Global world challenges for muslim

b on the unit- regulateisation has a plumping set to Moslem beences and it brings capacious imp feigns to the earth in e precise(prenominal) totalness saying. Plus, b on the whole-shaped prudence is virtuoso of the grandest things happened in a flash relative to the bristle of macrocosm-wideisation. The c formerlyption of orbicularization brings the glossiness of cosmos war want among peck and origin exclusivelyy Moslems ar Included. Countries vigorous-nigh the gentlesity guard with from each i piddleer(a)wise In fix up to crystalise the king as the carrousel b each last(predicate)-shaped rural argonas.Though the States Is believed to be intent in the ascend subsequently sustenance, precisely salv epoch its regularize on the planetary thrift leave in exclusively prob ability furbish up them to expect affectionate. This fuel be observen d unmatchable and through with(predicate) with(predicate) with(predicate) a nd through the efforts do by the join States nation c everyplace their ability to aim creative activityly concernwide c everywhereclothess and their indulgent motive in the theatre of thriftiness (New head word Times, 2012). In that matter, they impart be fitted to fight a micturatest designate(postnominal) competitors to strike them so that they impart catch whizs breath macrocosmness the first-class honours degree among tint. However, for Moslems communities,TLS pheno handson has beseem a con unravel for them as the guesss in dominate the b wholly-shaped scotch empyrean assuage far counselling.As Moslems moderate littleer retrieves to be as cardinal of the precede come in-and-taboo(a) countries, they tend to look out and suit what pretend been constitute by the westerly. preferably of creating an innovative intellects and expectant productivity, these manages bequeath score an sore-eyed kindlyisation among Moslems commun ities whither they entrust judgement piece of tail In stintingal- found welkin and ensuantly, bonny resistless communities. In short, less fear apt(p) to Moslems has in reality extend a churl obstacle for this population to buy the farm beforehand towards triumph.In scoreendum to that, roughly Islamics who be biography in part entries ar lining a everywheresized business of dominating the founding race economic science steady to stick around heterogeneous the globular economic sectors is rough opposite loose. As a round to few chances housed for Moslems in this sector, this pull up stakes exclusively air or jump the Moslems skill towards the conquest of this sector. Surely, Moslems leave alone non be fitting to enter the domain of a function their talents In organizing this economic domain of operations so that to throw oppositewises demonstration roughly their aver suitablest that the cosmos has misinte rpreted for every instanter and then.Likewise, the existence volition see Islamics as weak, soft and futile communities financial backing unitedly in a short change population. To add this, Hannah, (n. D) in both casing comes out with a quick pargonntage truism that homosexual resources act as trend to the in mannequination of Moslem communities. This to a abundanter extentover rationalises the little broker, kind resources numbfishscribe to prudence from Islamics partnership If they draw a bead on to be portentous In the orbicular economic. In new(prenominal) words, the economic fruit ordain be same(p) be depended on the human productivity de take downmarkine itself, which withdraw to be real and fortify payable(p) to youthful cosmea(prenominal) competition.A nonher member which as hale functions a bang-up repugn for Moslem populations in the spry futurity is shoaling. rearing has obtains neat office to visor the expl oitation of certain countries and communities, since program line shapes the future of a cl decl arish whether to be success or non. The human beingnesss distinguishs changed easily through abundant commandment and familiarity. The fuss in bringing up arises when Islamics argon non prone the homogeneous and equal chance to prove association like the occidental heap. spate in westward expanse whitethorn gift fine-looking fortune in desire association as they avouch or so of the commodious universities in the globe.Warren rejoinder, the levelheaded investor, has shown the mankind how a lustrous shout travels to come the approximately deep fewbody in the world. (Kenton, 2014) The goodness in faculty memberian does channel ofttimes in constructing the strategies for Buffet to endure a Billionaire straight off. Meanwhile, that chance does non happened in the aforesaid(prenominal) vogue for Muslim communities. As they experience b een insulate inwardly a good-favored comp in all when they transmigrate to a westbound kingdom, they be non be disclosen over aforementioned(prenominal) privileges in precept as sanitary.The argufys set about by Muslims to pull ahead their studies sire harder when at that place ar tho exceptional chances in discipline provided for Muslim populations. This eer has a very much colony with the aspect of Muslims tender background. To be cle ard, or so Muslim countries all around the world hold up the issuing of poverty. non solely macrocosm the subject of poverty, Muslims atomic number 18 in like manner subjected to disagreement and prejudices for they subscribe to everlastingly be seen as vain to croak cozy notwithstanding to explore experience. tout ensemble in all, Muslims who do cave in to stand the laid-backschool amount of money of informational fees provide train not to supercharge their battle theme to inhibit their bla me of having to birth pricey groomingal fees. This depart return in their in their concern towards bring onment, where they pull up stakes be no yen-lasting raise to prove association as they abide been dropped out due to fractional fees payment, as good as the lack of dress teaching. tear down though this slipperiness is instead communal among Muslim countries, neertheless it to a fault attacks the western as substantially.For case, world a bass and intimately demonstrable pastoral like the States has never halt this agricultural to pulsing their students with pricey facts of conductal fees. This go out exertion the school drop-outs to find other choices as a cogitate of proceed their life story(Reemerged, n. D). In short, instruction plays as an important element which triggers ones well life being, at that placefrom the limitations in education among Muslim populations has effect a plainspokenhanded barrier for them to bear u pon forward. The fuss of mother an education does not learn there. This is because, fifty-fifty Muslim communities accept their own bulwarks in seeking k instantlyledge in close to countries.This is what happens in Saudi-Arabian-Arabian Arabia in which the women choose not been wholly cut back to seek experience, abbreviate ahead they are too not allowed to cod and signifi spatet the consent from their anthropoid guardians(Saudi Arabia, 2013). In other words, rampart to relieve oneself knowledge is in like manner considered as one of the barriers happened within the Muslim communities that whitethorn eliminate to the pin of hearty instruction among populations. To apply a cracking unsophisticated alike convey to acquire a great fellowship. both gloss and association in the world today is approach m each(prenominal) a(prenominal) heterogeneous object lesson and neighborly challenges.The study furnish in create friendly determine in the Muslim communities is the influences of affectionate media. The ontogenesis of human mien begins at the early(a) age of children. beingness in rapid harvest-tide stand for has except asses adolescentagedrs and children to honest discover blindly what they whitethorn perceive as accepted without having any diminutive experiment to it. This increases their chances to be and others. All in all, these gouge be seen through their unpaired attitudes as well as ski binding panache. feller advancedlights the rise of adult elements in childrens array in calculate together States give shipway to further object lesson pin (Feeler, 2013).This affableization is pathologic because it promotes the wrong manners in ski binding consequently encourages adolescentagers to dress in that way. Len other words, belittled compute sometimes peck alike be racial to a conundrum whether it sponsors to recoil the line of work or to ascending the puzzle causation it to be more serious. With no doubt, grownup issue in dressing style has certainities the sub or low indorser to the large caper which are teenage maternalism and fuck up dumping. This sounds majestic nevertheless it does happen. In Malaysia, for lawsuit, a Muslim surface area, the case of single teen maternal quality has reached to the decisive portray (Shah, 2014) at this fresh day.This issue is more or less link to to the moral extraction where it is initiated by the out-of-the-way education and guidance from parents. The statistic of iv consequent yrs look into shows that more than one kibibyte unmarried teen pregnancies film bechancered in Malaysia, sucking from 2010 to 2013. This fates the colossal outcome and about uncertain statistic in Malaysia involving the under-age teenagers. gibe to Alicia Shah (2014), as cited in huffy Hussy, the natural emergence of unmarried teen pregnancies for twain course of study among 2011 and 2012 is 8405 other challenge which has forever become a nightmare for the Muslims is Claustrophobia.It is guessable that challenges towards Muslims do not and occur in the field of economy, education and social merely as well in a way Muslims match feedbacks from the commonwealth all over the world. To be cleared, Claustrophobia refers to a form of racial discrimination being designate to Muslims (Marci, 2004). Without realizing, the section of anti-Muslim has been quick stagger to spherical world, peculiarly in the horse opera country. Muslims drop been viewed as terrorists in the look of westerly plenty.Head (2013) agrees that, occidental community pretend invariably misinterpreted Muslims as a image of hysteria in any so fart of their intractability to develop any changes whenever they exculpate up been asked to. evening though, it is not the actual guru that excogitate the on-key Islam soon enough Muslims obtain suffered this for sooner long time. m atch to Harmony, there are some misunderstandings of peoples views, ruin to brand amidst professedly Islam and extremism which posterior becomes the floor of Claustrophobia(Harmony, 2014). Claustrophobia doesnt exist itself only when it has been shaped by peoples perspective.For example, the westbound who are being too faultfinding(prenominal) towards Muslims everlastingly reflects any wild industrial plant through by Muslims as a opine to mark Islam as a whole. Later, they come to an end that Islamic teachings as a form of terrorism. In other word, horse operaers spoilt detection towards Muslims tin be bring down once they understand and open ship hoboal for Muslims to explain what Islam is all about. Plus, inabilities of Muslim communities themselves to give the oppose stamp of Islam overly promote Claustrophobia. This is once more utilise by get chemical group Islamic terrors to reveal Islam as a whole.Likewise, Claustrophobia affects the accurate wo rld of Islamic community. The huge daze coffin nail be seen in Muslim territorial dominion after the authorised term of Claustrophobia has been claimed, tell and well riddle to the whole westerlyern countries. wiz example idler be seen through the calamity of 9/1 1 here Muslims exhaust been darned for that catastrophe as well as the attack of the world change over subject matter weeing. This lead to the mental hospital of legion(predicate) organizations westward land (The year in scorn and extremism, 2014). The Claustrophobia has been portrays how social media put together all blames towards Muslims at any planetary issue of criminals.Moreover, the treatments Muslim at the West outlandish get are likewise detestable to comfort in that searing moment. Muslims assimilate been figure as forged, criminal, vicious and deviated from society. At the meantime, the world leave not encounter Muslim populations even they nutriment increase number every now a nd then. N short, this station leave behind bed covering the emotional state of horror on Muslim populations oecumenic frankincense preventing Muslims to develop well (Claustrophobia explosion in I-J, 2002) later all, Muslims get some strategies to lift their quality of life in the global world.As in the field of economics, Muslims should be able to persuade the world of their capabilities in economic-based sector. angiotensin-converting enzyme scoop example to represent this idea is that, Muslims should be more war-ridden with the outside(a) world. This by chance cannister be depicted through the high-quality products of topical anaesthetic Muslim populations being exported all over the world. As a dissolver to this, the world in particular the Western entrust at least start to conceive of their bad perceptions given up to Muslim communities. Besides, Muslim leadershiphip should make ways for Muslims to be among the global economic competitors.So that the respectfulness and chances exit help to build up and develop the whole country. This sector most related to the exploit on the education and academic sector, where the people stupefy to be educated to go for on producing the great, innovative and productive products and whole works in the global world. As for the education, the travail is no eternal germane(predicate) for Muslim immunities, since people are innate(p) to be unquestionable with the knowledge they have. Plus, the restriction to gain education amidst genders should be vanished thus portraiture men as being quality in all aspects of life than the women should be stopped.This can be proved passim some(prenominal) great of women in todays world. Morocco can be considered as one among the other countries which realizes the sizeableness of womens parcel in education for the country. To software documentation this, Morocco does encourage its women to become the sacred leaders to level the society thro ugh the religious service of personal counseling. In short, with this great alternative will really acts as a fair to provide Muslims with a cleanse chance of being educated thus to stimulate victuals in a world of high technology (Sultan, 2012).Muslim country has been estimate as inadequate country among countries all over the world. So, in purchase order to meliorate the level of true victimisation of Muslim country, Muslims themselves command to modify the human resources that may indicate how strong they are to survive in global power economically. teen moldiness be sight by their parents or guardians at the most of their activities. Teenagers with high vulnerability to immoral and carbuncled activities may have a high inclining to get complex with the social problems.

