS, 1983 Oct 25 Ham C. (2004),à Health Policy in Britain [5th ed.]à Basingstoke: Palgrave Macmillan Krogstad, Dag Hofoss, and Per Hjortdahl 2002 Continuity of hospital care: beyond the question of personal contact BMJ, Jan 2002; 324: 36 38. Lee, Wong, Yeung Wong, and Tsang 2004 Interfacing between primary and secondary care is needed BMJ, Aug 2004; 329: 403. Logan PA, Gladman JRF, Lincoln NB. 1997,à A randomised controlled trial of enhanced social service occupational therapy for stroke patients.à Clin Rehab 1997; 11: 107-113 Mannion R, Davies H, Marshall M (2005) Cultures for Performance in Health Care. Maidenhead: Open University Press Marinker M.1997,à From compliance to concordance: achieving shared goals,à BMJ 1997;314:747ââ¬â8. Newell Simon. 1992,à Human Problem Solving.à Prentice-Hall, Englewood Cliffs: 1992. NICE 2004,à Management guidelines : NHS Directive;à HMSO, Tuesday 7 December 2004 Nickols F 2004,à Change Management 101: A Primer,à London : Macmillian 2004 Richards, Joanna Coast, David J Gunnell, Tim J Peters, John Pounsford, and Mary-Anne Darlow 1998 Randomised controlled trial comparing effectiveness and acceptability of an early discharge, hospital at home scheme with acute hospital care BMJ, Jun 1998; 316: 1796 ââ¬â 1801 Rouse, Jolley, and Read 2001 National service frameworks BMJ, Dec 2001; 323: 1429. Thompson 1992,à Organisations in Action.à McGraw-Hill, New York: 1992. Whitely,S. et al (1996)à Health and Social Care Management,à Basingstoke: Macmillan. Wierzbicki and Reynolds 2001 National service frameworks financial implications are huge BMJ, Sep 2001; 321: 705. ############################################################# PDG
Wednesday, November 13, 2019
The Inside Perspective Of An Outsider Essay -- China Anthropology Stud
The Inside Perspective Of An Outsider I read everything I could find. I spoke with natives who were visiting the United States. I studied the language diligently. I scrutinized pictures, noting each detail. Nothing prepared me for that first long walk along a Beijing street. I smelled for the first time, the smells that were to become a familiar component of my three-month stay in The People's Republic of China. I made eye contact with people who had formerly just been captured still-lifes on a reference book's glossy page. I attempted to speak my broken Chinese with people who did not care that my book at home had taught me the words for "ambassador" and "diplomat." I took my first tentative step towards cultural understanding. The China surrounding me collided with the China I ignorantly thought I had prepared myself for. I. Anthropology Allyn Maclean Stearman graduated from the University of California at Santa Barbara in 1964 with a degree in Spanish. In conjunction with her foreign language major, she spent her junior year studying abroad. Her travels in Columbia certainly influenced her decision to join the Peace Corps immediately following commencement. Peace Corps placed her in Bolivia where she ended up staying for four years. Her community development work in Bolivia not only made her fall in love with the Bolivian Amazon, but also inspired in her that first recognized interest in the study of anthropology. According to James P. Spradley, the goal of anthropology is "to describe and explain the regularities and variations in social behavior" (p.10). John H. Bodley (1997) takes the purpose of anthropology one step further. He makes the claim that the acquisition of some basic anthropological tools will prep... ...etite. The long periods of loneliness and alienation alerted me to the daily struggles of an outsider attempting to be an insider. Works Cited: Bodley, J. H. (1997). Cultural Anthropology: Tribes, States, and the Global System. Mountain View, CA: Mayfield Publishing Company. Grindal, B. & Salamona, F. (1995). Bridges to Humanity: Narratives on Anthropology and Friendship. Prospect Heights, IL: Waveland Press. Spradley, J. P. (1979). The Ethnographic Interview. New York, NY: Holt, Rinehart and Winston. Spradley, J. P. & McCurdy, D. W. (1972). The Cultural Experience: Ethnography in Complex Society. Kingsport, TN: Kingsport Press. Stearman, A. M. (1989). Yuqui: Forest Nomads in a Changing World. Chicago, IL: Holt, Rinehart and Winston, Inc. Stearman, A. M. (n.d.) "Fighting the Odds for Cultural Survival: The Story of a Yuqui Development Project".