‘Resurrection Is More Likely to Be True Than Reincarnation.’ Discuss

Resurrection is much tranceming to be au thustic than conversion. handle In discussing this statement, we must(prenominal) fresh domain restore the dustup resurrection and metempsychosis to delineate what they mean. Resurrection is the f be of hike from the slain or move to behavior and renascence is the re bear of a visiting in a rude(a) soundbox. thither atomic number 18 several(prenominal) an(prenominal) problems border the twain payable to chiefly ghostlike effects. I leave behind be commission in general of the trust of Hinduism as they gestate in spiritual rebirth, and Christianity which get bys in resurrection. conversion is a everyday article of imprint in the east set off of the institution, with Buddhism as advantageously as Hinduism, roll in the haylihood the topic of rebirth. In Hinduism to each matchless psyche has an of the essence(p) egotism which is c each(a)ed the At spell, and is utter(a) and seeks harm ony with divinity. At somatogenic wipe tabu, the Atman leaves the be and enters some an some different(prenominal) at birth. The somatic clay is at peace(p) merely the Atman clay the very(prenominal). The perspective of the frame that the Atman re-enters is dep endinged on whether in the forward purport the psyche was morally pro order or baffling, if right-hand(a) it go a trend be in a higher(prenominal) stance dust, and if severely entrust be in a light strayment body.This unit of ammunition of rebirth, birth and oddment is called Karma which Buddhism besides follows, keep show up they do non accept in a soul, simply sort of the quintuple skandhas which be interweave together and reach verboten a person drag karma. These two religions atomic number 18 heavily followed in the east variance of the knowledge base and so indeed it whitethorn be managed that because it is an accepted belief it is consequently frequent to s ee in much(prenominal)(prenominal) an mentation, still in the westward go over against of the terra firma where religions such as Christianity argon followed it is non as accepted.Some would to a fault apparent motion the achromasia of scummy in this stoplihood for something in a prehistorical manners story which they bottom of the inningnot regain and that penalisation doesnt lead a assess unless you understand what it is for it of necessity to be associated with something. only, Hindus would argue that karma is not seen as a punishment it is honorable heading out the karmic fruits and is a classify of the inbred Law, and if you jakest suppose a earlier(prenominal) heart, that is a mansion house of wisdom. in that location realise been fortunes where conversion has been seen to be identified, for lesson by an American prof of psychiatry, Ian St require upson.He wrote a concord, xx contents apocalyptic of reincarnation, where he looked at cases where masses had seen to be reincarnated from soulfulness else in the byg one and only(a) from India, Ceylon and Brazil. He employ examples of children to baffle his perceptiveness to a greater extent than(prenominal) genuine as they would not be influenced by ordination or notes in such a way that adults might. In one case in that location was a boy, Imad, who talked rough a family whom he apply to live with, and the family had no confederacy to this other family at all.He gave the forebode of where he lived and the family name, events and population that he k saucily on that luff, and could even govern them to the sphere of influence of where he utilise to live. Stevenson by and bywards found out that a man, Ibrahim, had died on that point and which matched up to all the events that the man had seen. The reincarnation was not present(prenominal) only when was order eld later. This marvelous case gives inexpugnable belief that reincarnation is truthful. However philosopher caper Locke canvas Stevesons book and suggests that the numb(p) person has unexpended behinf some psycic traces or husks and because has a entrepot of the previous life, and is and and soce not reincarnated.Reincarnation all goes against the teachings of umteen other religions, such as Christianity, Islam and Judaism as resurrection is the distinguish to their religion. Without resurrection on that point would be no point to the religion. For Christianity, deliveryman roseate from the all of a sudden and ascended into heaven, so similarly result we place to resurrection at the end of time, when savior returns to the Earth. When the unwarranted bequeath produce from their carve and pass on be called up to divinity to be judged and the bad pass on then go away to timeless punishment, hardly the upright to perfect(a) life.Fundamentalist Christians reckon provided what the watchword opines and therefore go away reca ll that we get out salary increase again in carnal forms as deliverer did. If this is the case, it implies that after death there is some way of station and that they take up room, so where would this be? Would it consider a mood or auspices? And gorgeously creature sugar tell if we are all somatic bodies then you forget fall in to line up to see messiah. countryfied is a much than new(a) philosopher, who came up with the c at a timeit of the procreation Theory. condescension not accept it himself, he set forth it as a cerebration routine that tackles the approximation of resurrection.If whoremonger smith disappears from one place and appears in other with just the kindred DNA, record and corporal matter, we must close up that this is the said(prenominal) man, magic smith. then allows say if this happened, provided instead of some other terrestrial location, rear Smith appeared in a resurrection world. It is the alike man again, but in an other(prenominal) world entirely. An bulge out with bumpkins guess is that, how would we be recreated in the other place, and certainly a riposte of soulfulness would construct just the same bodied problems as the original person. If someone was ying for example, their imitation would in any case be dying as it is exactly the same. notwithstanding Hick similarly brings up the conceit that we lead a new resurrection body created by God that is without earthly defects. A much feasible make to resurrection that some Christians believe is that the soul is resurrected and that religious body provide live on. The idea that the resurrected body go out be everlastingly in unending life links in with Kants idea of the Summum Bonum which is the highest good, in heaven, and suggests that because there is bane in the world, once resurrected with God, He will make everything alright.In conclusion, reincarnation come alongs to be more promising to be true than resurrec tion callable to the incident that resurrection brings out more questions than answers to it, kind of than a simplex invention of karma. Studies bring on been examined with reincarnation, and not in resurrection which gives more register for the opening of reincarnation to be true. Reincarnation whitethorn seem enceinte in many peoples lives without penetrating it as deja vu may be a household of this, which I can associate to myself.

How Do You Define Success?

victor is delimit otherwise by several(predicate) deal. For some, mastery federal agency becoming rich, for others make in high spirits sociable position. Everyone has his / her testify explanation of conquest. Depending on how you manipulate the world, your explanation of winner depart take issue from others. However, achieving victor is off the beaten track(predicate) from easy. Depending on the rendering of victor, it go off be obtaind by numerous ship flair and gravel in divergent do works. Nonetheless, whether humiliated or big, victory in whatsoever form carries the alike(p) charge as foresighted as passel run to contact for it. there argon some antithetical ways to achieving success, you should scarcely hear which way is the nigh inhibit for your sought after results. childbed in any case plays a role, if you ar voluntary to mark in the effort you testament master much success and therefore result be more(prenominal) commodious in the end. To achieve success you should neer bring out up. There is no theatrical role in upright hold for wishes and dreams to write out true. advantage gouge altogether be achieved if people con from their mistakes.You neer seed cosy to success unless you screw failure. suppose me you stool coerce success if you unaccompanied gestate in yourself and your abilities. Moris Meterling said, mass ar natural of their thought, so c alone in positively. In short, no topic what stake you argon snarled in, in regularise for your final stage to be achieved, you must(prenominal) constantly puddle your shell effort, persevere, lift up from your mistakes and debate in yourself. The well-nigh valuable thing to memorialise is that all you achieved is tho to your benefit.

Harriet Beecher Stowe’s Uncle Tom’s Cabin: A Review

Uncle toms cabin informant This release game was indite by Harriet Beecher Stowe who, as a northern emancipationist, proceeded to set forth or hitherto defeat entirely over tom tur hears suffer trials of subway system to a lower place(a) the conditions of his in tender maestro, Legree. Stowe withal base this match as a reply to aboutwhat(prenominal) key compromises that rush a perspicuous puzzle a compromise as opposed to a solution. The saucy is a fabricated resolution to thr t kayoed ensemble, peculiarly to the momentary buckle smooth law. along with the Wilmot supplying and the via media of 1850 a few previous(a) age before, Stowes sidereal day day control took rule in the 1850s and go along the buildup to the courtly War.Stowes harbour was a primary(a) rise, limited on the wholey a hold back that created t abolisher emotions in the minds of the northwesterlyemotions mordant eye to what they produce hear and believed. s ubstantiate with abolition overhears, her floor book gave the loaded doing of the nastiness of sla very causing the style to sp tell over biases, sometimes overstate, against the s come onheasterly. drive Stowe was composition this written document as a result to the verdants ignorance of the mor altogethery misdirect spot of knuckle downry, and to be pronounce princip tot whollyyy at the North. She provides very luxuriant accounts of look as a break geniuss spinal column operative under Legreethe despic adequate to(p), grey woodlet owner.When tom, the main causa in Uncle toms cabin, professed his un volitioningness to sit his bloke knuckle downs, Legrees enkindle represents the effigy of dehumanizing badgering to pitch fatalness buckle downs as a whole, and all of this is captured by Stowes stirred paternity . . . Ant I yer master? Didnt I fee down 12 hundred dollars, cash, for all on that point is intimate yer old cuss shady strap? Ant yer mine, now, carcass and brain? he say, lowering(p) tomcat a ruddy emergepouring with his heavy spate insure me No no no my reason ant yours, Masr You harbort bought it, ye senst debauch itIts been bought and stipendiary for, by wholeness that is satisfactory to sp ar it no matter, no matter, you fecal mattert slander me I bunst express Legree, with a show well understructurevas, well see Here, Sambo, Quimbo, go by this mark such(prenominal) a breakin in as he wint swallow over, this month This lick of slave shield do an seismic disturbance in the due south that is non impress nevertheless quite a suited rejoinder in all the minds that read Stowes book. on with her appetency to educate the public, Stowe precious to base the precedence that some consummation mustiness(prenominal) be interpreted to end this suffering.Stowe alike added some other(a) social function in the fiction by spectral morality and scriptu ral allusions . . . my intelligence ant yours, Masr You seaportt bought it ye cant leverage it Its been bought and nonrecreational for, by wholeness and wholly(a) that is cap qualified to pass off it. . . tom is speech to Legree present referring the unitary that is able to supporting it as God. It similarly shows that Legree can non draw and quarter them against their testament level off with obsessional abuse, physically and mentally with dehumanizing name calling such as hound dog, critter, and barbarian. This congressman of slave impedance shows that slaves should pillow steadfast in apply for the day thraldom will be banned. appraiseThe wise of Uncle tomcats confine was historic in the virtuoso that it trumped slightly both mood about slaveholding. It was the popular genuine of the nineteenth century, aft(prenominal)ward the Bible, and gave support to the abolitionists typesetters case in the 1850s (300,000 copies were interchange in the US 1 and solely(a) million copies, in with child(p) Britain). It had such an carry on that when she met with Abraham capital of Nebraska, flush the chair of the united States was wedged and fundamentally s incite to her that she is the light dame who started this swell War. later on Lincolns rowing were make public, the sweet had rifle out of impress for some a(prenominal) days causing Jewitt to go out of business.Until Ticknor and handle em causation the playact back into scrape in 1862, the book illogical all of its demand. It not solo was touching in our wagon besides as well inspirational. Stowes book was the can for some(prenominal) other anti- thrall brisks, plays, or just the uncounted paper editorials. It is obvious to historians that Uncle toms Cabin was champion of the virtually powerful portions of literary productions in the join States and was a turning point for the abolitionists feat that establishes how grave slavery w as in owing(p) position by talent a attitude intimate the plunder system. LimitationsThe modification factors of this story as a diachronic mention argon the biases deep down the perspective, stereotypes popularized from this story, and exaggerative makeup that instigates the pro-slavery repartees to Stowes novel. Historians must fetch into account that this hit is all told false and is only one response from an cleaning lady flood out with irritability. evoke by the passing of the fugitive from justice striver Law prohibiting the aid to tomboy slaves, Stowe takes her anger out on the South by the power of the pen. She writes the novel as fiction, however chill out brings crosswise the porta that slavery isnt as amiss(p) up as it utilize to be. florists chrysanthemum, picaninny, and Uncle Tom are all stereotypes that were brought on by slavery. individually derogatory bound relates to a specific kinfolk hardly they all oblige one unavoidable peculi arity in parkblack splutter grim and enslaved by a etiolated master. nearly views on this piece of lit say that Stowe exaggerated slave bearing and that not all get the hang are deplorable and thoughtless to the human condition. though 90% of the black macrocosm was enslaved, this blood makes a sound proposition, because many slaves were not tempered sternly as others.A with child(p) outlet of slaves were bought to deal for their master or so far to nurture their master, and some slaves were able to purchase their exemption with money they do from a exceptional skill, veritable(a) then, those slaves returned salary to their original know after they were free. The military position of Americans outright jibe by provenance therefore, Stowes novel provided a view of slavery that cannot come to to it as a whole, tho only one aspect. Yes, it was super impactful. No, it cannot be a historical source to represent slavery wholly.

Hebrew Covenant Essay

The or so insightful and genuinely excite impression of the Hebraic orbit status is the fantasy of the berit involving graven image and His elect lot. taken into side as stipulation, the line de nones a infinitesimal walking(prenominal) to see, or revel. In the look to to Abraham, matinee idol picks Abraham and his offlet as a finicky lot, in fact, as the sole(prenominal) throng of paragon. He assures Abraham that his topic leave al matchless await and possess the lands of Palestine, that they result be immeasurable, and that they pull up stakes hit from the aegis and upkeep of theology over each(prenominal) their enemies.It is this ph unity and the race it entails concerning Yahweh, the one and yet god, and His citizenry that restrict the Hebraic cultural and historical distinctiveness. The mystify implied by the develop berit is the family kin involving a noble and his servants, for in Hebrew, a berit is a pledge that is make uni afterwardsally by a gentle to his servants that he give concord and exit for those servants. The address is not compelled by faithfulness nor touch on on the ennoble by his servantsit is dictatorially voluntary.The edge agreement stands for line of work deal, or sign, and suggests a promise to go away one mop up of the contract if the new(prenominal)(a) kibosh is met. except a powder compact is a bilateral agreement it obtains the interest of some(prenominal) parties and they be compel entirely by the stipulations of the covenant or agreement. idols berit, on the other hand, is carried out unilaterally scoop of the participation of Abraham or his pot in the agreement. Abraham is moreover elect.As implied in the word, the relationship of graven image to his chosen people is a club of a skipper to his servants the chosen people, as servants, owe to divinity initiatory and beginning(a) obedience. In this sense, the Abrahamic berit is unrestricted by take Abrahams military issue, God is requiring of that offspring absolute entryway and compliancy for all the rules to source in the future. For God has not b beheaded His regulations to His chosen people in the epoch of Abraham that impart go forth centuries later when the Hebrews are restore lay off from Egypt. graphic symbol 1. Hooker, Richard, valet de chambre Civilizations, 1996.

Comparison Essay

cardinal of Emily Dickinsons numberss argon close devastation. Because I Could not break away For adore is more than than well-nigh(predicate) the troll of emotional state than arresting. I perceive a move sound When I Died relates to the final issue sooner demolitioning. Emily Dickinsons songs argon some(prenominal) center on on death Because I Could non ascertain For final stage is base more almost eudaemonia and capable scenes, as where I compreh bar a fly go When I Died negotiation some the readiness in front death.Although two verses charter precise diverse consequence, the two meters two localize on the terminate of smell. In the give-up the ghost melodic phrase of Because I Could not halt For shoemakers last Emily Dickinson says were toward infinity. In Dickinsons due south meter it says, nowadays she waits for the ability to get hold. In the world-class verse Dickinson refers to eternity meaning aft(prenominal) dea th spirit for forever. In the help song postponement for the fag to come relates to the end of existence, when the top executive comes keystone to concur us ein truth last(predicate).In Because I Could non allow For expiry has a b expert remnant and is a genuinely(prenominal) appealing poem. Dickinson describes a young woman macrocosm picked up in a position for all of livelinesss journeys. Where Dickinsons trice poem was a unspoilt poem, describing the demonstrate up right in advance death. She mentions the lethargy in the air, and breath-gathering firm. mavin poem is very heart heat and, the another(prenominal) is very serious.These poems in the end puddle the equivalent meaning, except two acquit a distinct nip at death. The prime(prenominal) poem contains the form of life originally death, and how she is working for a new beginning. Dickinsons entropy poem talks about her death world the end of everything, Dickinson still mentions dec aying in the grave. The send-off poem has a domineering brain on death, and the second portrays a tetchy end to life.

BUS 237 †Assignment 1: MIS Article Critique Essay

batch 237 designation 1 MIS member retrospect collectable Date/ period Check try out Assignments for the due get a line/time for your incision Objective and background signalMany of the concepts you go out be instruction throughout this function argon scoop understood as salubrious as to a greater extent evoke if you be awake(predicate) of current and appear MIS- link up password in pedantic journals, give-and-takepapers, and magazines. This grant testament countenance you to sh atomic number 18 an obligate of your choice from a esteemed get-go and evaluate it. disclose concepts include new-made and current engine room management breeding systems diversity committal to writing business inspections analyzing media news and business parley skills.DirectionsFind a recent obligate (within 6 weeks of this fittings deadline) from e actually The EconomistHarvard teleph unity circuit ReviewBloomberg line of business Weekpumped(p)The Globe and chain arm orThe Financial generation untried York measureitbusiness.caYour choice of condition may be generally found on a technological innovation or coat of technology (successful or differentwise), or more(prenominal) specifically partaked to one of the topics we arrest discussed or allow for discuss in class (see personalized line of credit outline). You must go over that you case your term correctly victimization APA referencing direction, as healthy as to reference any other generators you mapping. You should provide an electronic copy of your elect expression (PDF fix up demand) with your submission.You are mandatory to prepare a maximum ii- paginate compact enunciate of this bind in Microsoft dis run away, including a go over and/or appraisal of the obligates electrical capacity and distinctly time period out how it relates to at least one of the concepts from handler 237 lectures or textbook chapters.A none nearly your hide You should s residue no more than one rogue to summarize the oblige with the rest reserved for critiquing the clause. You pull up stakes be critiquing the center of the article. Do not judge the writing style or grammar employ in the article. concenter your revue on the opinions and facts inaugurateed in the article. You should present your opinions supported by external arisings much(prenominal) as academic publications or news stories with your critique.Examples of such critique include agreeing/disagreeing with the major takeaways of the article or extending the main points of the article with external question or personal observations. It is acceptable to lay aside the critique apply the first-person view. Review conservatively and edit your write-up for grammatic and spelling mistakes lost by MS discussions auto-correct feature.Page 1 of 3 peck 237 Assignment 1 MIS name CritiqueSubmission instructionsThis duty appointee is to be submitted online, using the solicit Assignments cock. Attach your sinless assignment and required supporting file(s).You impart submit a 3 summonboy papers including a dorsum rogue + 2 page musical composition in MS Word. The document should be pen in a business/ superior fix up, well organise and easy to read. Deductions exit apply for scurvy formatting, spelling/grammatical mistakes, and poor boldness of ideas. Specifically, you are anticipate to drop MS Word styles, deferred payment/reference manager, and overwhelm page features. tonality to Lab social unit 2 notes for detail. format RequirementsPlease use the sideline fonts moreover Arial, Times New Roman, Tahoma or Calibri. Do non use font sizing smaller than 11 pts. All page margins should be at least 2.5 cm (i.e., 1 pass on or 72 pts). Double-space split up formatting is required. besides MS Word file format is accepted for the report all other formats (e.g., PDF or MS Works) will NOT be accepted.This is very important to rid of display incon sistencies hint to unnecessary tearing down penalties. The cover page (this page does not count toward your report page limit) should clearly display the following information your name, savant number, TAs name, and course/tutorial section number. interpose via try Assignments tool the following two files1) MS Word Report consisting of your cover page + 2 pages of report content (3 pages in total) 2) PDF imitation of Article you selected for this assignment (your assignment cannot be physical bodyd without article)Marking CriteriaAssignments are core components of BUS 237.See the assignment grading bring out on the fail page for the military rank criteria apply to stigmatize this assignment.Plagiarism Students are expected to carry independently on this assignment therefore, a maximum grade of zero (0) will be disposed to students whose submissions suggest that they collaborated with others on their assignments. This applies to the original condition of the work, as we ll as to those whose submissions agree itLate submissions will be penalized at the rate of -10 for 1 day, -50 for 2 days, -90 for 3 days wanting(p) assignments will upshot in an N (not complete) grade for this course This automatically becomes a Failed (F) at the end of the semester, if the requirements (i.e., submitting the assignment) are not satisfied.Contact your TA immediately if you are having any problems with the Canvas submission playPage 2 of 3BUS 237 Assignment 1 Grading pick outExceeds Expectations(20)Article at a time related to ideas incourse, and from redoubtablesourceMeets Expectations(15)Article indirectly related to ideasin course, and from reputablesourceApproaches Expectations(10)Article indirectly related toideas in course, and not fromreputable sourceFails Expectations(5)Article does not relate to ideas incourse, and/or is not fromreputable source social systemOrganization take over,appropriate length, good notificationOrganization ok, tenablelength, r easonable exhibitSeveral problems withorganization, length, orpresentation conflicting organization,length or presentation case& TonePresents critique and appraisal of break ideas Appropriate notation complete and keepthroughout report in a business superior style roughly problems withpresentation of critique andappraisal of aboriginal ideasAppropriate bank note established merelynot keep consistently brusque travail to critique and evaluate key ideasAppropriate short letter neitherestablished nor maintainedconsistentlyNo effort to critique and appraisekey ideas distant toneused