Sunday, November 10, 2019
The term ââ¬ËPhlebotomyââ¬â¢ Essay
ââ¬ËPhlebotomyââ¬â¢ comes from the Greek word phlebos, meaning veins, and tome, meaning incision. Bloodletting is one of the humanityââ¬â¢s oldest medical practices, dating back thousands of years and is linked to many ancient cultures, including the Mayans, Aztecs, Egyptians and Mesopotamians. Evidence suggests bloodletting for therapeutic reasons may have begun in Egypt around 1400B.C. Tomb paintings from this time show the application of a leech to a patient. The purpose was to cure a person suffering from some kind of infirmity (leprosy, plague, pneumonia, stroke, and inflammation, pretty much anything). The patient was pierced or cut and then drained of several ounces of blood until they fainted. In ancient Greek culture, a physician named Galen of Pergamon took the practice in a more scientific direction when he discovered that arteries were filled with blood, not air. Galenââ¬â¢s approach to bloodletting was based on two key concepts. First, Galen believed that blood didnââ¬â¢t circulate, but stayed motionless in the body until it either went stagnant or was let out. Secondly, he thought the balance of the four humors (blood, phlegm, black bile and yellow bile) was the source of health or illness. Mapping out the blood vessels of the body, Galen would cut his patients in different areas, depending on what area he wanted to treat. For example, the right hand would be cut and drained in order to treat liver problems. He was also known to give his patients drugs in order to induce vomiting or urination. Bloodletting was also prominent in the early days of some of the worldââ¬â¢s most practiced religions. The Talmud (a central text of Judaism) included rules for days where bloodletting could be practiced. Early Christian writings outlined which saintââ¬â¢s days were the best for the ritual. Bloodletting is also referenced as a treatment for fevers in some early Islamic texts. Continuing into the middle ages both surgeons and barbers were specializing in this bloody practice. Barber poles which still decorate the outsides of barber shops are a leftover tradition dating back to the days of barber bloodletting. The swirling red line on the pole represents the blood itself, the white represents the tourniquet, and the pole itself represents the stick the patient would squeeze in his/her hand in order to dilate the veins. Bloodletting as a medical procedure migrated to the Americas along with the European colonists, stretching in time from the residents of Plymouth to the Founding Fathers. Physician Benjamin Rushà (one of the signers of the Declaration of Independence) recommended bloodletting to his patients on a consistent basis. As a matter of fact, George Washington, the first U.S. president, died in 1799 from a throat infection after having 3.75 liters (9 pints) of blood removed from his body within a 10 hour period as treatment for a throat infection. The draining of 16-30 ounces (1-4 pints) of blood was typical. Blood was often caught in a shallow bowl. When the patient became faint, the ââ¬Å"treatmentâ⬠was stopped. Bleeding was often encouraged over large areas of the body by multiple incisions. By the end of the 19th century (1875-1900), Phlebotomy was declared quackery. The main process of bloodletting in 19th century medicine included the use of leeches to drain blood from a patient. During the 1830s, France imported approximately 40 million leeches for the purpose of bloodletting. Francois-Joseph-Victor Broussais, a French physician, would reportedly recommend his patients be treated with as many as 50 leeches at a time. Bloodletting, also known as venesection, managed to survive into the first part of the 20th century; it was even recommended in a 1923 edition of a textbook called The Principles and Practice of Medicine. During those days, there were four main bloodletting methods practiced by physicians. The first was the continued use of leeches as a bloodletting source. The second was called arteriotomy, a process in which the arteries in the temples would be punctured and bled. The third was phlebotomy (also known as ââ¬Å"breathing a veinâ⬠) where a large external vein would be cut in order to draw blood. The last was scarification ââ¬â a particularly