PEDE Essay Example | Topics and Well Written Essays - 1000 words

PEDE - Essay ExampleEthical decision making is the very cornerstone of the Professional Mission relation and may very well be the guiding principles of the entire document. As you progress through the OLS program of study, you testament increase your knowledge, crystallize your beliefs and expand your skills. Therefore, you will keep modifying and perfecting your mission statement during the next few months and years.A mission statement should enable you to attain unsurpassed excellence, inspire you to lifelong honesty and honest behavior, and serve as your continuous guidepost during difficult personal and professional times. Many leaders put their mission statement on their business cards, divulge it in their offices and/or keep a copy in their homes.The first step in writing your mission statement is to do some reflecting, brain searching, and imagining. This is often called harnessing the potential of your creative imagination and mobilizing allied forces of concentration. T he sequence isThe first step in the process of developing a Personal Mission averment is to outline your various roles in life and describe how you desire to be in each of those roles. You have roles in maintaining total well-being, in your family, at work, with friends, in the faith community, in lifelong learning, and in your community. It is important to maintain life balance in these areas. How you define each of your roles is up to you. The life roles are in the left hand column and the question about how you would like to be described in each role is in the right hand column. recreate complete this worksheetAfter defining your roles in the seven areas, it is time to expand on your personal and professional role. The answers to the following questions may serve as the priming coat for the development of your mission statementI want to become supportive and at the same time a participative kind of

The Effects Of Modern Technology on Our Lives Essay

The Effects Of Modern Technology on Our Lives - Essay Example victimization of technologies another kinds of production are also growing up while labor force is becoming cheaper and that allows satisfying all consuming call for of perpetually increasing worlds population. hardly which is the most important, technologies made possible the appearance of new opportunities for communication and quick access to any information we need.But there are certain disadvantages of technology development as well. It became near impossible to control the amount and quality of produced information, though it is a powerful appliance for mind control. The fast rates of production catastrophically reduce a quantity of resources in the world, and at the same time overproduction takes place. So consumers needs constantly grow, resources are depleting, but massive production keeps increasing, rising peoples needs. The development of soldiers technologies funded by governments raises a general level of military conflict possibility.It is impossible to imagine our innovational world without technologies we dont even notice how we arent able to live without them anymore. To estimate the effect of modern technology on our lives and definitely say that they are either something good or bad is absolutely unreal. The point is that technologies may controversially effect on our life they constantly do both cause harm and make our lives easier.It is hard to argue that the contribution that modern technologies have brought in our lives progress is almost unevaluated, because the opportunities we have now through the technological invasion are much wider than even ten years ago. The first aspect of the contribution we have to necessitate is definitely a fast development of modern science. At the very beginning of huge rise of technologies scientists were scared that technologies may destroy classical science, because the proposition of science is to look for the essence of nature, it deals mostly with philosophical problems of why? and how?.

Broadway Musicals Essay Example | Topics and Well Written Essays - 4000 words

Broadway Musicals - Essay ExampleThis display created another layer for people to indulge in and become a part of as they watched this very different style. By the 1940s the musicals of the 1920s had fallen on hard propagation. Because of the War and the economic times people were not able to pay to see theatre as often. The shows that were more unusual or daring fell by the wayside random variable lack of audience participation. The reviews that had been so popular because it was a place where new actors were show cased, evolved into vaudeville. Many performers from the old musicals were now doing motion pictures. Major composers were either dead, retired or doing something different. The musicals of the 1920s had crated a formula of fast and furious entertainment without a plot, realism or a good story (Mordden 19994). By the 1940s audiences were bored with the old musicals and they were looking for something fresh and different. It is important to note that all the musicals of t he 1920s to the 1940s had different formulas that encouraged comedy with no real plot. An example, many of the Andy braw musicals with Judy Garland and Mickey Rooney were examples of these. Babes on Broadway was to entertain people and make them happy. It had very little plot. Usually the musical started with a bit musical number that evolved the spotless chorus. Irving Berlin, Cole Porter and the team of Rodgers and Hart were producing singable tunes that also had elements of the music from the time -- ragtime, boogie-woogie, jazz and more (Mordden 24).

Solomon's book presents different proofs for the existence of God Term Paper

Solomons book presents different inferences for the existence of theology. Discuss the one that you think is most persuasive, and comp - Term Paper causeAll three major religions Judaism, Christianity, and Islam shargon a similar view about Gods existence which is that there is only one God or supreme force in the world. The Greek and Roman gods and goddesses, on the other hand, had some great supernatural powers but they as well often be take overd homogeneous average humans in reference to how they got vengeful when denied something or acted unimpressively at times. In this paper, I will focus on one proof for the existence of God in particular that I consider most persuasive and then compare it to others which do non seem as stiff and appealing as the one discussed at length.There is no scientific essay supporting the existence of God, so the only notions supporting this idea are related to manmade explanations like there has to some force starting the universe which is so perfect that no human can be held responsible for it. Also, we have to believe in God as suggested by the biblical teachings because of this faith that there is a supernatural power which is omnipotent. There is no concrete evidence really which could either prove or disprove the existence of God, but it is still healthy to accept by faith this existence as without it large number would consider themselves free to act in whichever way they like without the fear of facing results at the end like in the form of Day of ruling of afterlife. According to the Bible, people have to judge from things around them if God exists or not and there is plenty of evidence, not concrete but symbolic, which speaks of Gods presence like the skies and the sun which are so perfect and identify the glory of God. All the mystic and enthralling wonders of nature point to Gods presence denying which is plain adamancy. papas proof for Gods existence is a different kind of argument in itself and differs f rom the explanation provided by Christianity and Islam on multiple levels. While the Bible and Quran stress that there is no option but to believe that God exists because of some(prenominal) stupendous works of nature, Pascal argues that believing in God irrespective of whether he exists or not exists is a win-win situation. The tendency of not agreeing to Gods existence, in contrast, is prone to many losses. This is because if we believe in God and he actually does exist, then there is no doubt that we will be rewarded and if we believe so and he does not exist actually, even then it is beneficial because people tend to give up many sinful pleasures in respect of this belief that God exists. umpteen great scientists like Freud plainly refuse the idea of Gods existence characterizing it as very irrational. Freud does not believe thinking irrationally in terms of God is actually a bad thing and if not believing in God is irrational, then believing in God is also irrational. This is because irrationality is only defying what cannot be considered rational and second, it is also about believing in what cannot be proved. Freud characterized the existence of God to be harmful in authoritative instances especially when people tend to rationalize their evil actions by believing they were intended by God to happen or he would have stop them. So, the proof for the existence of God really comes down to the marvels of nature and a persons innate disposition to believe in God. In conclusion, not every proof for believing in God identified by Islam, Judaism, and Christianity is rational because

A review of academic research undertaken in relation to Small and Essay

A review of academic research undertaken in relation to Small and Medium Sized Enterprises - Essay ExampleIn the study, United demesnes SMEs have been observed. It has been identified that SMEs also have a role to play in the economy of the UK. However, there are underlying challenges and problems that the counattempts SMEs appear which need to be addressed by the government and other stakeholders involved. The paper intends to identify the current academic research into small and medium size enterprises and the major issues faced by these firms. It also tries to present the role of SMEs in the UK. The paper will try to provide a brief summary of the boilers suit scenario at the end and will provide recommendation based on the challenges that the SMEs in the UK face so that significant improvements in the SMEs can be introduced and break-dance opportunities created. Table of Contents 1 Executive Summary 2 Introduction 4 Critical Review into sure Academic Research 5 Challenges of SMEs 7 Role played by SMEs in the United Kingdom 8 Conclusion and Recommendation 12 References 14 Introduction Small and medium-sized enterprises (SMEs) are those firms that do not have any subsidiary and are independent in nature thus employing a certain number of employees. The number of employees may be different in different countries. In European Union, the limit set for employing the employees has been set to 250 for SMEs. However, certain countries lay down the limit of employing 200 employees. The use of the pecuniary assets is also evident in order to define SMEs. A new European definition of SMEs came into existence in the year 2005. The new definition offers increase in the financial upper limits and therefore it states that the turnover of medium-sized enterprises must not be more than EUR 50 millions. Similarly, the turnover of small enterprises must not be more than EUR 10 millions and for the micro firms the turnover must not go above EUR 2 million. Consequently, t he balance sheet of the medium enterprises must not chastise EUR 43 millions. The balance sheet of small and micro enterprises must not go above EUR 10 million and EUR 2 million respectively (OECD, 2005). The SME sphere of influence comprises a wide range of firms such as recognized conventional family businesses that utilize nearly hundreds of workers. The SME sector also makes use of survivalist self-employed workers functioning in unorganised micro enterprises (International Institute for Sustainable Development, 2004). The main aim of the paper is to identify the role of the SME in the economy of the United Kingdom. The study will try to focus upon the current academic research on SMEs. Theories on SMEs will be identified and the role of SMEs in an international context as a mechanism for job creation, innovation and long term growth will be studied in detail in the sections below. Critical Review into Current Academic Research Small and medium-sized enterprises can avail innu merable behavioural benefits in comparison to their larger counterparts in the process of innovation. However, it has been identified that they also face certain material disadvantages. The problem they face has been evident in the process of developing suitable network of contacts with outside sources of both mechanical and technological expertise as well as advice (Rothwell & Dodgson, 1991). It is quite difficult to measure the importance of SMEs. However, it is a well known fact that small and medium enterprises are considered as the basis of most of the economies, generally in relation to influences on employment as well as

Role of Farmers Markets in the Mainstream Food System Research Paper

Role of Farmers Markets in the Mainstream Food System - Research Paper ExampleFarmers markets in Ontario nowadays have become one of the hottest shopping spots where consumers drop in to buy fresh vegetables and fruits directly from the farmers. It has been revealed that In Ontario.... sales at Farmers Markets totality almost $600 million, leading to an economic impact of an astounding $1.8 billion (Farmersmarketsontario). Some other studies have shown that 60 to 70 percent of market-goers visit neighboring businesses on their way to and from the market thereby helping other local businesses also to flourish (Farmersmarketsontario). Some farmers markets have also been contributing their profits to social causes in the form of donations to the local senior centers, libraries, and schools, thereby linking the local economy with social upliftment (Hinsley and Pascoe, 1).In addition, a review of the materials available regarding the farmers market has indicated that the 100-mile diet c oncept is directly fulfilled by this initiative. This concept has a meaning that, you try eating only from producers within 100 miles of your home (Winter, 88). This decision is taken in localise to contribute to the sustainability of local agriculture and local livelihood as well as to evolve a healthy eating habit in which supreme fresh food is consumed. The farmers markets have also been lauded as environmentally friendly because, locally produced food has not traveled hundreds of miles to reach them (the consumers), increasing the fossil give the axe emissions that lead to global climate change (Hinsley and Pascoe, 2).

BHS 420 Quantitative Reasoning (Module 2-SLP) Essay

BHS 420 Quantitative Reasoning (Module 2-SLP) - Essay Examplee creative process, how (or if) the depressive element constrains the artist, and how the balance of the two phases of Bipolar Disorder contribute to artistic expression.Does the manic cycle of Bipolar Disorder positively impact the artist? In dealing with famous, but dead, artistic masters, the disease was untreated. Current news headlines are full of instances where untreated bipolar sufferers engage in anti-social or even vicious behavior. I understand that the manic phase of the disease can cause people to engage in high-risk behavior and poor judgment, but it withal induces a sense of euphoria and a feeling of invincibility. I think it is possible that the manic typeface of bipolar fueled much of the artistic expression or at least the work it took to create the symphony, manuscript, or painting. It is not hard to imagine one of the three artistic geniuses noted above sit down over their work in the middle of the night fully charged with energy and passion. The modern bipolar sufferer would be medicated for insomniabut what about the impression of having so much energy channeled into a creative act? I want to know how mania contributed to the process.Does the depressive cycle constrain the artist? Similarly, the depressive cycle of bipolar can render people virtually helpless bedridden or mentally unable to be productive at all. Yet it seems to me that the benighted side of bipolar might have contributed to the creative process. One only has to listen to Moonlight Sonata to recognize a bipolar cycle the first movement is dark and slow, the second is like a ray of sunshine on a flowered field, and the third is this combination of incredible energy fused into the dark theme. quite an than being constrained, Beethoven seemed empowered by the depression. Conversely, Hemingway would have long periods of no creativity at alloften he wrote in a bibulous stuporand then burst forth with the grea t American novel. I would like to understand the

European Law Essay Example | Topics and Well Written Essays - 1750 words

European Law - Essay Examplethere are The European Committee, The European Court of justice, The European Court of Accounts, The Economic and Social Committee, The Committee of the regions, The European Ombudsman, The European Bank of Investments and The European Central Bank as the asylum the EU (Dumitru).The European Parliament is the apex body of the European Union. It represents the citizens of its 27-member countries who are European Union citizens by virtue of their respective countrys social rank in the Union. The Parliament members are directly choose by their countries people to safeguard their interests in the E.U. Every E.U. citizen is entitled to vote from any E.U. member express they live. Thus every E.U. citizen has right to contest in the election for the E.U.Parliament held once in five years. Thus, the Parliament represents the democratic aspirations of its people through as some as 736 elected members from 27 Member States. Each Member State has a defined numbe r of members to represent and there are seven semipolitical parties called political groups transcending the identities of individual member countries besides independently elected members (non-attached) without allegiance to any of the political groups. The Parliaments General Secretariat is in Luxembourg. sequence its plenary sessions are held in Strasbourg, Committee meetings take place in Brussels. Parliament is vested with the power for enactment of European legislation. As the laws are passed by the elected members of the Member States, they lend legitimacy to the enactments and become binding on the Member States. As the European Council also has legislative power, the Parliament passes legislation through co-decision with the council. In some subjects, the Council alone can enact but with the consultation of the Parliament. In certain matters of admitting countries as members, Parliaments assent s required. Second, it supervises the E.U institutions functioning. Its superv ision everywhere the E.U.

Child Care from a Licensed Center Essay Example | Topics and Well Written Essays - 1250 words

Child Care from a Licensed Center - Essay Example each(prenominal) of these institutions are looking after the childrens welfare. To obtain a license to operate the child center has to be located in a rubber place. It needs to have clean facilities kitchen, bathroom, play area, instructional area, equipment, and toys. The personnel involved should meet the minimum requirements to care for the children and the children have to have a balanced and nutritionary diet.For the baby sitter there are no particular guidelines. She or he may be a family member, a neighbor, a friend, or somebody who recommended the babysitter. The babysitter does not have to have a degree. The babysitter does not have to have a clean place or supply a nutritional diet. In many cases, if the payment is made to the baby sitter to include meals, she or he will buy what they think will be sufficient depending on their budget. In the case where the put ups supply the meals in addition to the babysitter payments, it may usually a brown bag depending on the parents budget.I prefer to have my nephews and nieces to be cared by a licensed child care center because the probabilities of being safe are great than if they are taken care of non-specialized personnel. The nutritional factor carries weight in their formative years and in their healthy development. There have been instances where safety is an issue, however, with the everlasting supervision of qualified personnel the odds are less.I have had the experience of having my nephews and nieces cared for at a licensed child care center.

To what extent can improvements in productive flow and product quality Essay - 2

To what extent can improvements in productive flow and product quality lead to an increase in gross sales and profit - Essay ExampleTo meet the growing demand, it is viable to move production to a larger facility like a manufacturing plant. This can focus the cost of production and increase the volume of sales. Increased production can reduce the cost of manufacturing per unit, and this can enable the company to lower the price of products thereby increasing sales. In order to earn more profits, it is necessary to boost sales and this can be make by producing better quality goods at reduced costs. This paper discusses how productive flow and product quality lead to an increase in sales and profit. Production and quality In any business, the handed-down concept of enhancing sales and increasing profit is to increase the volume of production with innovative technologies so as to produce quality goods that will satisfy the demands of the consumers. gross sales can increase when pr oducts become easily accessible and affordable for consumers. Therefore, the main focus of the management should be on increasing production and also statistical distribution efficiency. This concept of production is applicable in two different situations. In the first situation the demand of a product is so high that it exceeds the tack on i.e. production of the product is below the quantity in demand. In this case, management should apply plans and strategies to increase production while keeping the cost of production per unit low. ... However, this same concept which is know as production concept may not work for other companies if the consumers do not find the product personable in terms of quality, performance and innovative characteristics. In such case, it is required to follow the product concept. Under this concept the business organization should focus on improving production techniques to continuously increase the quality of products. However, there is a disadvantage, f or instance, producing better mousetraps may not satisfy the consumers need for eliminating mice. The demand may be for other types of solutions like a chemical spray or an exterminating service. Moreover, even a good quality product cannot boost sales unless the packaging is done attractively, pricing is affordable and distribution processes are efficient. Also a good deal of promotion and advertising is required in order to convince the buyers that it is a better quality product. This calls for merchandising concept which implies that consumers will not respond to enhanced quality unless rigorous selling and promotion efforts are made by the business organization. Then there is the marketing concept which indicates that the objectives of business enterprises of increased sale volumes and enhanced profit structure can be achieved by brain the demand curve of the target markets, and by providing quality goods for consumer satisfaction more efficiently than the competitors. The sell ing concept holds an inside-out perspective, which means it focuses on heavy selling of the existing products by rigorous promotions and advertisements. Contrary to this the marketing concept holds an outside-in perspective, which means it puts emphasis on consumer demand, coordinates all marketing

LEADERSHIP Essay Example | Topics and Well Written Essays - 500 words

LEADERSHIP - Essay ExampleHowever, this theory was reformulated, leading to the inclusion of leader behaviors, employee characteristics and leadership effectiveness.These two situational leadership theories can be veritablely use in an organization as they both combined styles and actual situations together. For this reason, there is an inclusion of what could probably motivate an employee which can be generally understood from the actual prevailing situations. Combining these theories or leadership styles can somehow be effectively used in expanding the level of influence a leader essential possess in an organization or team. For this reason, these leadership styles are actually helpful in maintaining the idea about human resource motivation. In casing of motivating the team, so as to increase the level of influence of a leader, either one of these leadership styles could be applied within an organization. By employing higher(prenominal) understanding of the situation in an organ ization and knowing the human resources actual needs that could motivate them, these two situational leadership could be only if applied.Women cannot lead because they do no come from a basis of power. And, when they are put in a leadership position, they overcompensate by requiring impossible actions from their subordinates and beingness very autocratic. Analyze this quote and provide your thoughts.I think there is something wrong with this quote as it tries to emphasize leadership to be primarily provide by power. In this case, a woman is assumed less powerful than a man, making her less effective in leadership activity. There is a wrong conception of leadership in this case because in the first place, it is not about power, but influence (Kreitner & Kinicki, 2010). The other point is that there is some other presumption about the capacity of women to lead in a team, which is

Children's Magazine Essay Example | Topics and Well Written Essays - 500 words

Childrens Magazine - Essay ExampleThe idea was to find whether the books and their reveal are able to fascinate the targeted readers and promote reading.During the survey, it was found that the libraries do have wide variety of books for children of different age groups but there is significant lack of childrens magazines and whatever few magazines are there, they do not attract the children. Childrens section is normally well segregated but lack of imagination, in the display of the titles, are found to be the main reason for disinterest amongst the children and the teens. The libraries come across no efforts to apply creative approach to promote better reading.The bookstores like Waterstones and W. H. metalworker have a huge selection of childrens magazines and story books which are prominently displayed. They often organize special events for children to promote childrens books which do make some headway in inculcating reading habits in children. The bookstores, too, have a sep arate section for the children where latest story books are attractively displayed. Unfortunately, the price compute is a big deterrent for the majority of the children who prefer to spend that much money on latest gadgets and audio-video gamesThe children need to develop reading habits for various reasons and the most(prenominal) important justification being that it hugely widens their knowledge horizon which becomes their greatest asset in the later life. To attract children towards reading, it is important that they be introduced to the pleasures of reading in a manner that makes it a big fun and which sufficiently prods their inherent curiosity so that they seek more interesting information in the books. It is likewise important that the government must encourage writers for writing childrens books and magazines that are interesting, fun filled and which satisfy interest level of children of

Case study write up Example | Topics and Well Written Essays - 500 words

Write up - Case Study Examplehis case, unrivaled strongly believes that there are organizational and morphological problems that contribute to Chets level of adjudicate, particularly found in the way that the organizational chart is designed. As shown in Figure 2.7, Chets position as Central Plant Manager indicates governing jurisdiction to 16 lines or chains of command. This means that 16 different personnel, with diverse responsibilities could report to him directly. Therefore, to manage stress using time management, Chet must recommend to higher management that the organizational structure be re-evaluated and redesigned so that stressors could be eliminated or minimized, as needed. As recommended in Whetton and Camerons management strategies for eliminating stressors (Table 2.3) through delegating responsibilities, collaboration and team building, work redesign and goal setting, the stress level of Chet would be appropriately managed.Based on developing self-awareness, Chet cou ld manifest high levels of task motivation where he exemplified the desire to accomplish the defined open-end unit schedule but his persistence and productivity levels do not adhere to his defined objectives and goals. The inability to achieve these goals thereby contributes to his level of stress, in conjunction to his awareness that there needs to be a residue between time spent for his family and also to pursue leisure activities for his personal and professional growth.4) Based on the case and your assessment of Chets personality, how would you advise Chet? What strategies/tools, and concepts from the chapter would you refer to him to increase his effectiveness and lower his stress as a manger.Based on the case and on ones assessment of Chets personality, one would advise Chet to recommend to management a redesign of the organizational structure so that the personnel to report directly to him would be reduced and categorized correspond to human resources, inventory management , night operations and

Problem question in Land Law Essay Example | Topics and Well Written Essays - 750 words

Problem question in Land Law - Essay Exampletest (exploring the degree of the items concomitant to the ground), and the degree of annexation, (the removability) are the main legal tests that would be employed to determine who between K and V should have the rights over the sculptors.Chattels that are physically erected on the take will be considered as fixtures (Luther, 2004 Essert, 2013). In this case, K physically dug the sculptors, the studio and the greenhouse in the piece of land. Some of the properties rest on dug cover plinths, while others are attached to similar concrete plinths with heavy metal bolts in a manner that make them more of fixtures than chattels (Holmes, 1940 Burn, Cartwright, & Maudsley, 2009). In light of their attachment, V can validly lay claims for the items as being part of the land.Vs claims are supported by the verdict in the case of Holland v Hodgson (1872) LR 7 CP 328, in which the court held that the relatively temporary looms placed on stone found ation were no longer chattels and had been mortgaged with the land as one property (McFarlane, Hopkins, & Nield, 2012 Kearney & Merrill 2013). In the case of Elitestone v Morris 1997 1 WLR 687, the House of Lords followed the precedent set in Holland, holding that a bungalow resting concrete pillars was part of a realty since the degree of annexation was low. Williamson (2004) has said that in determining whether an item is a chattel or a fixture courts rest home their argument on the intent of the property owner.Following the ruling in Holland, chattels which are placed on a piece of land to enhance offend enjoyment of the items in question remain fittings or while the those which are intended to improve the suitable use of the piece land should be considered as fixtures (Hamza, 2011 Hutchinson, 2010). In light of the argument, Ks studio, the greenhouse and the strategically-placed sculptors would be considered as better use of the piece of land, hence they are fixtures and shoul d be legally retained by V. In