stomach-turning method which involved one of a varied set of tools made for the purpose of attacking ââ¬Å"superficialâ⬠blood vessels. Such devices included spring-loaded lancets and a circular, mutli-bladed, device known as a scarificator. The scarificator had a series of twelve blades. The device was cocked and the trigger released spring-driven rotary blades that caused many shallow cuts. The scarificator seemed more merciful than other bloodletting instruments. The reason bloodletting died comes as no surprise to modern readers that bloodletting killed far more people than it cured. Still, it wasnââ¬â¢t until the 19th century that members of the medical community seriously questionedà the merits of this practice. In the 1830s, Pierre Charles Alexandre Louis convincingly argued against the perceived effectiveness of phlebotomy for the treatment of pneumonia and fever. Ironically, with the gradual decline of bloodletting there was an increase of other dangerous and ineffective treatments, such as the use of electricity, elixirs and potions. These medications gained popularity for the same reason that bloodletting had in earlier times: it sometimes worked as a placebo. Because the patients believed that receiving electric shock therapy would heal their illness, the psychological factor may have been enough to actually make them feel better. As the 20th century brought a myriad of new medical knowledge, technology and medicine, however, these archaic practices (including bloodletting) died out almost entirely within a few decades. With the advent of modern medicine, bloodletting was remembered as a historical fad, similar to the guillotine as a form of death penalty. After nearly a century of new medical knowledge and leaps of progress that include the development of electron microscopes, mapping the human genome and cloning living tissue, how is it possible that the medical field is reconsidering the use of this ancient practice? The answer is fairly straightforward: Where ancient bloodletting was used to treat and prevent almost every infirmity imaginable, modern bloodletting (or phlebotomy) is used only to treat specific medical conditions of which medical research has proven the benefits. Research has shown that bloodletting could improve cholesterol, blood pressure and blood glucose levels for people suffering from metabolic syndrome. Metabolic syndrome is a term used to describe the list of medical problems facing people who are obese, such as hypertension, insulin resistance and glucose intolerance. People with this condition are at risk for clots and strokes. Bloodletting thins down the patientââ¬â¢s blood, helping to prevent these problems. Perhaps the most common use for modern bloodletting is a hereditary iron-overload condition known as hemochromatosis. As iron builds in the patientââ¬â¢s blood, it can have a negative impact on various areas of the body, including the heart and the joints. This can eventually lead to disease and organ failure. Bloodletting, now commonly referred to as a ââ¬Å"blood donationâ⬠, is applied as the main treatment for hemochromatosis, with patients having their blood taken on atà least an annual basis for life. There is another modern form of bloodletting worth noting, if nothing else, because it never actually went away in the first place. Leeches have continued to be used for certain medical treatments throughout the 20th century right up to the present day. Whereas leeches were formerly used to treat all sorts of injuries and sicknesses, today they are mostly used by doctors in the reattaching of severed body parts such as fingers and toes. Attaching leeches is effective because they can help to get rid of any extra blood that might start problematically flooding in the tissue. Phlebotomy plays a major role in preventive healthcare, diagnosis and treatment of diseases. Although the instruments and methods used for obtaining blood in the beginning may appear crude in comparison to the instruments and methods we use today, the concept remains the same. The exception being, instead of using bloodletting as a ââ¬Å"cureâ⬠to remove the illness we use it as a way to analyze, diagnose and treat the illness. Without phlebotomy the process of accurately diagnosing diseases and infections would be impossible.