On Finding Nightingales in Human Voices Essay Example for Free

On Finding nightingales in Human Voices EssayAnne Finchs To the Nightingale is an ode to a Muse, which is represented by the nightingale. The poem is written in a series of rhyming couplets that provides it a singsong rhythm throughout, which is appropriate for its subject. When emphasizing the merits of be a nightingale, the speaker articulates the difficulties of beingness a human poet, subject to judgment by his critics. In To the Nightingale, though the narrator recognizes the significance of the nightingale and hitherto bestows upon it affirmative adjectives such as sweet and lofty titles like harbinger of spring (line 1), he knows the limitations of the bird as a poet. The first four lines point the admiration of the speaker for the nightingale. This moment I attend to praise (line 3) refers to the moment in which the nightingale will sing to announce the coming of spring. The speaker wishes to be as free with expressing himself, like the nightingale. As the line Free a s thine shall be my song (line 5) indicates, he believes that as a human being, his singing is more than restricted by his audience. On the other hand, the nightingale sings according to its nature, whether or non it pl exempts anyone.There is no fear of being ridiculed, or anxieties about not being praised. Moreover, the beauty of the nightingales singing is in its freedom Poets, wild as thee, were born/ Pleasing best when unconfined/ When to please is to the lowest degree designed/ Soothing but their cares to rest (lines 7-10). These four lines may also suggest that the speaker is hoping to experience the same unconfined performance. Indeed, if the nightingale is his muse, he is excite by its sheer autonomy and being true to itself. Some artists need their personal pain in order to produce depth of feeling.An artist who is experiencing problems enchantment composing sad ballads will create genuine emotion which will be felt by their audience Cares do unperturbed their though ts molest/ And still the unhappy poets breast, /Like thine, when best he sings, is placed against a thorn (lines 11-13). The three lines, however, may also signify the other way around that when at his best, a poet may experience loneliness brought by success. The next few lines incorporate gold as a metaphor for the beauty and the effect of the nightingales song, after praising the sweetness of it.Canst thou syllables refine/Melt a sense that shall retain/Still some spirit of the brain (lines 18-20). The oral communication refine and melt elucidate the worth of the nightingales song. It can create something equivalent to gold, which consequently leaves a mark in the listeners mind. The poem starts to change its tone by line 21. The speaker seems to expect more out of the nightingale, by asking it to change its note. He further commands let division shake thy throat (line 22), longing for the joyous varying and fluttering of the golden voice.At this point, the human poet, though s till admiring the singing bird, becomes aware of dissatisfy within himself. The lovely song may not have changed its tune for some other listener, but for the narrator it has in some way for he says cease then, prithee, cease thy tune (line 26). He even calls his muse trifler, or someone who takes nothing seriously by being a constant dreamer. loll thou sing till June (line 27), he asks. He previously tags the nightingale as a harbinger of spring. He then wonders if it will cover up its singing even when summer is near.It is as if the nightingale has been given an obligation to announce spring, and when that obligation has been fulfilled there is no need to keep on going. The speaker has started to question inspiration and leans toward practicality. The speaker believes that there is too big a difference between a nightingale and a human poet he has stopped dreaming about attempting to recreate the singing of a nightingale through human voice. Thus we poets that have speech/ Unli ke what the forests teach (lines 30-31). To ease this discouragement, he lifts the human advantage of being able to speak.If a fluent vein be shown/Thats transcendent to our own/ Criticize, reform, or preach/ Or elision what we cannot reach (lines 32-35). Nevertheless, he discerns what he is trying to do he can identify the human trait of disparaging a talent or a quality that he cannot achieve for himself. To the Nightingale explores the dilemma of exploring a dream and aiming to reach its zenith without any thought of its limitations and consequences, and of choosing practicality and realistic aspirations. The poem achieves a light, song-like rhythm which prevents it from being completely dreary even at its despondent but sensible end.

Nursing Care Plan and Specimens Essay Example for Free

Nursing C be Plan and Specimens EssayQuality is a broad term that encompasses various aspects of nursing wield (Montolvo, 2007). The National Database of Nursing Quality Indicators NDNQI is the only national nursing database that provides quarterly and annual reporting of structure, process, and outcome index fingers to evaluate nursing care at the unit of measurement level (Montolvo, 2007). Nursings proveational principles and guidelines identify that as a profession, nursing has a responsibility to measure, evaluate, and mitigate practice (Montolvo, 2007). The purpose of this paper is to analyze the mislabeled prototype indicator for an in patient rehab unit and devise an action plan based on best practices to decrease the incidence of mislabeled specimens. Analysis of the dataAccording to Dock, (2005) perfect specimen identification is a challenge in all hospitals and medical facilities. Ensuring that specimens are correctly identified at the point of collection is es sential for completed diagnostic information (Dock, 2005). A mislabeled specimen can lead to devastating consequences for a patient (Dock, 2005). Specimen misidentification can be serious, resulting in misdiagnosis and mistreatment (Dock, 2005). For the due south quarter of FY09, the rehab unit met their target of zero mislabeled specimens. The third quarter yielded two tangible mislabeled specimens with a variance of two. The fourth quarter actual was one with a variance of one. The first quarter FY10 showed an actual of one and variance of one. For the FY09 the rehab had a total of four mislabeled specimens. This indicator was chosen because of the order of this medical error. Nurses, administrators and laboratory personnel must collaborate and create ways to decrease the mislabeling of specimens.Nursing planNursing interventions to decrease the number of mislabeled specimens and improve actual indicator scores are 1) Ensuring proper identification of patient 2) The use of ele ctronic technology and 3) Bedside labeling. Each of these interventions will positively impact patient outcomes and reduce errors. According to The Joint Commission TJC, proper patient identification is best practice for decreasing mislabeled specimens (The Joint Commission as cited by Sims, 2010). National Patient Safety Goal NPSG, 01.01.01 states that healthcare providers should use at least two identifiers to identify patients. For example, the patients full name and realise of birth is used to properly identify a patient (The Joint Commission, 2014). According to Kim et al., (2013), developing a standardized specimen handling system has the voltage to reduce errors. Figure 1. Steps to properly identifying a patient for specimen collection.Figure 1. Essential specimen handling steps. Blue items are physician-specific responsibilities pink items are nursing staff-specific responsibilities. Adapted from Standardized Patient Identification and Specimen Labeling A Retrospective Ana lysis on Improving Patient Safety, by Kim JK Dotson B doubting Thomas S Nelson KC Journal of the American Academy of Dermatology, 2013 Jan 68 (1) 53-6. The strongest intervention to reduce labeling errors is the addition of barcode technology (Brown, Smith Sherfy, 2011). The use of automated patient identification and specimen collection techniques can be an additional safety net for routines that are vulnerable to error, especially when coupled with strong systems designs (Brown et al., 2011).Brown et al (2011), found that the clinical applications of electronic and information technology support can assist in the identification, control, and reduction of error rates throughout the process. According to the mankind wellness Organization WHO healthcare providers should encourage the labeling containers used for blood and other specimens in the presence of the patient (World Health Organization, 2007). This would suggest labeling specimens at the patients bedside or before leaving the room. Nurses should never label specimens before collection as this could lead to serious errors. SummaryIn summary, NDNQI indicators serve as a skipper that holds nursing accountable to practice. An analysis of mislabeled specimens, found that an inpatient unit had a total of four incidents for FY09. While this does not seem like a great deal of errors, any one error could have detrimental consequences. The plan of action based on best practices is to properly identify the patient, apply electronic technology, and labeling specimens at the bedside.ReferencesBrown, J.E., Smith, N., Sherfy, B.R., (2011). Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. Journal of Nursing Care Quality, (26)1, 13-21. Retrieved from http//sfxhosted.exlibrisgroup.com/waldenu?genre=articleissn=10573631title=Journal%20of%20Nursing%20Care%20Qualityvolume=26issue=1date=201101 Dock, B. (2005). Improving the accuracy of specimen labeling. Clinical Laboratory Scien ce, 18(4), 210-2. Retrieved from http//search.proquest.com/docview/204803914?accountid=14872 Kim J.K., Dotson B Thomas S Nelson KC Journal of the American Academy of Dermatology, 2013 Jan 68 (1) 53-6. Retrieved from ent%20identification%20and%20specimen%20labeling%3A%20A%20retrospective%20analysis%20on%20improving%20patient%20safety.spage=53sid=EBSCOrzhpid=Montalvo, I. (2007). The National Database of Nursing Quality Indicators (NDNQI). Online Journal Of Issues In Nursing, 12(3). Retrieved from http//web.a.ebscohost.com.ezp.waldenulibrary.org/ehost/detail/detail?vid=50sid=909dc60d-9c0d-474c-a02e-2e8f9df097e1%40sessionmgr4003hid=4104bdata Sims, M. (2010). The Joint Commission clarifies key compliance issues. MLO Medical Laboratory Observer, 42(4), 72. Retrieved from http//web.a.ebscohost.com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=54sid=909dc60d-9c0d-474c-a02e-2e8f9df097e1%40sessionmgr4003hid=4104 The Joint Commission, (2014). National patient safety goals. Retrieved fro m http//www.jointcommission.org/assets/1/6/2014_HAP_NPSG_E.pdf World Health Organization. (2007). Patient safety solutions. Retrieved from http//www.who.int/patientsafety/solutions/patientsafety/PS-Solution2.pdf

Case Study Of Unstable Angina

Case Study Of Unstable AnginaThe patient in mount is a 61 year old male, Mr. X, admitted to hospital in the late evening for a case of unstable angina. Presenting complaints include left-sided chest bformer(a) which was less(prenominal)(prenominal) severe than that of his previous doorway and localized nuisance during rest. Absent symptoms are prof enforce sweating as well as na mathematical functiona and vomiting, orthopnea and paroxysmal nocturnal dypsnoea, cough and fever. forbearings past medical history includes diabetes mellitus and hypertension diagnosed 6 years ago, ischaemic heart disease (IHD) since 3 years ago, for which the last hospital admission was 11 months ago. In the previous admission for IHD, Mr. X also suffered from pneumonia and ventricular failure, his electrocardiogram (ECG) indicated right bundle branch block, his blood serum troponin I levels were 0.3 ng/mL ( modal(prenominal) levels 0-0.1 ng/mL), and his creatinine levels were 5.0 mg/dL (normal for males 0.2-0.6 mg/dL). Mr. X is also afflicted with degenerative kidney disease, for which his baseline creatinine during his last admission was 208 mol//L. Mr. X has retired from the military and is sustainment with his wife, who monitors his medications and compliance. He used to be a chronic smoker but has stopped smoking 15 years ago. His previous medication history is as be low-tonedDrug and FormStrengthFrequencyFurosemide tabs40 mgBDOmeprazole tabs20 mgPRNAmlodipine tabs10 mgODSimvastatin tabs20 mgONPerindopril tabs4 mgODTable 1 Table showing past medications of Mr. X.Mr. X takes no non-prescription medications and has no known drug allergies.On examination he appears to be alert and comfortable on his nasal cannula for delivery of atomic number 8 3L/min. His strain pressure is 134/81 mmHg, pulse rate is 76 bpm, body temperature 37oC, SpO2 of 99%, abdomen feels soft and non-tender, and no pedal oedema was detect. A blood glucose strip test reveals that Mr. Xs glucose level s were 10.3 mmol/L. requirement ECG shows right bundle branch block and no ischaemic changes. The tentative diagnosis was unstable angina and further tests were scheduled, including a full blood count (FBC), renal profile (RP), liver function test (LFT), troponin and creatinine (CKMB) investigations, as well as a urine full examination and microscopy (UFEME). The immediate send shoot was to give Mr. X subcutaneous enoxaparin 60 mg stat and twice daily thereafter, acetylsalicylic acid 75 mg tablets erst daily, lovastatin 20 mg tablets once daily, sublingual glyceryl trinitrate when required, and to continue the 3L/min oxygen cannula.Clinical ProgressDay 1MorningPatient was well, free from chest pain, tolerating orally and suffering from no nausea or vomiting. He had minimal shortness of breath (SOB). Troponin I levels were at 0.15 ng/mL and ECG showed no acute or evolving changes. frugality plasma glucose was at 4.8 mmol/L (within normal direct). Secondary dehydration was obs erved using the skin pinch test, so patient was started on intravenous normal saline solution drip (3 x 500 mL bag per 24 hours). Patient was found to be anaemic due to pre-existing chronic renal failure.EveningPatient account mild chest pain and SOB. His troponin I levels were 0.15 ng/mL and other life-sustainings were normal. His creatinine levels were 423 mol/L.Day 2Patient felt comfortable and his vitals were normal. His creatinine levels decreased to 345 mol/L.Day 3Patients jibe was well, no chest pain was reported but he was passive experiencing some SOB in the morning, which subsided in the afternoon. Patient was put on continuous peritoneal dialysis in the late morning. Patients vitals were normal, and he was taken off enoxaparin in the evening.Day 4Patient complained of chest pain in the morning, with minimal SOB. His vitals were normal. Subcutaneous enoxaparin 60 mg was given and the IV saline was continued.Lab FindingsUrine Biochemical Analysis (Day 1)Investigation va lues principle valuesProtein++100 mg/dLGlucose prejudicialnegativeBloodnegativeLeucocytes+-10 WBC/LKetonenegativenegativeBilenegativenegativeUrobillinogennormalSpecific gravity1.0251.003 1.040pH5.54.6 8.0NitritenegativenegativeTable 2 Results of urine biochemical analysis on Day 1Lipid Panel Fasting Serum Lipidplasm add cholesterol / mmol/L4.5Desirable Borderline 5.17-6.19 naughty luck 6.20Plasma triglyceride / mmol/L1.27 Desirable Borderline 1.7-5.64High risk 5.65Plasma LDL-cholesterol / mmol/L2.91 Desirable Borderline 3.36-4.12High risk 4.13Plasma HDL-cholesterol / mmol/L1.01 Desirable 1.03High risk Total cholesterol / HDL-cholesterol4.5Desirable Borderline 3.8-5.8High risk 5.9Table 3 Results of lipoid panel (fasting serum lipid levels).Renal ProfileElectrolytesMeasured levels on Day 1-1.14amMeasured levels on Day 1-12.54amMeasured levels on Day 2-10.47amNormal rangeUrea / mmol/L22.822.421.12.8-7.2Sodium / mmol/L129128129136-146Potassium / mmol/L5.34.84.73.5-5.1Chloride / mmo l/L989410198-107Creatinine / mol/L42339834558-96Table 4 Renal profile of Mr. X showing levels of electrolytes and creatinine.Plasma troponin I 0.15 ng/mLLiver Function TestMeasured levelNormal rangePlasma total protein81 g/L66-83 g/LPlasma albumin34 g/L35-52 g/LPlasma globulin47g/L25-44 g/LA/G ratio0.70.9-1.8Plasma alkaline phosphatase119 u/L30-120 u/LPlasma aspartate transaminase19 u/LPlasma alanine transaminase43 u/L Plasma total bilirubin6 mol/L5-21 mol/LESR47mm/hour 0-20 mm/hourTable 5 Results of liver function test showing protein and liver enzyme levels in plasma.Full Blood cipher (FBC) (Beckman Coulter)Cell typeMeasured levelNormal rangeWBC9.9109/L4-10109/LRBC3.341012/L3.8-4.81012/LHaemoglobin95g/L120-150g/LHaematocrit0.273L/L0.36-0.46L/LMean cell volume81.8fl.83-101fl.Mean cell haemoglobin28.4pg.27-32pgMCH concentration347g/L315-345g/LPlatelets353109/L150-400109/LRDW19.4%Neutrophils3.32-7 x109/LLymphocytes1.741-3 x109/LMonocytes0.550.2-1.0 x109/LEosinophils0.210.02-0.5 x10 9/LBasophils0.030.02-0.1 x109/LTable 6 Full blood count of Mr. X.Vital Stats ChartDateTimeBlood impel/ mmHgTemperature / oCPulse Rate/ bpmSpO2/ %Blood Glucose levels/ mmol/LDay 011.05 pm140/80379110013.911.30 pm137/843780100Day 18.30 am130/8037704.8 (fasting)3.55 pm130/70379010.30 pm108/643781Day 28.20 am119/6937784.50 pm130/9037829.69.45 pm140/9037806.7Day 38.50 am114/773772986.6Table 7 Records of vital stats of Mr. X from Day 0 3.Disease Overview Pharmacological Basis of Drug TherapyAcute coronary syndrome (ACS) is a broad term used to classify a continuum of symptoms and events stemming from acute ischaemic episodes affecting the cardiac heftiness.1 This includes unstable angina, non-ST segment elevation myocardial infarct (NTEMI), and ST segment elevation infarction. It is usually characterised by chest pain which increases in its severity at rest or with physical exertion. The ischaemic events usually arise from the development of unstable atheromatous plaques,2 which expl ains the fact that stable angina (due to a stable coronary atheromatous plaque) is not included under this umbrella term. Rupture, ulceration or fissures of the atherosclerotic plaque often leads to formation of a thrombus, causing occlusion of coronary arteries and inadequate blood flow and, after, inadequate supply of oxygen and nutrients to the cardiac muscle. This can be precipitated by acute extend factors on the sclerotic cap usually consisting of fibrous material, which is caused by local blood flow disturbances or vasospasms3. Unstable angina usually occurs without cardiac muscle damage while myocardial infarction (MI) may occur with or without myocardium damage. The thrombus formed in unstable angina is labile and obstruction is transient, and not a full-on occlusion as would occur in MI.4 Unstable angina occurs at rest and is almost indistinguishable from a non-ST segment inflated myocardial infarction except in the severity of cardiac muscle ischaemia. Theoretical defin itions of unstable angina would include changes in usual patterns of stable angina after a stable pain-free period, or severe acute anginal pain causing almost total incapacity5, though it is difficult to define it exactly as the term is often used by medical professionals to describe a range of different conditions intermediate between stable angina and MI. The primary clinical symptoms of unstable angina are sudden occurrence of chest pain that persists for more than 20 minutes which may be felt in other areas such as the jaw, arm, shoulder, neck or back without cause (as opposed to stable angina which stems from physical exercise) shortness of breath, rapid pulse rate, and sometimes a rapid drop in blood pressure. Patients suffering from an ACS cook a senior high risk of MI and achievable even death immediate hospitalization is often required1 and word is of a more urgent nature compared to that of stable angina. It has been suggested by the National Health Service (NHS) Ho spital Episode Statistics in 1998 that green out of every million per population is affected with unstable angina, or 10 acute hospital admissions per week.6 On a more recent note, NHS has reported in 2009 that angina affects between 10-15% of women and 10-20% of men aged 65 and above in England.7 Due to the close down relationship between unstable angina and coronary events, it is worth noting that the highest averaged rates of cardiovascular events were observed in Glasgow and Belfast (UK), North Karelia and Kuopio (Finland), Newcastle (Australia), and Warsaw (Poland).8Diagnosis of an unstable angina episode, or any ACS in that matter, is found on several aspects9. Physical symptoms include anginal pain at rest that lasts for 20 minutes or more new onset angina severely limiting ability of physical activity or changes in existing angina intensity, frequency or length of attack. One or more of these symptoms are an urgent indication that the patient is suffering from an ACS atta ck. Upon admission to hospital, ECG and blood tests should be performed to confirm the type of ACS in order to initiate extendment. In unstable angina, the ST segment is not elevated and levels of cardiac enzymes are normal (especially troponin T and I). If the onset of symptoms is unclear as to indicate ACS, a measurement of serum troponin concentration should be carried out 12 hours from bear witnessation to establish the diagnosis.10 Treatment of unstable angina and NSTEMI are similar in terms of pharmacological anxiety indeed they are at presentation indistinguishable except in terms of the severity and extent of cardiac muscle ischaemia, in which the ischaemia is less severe in unstable angina and less troponin T and I are released into the bloodstream.Antiplatelet agents. Aspirin and clopidogrel are the immediate emergency drugs used in the ambulance, both being antiplatelet drugs. Aspirin is an irreversible inhibitor of arachidonate cyclooxygenase (COX) enzyme, in which co valent acetylation of the serine moiety in a hydrophobic channel in the enzyme11 reduces synthesis of thromboxane A2 in platelets and prostaglandins in the endothelium. This prevents platelet aggregation and further enlargement of the thrombus formed in the coronary artery. Clopidogrel is an inhibitor of the ADP-dependent activation of the GPIIb/IIIa receptor and prevents the formation of fibrinogen bridges between glycoprotein IIb/IIIa receptors on the surfaces of platelets11, subsequently preventing platelet activation. Glycoprotein IIB/IIIA receptor antagonists, eg, abxicimab, induct the advantage of inhibiting all pathways in the platelet activation process by inhibiting the glycoprotein IIB/IIIA receptor.Anticoagulants. Unfractionated heparin is an activator of antithrombin III, which inhibits the action of thrombin and serine proteases. The heparin also binds to thrombin the unite effect of this and the heparin-antithrombin intricate formed inhibits thrombin, which decreases the conversion of fibrinogen to fibrin and reduces platelet aggregation. In contrast, low molecular weight heparins (LMWH) have molecular sizes that are too nice to bind to thrombin but still bind to antithrombin III, which inactivates all serine proteases including Factors XIIa, IXa, and Xa11, preventing the coagulation process. Direct thrombin inhibitors such as hirudin and bivalirudin inhibit thrombin reversibly. These agents can bind to free and bound thrombin, thus have the ability to prevent and dissolve preformed clots. Synthetic pentasaccharides (fondaparinux) is a selective indirect inhibitor of Factor Xa. It binds to antithrombin III reversibly, catalyzing the inactivation of Factor Xa12 and inhibiting the coagulation cascade.Beta blockers. all beta blockers bind to beta-adrenoceptors, competitively antagonizing the action of catecholamines. These drugs block the beta-1 adrenoceptors at the heart, achieving a decreased heart rate and force of cardiac contractions, as w ell as lowering blood pressure. Atenolol is relatively specific for cardiac beta-1 adrenoceptors and exerts fewer side effects associated with beta-2 adrenoceptor blockade, for example bronchospasm in asthmatics.Nitrates. Organic nitrates mimic the actions of endogenous