Friday, November 8, 2019
Cowtowns essays
Cowtowns essays To the cowboys cattle towns or cowtowns ,as purists referred to them, were merrily desolated towns in the mist of the desert. It was here that these cowboys could rest, get a bite to eat, gamble, or meet women. Most people thought of cowtowns as evil towns, because so much immorality went on in them. At times these places could be exhilarating or sometimes even hazardous. This era was known as the Wild West. Many of these towns existed in Colorado, Kansas, Oregon and numerous other regions of the United States. Cowtowns came about because people needed beef in other parts of the U.S., particularly in the Eastern states. At fist cattle were driven from Missouri to Sedalia and later to Baxter Springs, Kansas. In early 1867 Joseph G. McCoy set out to establish a small town in which he could keep cattle. He found a settlement on the route of the Union Pacific Railway Company called Abilene. McCoy purchased land and built cattle pens. It took a little persuading for the Texans to herd their cattle north, but the first carload of cattle was shipped east on September 5, 1867 to Abilene, Kansas. Abilene was the fist of the cowtowns. Each cowtown, thereafter, had the same general layout. Soon after the cowtowns had been established, the noise and smell of the cattle was an ongoing nuisance to the residents. Most cowtowns went through a stage of chaos and corruption. In July 1871 the more highly regarded women of Abilene made a petition to the mayor to remove the evil in our mist, and prostitutes were moved to another part of town. At this time the ladies of the night, as the prostitutes were called were kept in an area called Hide Park. Violence was also widespread in cowtowns. Cowtowns were tamed, unaccompanied by two-gun marshals. These men were used because they were quicker on the draw than their cowboy opponents. These marshals established law and order. ...
Wednesday, November 6, 2019
7 Workplace Tips For Getting a Promotion
7 Workplace Tips For Getting a Promotion Getting a promotion is often a matter of taking the right strategy. Here are a few workplace tips that will make sure you stay at the top of your game at the office and beyond.Dont flaunt your latenessOkay, so youââ¬â¢re running a few minutes late. No big deal. But if youââ¬â¢re running a few minutes late because you wanted to stop at Starbucks and there was a huge line? Problem. Whatever your reason for swanning in tardy, donââ¬â¢t come in with a cup of freshly purchased coffee in your hand.Watch your email toneYou think youââ¬â¢re being professional, but your client is persnickety. Or even if they arenââ¬â¢t- you just want to double check. Reread your email to yourself out loud in the snarkiest, most sarcastic tone possible. Still pass muster? Send away. But if you noticed any red flags where even you would see yourself getting offended, it might be prudent to rephrase.Coworkers stealing your pens?Be super devious and buy a bunch of red (refillable) pens and a bunch of blue ink cartridge refills. (This only works with a brand that has the same model pen in both colors, but itââ¬â¢s a great cheat.) Then put the blue cartridges in the red pens. No one ever ââ¬Å"borrowsâ⬠a red pen. Youââ¬â¢ll never find yourself at your desk without a pen again!Coworkers asking for money for their kids?You know the drill. ââ¬Å"My kid is selling ____ for ______.â⬠Or worse! ââ¬Å"My kid is raising money for the ________.â⬠Instead of coughing up money to your coworker, give them your phone number and ask that their kids call you themselves, any time after 6pm. You wonââ¬â¢t get many phone calls. And the kids that do call will have learned to put in the extra work.Coworkers stealing your milk?Put your milk in a jar or other container youââ¬â¢ve brought from home. No one is going to open up the fridge and take your milk if it isnââ¬â¢t in a recognizable milk container. They wonââ¬â¢t know how long itââ¬â¢s been in there, for one, and for two? It could come from a sheep or a human or something- hardly worth the risk. Youââ¬â¢ll drink your milk in peace.Pay yourà job search forwardAs soon as you get hired at one job, copy and save the job description to a running file you store on your personal computer. When it comes time to update your resume and job search, youââ¬â¢ll be very glad you have it.Strike a poseBefore that big presentation, meeting, or interview, take two minutes in the privacy of the restroom or your car and strike a power pose. Hold that power in your body and your face and then walk in with your head held high. Even if you get nervous, your body will remember how you felt going in.flair:Careers Work
Sunday, November 3, 2019
Income Inequality in the UK Coursework Example | Topics and Well Written Essays - 1500 words