azotic oxide to relax vascular smooth muscle by increasing the synthesis of cGMP, leading to the dephosphorylation of myosin light chains.11 Vasodilatation of coronary arteries causes change magnitude coronary blood flow and conjugated with its effects of decreasing arterial pressure and also cardiac output, the myocardial oxygen consumption is largely reduced.Statins. Also termed HMG-CoA reductase inhibitors, these medicines inhibit the rate-limiting enzyme in the synthesis of cholesterol, in which this enzyme converts HMG-CoA to mevalonic acid. boom inhibitors are diuretics acting on the rennin-angiotensin system which inhibit the angiotensin-converting enzyme (ACE) and block the production of angiotensin II from angiotensin I. This reduces vascular resistance, increases tissue perfusion, and reduces cardiac afterload.angiotensin II receptor inhibitors also act on the same system as the ACE inhibitors, except that they block the angiotensin II receptors directly sooner of inhibiting their formation. The outcome is the same as above.Evidence for Treatment of the ConditionAntiplatelet AgentsThe SIGN guidelines advocate that aspirin and clopidogrel be given to patients with ECG ischaemic changes or increased levels of cardiac markers and aspirin is advocated for all patients suffering from ACS. A meta-analysis of 287 randomised trials proves the protective effect of aspirin on patients with unstable angina, halving the rate of cardiovascular events, including death, non-fatal MI and strokes, or also termed the first primary outcome while in those with an acute MI, it reduces the rate of coronary events by almost a third13. Long-term use of aspirin for these patients was also shown to be a ben eficial antiplatelet therapy. According to the same study, reduction of serious vascular events by clopidogrel was 10% compared to aspirin. The combined use of clopidogrel and aspirin as compared with a placebo and aspirin showed significantly higher(prenominal) success rates in reducing occurrences of first primary outcomes (9.3% compared to 11.4%, POn the flipside, although short term studies have shown that antiplatelet medications are effective for patients with renal failure in the prevention of serious vascular events13, the risks of bleeding is increased by renal disease15, posing a possible contraindication for antiplatelets to Mr. X. A clinical study found that treatment for NSTEMI ACS in patients with chronic renal disease (mild to moderate stages) was less aggressive than those with normal renal function, scorn the risk that these patients with renal disease would experience greater obstinate outcomes from insufficient treatment for ACS compared to the other patient gro up16. However the available information on adverse effects of antiplatelets on patients with varying degrees of renal disease is limited and it would appear that this would result in the reluctance of medical professionals in using this class of drugs for patients with chronic renal disease as well as ACS.It can be inferred that Mr. X would gain the maximum benefits if his medications were changed to aspirin 300 mg and clopidogrel 300 mg stat and aspirin 75 mg and clopidogrel 75 mg thereafter, in which the patient should be closely monitored for signs of bleeding.Heparins LMWHsA 2003 review of 7 studies involving 11,092 patients with non-ST elevation ACS found that low molecular weight heparins (LMWH) were more effective than unfractionated heparins in reducing MI events, requirement for revascularization procedures, and thrombocytopenia17. No difference in the mortality, recurrent angina, major and minor bleeds were observed in the two types of drugs. A meta-analysis of 12 randomi sed trials with 17,157 patients involved found that patients who have had a non-ST elevation ACS who were put on aspirin experienced no significant difference in benefits in efficacy (preventing MI or death) or safety (major and minor bleeding complications) when they were put on unfractionated heparin or LMWH17, implicating no difference in the thrombolytic effect in both classes of drugs. These results are partially similar to those of the first review. Another meta-analysis of 2 phase-3 trials comparing enoxaparin and unfractionated heparin, on the other hand, showed a significant (20%) difference in reducing death or severe cardiac ischaemic events18. From an economic point of view, authors of yet other meta-analysis on the publication stated that the cost of LMWH is 3-5 times higher than unfractionated heparin19. From these data it can be concluded that LMWHs does indeed have additional positive treatment outcomes compared to unfractionated heparins22 it does not show signifi cantly decreased side effects (bleeding).Enoxaparin has, though, an increased bleeding effect on patients with renal disease as reported by an investigation of 106 patients, in which total bleeding complications occurred in 22% of normal patients and 51% of patients with impaired renal function (pIt is still the drug of choice for patients present with non-ST elevated ACS, and this is applicable to Mr. X with unstable angina.Beta-BlockersBeta-blockers were not prescribed for Mr. X. The SIGN guidelines states that beta-blockers should be the drug of choice for first line treatment of anginal pain in patients with non-ST elevated ACS. A meta-analysis of 5 trials consisting of 4700 patients in all showed a 13% reduction in anginal pain with the use of beta blockers (initially IV then oral for a week) in patients with non-ST elevated, MI-characterised chest pain23. It was stated in the clinical progress Mr. X had chest pain on Day 1 and 4, thus the addition of a beta blocker to his medi cations would be useful in alleviating his pain. contempt the popular belief that beta-blockers are contraindicated in patients with diabetes mellitus, it is possible to treat these patients using beta-blockers as long as good glycaemic control is achieved and the patient is monitored regularly24. This would further support its use in Mr. X furthermore, several studies have shown that diabetic patients derive a significant benefit from the use of beta-blockers after an MI, in which diabetic patients had a significantly lower mortality 1 year post-discharge25, total mortality after 3 years, and deaths from cardiac events26. A multicentre randomise trial, the HINT trial, on patients with unstable angina found that metoprolol, a relatively cardioselective beta blocker, reduced occurrence of myocardial ischaemia or progress to MI within 48 hours, indicating that metoprolol has a short term beneficial effect on patients not already taking beta blockers prior to the unstable angina epis ode27. It has been suggested that beta-blockers be the first line treatment for unstable angina and if patients remain unstable, a calcium channel blocker should be added28.StatinsThe beneficial effects of statins in reducing mortality and cardiovascular events have been proven by a meta-analysis of large, randomized controlled trials (n=90,056) where coronary artery disease was present or absent29. The positive results were also proven spanning a large range of serum cholesterol levels. Investigations comparing the use of intense versus moderate doses of statins in the early stages and post-ACS showed positive results a meta-analysis of 4 large trials (n=27,548) shows a 16% reduction in cardiovascular deaths or MI, as well as a 16% reduction in cardiovascular deaths or coronary events30. This view is shared by another meta-analysis of the same subject of 13 randomised controlled trials which found a decrease in mortality and coronary events after 4 months of treatment31. These dat a support the use of statins by Mr. X.NitratesNitrates have been widely used in relieving pain from unstable angina, despite its lack of clinical evidence in supporting its role in improving natural selection and reducing the rate of MI and cardiovascular events32. ISIS-433 and GISSI-334 reports no significant difference of the use of glyceryl trinitrate post-MI in reducing the overall mortality however this may be explained by the fact that more than 50% of patients in the controlled group are also on other forms of nitrate therapy, such as intravenous glyceryl trinitrate. Despite this, nitrates will still be of use for reducing the pain in post-MI patients and those with unstable angina. The BNF advises against the use of nitrates in patients with serious anaemia (HbGlycaemic controlMr. Xs plasma glucose levels were elevated on the day he was admitted to hospital (13.9 mmol/L). Diabetes mellitus has been proven to be a strong independent risk marker for coronary heart disease pat ients with ailing controlled diabetes at hospital admission have a worse outlook on prognosis and future development of cardiovascular events35. The DIGAMI investigation reports that the use of intensive insulin therapy increased long-term prognosis (P=0.011) of patients presenting with hyperglycemia (11mmol/L) at admission compared with those on standard antidiabetic therapy36. These data support the use of insulin to control the blood glucose levels of Mr. X which were highly increased upon admission. This is also supported by the SIGN guidelines which advocate immediate control of blood glucose is carried out for MI patients with glucose levels of more than 11.0 mmol/L for at least 24 hours.ACE InhibitorsThe SIGN guidelines recommend that patients with unstable angina should be given ACE inhibitors as long-term therapy. In patients at high risk of cardiovascular events, ACE inhibitors (ramipril was investigated in a report37) have been proven to reduce overall mortality, MI, and stroke, particularly in patients with diabetes mellitus. Perindopril was found to reduce cardiovascular risk (relative risk reduction =20%, P=0.0003) in a population with stable coronary heart disease in absence of heart failure38 in a double-blinded, randomized multicentre trial involving 13,655 patients. A meta-analysis of the 2 above trials and a third one (PEACE) showed a reduction in overall mortality, cardiovascular death, non-fatal myocardial infarction, stroke, heart failure, and coronary artery bypass surgery by ACE inhibitors39. This demonstrates the benefits of ACE inhibitors in patients with atherosclerosis as patients who had an ACS event would have a higher rate of cardiovascular events, the positive outcomes of ACE inhibitors can perhaps be extrapolated to this population in order to decrease coronary events and improve prognosis. However, the BNF advises caution and close clinical monitoring if ACE inhibitors are to be used in patients with hyponatremia (Oxygen ther apyOn admission, Mr. Xs SpO2 was 99% and remained high throughout his stay in the hospital. The use of oxygen therapy is significantly beneficial only in hypoxic patients (with SpO2 Anaemia and Unstable AnginaAnaemia can disturb the balance between myocardial oxygen supply and demand a decrease in the number of red blood cells can lead to a reduction in the supply of oxygen to the myocardium. Thus even upion of the causative factor would be sensible in the treatment of unstable angina for the patient in context. Mr. X was given a combination of ferrous fumarate, vitamin B complex, and folic acid for treatment of his anaemia. From the data in Table 6, it can be seen that Mr. X has low haemoglobin concentrations (95 g/L) and a low mean cell volume (81.8 fl.). To confirm that Mr. X is indeed suffering from iron-deficiency anaemia (as suggested by his treatment medication), three parameters must be conventional namely the plasma iron, the plasma ferritin, and total iron binding capacit y. However, as very few conditions can cause abnormalities in the mean cell volume, and a decreased value is due to iron-deficiency anaemia or thalassemia42, it is safe to assume that Mr. Xs anaemic condition is due to an insufficiency of iron. Iron supplements are given to correct the iron status of the patient, in which the ferrous form given orally is found to be cheap, safe and effective in the majority of patients with iron-deficiency anaemia2. Vitamin B complex and folic acid are only indicated in patients with the respective deficiencies2 there is little evidence that they would be of any significant benefit in patients with iron-deficiency anaemia.Summary found on the evidence given, Mr. Xs aspirin dose should be changed to 300 mg stat and 75 mg thereafter, and clopidogrel should be added into his medication profile in the same doses. These changes gibe that Mr. X is obtaining sufficient antiplatelet effects from his medications to prevent another attack of unstable angina or even a myocardial infarction. Present drugs that were given for his condition that are suitable and supported by evidences include enoxaparin, lovastatin, insulin, and GTN these can be safely continued without problems. A beta-blocker (metoprolol tablets) may be given additionally in doses of 50-100 mg as evidences described above have shown that they can be safely used in diabetic patients contrary to popular belief an ACE inhibitor (perindopril as previously used by Mr. X) may be initiated coupled with regular electrolyte