Income Inequality in the UK - Coursework Example Beyond these market forces, however, there are a large range of other forces that have a drastic impact on final income in the United Kingdom. The government causes most of these differences through credits, welfare and taxes. There are four main ways that the government impacts a person or familyââ¬â¢s take home income in the United Kingdom: cash benefits, non cash/in kind benefits, direct taxes and indirect taxes. These factors impact different levels of income very differently. Typically (though not always), benefits have an inverse relationship to income (going up as income goes down), while taxes have are directly related to income, rising as income rises. These factors, however, tend to be logarithmic rather than linear, increasing and decreasing at rates disproportional to changes in income. Taxes tend to rise at a greater rate than benefits decrease. For instance, at the lowest quartile of income, a family would earn 1,920 pounds of direct income, but would get in the orde r of 4.5 thousand pounds of tax benefits, plus around 3.5 thousand pounds of benefits in kind. For the top quartile, with an income of 39,370 pounds, these benefits would drop to the order of one thousand and two thousand pounds respectively. Thus, from the bottom to the top quartile benefits drop to about one quarter of their rate for the bottom quartile. Taxes, however, change at a much more rapid pace. The lowest quartile of tax-payers pays only about 790 pounds of direct taxes, plus indirect taxes in the order of 1,170 pounds. Someone in the top quartile would pay more in the order of 10,000 pounds in direct taxes, plus an additional 5,000 pounds of indirect taxes. This whole system means that for people in the lowest three quartiles, (anywhere up to about 13,000 pounds annually) actually take home more than they make after accounting for benefits and taxes, while people in the top two, making between twenty and forty thousand dollars, take home a lot less. Assessing tax burden is a somewhat complicated question. If one compares only taxes to original income, clearly the poorest pay the greatest taxes ââ¬â almost as much in taxes as they make. However, once benefits are accounted for, they pay much less, only about one quarter of their income in taxes. The top quartile, when taking everything into account, bears the greatest tax burden, given that they pay both the largest absolute amount and the highest percentage. Furthermore, they benefit less from the taxes they pay than others ââ¬â they pay taxes that go to supporting people in the lower quartiles. They, however, still retain the higest disposable income by a large margin, and thus their ââ¬Å"tax burdenâ⬠is less burdensome than a much smaller amount would be to a lower income person. Finally, it is interesting that the total percentage of taxes paid does not change drastically from the lowest to the top quartile once benefits are accounted for ââ¬â each group pays about 1 out of ev ery 4 pounds made to the government. The people in the lowest quartile certainly gain the most from this system. They gain a net of approximately 6,000 pounds, or 300 % of their initial income, when all is said and done. This advantage drops precipitously as income rises: someone making 5,000 pounds annually, despite making more than 3,000 pounds more than the bottom quartile, only takes home approximately 1,000 pounds more at the end of the day. This means that the benefit from the system drops from 300%
Friday, November 1, 2019
V6 & V8 Car Engines Essay Example | Topics and Well Written Essays - 1000 words
V6 & V8 Car Engines - Essay Example The V6 engines are better than V8 engines because they are not as big as the V8 engines, are more fuel-efficient, can be produced in V8ââ¬â¢s production line, and are more affordable for an average American. Fuel usage and reasonable speeds are the leading factors that an individual should consider before buying an engine. The V6 engines have been remodeled to include these properties. This is because, speed and fuel usage are the properties that the engine displays and uses when in use. Therefore, it is worth considering the fuel usage and speed displayed by V6 or V8 engines. Efficient and economical engine is worth buying than fuel guzzling engines. Understanding the speed and power of the engine is important for drivers especially when they are using the car. The 6-cylinder V6 turbo engine and the 8-cylinder V8 engines display different qualities and specification; thus, it is worth determining which of the two is best for the American car users (Gearhead). Initially, V8 engines were known to be more powerful than V6 engines because the later were known to be slow in speed, noisy and less powerful. However, the manufacturers became concerned about these defects and decided to correct them; a move that led to the 2014 manufacturing of the new V6. The GM manufacturers made the new 2014 V6 to operate under the modern technology within the car industry. Some of these technologies include the casting processes and full four cams phrasing to the ultra-fast with a torque-based engine. The V6 turbo engine is known for its low fuel usage, but has high car functioning speed. On the other hand, the V8 is a higher fuel consumer when functioning under the same features and technologies as V6. Therefore, the V6 engine model is more desirable and satisfying then V8 (Tori). It is also necessary noting that the V6 engines are economical for the American society. When analyzing the fuel usage
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